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Abstrak :
Patients today expect their every last ache and pain to be immediately cataloged and cured. They want the pill they just saw advertised, or the latest, greatest procedure. Many doctors, reluctant to tell patients that waiting or doing nothing is often better, are all too willing to accommodate. As a result, we are becoming a nation of over-diagnosed and over-treated people. But how can we know how much medicine is good medicine? And how do we know which treatments might actually work? In "More Harm Than Good", Michael Bellomo and Dr. Alan Zelicoff offer a compelling look at medical care today and explore how common conditions like prostate cancer, heart disease, and diabetes are being over-treated, wasting billions of healthcare dollars and producing less than ideal, if not detrimental results.The authors arm readers with the facts and questions they need to better discuss options with their doctors, and examine the way doctors select treatments in the first place. Based on solid scientific and medical research as well as interviews with surgeons, internists, and general practitioners, "More Harm Than Good" will empower readers to make better health decisions. Revealing and impeccably researched, this is a revolutionary book that will change how we look at being sick.

Abstrak :
Dilakukan studi untuk melihat bagaimana gambaran pembiayaan operasional puskesmas tahun 2010-2012 serta gambaran pelaksanaan BOK dan pengaruhnya terhadap cakupan pelayanan kesehatan dasar terpilih. Dari hasil studi sumbersumber pembiayaan puskesmas berasal dari Dana rutin operasional Puskesmas, Retribusi, Jamkesda, Askes sosial, Jamkesmas, dan BOK. Pembiayaan operasional puskesmas bergeser ke sumber pembiayaan APBN dengan proporsi 10% pada tahun 2010 menjadi 73% di tahun 2012. Program BOK secara administratif sudah dilaksanakan sesuai dengan petunjuk teknis pelaksanaan dengan beberapa kelemahan. Program BOK menambah motivasi kerja pegawai puskesmas, meningkatkan intensitas kegiatan promotif dan preventif dan meningkatkan cakupan pelayanan kesehatan dasar, namun fluktuatif pada beberapa indikator yang disebabkan : keterlambatan proses pencairan anggaran, mekanisme keuangan yang rumit, kwalitas SDM puskesmas dan prilaku masyarakat. ......Conducted a study to see how the picture of health centers operational financing of the years 2010-2012 olso BOK program implementation and its effect on selected basic health care coverage. From the study health centers funding sources came from the operational routine health centers funds, Retribution, Jamkesda, Askes, Jamkesmas, and BOK. health centers operational financing shifted to a APBN financing source with the proportion of 10% in 2010 to 73% in 2012. BOK program has been implemented administratively according with the technical guidance implementation wit some flaws. BOK add to motivation program employee health centers, increase the intensity of promotive and preventive activities and improve basic health care coverage, but some indicators fluctuate caused by: delays in disbursement process, complicated financial mechanisms, quality of human resources health centers and the behavior of the community.

Abstrak :
Latar belakang: Hasil pemeriksaan kesehatan berkala tahun 2012 menunjukkan adanya 3.5% pekerja mengalami hematuria. Tujuan penelitian ini mengidentifikasi adanya hubungan pajanan getaran seluruh tubuh terhadap kejadian hematuria serta pengaruh faktor-faktor lain pada pekerja mekanik forklift perusahaan alat berat. Metode penelitian: Disainyang digunakan adalah potong lintang. Data primer adalah hasil pengukuran pajanan getaran seluruh tubuh dan pemeriksaan urin lengkap sesudah bekerja. Data sekunder yang digunakan adalah hasil pemeriksaan berkala tahun 2012. Dari seluruh 136 mekanik forklift, hanya 106 sampel yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Hasil penelitian: Prevalensi hematuria pada pekerja mekanik forklift adalah 25.5%, pajanan getaran seluruh tubuh antara 0.0003 sampai 1.350m/s2. Ditemukan hubungan bermakna antara lama pajanan getaran per hari dengan hematuria (OR:2.7, 95%CI: 1.03-6.84), dan semua hematuria terpajan getaran diatas 0.21 m/s2. Kesimpulan: Adanya hubungan antara lama pajanan getaran per hari dengan risiko kejadian hematuria, pajanan selama >3jam/hari meningkatkan risiko terjadinya kejadian hematuria. Disarankan untuk menurunkan pajanan getaran dibawah 0.21 m/s2 selain membatasi waktu pajanan.Melakukan pemeriksaan berkala terutama urin lengkap untuk pekerja mekanik forklift.

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Background: Results of Medical Check-Up 2012, showed that 3.5% employee have hematuria. The objective of this study is to identify if there is a relationship between whole body vibration and hematuria other factors amongforklift mechanics in heavy equipment industry. Method: This study used cross sectional design, primary data was whole body vibration andafter work urine sample analysis, secondary data used were results from medical check up in 2012. A total sample of 132 forklift mechanics, were recruited, but only 106 samples meet the inclusion criteria and did not meet the exclusion criteria. Results of this study: Prevalence of hematuria was 25.5%,whole body vibration exposure was between 0.0003 until 1.350m/s2. A significant relation between daily period of vibration exposure with hematuria was found(OR:2.7, CI: 1.03-6.84), subjects with hematuria were exposed to vibration above 0.21 m/s2(3 hours showed a higher risk for hematuria. It is recommended that the vibration should be decreased to <0.21 m/s2, besides limiting the time of daily exposure. Periodic medical examination should include urine analysis.

Abstrak :
Kepesertaan JPKM masih rendah atau hanya 0,3% dari jumlah penduduk Indonesia (SUSENAS 2004 dalam Depkes RI 2006). Penelitian ini bertujuan untuk mempelajari faktor-faktor dari dalam dan faktor-faktor dari luar keluarga terhadap kepesertaan masyarakat dalam JPKM sukarela di Kota Metro Tahun 2008. Populasi penelitian ini adalah seluruh Kepala KeIuarga (KK) di Kota Metro Lampung. Penelitian ini merupakan survei (non experiment) dirnana data ini dikumpuIkan seeara cross sectional. Jumlah sampel 131 IC.K yang diambil secara klaster yaitu di tiap kecamatan diambil satu kelurahan tiap kelurahan secara random ditentukan sampel menurut jumlah proporsi KK yang ada (sconpel random sampling). Penelitian ini kemudian menemukan bahwa ada hubungan antara faktor-faktor dari dalam keluarga (Umur KK, Jenis kelamin KK, Pendidikan KK, Pengetahuan KK, Pekerjaan KK, Penghasilan KK, Juralah anggota keluarga dan Arti sakit bagi keluarga) dan faktor-faktor dari luar keluarga (Promosi JPKM, Dukungan Pernerintah, Keberadaan asuransi lain/Askin, Pola Perilaku Masyarakat dalarn Menghadapi Sakit, Lokasi pelayanan Kesehatan dengan JPKM) terhadap kepesertaan dalam JPKM. Dan i penelitian ini ditemukan hanya 14,5% yang menjadi peserta JPKM. Ini diperkuat dengan fakta pertanyaan terbuka yang menyatakan rnasyarakat mempersepsikan bahwa JPKM adalah jaminan pemeliharan kesehatan untuk orang miskin. Analisis variabel dalam penelitian ini menernukan adanya hubungan yang signifikan antara variabel pengetahuan KK (faktor dari dalam keluarga) serta variabel dukungan pemerintah dan pola perilaku masyarakat dalam menghadapi sakit (faktor dari luar keluarga) dengan kepesertaan JPKM. Dan Analisis selanjutnya (multivariat) ditemukan bahwa faktor pengetahuan KK berpengaruh terhadap kepesertaan .TPKM sukarela (p-,043) Odd Ratio (OR) 3,42 yang berarti mereka (KK) yang rnengetahui JPKM sukareta mempunyai pe1uang 3-4 kali menjadi peserta. Penelitian ini menyimpulkan bahwa pengetahuan sangat mempengamhi kepesertaan JPKM sukarela melalui pembentukan persepsi yang benar tentang .JPKM Sebagai saran maka JPKM sukarela ini yang sebenamya merupakan peran serta masyarakat dalam bidang kesehatan sebagai mana yang dicita-citakan dalam pembangunan kesehatan perlu didorong melalui extensifikasi sosialisasi JPKM sukarela yaitu melalui berbagai peluang, jalur dan cam yang memungkinkan. Ini sesuai dengan amanat UU no 23 Th 1992 tentang kesehatan pasal 66 ayat 1: Pemerintah mengembangkan, membina dart mendorong jaminan pemeliharaan kesehatan masyarakat (.111134) sebagai cam yang dijadikan landasan setiap penyelenggaraan perneliharaan kesehatan, yang pembiayaannya dilaksanakan secara pra-upaya , berazaskan usaha bersama dan kekeluargaan......The study has a purpose on explore the internal and external factors on the family for the voluntarily membership of the RICA at Kota Metro, Lampung at the year of 2008. The study is a survey (non-experiment) and data is gathered by a cross sectional design. The population of the study is the Head of the Household (NH) of Kota Metro, Lampung. The sample size is 131 of HH that withdrawn by a cluster sampling method, i.e. in every sub-district there will be one neighborhood is chosen, and from every neighborhood, a random sampling method is used to get the sample proportionately with the number oh the HH in the neighborhood. The study found that there is a relationship between the family internal and the external factors with the membership for JPKM. The internal factors are consists of the age, sex, education, knowledge, occupation, and the income of the HA member of the family, and the mean of the illness for the family. While the external factors are the .113KIvl campaign, government support, availability of Poor Family Insurance or other insurance, community behavior pattern to deal with the illness, the location of health services with WKM. The study reveal that there is only 14.5% is a member of JPKM, because mostly perception on the community say that JPKM is a health security for the poor. Analysis found that there is a significant relationship between variables of HH's knowledge (family's internal factor), government support variable and community behavior pattern in dealing with the illness (family's external factor), and the membership of JPKM Further analysis (multivariate) found that the factor of HI-I's knowledge have the influence to the involuntary membership on JPICIVI (p value: 0.043) has the OR on 3.42, and it means that I-11-1 with a good knowledge have opportunity to become a JPKM membership 34 times in compare with HH with low knowledge. To conclude, knowledge has a great extent in influencing the voluntary membership for JPIKM through a proper understanding of perception on JPKM It is suggested, as it hopes in the health development goals, that voluntary JPKM membership, as a form of community participation on health area, should be supported by a broadening socialization of the JPKM voluntary membership through any opportunity, channel and possibilities way. This also consistent with the statement of the U1.1 NO. 23, 1992 in relation to health, at the Chapter 66 verse 1 "The government should support and encourage the JPKM as a foundation of any application for health care that financed by a pre-finance scheme, base on a kinship mutually affair".

Abstrak :
Skripsi ini membahas tentang kepatuhan petugas yang baik dengan yang tidak baik terhadap perilaku dia dalam memberikan obat yang rasional atau tidak rasional pada anak balita dengan penyakit Pneumonia dan Diare. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Hasil penelitian menyatakan bahwa masih banyak petugas yang memberikan obat secara tidak rasional yaitu diatas 60 % dan disarankan untuk dibuatnya SOP dalam pemberian pengobatan yang sesuai dengan standart Rasionalitas Obat. ......This essay discusses the compliance officer the good with the bad for her behavior in delivering drugs rational or irrational in children under five with pneumonia and diarrhea diseases. This research is a quantitative study with cross-sectional design. The results stated that there are many officers who gave the drug is not rational is above 60% ​​and is recommended for SOP made ​​in the provision of treatment in accordance with the standard drug Rationality.