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Adhar Arifuddin
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Healthy Tadulako Journal (Jurnal Kesehatan Tadulako)
Published by Universitas Tadulako
ISSN : 24078441     EISSN : 25020749     DOI : https://doi.org/10.22487
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 433 Documents
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The Role of Physiotherapy In Physical Fitness To Measure Balance and Coordination Putra, Ida Bagus Acarya; Permadi, Agung Wahyu; Yasa, I Made Astika; Parwata, I Made Yoga
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1541

Abstract

Background: Physical fitness reflects the body’s ability to perform activities efficiently, supported by optimal balance and coordination. Objective: This study aimed to determine the effect of physiotherapy balance board exercises on improving balance and coordination among students at Dhyana Pura University. Methods: A pre-experimental one-group pre-test post-test design was applied using purposive sampling with 20 participants meeting the inclusion and exclusion criteria. Balance and coordination were assessed using the Standing Stork Test and Hand Wall Toss Test, respectively, before and after 12 training sessions conducted over four weeks. Results: The findings showed a notable improvement in balance, with increases of 22.4% for the right leg and 21.6% for the left leg, alongside a 24.8% enhancement in coordination after the training intervention. Statistical analysis using the paired-sample t-test indicated a significant difference in both balance and coordination (p = 0.000, p < 0.005), confirming a normal distribution and meaningful post-training improvement. These results demonstrate that consistent physiotherapy-based balance board exercises effectively enhance neuromuscular control, stability, and coordination performance. Conclusion: Balance board exercises significantly improve both balance and coordination, highlighting their effectiveness as a physiotherapeutic intervention to enhance physical fitness among university students.
Understanding Psychiatric Dimensions Related to Mental Health in Children with Special Needs: A Literature Review Bahari, Rosyidah Rizki; Phalosa, Adelia Gian; Hikmah, Annisa Nurul; Nurmaliah, Elsa; Putri, Jeni Mediena; Yulistina, Nabila
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1683

Abstract

Background: Children with special needs are children who possess different traits and characteristics, and they certainly require comprehensive support and care, especially in emotional aspects. Objective: The study aims to analyze the needs and services required for children with special needs to support their emotional, mental, and physical development, as well as evaluate the effectiveness of the provided support in improving their quality of life and social integration. Methods: This research uses a literature review method based on primary findings regarding children with special needs. The analysis technique used is qualitative synthesis, which combines findings from various sources to provide a deeper understanding of the topic. Results: The research shows that children with special needs have complex characteristics, categorized into specific groups as described by professionals. Some children with special needs require specialized services and attention, such as therapy with counseling, educational services, medical facilities, and family support. Conclusion: The well-being of children with special needs is influenced by several aspects of life, including healthcare services, educational and counseling services, social aspects of the community, family support, and religious aspects. Thus, the mental health dimension of children with special needs will be achieved when these aspects are adequately fulfilled.
Personal Hygiene and Soil-Transmitted Helminth Infection Among School Children in Karuwisi Health Centre Area, Makassar Afandi, Naila Amalia; Fattah, Nurfachanti; Rasfayanah, Rasfayanah; Darussalam, Andi Husni Esa; Aisyah, Windy Nurul
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1800

Abstract

Background: Soil-Transmitted Helminths (STH) infection remains a major public health concern among Indonesian school-aged children, largely influenced by personal hygiene behaviors. Objective: To analyze the relationship between personal hygiene practices and STH infection among elementary school children in the Karuwisi Health Centre area, Makassar. Methods: This analytical cross-sectional study involved 50 children, using the Kato-Katz method for stool examination and a structured questionnaire to assess hygiene behaviors; data were analyzed using Chi-square and Fisher’s exact tests. Results: The prevalence of STH infection was 24% (12/50), with all cases identified as Ascaris lumbricoides of light intensity. Poor handwashing behavior showed a strong association with STH infection (p < 0.001), and inadequate nail hygiene was also significantly related (p = 0.016). Conversely, the habit of not wearing footwear was not significantly associated with infection (p = 0.325). The findings indicate that transmission occurred primarily via the fecal-oral route rather than skin penetration. These results highlight that improving handwashing and nail hygiene behaviors can substantially reduce infection risk. Conclusion: Handwashing and nail cleanliness are key behavioral determinants of STH infection, emphasizing the need for school-based health education focusing on these preventive practices to mitigate STH transmission among children.
Incidence of Bullous Pemphigoid After Herpes Zoster Treatment with Acyclovir: A Rare Case Report in a Rural Area Josafat Pondang; Flora Ramona Sigit Prakoeswa
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/w3r3zp17

Abstract

Background: Bullous pemphigoid is the most common autoimmune subepidermal blistering disorder, accounting for approximately 80% of subepidermal immunobullous diseases. It mainly affects elderly patients aged 60–80 years and typically presents with tense bullae, widespread pruritus, and erosive skin lesions. The disease may arise from genetic predisposition and environmental triggers, including drugs that disrupt immune tolerance to dermal–epidermal junction antigens. Objective: This case report aimed to describe the clinical features of bullous pemphigoid, its possible relationship with acyclovir use, and treatment outcomes in a rural health-care setting. Method: This study used a qualitative single case report approach based on clinical observation, patient history, physical examination, and treatment evaluation. Results: A patient developed generalized tense bullae after receiving acyclovir therapy for herpes zoster. The lesions resembled bullous pemphigoid and were suspected to be related to acyclovir-induced immunological activity and its chemical structure. Management was carried out with systemic corticosteroid therapy and supportive care. Conclusion: Acyclovir may act as a rare trigger for bullous pemphigoid. The patient showed improvement in clinical signs and symptoms after seven days of steroid treatment. This finding emphasizes the need for careful monitoring of cutaneous adverse reactions following antiviral therapy, especially in resource-limited rural clinical settings.
Analysis of Factors Affecting Pregnant Women's Compliance With Iron Supplementation (Fe Tablets) at Anggalomoare Health Center, Konawe Regency Indah Indah; Ruslan Majid; Asriati Asriati
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/jww28z29

Abstract

Background: Low adherence to iron (Fe) tablet supplementation among pregnant women remains a major barrier to preventing maternal anemia and its associated adverse pregnancy outcomes. Objective: This study aimed to analyze the factors influencing pregnant women’s adherence to Fe tablet consumption, with particular emphasis on antenatal care (ANC) visits and husband’s support. Methods: An analytical observational study with a cross-sectional design was conducted among 96 pregnant women attending the Anggalomoare Public Health Center who met the inclusion criteria. Data were collected using a validated questionnaire and analyzed through descriptive statistics, Chi-square tests, and multiple logistic regression to identify factors associated with adherence to Fe tablet consumption. Results: Knowledge (p<0.001), attitude (p<0.001), husband’s support (p<0.001), and ANC visits (p=0.007) were significantly associated with adherence to Fe tablet consumption, whereas satisfaction with healthcare services was not significantly associated (p=0.074). Multivariable analysis identified maternal attitude as the strongest predictor of adherence, followed by husband’s support and maternal knowledge. Conclusion: Improving pregnant women’s adherence to Fe tablet supplementation requires strengthening positive maternal attitudes, increasing husband’s involvement, and enhancing maternal knowledge through quality ANC services and family-centered health education, thereby supporting better maternal and fetal health outcomes and reducing the risk of pregnancy-related anemia.
Analysis of Window Width and Window Level Variation on Anatomical Information of Abdominal CT scan in Cases of Intra-Abdominal Mass Using Siemens 16 Slice Device Faisal Muhammad; Nurbaiti Nurbaiti; Wahyu Hidayat; Eka Putra Syarif Hidayat; Sriyatun Sriyatun
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/f6pazn04

Abstract

Background: Optimal adjustment of window width (WW) and window level (WL) is essential for improving anatomical visualization on abdominal CT scans in patients with intra-abdominal masses. Objective: To analyze the effects of different WW and WL settings on abdominal CT images and determine the optimal values for evaluating intra-abdominal mass cases. Methods: This quantitative observational study analyzed abdominal CT scans from six patients with radiologist-confirmed intra-abdominal masses. Images were reconstructed using different WW and WL combinations, and three experienced observers independently assessed the resulting anatomical information to identify the most appropriate image settings. Results: Significant differences were observed in the anatomical information produced by the various WW and WL settings. The combination of WW 300 HU and WL 60 HU provided superior visualization of abdominal anatomical structures and lesion characteristics compared with the other settings evaluated. These parameters consistently yielded clearer image contrast and improved diagnostic interpretation across the observers. Conclusion: Variations in WW and WL significantly influence the diagnostic quality of abdominal CT images in patients with intra-abdominal masses. A setting of WW 300 HU and WL 60 HU is recommended as the optimal protocol for enhancing anatomical visualization and supporting accurate radiological assessment in routine clinical practice.
Trends and Innovations in Stunting Prediction Using Machine Learning: A Bibliometric Analysis of Scopus Literature (2019-2024) A Fahira Nur; Adhar Arifuddin; Rosa Dwi Wahyuni; Hidayanti Arifuddin
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ysxf4x45

Abstract

Background: Stunting is a global malnutrition issue affecting children's development worldwide. Machine learning (ML) has been applied to predict stunting; however, studies on international collaboration and ML application across various geographical contexts remain limited. Objective: This study aims to analyze publication trends and collaboration patterns in stunting prediction research using machine learning and identify the most relevant ML methods. Methods: A bibliometric analysis was conducted using the Scopus database, focusing on publications from 2019 to 2024. The data were analyzed through descriptive statistics and science mapping, including trend topics, co-occurrence networks, and international collaboration analysis. Results: The study found that regression-based algorithms and deep learning are the most widely used machine learning methods for stunting prediction. International collaborations between countries with high stunting prevalence, such as Indonesia, Bangladesh, and Ethiopia, were also identified. Conclusion: This study highlights the importance of developing locally tailored predictive models and strengthening international collaboration to improve the effectiveness of stunting prediction models. Cross-sector and interdisciplinary collaborations are also essential for more holistic solutions.
Development of Osteoarthritis Animal Models and Severity Assessment Based on Histopathological Scoring Cicilia Febriyani Hayuningrum; Puspita Eka Wuyung; Nurjati Chairani Siregar
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/v8g6pp61

Abstract

Background: Osteoarthritis (OA) is a prevalent degenerative joint disease worldwide, and its pathophysiology remains incompletely understood. Clinical studies in humans face limitations due to variability in disease progression, slow onset, and numerous confounding factors. Therefore, animal models are essential for exploring OA mechanisms and potential interventions. Objective: This study aims to identify various methods for developing OA animal models and the histopathological scoring systems used to assess disease severity. Method: A systematic literature review was conducted using databases including PubMed, ScienceDirect, and Google Scholar, targeting articles published between 2015 and 2025. Keywords included “osteoarthritis,” “animal models,” and “histopathological assessment.” Totally 18 articles were analyzed. Result: The review found that OA models can be induced through natural aging, genetic modification, surgical destabilization, mechanical loading, or chemical induction (e.g., monoiodoacetate injection). Histopathological evaluation, commonly using Hematoxylin-Eosin and Safranin-O staining, is crucial to determine cartilage degradation and disease progression. Among scoring systems, the Mankin and OARSI methods are most widely used. OARSI scoring is simpler and faster but requires expertise for consistent interpretation. Conclusion: In conclusion, selecting appropriate animal models and histological scoring systems is critical for OA research, depending on study goals and available resources.
The Influence of Hospital Health Promotion Standards on the Implementation of PKRS at Idaman Regional Hospital Banjarbaru Liana Fitriani Hasymi; Muhammad Rizky Firzatullah; Muhammad Hadarani; Eny Hastuti
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/te62t028

Abstract

Background: Health promotion is a hospital institution's effort to ensure the fulfillment of the public's right to obtain health-related information and education, particularly within the hospital environment, and to ensure the provision of holistic, effective, efficient, integrated, and sustainable health services. Objective: This study aims to examine the determinants impacting the implementation of health promotion programs at Idaman Hospital in Banjarbaru. Design: This study used a quantitative approach with a cross-sectional design. The sample consisted of 156 respondents selected using probability sampling techniques. Data analysis was performed using chi-square tests and logistic regression to identify determinants of hospital health promotion (PKRS) implementation. Results: The analysis revealed a significant relationship between PKRS implementation and regulations (p=0.003), assessment (p=0.004), intervention (p=0.008), and monitoring and evaluation (p=0.001). Logistic regression analysis revealed that the most dominant factor was monitoring-evaluation with a p-value of 0.003 and an odds ratio [Exp(B)] of 5.421, indicating that PKRS implementing units were 5.4 times more likely to succeed when implementing a continuous evaluation system. These findings recommend strengthening the evidence-based clinical audit system, human resource capacity through tiered training, and integrating the PKRS program into the hospital's strategic plan.
The Effect of Endorphine Massage on Anxiety in The Third Trimester of Pregnancy in Karangraharja Village, North Cikarang District, Bekasi Regency Nurul Syabin; Resti Rona Saputri
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 2 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/m7azbh32

Abstract

Background: One of the psychological factors that influence childbirth is anxiety and fear during childbirth. Pregnancy anxiety and depression are major problems in society due to their high prevalence. In Pakistan, 48.4% of women experience depression during pregnancy, and in Canada, 31.2% of pregnant women experience depression. Meanwhile, in Indonesia, 53.8% of pregnant women experience severe anxiety in the third trimester. Objective: The purpose of this study was to determine the effect of endorphin massage on anxiety during the third trimester of pregnancy in Karangraharja Village, North Cikarang District, Bekasi Regency in 2022. Methods: This study used a pre-experimental method with a one-group pre-test post-test design. The population of all pregnant women in the third trimester in Karangraharja Village was 100 people. The sampling technique used purposive sampling with stated criteria. The sample in this study was 40 respondents. Data analysis used the Wilcoxon test and multiple logistic regression. Results: The results of statistical tests showed that endorphin massage had an effect on anxiety in the third trimester of pregnancy in primigravida mothers with a p value <0.05. Conclusion: There was an effect of endorphin massage on anxiety in the third trimester of pregnancy in primigravida mothers in Karangraharja Village.

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