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All Journal Global Medical and Health Communication Jurnal Farmasi Indonesia Journal of Tropical Pharmacy and Chemistry Jurnal Kesehatan Masyarakat
Jalmav, Marthy Meliana Ariyanti
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Relationship of Physical Activity and Vitamin D Levels in Elderly Women Lorensia, Amelia; Jalmav, Marthy Meliana Ariyanti; Suryadinata, Rivan Virlando; Akbar, Muhammad Reza Aprililo
Global Medical & Health Communication (GMHC) Vol 12, No 3 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i3.13499

Abstract

Older adults are at risk of vitamin D deficiency, especially in older women, due to a decrease in the hormone estrogen, which causes decreased bone density and increased risk of fractures. There is a relationship between vitamin D deficiency and lack of physical activity due to the storage of vitamin D in adipose tissue. Physical activity was measured using the International Physical Activity Questionnaire (IPAQ). The aim was to determine the relationship between physical activity and vitamin D in elderly women. This cross-sectional analytic observational study was conducted at Nursing Home X in Surabaya city from May to August 2023. The variables were physical activity (measured by IPAQ to estimate physical activity levels) and vitamin D level (measured by VIDAS® instrument to determine 25(OH) levels). The subjects were all women aged ≥60 years. The sampling technique uses the purposive sampling method. For an analysis of the relationship between physical activity levels and vitamin D levels, the Pearson correlation test was used with a ratio data scale. This research received 49 respondents. The average physical activity level was 1316.82±720.90, and most respondents had a moderate physical activity level of 44.90%. Vitamin D levels were ≤30 ng/ml for 46 respondents (93.87%). The results of the Pearson correlation test were obtained with a rvalue=0.089 and a significance value (Sig.) of 0.542. There was no significant correlation between physical activity and vitamin D levels. Other factors such as age, health conditions, and vitamin D intake can affect the results. Further research can be developed into measurements to examine physical activity in old age.
Difference in Rill Costs With INA-CBGs Rates and Treatment Rationality of Inpatient Asthma Children Lorensia, Amelia; Jalmav, Marthy Meliana Ariyanti; Amir, Adilah Fatin; Anizzalati, Fida Shafi
Journal of Tropical Pharmacy and Chemistry Vol. 8 No. 2 (2024): J. Trop. Pharm. Chem.
Publisher : Faculty of Pharmacy, Universitas Mulawarman, Samarinda, Indonesia, 75117, Gedung Administrasi Fakultas Farmasi Jl. Penajam, Kampus UNMUL Gunung Kelua, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jtpc.v8i2.619

Abstract

Asthma in children may affect children's efficiency at school because frequent attacks occur which disrupt children's activities, so that asthma in children is a serious problem that requires appropriate treatment. The aim was to know the difference in real costs and INA-CBGs rates and to analyze Drug-Related Problems (DRP) based on the severity of asthma and the real costs for childhood asthma at Anwar Medika Sidoarjo Hospital. The design of this study was retrospective using patient medical record data collection, for January 2020-December 2022. Data collection containing real cost data and BPJS claim cost data. Analysis of DRP based on PCNE (Pharmaceutical Care Network Europe) includes problems and causes. There were 77 subjects. the real costs for the severity of mild asthma class I, class III, and moderate asthma class II were high when compared with the INA-CBGS rates, while the severity level of severe asthma class III it was found that the real costs were lower than the INA-CBGS rates. There is no difference between total real costs and INA-CBGS rates for asthma cases in BPJS participating children. The average real cost is Rp. 2,557,453 and the average INA-CBGs tariff is Rp. 2,792,873. There was no significant difference between real costs and INA-CBGS rates (P=0.162). All respondents experienced DRP (100%) and the highest incidence of DRP was M3.1 and P1.2 in 44 people (57.14%) with 180 cases (60.82%). In 77 patients with a total number of cases of 296, the real costs were mostly incurred in class III mild asthma patients (58 people), namely DRP type M3.1 with P1.2 with an average cost of Rp. 2,640,221.
Cost Analysis Terapi Antidiabetik pada In Patient Diabetes Melitus Tipe 2 di RSU Anwar Medika Jalmav, Marthy Meliana Ariyanti; Yuniati Hoiriyah, Yuniati
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol. 13 No. 2 (2021): Jurnal Farmasi Indonesia
Publisher : Pengurus Pusat Ikatan Apoteker Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (397.806 KB) | DOI: 10.35617/jfionline.v13i2.130

Abstract

Diabetes is a complex chronic disease that requires ongoing medical care with multifactorial risk reduction strategies beyond glycemic control. This study aims to describe the direct medical costs from the perspective of Anwar Medika General Hospital in type 2 Diabetes Mellitus (DM) patients who use the National Health Insurance (JKN) facility and to see the difference between real costs (total direct medical costs) and INA CBG's costs. The study was retrospective for the past 1 year, namely January-December 2020. The subjects of this study were 54 patients. Mann- Whitney analysis is used to see the suitability of real costs with INA-CBG's tariffs. The results of this study show that the total real cost for JKN type 2 DM patients at Anwar Medika Hospital for the January-December 2020 period is Rp. 269,807,380 and there is a difference between real costs and INA-CBG's costs in class 3 of - 4,190,371 where INA-CBG's costs are -4,190,371. CBG's are less than the real hospital costs. The test results using the Mann-Whitney method show an insignificant difference between real costs and INA-CBG's rates. The result p=0.458 where p>0.05 is said to be insignificant. This could be due to a cross-subsidy between INA CBG’s rate claims of fully unused patients and patients who spend more on treatment costs exceeding INA CBG’s rates.
Vitamin D and Lifestyle Factors in Active Smoker in Indonesia Lorensia, Amelia; Suryadinata, Rivan Virlando; Jalmav, Marthy Meliana Ariyanti; Aprianti, Pande Made Ayu; Wati, Angela Nofvianti Cahyo; Dhiba, Zahwa
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.22618

Abstract

Smoking can affect vitamin D levels in the blood. Decrease in vitamin D levels are also influenced by a person's lifestyle habits, such as smoking habits, sun exposure, food intake and physical activity. This study aimed to determine relationship between vitamin D with lifestyle factors in active smoker. This research used cross-sectional design. The subjects were adult male active smokers in Rungkut Subdistrict, Surabaya City, from October 2023 to February 2024. The sampling method was purposive sampling technique. Data collection by measurement of smoking severity (Brinkman Index (BI)), vitamin D levels in blood (serum 25(OH)D), food intake (by SQ-FFQ (semi-quantitative food frequency questionnaire) and 24 hour food recall), and physical activity (by IPAQ (International Physical Activity Questionnaire)). The relationship using Spearman method (ordinal scale). There were 47 respondents. The majority of research respondents were moderate smokers, namely 38 people (80.85%). The respondents had an average 25(OH)D level of 23.19±8.86 ng/mL. The risk of vitamin D deficiency due to lack of sun exposure were 26 people (55.32%). The average consumption of foods containing vitamin D by SQ-FFQ was 5.75±5.68 mcg/day, and 24 hour food recall was 5.77±5.72 mcg/day. Most respondents had high physical activity (70.21%) and total mean was 8210.23±4955.89. The Spearman correlation coefficient was 0.742 (smoking severity), 0.117 (sun exposure), and 0.726 (food intake by FFQ), 0.742 (food intake by 24 hours recall), and 0.824 (physical activity). Vitamin D levels had significant association on severity smoking, food intake and physical activity. However, were not related to sun exposure.
Co-Authors Akbar, Muhammad Reza Aprililo Amelia Lorensia Amir, Adilah Fatin Anizzalati, Fida Shafi Aprianti, Pande Made Ayu Dhiba, Zahwa Suryadinata, Rivan Virlando Wati, Angela Nofvianti Cahyo Yuniati Hoiriyah, Yuniati