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"This book has been written step wise by enumerating various aspects of the importance of clinical examination derived by laying one’s hands on the affected part. By a thorough clinical examination, it can help an individual to arrive at a tentative differential diagnosis of the condition and hence help in investigating the same by numerous tests which are relevant to the given condition. The manner in which a given case is handled in this way is far more important than the diagnosis of the condition and this feature comes with practicing the same many times. It is a must for anyone embarking in life on Orthopedics as a career."

"[Rumah Sakit Umum Pusat Fatmawati merupakan rumah sakit rujukan nasional tipe A yang melayani salah satunya pelayanan bedah orthopedi. Pelayanan bedah orthopedi merupakan pelayanan terbanyak yang dilakukan di IBS, dan memiliki demand yang sangat tinggi. Demand yang tinggi menyebabkan lamanya waktu tunggu. Apalagi ditambah dengan tingginya kejadian penundaan operasi, terutama penundaan operasi orthopedi. Skripsi ini menganalisis standar waktuoperasi yang ada apakah sesuai dengan kejadian real di lapangan atau tidak dan meilai efektivitas pelayanan bedah orthopedi khusunya ORIF (Open Reduction Internal Fixation) dengan metode Lean Hospital. Didapatkan hasil bahwa standar operasi yang ada sesuai dengan lapangan bahkan kurang dari waktu standar yang ditentukan, akan tetapi banyak terdapat waste pada setiap aktivitas pelayananyang menghambat operasi. Waste di ruangan serah terima (36,4%). Non value added pada waktu aktivitas di ruangan ini sebanyak 1870 ?s atau 81,7%. Waste di ruangan persiapan (42,9%). Non value added pada waktu aktivitas di ruangan ini sebanyak 2460 ?s atau 89,1%. Waste pada saat persiapan operasi (21%). Non value added pada waktu aktivitas di ruangan ini sebanyak 1490 ?s atau 48,2%.Waste di pada saat operasi (29,4%). Non value added pada waktu aktivitas di ruangan ini sebanyak 900 ?s atau 12,4%. Waste di ruangan pemulihan atau recovery (12,5%). Non value added pada waktu aktivitas di ruangan ini sebanyak2390 ?s atau 47,8%. Berdasarkan hasil analisis ditemukan penyebab waste yang terjadi, dan dibutuhkan perbaikan segera untuk melancarkan jalannya pelayanan bedah serta penambahan value added pada pelayanan.

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Rumah Sakit Umum Pusat Fatmawati is the national referral hospital type A which serves one orthopedic surgical services. Orthopedic surgical care is a service of the highest in Central Surgery Installation, and has a very high demand. High demand led to long waiting times. Coupled with the high incidence of surgery delay, especially orthopedic surgery delay. This thesis analyzes the surgery standard is in accordance with real events or not, and assess the effectiveness of orthopedic surgical services especially ORIF (Open Reduction Internal Fixation) by the method of Lean Hospital. Showed that

surgical standards that are applicable to the field even less than the time specified standards, but there is a lot of waste in any activity that inhibits surgery services.

Waste in the handover room (36.4%). Non value added at the activity in this room as much as 1870 's or 81.7%. Waste in the preparation room (42.9%). Non value added at the activity in this room as much as 2460's or 89.1%. Waste at the time of preparation of the surgery (21%). Non value added at the activity in this room as much as 1490's or 48.2%. Waste at surgery process (29,4%). Non value

added at the activity in this room as much as 900's or 12,4%. Waste in the recovery room or recovery (12.5%). Non value added at the activity in this room as much as 2390's or 47.8%. Based on the analysis found the cause of waste that occurs, and needed urgent repairs to expedite the course of the surgical services and the addition of value in services., Rumah Sakit Umum Pusat Fatmawati is the national referral hospital type A

which serves one orthopedic surgical services. Orthopedic surgical care is a

service of the highest in Central Surgery Installation, and has a very high

demand. High demand led to long waiting times. Coupled with the high

incidence of surgery delay, especially orthopedic surgery delay. This thesis

analyzes the surgery standard is in accordance with real events or not, and assess

the effectiveness of orthopedic surgical services especially ORIF (Open

Reduction Internal Fixation) by the method of Lean Hospital. Showed that

surgical standards that are applicable to the field even less than the time specified

standards, but there is a lot of waste in any activity that inhibits surgery services.

Waste in the handover room (36.4%). Non value added at the activity in this

room as much as 1870 's or 81.7%. Waste in the preparation room (42.9%). Non

value added at the activity in this room as much as 2460 's or 89.1%. Waste at the

time of preparation of the surgery (21%). Non value added at the activity in this

room as much as 1490 's or 48.2%. Waste at surgery process (29,4%). Non value

added at the activity in this room as much as 900 ‘s or 12,4%. Waste in the

recovery room or recovery (12.5%). Non value added at the activity in this room

as much as 2390 's or 47.8%. Based on the analysis found the cause of waste that

occurs, and needed urgent repairs to expedite the course of the surgical services

and the addition of value in services.]"

"Buku ini membahas cara memeriksa secara sistematik seluruh tubuh bayi baru lahir. Dimulai dari kelainan yang dapat segera dilihat, dan dilanjutkan dengan pemeriksaan yang lebih terarah."

"Kemunculan MDR-TB menghambat program pemberantasan TB dan berakibat pada meningkatnya angka kematian dan beban control TB. Tempat pengobatan TB, termasuk riwayat pengobatan, sangat mungkin merupakan predictor MDR-TB yang kuat. Tujuan dari studi ini ada untuk mengidentifikasi dan menganalisis tempat pengobatan TB primer sebagai salah satu factor yang mungkin berkontribusi dalam perkembangan TB menjadi MDR-TB. Pengumpulan data dilaksanakan pada bulan Desember 2009 hingga Agustus 2010. Mengguanakan metode cross-sectional, data didapatkan melaui wawancara mendalam dengan 50 pasien MDR-TB yang sedang mendapatkan pengobatan di klinik MDR-TB RS Persahabatan. Dalam jumlah besar pasien MDR-TB mendapatkan pengobatan di puskesmas (38%) dan dokter praktik pribadi (28%). Tidak ditemukan adanya assosiasi antara tempat pengobatan TB pertama dan kepatuhan pasien sedangkan assosiasi terlihat antara tempat pengobatan TB pertama dan peresepan obat gratis.

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The emergence of MDR-TB hampers TB eradication program which resulted in high fatality rate and increase burden of TB control. TB treatment place, including history of treatment, might be a strong predictor of MDR-TB. The purpose of this study is to identify and analyze primary TB treatment place as the contributing factor that may lead to the development of TB towards MDR-TB. The data collection was done from December 2009 to August 2010 at Persahabatan Hospital. Using cross-sectional method, data is obtained through thorough interview of 50 MDR-TB patients undergoing treatment in MDR-TB Clinic in Persahabatan Hospital. Large proportion of MDR-TB patient received their primary TB treatment at puskesmas (38%) and private Practice (28%). It is found that there is no association between primary TB treatment place and patient compliance while association appears between primary TB treatment place and free drug prescription."