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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Rosita, Primadita Esther
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology Public Health

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NATIONAL HEALTH INSURANCE BASED TELEMEDICINE APPLICATION FOR HYPERTENSION MANAGEMENT IN PRIMARY LEVEL OF HEALTH FACILITIES Saputra, Pandit Bagus Tri; Izzati, Nabila; Rosita, Primadita Esther; Trilistyoati, Desy; Isyroqiyyah, Nur Moya; Hasna, Iffa Halimah; Putri, Niamita Eka Puspita; italoka, Ervina Dyah; Putra, Muhammad Rifqi Arya; Rahman, Andi Lestari; Djuari, Lilik
Journal of Community Medicine and Public Health Research Vol. 2 No. 1 (2021): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (465.852 KB) | DOI: 10.20473/jcmphr.v2i1.25304

Abstract

Hypertension nowadays still becomes one of the severe problems in Indonesia, with a prevalence of 34% in 2018. The complication of hypertension causes the most deaths and disabilities in Indonesia and cost 75% of The Social Security Organizing Agency (BPJS) budget or IDR 15 trillion in 2019. This problem was probably caused by patients' lack of knowledge and limited personnel at the primary health centre (PHC). Telemedicine is a health care provider without any direct contact, which has various methods. Today, telemedicine in Indonesia is growing rapidly along with technology and legal regulation in its implementation, increasing users by 700% in the first year of 2020. Despite the rise of those numbers, telemedicine in PHC is still limited. Recently, the Ministry of Health and various organizations have issued telemedicine regulations at primary level health facilities in collaboration with The Social Security Organizing Agency. This review aims to discuss the current implementation and the potential future of telemedicine-based hypertension management in collaboration with the Social Security Organizing Agency in PHC.
Bone Adaptation Process on Post-menopausal Women after Speed Play Walking Exercise with Medium & High Increased Cadence Tinduh, Damayanti; Rosita, Primadita Esther; Mei Wulan, Sri Mardjiati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.59596

Abstract

Background: Postmenopausal period is usually marked by dominancy of osteoclast activity, which leads to a decrease in bone mass. Speed Play Walking Exercise (SPWE) could be an important mechanical strategy for maintaining bone cell activity in postmenopausal women. Aim(s): This study evaluated the rate of increased cadence in SPWE, which can reduce bone resorption and increase bone formation activities, associated with body mass index. Material and methods: This was four group pre-post intervention design randomized clinical trial, included 32 postmenopausal women in normal-weight (NW) vs. overweight (OW) groups, divided into 2 groups of different walking speeds. The intervention is SPWE method with increased 15-35% or 50-80% from initial cadence as intervention target cadence, alternated with usual cadence, 3 times a week, for 4 weeks duration. Variables are baseline CTx and NMid osteocalcin serum taken on pre and post 4 weeks exercise. Result: sNMid osteocalcin was increased in groups walked with 15-35% increased cadence compared to group walked with 50-80% increased cadence (p=0.002 for NW group and p=0.042 for OW group, respectively). NW group walked with 50-80% increased cadence showed the most decreased bone formation marker (p=0.019). CTx/NMid ratio is reduced in NW group walked with 15-35% increased cadence, on the other hand, OW group walked with 50-80% increased cadence showed the most increased trend of CTx/NMid ratio. Conclusions: To maintain bone formation activity, SPWE with a rate of 15-35% increased from initial cadence is suggested for postmenopausal women, however the benefit is more visible in women with normal-weight.
Co-Authors Damayanti Tinduh Hasna, Iffa Halimah Isyroqiyyah, Nur Moya italoka, Ervina Dyah Izzati, Nabila Lilik Djuari Mei Wulan, Sri Mardjiati Putra, Muhammad Rifqi Arya Putri, Niamita Eka Puspita Rahman, Andi Lestari Saputra, Pandit Bagus Tri Trilistyoati, Desy