Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) merupakan media komunikasi dan publikasi ilmiah di bidang ilmu kesehatan yang diterbitkan oleh Unit Penjaminan Mutu Fakultas Kedokteran Universitas Tadulako yang. Jurnal ini terbit secara berkala 4 kali dalam setahun (Januari, April, Juli dan Oktober). Jurnal Tadulako Sehat diterbitkan pertama kali pada tahun 2015. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) menerima dan menerbitkan artikel penelitian, tinjauan pustaka dan laporan kasus di bidang kedokteran dan kesehatan.
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<![CDATA[Post-Swim Facial Skin Hydration and Sebum Levels Among Young Adult Swimmers in Bandung: A Descriptive Cross Sectional Study ]]>
<![CDATA[Zhillan Zhalila Prakoso]]>;
<![CDATA[Sukmawati Tansil Tan]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/cknqbg12
<![CDATA[Background: Instrument-based descriptions of facial skin condition after swimming are limited in Indonesian populations, but single post swim measurements cannot establish chlorine related effects. Objective: To describe post swim facial sebum and hydration categories among young adult swimmers in Bandung. Methods: A descriptive cross sectional study included 70 active swimmers aged 18–35 years at two public pools on April 25–26, 2024. Five facial sites were assessed once immediately after swimming using the Runve 45 Skin Analyzer following gentle micellar water cleansing. Data were summarized as frequencies and percentages; no inferential tests were performed. Results: Low sebum was most frequent on the nose (72.9%), right cheek (70.0%), and chin (62.9%). Dry hydration was most frequent on the nose (18.6%), right cheek (11.4%), and left cheek/chin (10.0% each). Conclusion: Low sebum and dry-skin categories were observed at several facial sites after swimming. Because no pre swim baseline, comparison group, measured chlorine concentration, or standardized post cleansing recovery interval was available, the findings should be interpreted descriptively rather than causally.]]>
<![CDATA[Analysis of the Availability of Healthcare Human Resources at Health Centers in Central Sulawesi Province for 2024 ]]>
<![CDATA[Nurlia Lahay]]>;
<![CDATA[Ketut Suarayasa]]>;
<![CDATA[Abd Rahman]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/gb027r92
<![CDATA[Background: Equitable human resources for health (HRH) are essential for effective Puskesmas services, but aggregate workforce totals may conceal facility level gaps. Objective: To describe workforce composition and geographic distribution and quantify completeness of nine strategic health worker categories in Central Sulawesi Puskesmas in 2024. Methods: This descriptive secondary data study included all 219 operational Puskesmas. Actual 2024 HRH administrative records from the Central Sulawesi Provincial Health Office were analyzed using frequencies, percentages, and geographic ranges. Facility denominators and nine cadre completeness were reconciled with the official 2024 provincial health profile. Results: The nine health worker categories comprised 13,172 personnel. Midwives (5,043; 38.3%) and nurses (4,168; 31.6%) were the largest groups. Of 219 Puskesmas, 117 were inpatient and 102 non-inpatient. Only 96 facilities (43.8%) had all nine strategic workforce categories, while 123 (56.2%) lacked at least one. Dentists and medical laboratory technologists were the most frequently missing cadres. Workforce availability also varied geographically, indicating uneven staffing across districts and municipalities. Conclusion: Central Sulawesi has a substantial primary care workforce, but facility level completeness remains limited. Workforce planning should prioritize specific vacancies, equitable cadre distribution, and hard to reach settings rather than infer service readiness from provincial workforce totals alone.]]>
<![CDATA[The Association of Hospitalization with Parenting Stress and Quality of Life in Parents of Children with Thalassemia ]]>
<![CDATA[Fadila Rahmawati]]>;
<![CDATA[Titi Pambudi Kurniawaty]]>;
<![CDATA[Yudhi Kurniawan]]>;
<![CDATA[Agustine Mahardika]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/ta5zcz91
<![CDATA[Background: Children with thalassemia require repeated hospital attendance for transfusion and related care, which may contribute to parental stress and quality-of-life burden. Objectives: This study aimed to assess the association of hospitalization-related attendance with parenting stress and parental quality of life. Methods: This cross-sectional study included 35 parents of children with thalassemia at the NTB Provincial General Hospital. Parenting stress and quality of life were assessed using the PSI-SF and WHOQOL-BREF. Hospital attendance duration, frequency, and interval were analyzed using Spearman, chi-square, and Fisher’s exact tests as appropriate. Results: Low parenting stress was reported by 68.6% of parents and very good quality of life by 88.6%. No statistically significant association was detected between hospital attendance duration, frequency, or interval and parenting stress (p=0.606, 0.884, and 0.121) or quality of life (p=0.951, 0.359, and 0.726). Splenomegaly was associated with parenting stress (p=0.020), and parental age was associated with quality of life (p=0.009). Conclusion: In this small cross-sectional sample, hospitalization-related attendance parameters were not significantly associated with parenting stress or parental quality of life; the findings should be interpreted cautiously because of limited statistical power.]]>
<![CDATA[Phytochemical Screening, Antioxidant Activity, and Toxicity of Imperata Cylindrica Root Extract Using the Brine Shrimp Lethality Test ]]>
<![CDATA[Prasasti Marsya Ayu Palupi]]>;
<![CDATA[David Limanan]]>;
<![CDATA[Frans Ferdinal]]>;
<![CDATA[Eny Yulianti]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/6s03ac45
<![CDATA[Background: Oxidative stress contributes to the pathogenesis of chronic diseases, increasing interest in plant derived antioxidants. Imperata cylindrica root is traditionally used, but its antioxidant potential and preliminary toxicity require evaluation. Objective: To characterize the phytochemical profile, antioxidant activity, and preliminary toxicity of methanolic I. cylindrica root extract. Methods: Dried roots were extracted by maceration and percolation. Qualitative phytochemical screening was performed. Antioxidant activity was evaluated using the DPPH assay at 100–900 mcg/mL, while toxicity was assessed using the Brine Shrimp Lethality Test (BSLT) with Artemia salina at 100–1000 mcg/mL for 24 hours. IC50 and LC50 values were estimated by linear regression. Results: Twelve groups of secondary metabolites were detected. DPPH inhibition increased from 30.957% to 72.912%, with an IC50 of 437.632 mcg/mL, indicating weak antioxidant activity. BSLT mortality increased from 13.462% to 98.684%, with an LC50 of 290.084 mcg/mL, indicating preliminary toxicity. Conclusion: I. cylindrica root extract demonstrated weak DPPH radical-scavenging activity and BSLT lethality. These findings do not establish mammalian or human toxicity and require confirmation through cell-based and in vivo toxicological studies.]]>
<![CDATA[Overview of 3J Diet Compliance in Type 2 Diabetes Mellitus Patients at the Purwokerto Timur II Community Health Center ]]>
<![CDATA[Rhenata Salsabila Putri]]>;
<![CDATA[Nur Isnaini]]>;
<![CDATA[Dedy Purwito]]>;
<![CDATA[Reni Purwo Aniarti]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/msapr842
<![CDATA[Background: Dietary self management is a key component of type 2 diabetes care. In Indonesia, the 3J dietary principle emphasizes the appropriate amount, type, and schedule of food to support glycemic management. Objectives: This study described adherence to the 3J diet among patients with type 2 diabetes mellitus at the Purwokerto Timur II Community Health Center. Methods: A quantitative descriptive cross sectional study was conducted among 85 respondents selected using purposive sampling. Data on adherence to food amount, type, and meal schedule were collected using a 3J questionnaire, while capillary blood glucose was measured and categorized. Data were analyzed descriptively using frequencies and percentages. Results: Adherence was 90.6% (77/85) for food amount, 21.2% (18/85) for food type, and 0% (0/85) for meal schedule. Blood-glucose values were <100 mg/dL in 7.1% of respondents, 100–200 mg/dL in 76.5%, and >200 mg/dL in 16.5%. Conclusions: Adherence varied substantially across the three 3J components, with meal scheduling representing the largest gap. These findings provide a descriptive overview of dietary adherence but do not establish an association between 3J adherence and blood glucose levels and may inform targeted nutrition education in primary care settings. ]]>
<![CDATA[The Effect of Educational Interventions Through Animated Video and Booklet on Parents’ Knowledge Regarding Cognitive Stimulation in Preschool-Aged Children ]]>
<![CDATA[Divya Adelia]]>;
<![CDATA[Ferika Indarwati]]>;
<![CDATA[Rahmah Rahmah]]>;
<![CDATA[Istinengtyas Tirta Suminar]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/atvb7n86
<![CDATA[Background: Cognitive stimulation supports preschool children's learning and development, yet parents may need accessible guidance for providing age appropriate stimulation at home. Objective: To evaluate whether education using an animated video combined with a booklet was associated with greater short-term improvement in parents' knowledge of cognitive stimulation than leaflet education. Methods: A quasi experimental pretest posttest control group study included 120 parents recruited purposively from different early childhood education institutions (60 intervention; 60 control). The intervention group received a 2-minute animated video plus booklet for one week, whereas the control group received a leaflet. Knowledge was scored from 0 to 25. Results: Mean knowledge increased from 11.72±3.17 to 18.03±3.31 in the intervention group and from 11.27±3.93 to 13.52±3.37 in the control group. The between group difference in mean change was 4.06 points (95% CI, 3.25-4.87; p<0.001; Cohen d=1.14). Conclusion: The multimedia intervention was associated with a larger short-term knowledge gain than leaflet education, although nonrandom site allocation limits causal interpretation.]]>
<![CDATA[Linagliptin for Type 2 Diabetes Mellitus: A Systematic Review of Efficacy, Safety, Combination Therapy, and Use in High Risk Populations ]]>
<![CDATA[Nazwa Rizkillah]]>;
<![CDATA[Keysha Feiruzyan Rafeufadattis]]>;
<![CDATA[Nandita Aulia]]>;
<![CDATA[Verka Apriani]]>;
<![CDATA[Hadi Sudarjat]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/vytnfy72
<![CDATA[Background: Type 2 diabetes mellitus requires glucose-lowering therapy that balances efficacy and safety, particularly in patients with renal or cardiovascular comorbidities. Linagliptin is a dipeptidyl peptidase-4 inhibitor with predominantly nonrenal elimination. Objectives: To evaluate the efficacy, safety, combination therapy, and clinical use of linagliptin in selected high-risk populations. Methods: PubMed and Google Scholar were searched for primary clinical studies published from 2015 through 19 August 2026. Eleven eligible studies were synthesized according to PRISMA 2020 principles. Risk of bias was assessed using RoB 2, and clinically heterogeneous outcomes were summarized narratively. Results: Linagliptin reduced HbA1c compared with placebo and demonstrated cardiovascular noninferiority in CARMELINA. Compared with glimepiride, glycemic control was broadly comparable, with less hypoglycemia and weight gain. Empagliflozin produced greater glycemic and metabolic improvements than linagliptin when added to premixed insulin, whereas linagliptin reduced HbA1c more effectively than voglibose in hemodialysis patients. Combination benefits and adverse effects varied according to the partner drug. Conclusions: Linagliptin provides modest glucose lowering with a generally low risk of hypoglycemia, although comparative benefits depend on population, comparator, and clinical outcome.]]>
<![CDATA[The Relationship Between Family Emotional Support and Quality of Life in the Elderly ]]>
<![CDATA[M Aditya Ramadhan]]>;
<![CDATA[Hadi Abdillah]]>;
<![CDATA[Ernawati Hamidah]]>;
<![CDATA[Tri Utami]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/bv28np94
<![CDATA[Background: Quality of life among older adults is influenced by physical, psychological, social, and environmental conditions, with family emotional support potentially playing an important role. Objective: To determine the association between family emotional support and quality of life among older adults in the working area of Lembursitu Public Health Center. Methods: This quantitative correlational study used a cross sectional design involving 75 older adults selected through purposive sampling. Family emotional support was assessed using the Family Support Scale, while quality of life was measured using the WHOQOL-BREF. Because the 2 × 3 contingency table contained zero and sparse cells, the association was analyzed using the Fisher Freeman Halton exact test, with Cramer's V as the effect-size measure. Results: Poor emotional support was reported by 49 respondents and good support by 26. Quality of life was poor in 45 respondents, moderate in 4, and good in 26. A statistically significant and strong association was observed (p < 0.001; Cramer's V = 1.00). Conclusions: Family emotional support was strongly associated with quality of life among older adults. However, the cross-sectional design, nonprobability sampling, and unavailable covariate data limit causal interpretation and generalizability.]]>
<![CDATA[The Relationship Between Family Support and Medication Adherence Among Tuberculosis (TBC) Patients ]]>
<![CDATA[Hendar Ristiawan]]>;
<![CDATA[Hendri Hadiyanto]]>;
<![CDATA[Hadi Abdillah]]>;
<![CDATA[Ernawati Hamidah]]>
<![CDATA[ Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026) ]]>
Publisher : <![CDATA[Faculty of Medicine, Universitas Tadulako ]]>
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DOI: 10.22487/jw9ztr67
<![CDATA[Background: Tuberculosis remains a public health problem, and incomplete treatment can adversely affect recovery and community tuberculosis control. Family support may influence medication-taking behavior during therapy and may be related to treatment adherence. Objective: To determine the association between family support and medication adherence among patients receiving tuberculosis treatment in the working area of Cidahu Health Center, Sukabumi Regency. Methods: This quantitative correlational study used a cross-sectional design involving 61 tuberculosis patients selected through purposive sampling. Family support and medication adherence were categorized into low, moderate, and high levels. Because the 3 × 3 contingency table contained sparse and zero cells, the association was analyzed using the Fisher Freeman Halton exact test, with Cramer’s V as the effect-size measure. Results: Family support was significantly associated with medication adherence (p < 0.001; Cramer’s V = 0.47). Among patients with low family support, 79.3% had low adherence, whereas 66.7% of those with high family support demonstrated high adherence. Conclusion: Family support was strongly associated with medication adherence in this sample. However, the cross-sectional design precludes causal inference, and residual confounding from unmeasured clinical, behavioral, and socioeconomic factors should be considered when interpreting the findings.]]>
