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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 413 Documents
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Characteristics of Brain Tumor Patients at Dr. J. Leimena General Hospital From 2021-2024 Windi Zamriani; Ivanmorl Ruspanah; Eka Astuty
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/xkzjrd31

Abstract

Background: Brain tumors are intracranial neoplasms that affect neurological function and patients' quality of life. Although their incidence is lower than that of lung and breast cancer, brain tumors are progressive and have a high mortality rate. Both benign and malignant tumors can cause serious complications due to limited space within the skull and their proximity to vital functional centers. To date, there has been no research on the characteristics of brain tumor patients in Ambon City. Objectives: This study aims to describe the characteristics of brain tumor patients at Dr. J. Leimena General Hospital from 2021 to 2024 based on age, sex, clinical symptoms, type, and location of the tumor. Method: Quantitative descriptive with a cross-sectional approach, using medical records with total sampling technique. Results: The most common age group was 56-65 years (36.1%), female (63.9%), and the most frequent clinical symptom was headache (32.8%). The most common tumor type was extra-axial (50.8%), and the most frequent tumor location was in the frontal lobe (39.3%). Conclusion: Brain tumor patients are predominantly aged 56-65 years, mostly female, with headache as the most common symptom. The most frequent tumor type was extra-axial, most commonly located in the frontal lobe.
Sleep Quality as a Determinant of Memory Function in Medical Students at Universitas Muslim Indonesia Andi Inas Farhamila Armin; Fendy Dwimartyono; Achmad Harun Muchsin; Muh Alim Jaya; Nevi Sulvita Karta
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/vknnze64

Abstract

Background: Poor sleep quality is a common issue among medical students and may negatively affect cognitive functions, particularly memory, which plays a crucial role in learning. Objective: This study aimed to analyze the influence of sleep quality on memory function among medical students at the Faculty of Medicine, Universitas Muslim Indonesia, from the 2022, 2023, and 2024 cohorts. Methods: A cross-sectional design was applied to 91 students selected using proportional stratified random sampling. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), while memory performance was measured using the Everyday Memory Questionnaire (EMQ). Data were analyzed using Two-Way ANOVA. Results: Sleep quality significantly affected memory function (p = 0.000), with students reporting poor sleep showing higher memory impairment. Cohort level also had a significant effect (p = 0.000), where senior students demonstrated the highest prevalence of poor sleep quality (75%) and memory impairment (94.4%). Moreover, a significant interaction between sleep quality and cohort level (p = 0.018) indicated that the impact of sleep quality on memory varied across academic years. Conclusion: These findings highlight the importance of implementing interventions such as sleep management education, stress regulation, and regular monitoring of sleep quality, particularly for senior students.
The Relationship between Waist Circumference and Low-Density Lipoprotein (LDL) Levels among Postmenopausal Women in the Working Area of Puskesmas Negeri Laha-Tawiri Ariwita Deli; Mutmainnah Abbas; Ritha Tahitu; Rosdiana Mus; Indrawati Kusadhiani; Dylan Tamalsir
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: 10.22487/9q7n0206

Abstract

Background: Cardiovascular disease remains a major cause of morbidity and mortality among postmenopausal women, with central obesity and dyslipidemia identified as key risk factors. Waist circumference is a simple anthropometric measure that may reflect lipid profile changes, particularly in low-density lipoprotein (LDL) levels. Objectives: This study aimed to determine the relationship between waist circumference and LDL levels in postmenopausal women in the working area of Puskesmas Negeri Laha-Tawiri, Ambon. Methods: A cross-sectional study was conducted involving 60 postmenopausal women selected through purposive sampling. Waist circumference was measured using a standardized tape, and LDL levels were assessed through laboratory blood tests. Data were analyzed using descriptive statistics and Pearson correlation test with a significance level of p < 0.05. Results: The analysis revealed a significant positive correlation between waist circumference and LDL levels (r = 0.42, p = 0.003), indicating that greater abdominal obesity was associated with higher LDL levels. Conclusions: Waist circumference is strongly related to LDL levels among postmenopausal women, suggesting that it can serve as a simple and non-invasive screening tool for early detection of dyslipidemia. Preventive strategies focusing on lifestyle modification are recommended to reduce cardiovascular risk in this population.
Perioperative Anaesthesia Management Strategy for Multiple Major Surgeries : Case Report Taufiq Gemawan; Teguh Prastyo; Eqiel Navadz Akthar Alami; Ridhotullah Istaz Maulana Suprapto; Adelia Handoko; Eko Aprilianto Handoko; Arsyzilma Hakiim; Sheilla Rachmania
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/esa0tj50

Abstract

Background: Major surgery lacks a universally clear definition. The European Surgical Association (ESA) defines it based on factors like patient comorbidities, procedure complexity, and clinical outcomes. Globally, surgery-related one-year mortality is about 5–6%, rising to 14% in frail patients. Laminectomy, laparotomy, and myomectomy is classified as major surgeries, each with significant risks such as bleeding, infection, and readmission. When combined, these surgeries require thorough anaesthesia management to ensure patient safety and surgical success. Objective: The purpose of this study was to give a deep understanding of the case, identify key issues and solutions, and present insight for future action. Methods: Data were collected through direct observation and patient medical records, covering the period from before surgery to three days post-operation. This included medical history, test results, and detailed treatment records. Results: Haemodynamic stability and intraoperative bleeding were well managed and anticipated. Careful repositioning was carried out, partly to maintain airway patency. The patient reported mild postoperative pain and was able to start sitting and walking exercises three days after the surgery. Conclusion: Patients undergoing multiple surgeries require careful monitoring and personalised anaesthetic management. Maintaining physiological stability, proper positioning, and effective fluid and pain control are key to preventing complications.
Analysis of Hematological Response to Stress: Study of Leukocyte Number and Erythrocyte sedimentation rate in Setia Budi University Students Hanif Purtika Sari; Lucia Sincu Gunawan; Kunti Dewi Saraswati
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/xt3kcm41

Abstract

Background: Stress is a psychological condition that has the potential to affect the immune system, including the leukocyte count and erythrocyte sedimentation rate. Various reasons might induce stress in female students, including physical ailments, interpersonal interactions, academic pressures, and environmental conditions. Objective: This study aims to analyze the difference in leukocyte count and erythrocyte sedimentation rate in female students with different stress levels at the Faculty of Health Sciences, Setia Budi University. Methods: This study was an observational quantitative research with  a cross-sectional  approach which was carried out in October 2024-April 2025 with a total of 68 female students selected by purposive sampling. Stress measurement using Student Stress Inventory questionnaires. Leukocyte count was calculated using a hematology analyzer, and erythrocyte sedimentation rate was examined using the Westergren method on EDTA venous blood samples. Results: The data was analysed with Independent-t Test. The analysis's findings demonstrated that the high-stress group had more leukocytes than the low-stress group (p=0.004). The high-stress group had a higher erythrocyte sedimentation rate than the low-stress group (p=0.001). Conclusion: There is a significant difference in leukocyte count and the erythrocyte sedimentation rate between female students with different levels of stress.
The Implementation of CAD/CAM Technology for Feeding Obturator Fabrication in Cleft Lip and Palate Infants: A Systematic Review Vania Ewitrawati; Ivan Djuarsa
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/khjpxr84

Abstract

Background: Infants born with cleft lip and palate (CL/P) face severe feeding difficulties. Conventional fabrication of feeding obturators relies on impression techniques that carry procedural risks and cause stress for both infants and parents. Recent advances in computer-aided design/computer-aided manufacturing (CAD/CAM) provide a digital alternative for obturator fabrication. Objective: This systematic review aimed to evaluate the clinical and technical outcomes of digital workflows compared to conventional techniques in fabricating neonatal feeding obturators. Methods: A systematic literature search was conducted in PubMed, Scopus, and Google Scholar. Nine studies met the inclusion criteria and were qualitatively synthesized. Results: Findings consistently demonstrated that digital workflows using intraoral scanning (IOS) and 3D printing provide significantly higher accuracy, better fit, and improved retention of feeding obturators. Moreover, digital fabrication markedly reduces physical and psychological stress for infants and parents. Clinicians also reported greater efficiency and safety with digital methods compared to conventional impression-based approaches. Conclusion: The digital workflow represents a safer, more efficient, and more accurate approach for fabricating feeding obturators in infants with CL/P. Wider adoption of this technique may support a paradigm shift in clinical practice, although further high-quality trials are needed to confirm long-term clinical and economic benefits.
The Effectiveness of Video Database–Based Education in Improving Occupational Safety and Health Literacy among Construction-Sector MSME Workers Agung Tyas Subekti; Dwi Atmoko; Moh Miftah
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/dthpsz98

Abstract

Background: Occupational safety and health (OSH) literacy is essential for reducing workplace accidents among construction workers in Micro, Small, and Medium Enterprises (MSMEs). Objective: This study aimed to describe the OSH literacy profile of MSME construction workers after receiving an educational video intervention. Methods: A descriptive study was conducted among 60 construction workers selected through purposive sampling. Participants received a standardized educational video on OSH practices before completing a validated OSH literacy questionnaire. Data were analyzed using descriptive statistics, including mean, median, standard deviation, minimum, maximum, and skewness, to summarize participants’ literacy levels following the intervention. Results: The post-intervention OSH literacy scores had a mean of 48.3, median of 48.0, minimum of 13, maximum of 100, standard deviation of 22.3, and skewness of 0.457. Most participants demonstrated moderate OSH literacy, with scores ranging from 40 to 60, indicating a relatively balanced distribution of knowledge after the educational intervention. Conclusion: Educational videos represent an effective, practical, and cost-efficient strategy for improving OSH literacy among MSME construction workers. Integrating video-based education with mobile learning platforms may further strengthen workplace safety awareness, promote safer work practices, reduce occupational accidents, and enhance productivity in the construction sector.
Realizing a Healthy and Disaster Resilient Campus: A Study on the Integration of Policies and Disaster Mitigation Strategies Herman Herman; Muhammad Aji Satria; Amilah Eka Putri; Sadli Syam
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/dnv46s54

Abstract

Background: Indonesia is highly prone to disasters, and universities have a strategic role in strengthening disaster preparedness through healthy campus initiatives. Objectives: This study aimed to analyze the relationship between disaster knowledge, physical environmental health, community involvement, and disaster preparedness among the academic community of the Faculty of Public Health, Tadulako University. Methods: A mixed-method sequential explanatory design was applied, involving 294 respondents consisting of students, lecturers, and administrative staff. Quantitative data were collected using structured questionnaires and analyzed with Chi-Square tests, while qualitative data were gathered through in-depth interviews and analyzed thematically using NVivo. Results: The findings revealed significant associations between disaster knowledge (p = 0.000), physical environmental health (p = 0.000), and community involvement (p = 0.000) with disaster preparedness. Respondents with better knowledge, supportive environments, and active community participation showed higher preparedness levels. Conclusions: Disaster preparedness is influenced by individual, environmental, and social factors, emphasizing the importance of integrating disaster education, resilient infrastructure, and collective engagement into healthy campus programs. Strengthening these aspects is essential to build disaster-resilient campuses, and further studies should develop models integrating the Healthy Campus Framework with the Disaster Preparedness Cycle.
Non-Pharmacological Management Aspects of Patients with HIV Infection: A Scoping Review Raja Merlinda Veronica; Ade Yoska Tilla Serihati; Syahadatina Syahadatina; Dwi Lisa Nur’aini; Agustiawan Agustiawan
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/pk98gs86

Abstract

Background: Human Immunodeficiency Virus (HIV) remains a global health challenge, with rising prevalence in Indonesia. While antiretroviral therapy (ART) is central to treatment, non-pharmacological interventions are crucial for addressing psychosocial, nutritional, and behavioral aspects influencing outcomes in people living with HIV (PLWH). Objectives: This scoping review aimed to map evidence on non-pharmacological management for PLWH, summarize interventions, and identify gaps for clinical and policy development. Methods: Following the PRISMA-ScR framework, a systematic search of PubMed, Scopus, Web of Science, and Google Scholar was conducted for studies published between 2015 and 2025. Eligible designs included randomized controlled trials, quasi-experimental, cohort, and qualitative research evaluating non-pharmacological interventions. Data extraction covered study characteristics, interventions, and outcomes. Results: From 630 records, 7 studies met inclusion criteria. Interventions included nutritional counseling, psychosocial therapy, peer support, and multi-component strategies. These consistently improved quality of life, mental health, adherence, and nutritional status, although effects on viral suppression varied. Conclusions: Non-pharmacological strategies complement ART by addressing broader health determinants and enhancing patient-centered outcomes. Their integration into HIV care may strengthen adherence, sustainability, and holistic well-being, particularly in resource-limited settings.
Literature Review: Effectiveness of Roxadustat Administration in the Management of Anemia in Patients with Chronic Kidney Disease Anak Agung Istri Dwi Sarasmita Dewi; Ketut Indra Purnomo; Made Budiawan
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: 10.22487/8dj5z978

Abstract

Background: Chronic kidney disease (CKD) is a global health burden with high morbidity and mortality. Anemia is a common complication that worsens quality of life, increases cardiovascular risk, and reduces survival. Roxadustat, an oral hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI), represents a novel therapy by stimulating endogenous erythropoietin, lowering hepcidin, and improving iron metabolism. Objective: To evaluate the effectiveness and safety of roxadustat in managing anemia among CKD patients. Methods: A literature review was performed through PubMed, Google Scholar, and ScienceDirect. Six studies, including randomized controlled trials, retrospective cohorts, and real-world registry data, were analyzed. Results: Roxadustat consistently increased hemoglobin and maintained it within therapeutic targets in both dialysis and non-dialysis patients. It improved iron utilization, reduced intravenous iron needs, and showed favorable lipid effects. The safety profile was generally comparable to erythropoiesis-stimulating agents, with no significant increase in cardiovascular or infectious adverse events. Conclusion: Evidence indicates that roxadustat is an effective, safe, and practical treatment for anemia in CKD. Its ability to optimize hemoglobin control, enhance iron metabolism, and maintain safety supports its potential as an alternative to conventional therapy.

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