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All Journal Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Ezra Science Bulletin
Arlan Prabowo
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Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Health Professions Medicine & Pharmacology Neuroscience Social Sciences Other

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KADAR CTX PEREMPUAN OSTEOPOROSIS LEBIH TINGGI DARIPADA PEREMPUAN NORMAL DAN OSTEOPENIA Ira Puspitawati; Windarwati Windarwati; Usi Sukorini; Erlina Erlina; Pratiwi Herowati; Arlan Prabowo; Riswan Hadi Kusuma
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 19, No 3 (2013)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v19i3.413

Abstract

Regarding to the ageing population in most countries, degenerative and metabolism diseases included osteoporosis are becoming increasingly and need special attention in all country especially in the developing country such as Indonesia. Current WHO recommendation of using a gold standard for establishing osteoporosis is by Dual X-Ray Absorptiometry (DEXA), but it is expensive and not yet widely available. There are some alternatives of biochemical markers that can reflect the bone turn over. One of them is Cterminal cross-linking telopeptide of type I collagen (CTX) or betacrosslabs, a marker of bone resorbtion. There are still limited studies on correlation of CTX and osteoporosis in peri menopausal and post menopausal women. The aim of this study is to know whether there are any differences of CTX level among peri menopausal and post menopausal women with different bone density. This research was a cross sectional study and aimed to know whether there is any correlation between CTX level and Bone Mineral Density Score measured with DEXA. The study was conducted in June-August 2010. The included subjects were women with age more than 45 years old, without apparent history of neoplasm, impaired renal function, bone metabolic diseases, and not currently pregnant. CTX level were measured using immunochemiluminescent. Their data were analysed using One Way ANOVA. This study showed that there are differences of CTX levels among women with osteoporosis, osteopenia, and normal (0.633±0.25 ng/mL vs 0.514±0.21 ng/mL vs 0.406±0.21 ng/mL p=0.02). Osteoporosis women have higher CTX level compared to Osteopenia and Normal women.
LAPORAN EVALUATIF JAMINAN KESEHATAN NASIONAL DI KALIMANTAN SELATAN: ANTARA KEPESERTAAN TINGGI DAN RISIKO KEBERLANJUTAN TAHUN 2025 Ahyar Wahyudi; Rasyid Ridha; Ristanti Sulistyo Rini; Arlan Prabowo
EZRA SCIENCE BULLETIN Vol. 4 No. 1 (2026): January-June 2026
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ezrasciencebulletin.v4i1.531

Abstract

Universal Health Coverage (UHC) is a cornerstone of health development, ensuring that all citizens can access needed health services without financial hardship. Administratively, South Kalimantan Province achieved a UHC coverage rate of 99.59 percent in 2025, with several districts exceeding 100 percent. This report aims to critically examine this achievement by situating it within the sustainability framework of Indonesia’s National Health Insurance (JKN). The study employs a descriptive–analytical policy evaluation approach, drawing on secondary data from provincial JKN implementation reports, policy documents, and national and international literature. The findings indicate that high administrative coverage does not necessarily translate into substantive health protection. Structural challenges were identified, including data validity anomalies, a substantial proportion of inactive participants, and financial vulnerability among informal sector workers. Participant inactivity emerges as a key weakness undermining effective UHC, while fragmented data systems and rigid subsidy designs exacerbate the risk of hidden exclusion. The report concludes that post-achievement UHC success requires a paradigm shift from enrollment expansion toward strengthened governance, sustainable financing, and effective, equitable health protection. Without such adjustments, high coverage figures risk becoming an administrative illusion rather than a guarantee of long-term health security.
Co-Authors Ahyar Wahyudi Erlina Erlina Ira Puspitawati Pratiwi Herowati Rasyid Ridha Ristanti Sulistyo Rini Riswan Hadi Kusuma Usi Sukorini Windarwati Windarwati