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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 453 Documents
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Implementation of Electronic Medical Records in Ensuring the Completeness of Informed Consent Forms for Caesarean Section Procedures Dwi Prastya; Yayang Ayu Nuraeni
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1956

Abstract

Background: Electronic Medical Records (EMR) have been widely adopted to improve the quality and accessibility of medical documentation, including informed consent forms for surgical procedures. Objective: This study aims to analyze the completeness and accuracy of informed consent documentation for caesarean section procedures following EMR implementation at Hospital X. Methods: This is a qualitative study involving 54 informed consent forms collected from November 2024 to February 2025. Data were obtained through observation, document review, and in-depth interviews with medical record officers and clinical staff. Results: The study found that the average completeness rate of informed consent forms reached 96%, with missing elements such as patient address (9%) and witness signatures (15–32%). While key clinical components were fully documented, issues related to data accuracy, return timeliness, and legal authentication remained. Suboptimal utilization of EMR features and limited awareness of legal documentation procedures were contributing factors. Conclusion: Despite the benefits of EMR in structuring documentation, its implementation alone does not guarantee complete, accurate, and legally valid informed consent. Enhancing SOP adherence, digital system optimization, and staff training in legal-medical documentation are necessary to improve record quality.
Analysis of Waiting Time and Outpatient Satisfaction on the Use of APM Machines for Online Reservations at Bandung City Hospital Annisa Ulfah; Gusti Basyiro Afwana
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1958

Abstract

Background: The adoption of digital technologies in hospital services is an important step toward improving patient flow and administrative efficiency. Self-Service Registration Machines (APM) offer an alternative to conventional queuing systems that often lead to delays and patient dissatisfaction. Objectives: This study aims to evaluate the impact of APM integrated with the Pangestu online reservation system on outpatient waiting time, patient satisfaction, and administrative workflow at Bandung City Hospital. Methods: A descriptive qualitative design was applied using three data collection methods: participatory observation, semi-structured interviews with 15 respondents from different age groups, and analysis of hospital documentation. Results: The use of APM reduced average registration time from 15–30 minutes (manual) to 2–5 minutes. Patients, especially millennials, expressed high satisfaction with the speed and ease of use of the system, while older adults required assistance. Administrative staff reported reduced workload and improved focus on complex tasks. System integration with SIMRS ensured data accuracy and service continuity. Conclusions: APM improves the efficiency of outpatient registration services, enhances patient experience, and contributes to a more responsive and sustainable digital health system. Its scalability to other service units such as pharmacy, laboratory, and inpatient departments is highly recommended.
Enhancing Antioxidant Activity in Papaya Seed Coffee (Carica papaya L.) through the Addition of Ginger Powder (Zingiber officinale Roscoe Var. officinale) Intan Ayu Septiani; Pramudia Kurnia; Aan Sofyan
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 1 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v12i1.1963

Abstract

Background: Papaya (Carica papaya L.) seeds contain antioxidant compounds and offer potential as a raw material for functional beverages such as coffee alternatives. Their antioxidant activity may be enhanced by incorporating natural ingredients rich in bioactive compounds, such as ginger (Zingiber officinale Roscoe var. officinale), which contains high levels of phenolics. Objective: This study aimed to evaluate the effect of adding ginger powder on the antioxidant activity of papaya seed coffee.Methods: A laboratory-based quantitative experiment was conducted using a Completely Randomized Design (CRD) with two treatments: K0 (100% papaya seed powder) and KJ (80% papaya seed powder + 20% ginger powder), each replicated twice. Antioxidant activity was measured using the DPPH method, and data were analyzed using IBM SPSS Statistics 27 through either a Paired T-Test or Wilcoxon test based on data distribution. Results: The addition of ginger powder significantly increased the antioxidant activity of papaya seed coffee (p < 0.05). The IC50 value for the control (K0) was 71.38 ppm, classified as “strong,” while the KJ treatment showed a lower IC50 value, indicating higher antioxidant capacity. Conclusion: Ginger powder enhances the antioxidant properties of papaya seed coffee, supporting its development as a functional beverage with added health benefits.
The Relationship Between Age and Cerebral Small Vessel Disease on Brain MRI at Royal Taruma Hospital Yenny Defi Halim; Inge Friska Widjaya
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/n106a214

Abstract

Post-Swim Facial Skin Hydration and Sebum Levels Among Young Adult Swimmers in Bandung: A Descriptive Cross Sectional Study Zhillan Zhalila Prakoso; Sukmawati Tansil Tan
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/cknqbg12

Abstract

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.
Analysis of the Availability of Healthcare Human Resources at Health Centers in Central Sulawesi Province for 2024 Nurlia Lahay; Ketut Suarayasa; Abd Rahman
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/gb027r92

Abstract

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.
The Association of Hospitalization with Parenting Stress and Quality of Life in Parents of Children with Thalassemia Fadila Rahmawati; Titi Pambudi Kurniawaty; Yudhi Kurniawan; Agustine Mahardika
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ta5zcz91

Abstract

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.
Phytochemical Screening, Antioxidant Activity, and Toxicity of Imperata Cylindrica Root Extract Using the Brine Shrimp Lethality Test Prasasti Marsya Ayu Palupi; David Limanan; Frans Ferdinal; Eny Yulianti
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/6s03ac45

Abstract

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.
Overview of 3J Diet Compliance in Type 2 Diabetes Mellitus Patients at the Purwokerto Timur II Community Health Center Rhenata Salsabila Putri; Nur Isnaini; Dedy Purwito; Reni Purwo Aniarti
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/msapr842

Abstract

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. 
The Effect of Educational Interventions Through Animated Video and Booklet on Parents’ Knowledge Regarding Cognitive Stimulation in Preschool-Aged Children Divya Adelia; Ferika Indarwati; Rahmah Rahmah; Istinengtyas Tirta Suminar
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 12 No. 3 (2026)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/atvb7n86

Abstract

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.

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