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International Journal of Health Science & Medical Research
Published by Universitas Negeri Gorontalo
ISSN : -     EISSN : 28285166     DOI : 10.37905/ijhsmr.v1i1.7650
Core Subject : Health, Science, Social,
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary
International Journal of Health Science & Medical Research is a scientific journal in the field of Public Health and medical science, published by the Department of Public Health, Faculty of Sport and Health, Gorontalo State University in collaboration with the Indonesian Society of Public Health Experts (IAKMI) International Journal of Health Science & Medical Research is a scientific journal that contains research articles published twice a year in June and December. The author can submit articles on any issue relating to public health or medical research with editor consideration. The Aim of this journal is to provide a venue for academicians, researchers, and practitioners for publishing the original research articles or review articles. the scope of the articles published in this journal deals with a broad range of topics, including Public health Science (Epidemiology, Biostatistics, Environmental Health, Health, and Behavior Education, Public Policy Administration, Community Nutrition, Occupational Health and Safety, and Public Reproductive Health articles) and Basic Medical Science (medicine, surgery, ophthalmology, gynecology and obstetrics, psychiatry, anesthesia, pediatrics, orthopedics, microbiology, pathology and laboratory medicine, medical education, research methodology, forensic medicine, medical ethics
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 59 Documents
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ENHANCING EMPLOYEE HEALTH THROUGH THE SEBUSE PROGRAM: AN EVALUATION AT PERTAMINA REFINERY UNIT III PLAJU Rafiqy, Muhammad; Novrikasari, Novrikasari; Zulkarnain, Mohammad; Misnaniarti, Misnaniarti; Mutahar, Rini; Febry, Fatmalina
International Journal of Health Science & Medical Research Vol 4, No 2 (2025): August 2025
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v4i2.35245

Abstract

Since 2021, Pertamina has implemented the SeBuSe (Healthy, Fit, and Happy) program as a corporate health and wellness initiative that operationalizes Health, Safety, Security, and Environment (HSSE) standards. The novelty of this study lies in its strategic integration of the HSSE perspective in evaluating an employee wellness program, its comprehensive application of the SWOT framework for organizational analysis, and its inclusion of participant spouses to capture broader behavioral and motivational dynamics. The program emphasizes holistic well-being through structured activities such as Fat Loss and Move More, designed to support sustained lifestyle improvements. Based on these considerations, this study aims to identify and analyze internal and external factors influencing SeBuSe's effectiveness in improving employee health outcomes using the SWOT analytical approach. Data were collected through Focus Group Discussions (FGDs) involving 30 participants and complemented by in-depth interviews with two program managers and four participant spouses to ensure a multi-perspective understanding of program implementation. The SWOT analysis positions SeBuSe in Quadrant I (Aggressive/Growth Strategy), supported by an internal factor score of 3.10 and an external factor score of 3.46, indicating strong institutional capacity and significant opportunities for further development. Overall, the findings generate strategic insights that can strengthen health promotion efforts and reinforce a proactive safety and wellness culture within Pertamina’s industrial environment.Keywords: Health; Improvement; Productivity; Strategy; SeBuSe; Work.
IMPROVING PULMONARY TUBERCULOSIS SURVEILLANCE THROUGH EDUCATION: IMPACTS ON THE COMPETENCE OF HEALTH WORKERS AND CADRES Age, Sulastri Pua; Faisal, Faisal; Mustafa, Yanti
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.35083

Abstract

Optimizing the understanding of the pulmonary tuberculosis (TB) epidemiological surveillance system among health workers and health cadres is crucial for effective TB prevention and control. Unlike previous studies that mainly focus on clinical aspects of TB management, this study introduces a structured educational workshop that emphasizes epidemiological surveillance competencies and simultaneously involves health workers and community health cadres at the primary healthcare level, representing a collaborative capacity-building approach in TB control. This study aimed to analyze the impact of educational interventions in improving knowledge and skills related to pulmonary TB surveillance. A quasi-experimental design with one group pre-test and post-test was employed. The intervention involved an educational workshop on strategies for implementing the TB surveillance system. Thirty-two participants (8 health workers and 24 health cadres) were selected using purposive sampling, as they were actively involved in TB prevention and control at community health centers (Puskesmas). The Paired Sample T-test results showed a significant increase in knowledge after the intervention (p = 0.004), with a strong correlation between workshop participation and improved understanding (r = 0.857; p 0.001). These findings indicate that structured educational workshops significantly enhance participants’ comprehension of the TB epidemiological surveillance system. Continuous education and periodic training at Puskesmas are therefore essential to strengthen the role of health workers and cadres in monitoring, preventing, and controlling pulmonary TB transmission.
COMPARATIVE EFFECTIVENESS OF OPIOID-FREE ANESTHESIA AND OPIOID-BASED ANESTHESIA ON THE INCIDENCE OF POSTOPERATIVE NAUSEA AND VOMITING: A SYSTEMATIC REVIEW Adi Widarma, I Made Agus; Sudiantara, Putu Herdita; Ulandari, Komang Sherly; Habisena, Cokorda Gde Waesa; Pratama, Pande Putu Arista Indra
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.33731

Abstract

Perioperative pain management commonly relies on opioids, which are associated with significant adverse effects, particularly postoperative nausea and vomiting (PONV), affecting up to 80% of high-risk surgical patients. This systematic review aimed to compare the effectiveness of opioid-free anesthesia (OFA) and opioid-based anesthesia (OBA) in reducing PONV incidence. This systematic review followed the PRISMA guidelines. A comprehensive literature search was conducted in PubMed, EuropePMC, and OpenAlex. Randomized controlled trials (RCTs) published between 2015 and 2025 that compared OFA and OBA in adult patients (18 years) and reported PONV outcomes were included. Results of the 117 articles identified, five RCTs met the inclusion criteria. Although the limited number of studies limits the generalizability of the findings, this reflects the application of strict inclusion criteria that prioritize high-quality RCTs. Four studies (Clanet et al., 2024; Choi et al., 2022; Chen et al., 2023; Pratyusha et al., 2025) reported a statistically significant reduction in PONV in patients receiving OFA. In contrast, Yu et al. (2023) found no significant difference between OFA and OBA. Additionally, OFA was associated with reduced postoperative opioid consumption, which may contribute to lower PONV rates. Conclusion OFA demonstrates promising potential as a safe and effective alternative to OBA in reducing PONV. However, larger, well-designed randomized controlled trials are needed to confirm these findings and to further evaluate the impact of OFA on postoperative pain control and recovery quality.
NUTRITIONAL KNOWLEDGE, GENETICS, OBESITY, AND EDUCATION: RISK FACTORS FOR TYPE 2 DIABETES AT SARANPANDANG Barus, Brigita Charvio; Aprianti Lubis, Nenni Dwi; Ichwan, M; Panggabean, Merina
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.34264

Abstract

Type 2 Diabetes Mellitus (T2DM) represents a persistent global public health challenge, particularly in low and middle income countries where early detection and preventive efforts remain limited. This study aims to examine the associations between nutritional knowledge, genetic predisposition, nutritional status, and educational attainment with the risk of T2DM among adults residing in the service area of Puskesmas Saranpadang, Kabupaten Simalungun. Employing an analytical cross-sectional design, the study involved 94 adults aged 45–55 years selected through purposive sampling. Nutritional knowledge was evaluated using a standardized and validated questionnaire, while random blood glucose levels (RBGL) were measured to identify individuals at risk, with RBGL ≥ 200 mg/dL classified as “at risk.” Data were analyzed using the Chi-square test, with statistical significance determined at P-value 0.05. The results demonstrated significant associations between T2DM risk and educational level (P-value = 0.003), nutritional knowledge (P-value = 0.001), genetic history (P-value = 0.001), and nutritional status based on body mass index (P-value = 0.001). Participants with limited nutritional knowledge, positive familial diabetes history, and elevated BMI exhibited a higher likelihood of being at risk for T2DM. Lower educational attainment was further associated with reduced health literacy and suboptimal lifestyle practices. The novelty of this study lies in its comprehensive analysis of multiple interacting risk factors using RBGL screening within a primary healthcare context. These findings underscore the importance of strengthening community-based prevention strategies, particularly through targeted health education and early screening programs, to mitigate the rising burden of T2DM in resource-limited settings.
PATIENTS’ PERCEPTION TOWARDS GENERAL AND PELVIC EXAMINATION BY MALE MEDICAL STUDENTS Thirunavuk Arasoo, Valliammai Jayanthi
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.35531

Abstract

Male medical students globally have difficulty in obtaining consent to perform pelvic examinations. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examinations under supervision. This cross-sectional study was conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia where 369 women above 18 years old who have had sexual intercourse and no prior hysterectomy were recruited. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. The respondents were mostly below 30 years old (52.9%), Malays (73.4%), and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation, and being introduced by a male medical specialist increased women's likelihood of consenting to a general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examinations to be conducted by male medical students. Believing that male doctors should be skilled in treating women positively influences the decision to consent. Explaining earnestly to women how they aid in developing the skills of future doctors should be prioritised.
VESTIBULAR DYSFUNCTION AND BALANCE IMPAIRMENT IN HEAD AND NECK CANCER PATIENTS UNDERGOING CHEMOTHERAPY : A SYSTEMATIC REVIEW AND META-ANALYSIS Novita, Khuznita Dasa
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.33558

Abstract

Vestibular dysfunction is an important yet underrecognized adverse effect among patients with head and neck cancer (HNC) receiving platinum-based chemotherapy. Although cochlear toxicity is well documented, evidence specifically addressing vestibular impairment in this population remains limited and methodologically variable. The novelty of this study lies in presenting the first systematic review and meta-analysis exclusively examining vestibular dysfunction in adult HNC patients receiving chemotherapy, thus establishing a more focused and consolidated evidence base. To quantify the pooled incidence, clinical features, and diagnostic patterns of vestibular dysfunction in adults with HNC undergoing chemotherapy, and to identify chemotherapeutic agents strongly associated with vestibulotoxicity . Conducted in accordance with PRISMA 2020 guidelines and prospectively registered in PROSPERO (CRD420251080552), this review regularly searched Embase, Scopus, Web of Science, and the Cochrane Library for studies published between 2014 and 2024. Eligibility criteria included adult HNC patients treated with and reporting vestibular outcomes. Risk of bias was assessed using RoB 2.0 for randomized trials and the Newcastle–Ottawa Scale for observational studies. A random-effects model was applied for quantitative synthesis. Sixteen studies met the inclusion criteria, and contributed fourteen data to the meta-analysis. The pooled incidence of vestibular dysfunction was 24.7% (95% CI: 19.2–30.8). Dizziness and imbalance were the most frequently reported symptoms, while peripheral vestibular deficits were confirmed through vHIT , VEMP, and caloric testing. Cisplatin was consistently identified as the principal chemotherapeutic agent associated with vestibulotoxicity. These findings underscore the need for standardized vestibular assessment and routine monitoring, particularly within cisplatin-based treatment regimens.
THE ROLE OF ENVIRONMENTAL FACTORS IN SUPPORTING THE SPREAD OF LEPROSY IN DR SOETOMO HOSPITAL Putri, Dyfe Alisya; Widia, Yuri; Alinda, Medhi Denisa; Romadhon, Pradana Zaky
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.32263

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae, primarily transmitted through respiratory droplets during prolonged and close contact with untreated individuals. Although it has a relatively low transmission rate, unfavorable environmental conditions can significantly increase the risk of disease spread. This study aims to identify and analyze the environmental factors that contribute to leprosy transmission. A descriptive quantitative study with a cross-sectional observational design was conducted. The study involved 222 leprosy patients with type 1 (reversal) reactions who were registered at the Morbus Hansen Outpatient Clinic from January 2015 to September 2024. Data were collected using structured questionnaires, field observations, and secondary data from medical records. Data were analyzed using descriptive and inferential statistics, with the Mann–Whitney test used to examine the relationship between environmental factors and leprosy cases. The results show that high population density, poor sanitation, inadequate household ventilation, limited access to clean water, and low socioeconomic status are factors significantly correlated with the high incidence of leprosy in the area. These findings highlight the importance of improving environmental conditions, alongside community education and enhanced access to healthcare services, as key components in the prevention and control of leprosy. Therefore, environment-based interventions should be integrated into a comprehensive strategy to eliminate leprosy in Indonesia.
EFFECTIVENESS OF BASIC HSSE TRAINING IN IMPROVING WORKERS’ KNOWLEDGE IN AN UPSTREAM OIL AND GAS COMPANY Agustianto, Nicko; Novrikasari, Novrikasari; Windusari, Yuanita; Misnaniarti, Misnaniarti; Sitorus, Rico Januar; Syakurah, Rizma Adlia
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.35984

Abstract

The oil and gas industry is a sector with a very high risk of occupational accidents due to its operational characteristics, which involve hazardous environments and unsafe worker behavior. Although Basic HSSE Training has become a mandatory standard in the oil and gas industry, evaluating its effectiveness remains urgent to ensure that the training is not merely a formality for regulatory compliance, but is truly aligned with the specific operational risks, work environment, and safety culture of Company. This study uniquely combines a pretest–posttest evaluation of Basic HSSE Training with an analysis of key organizational factors using multivariate statistical methods to identify dominant drivers of knowledge improvement among upstream oil and gas workers. This study aims to evaluate the effectiveness of Basic HSSE Training by measuring differences in workers' knowledge levels before (pre-test) and after (post-test) the training, as well as examining the influence of organizational factors management commitment, safety policies, regulations and procedures, HSSE communication, work environment, and worker involvement on knowledge improvement. A quantitative approach with a pretest–posttest design was employed, involving 303 workers at Company X in the upstream oil and gas sector in South Sumatra Province. Data were collected using Likert-scale questionnaires and multiple-choice tests. The Paired Samples t-test results indicate that Basic HSSE Training is effective in improving workers' knowledge, while Chi-Square and logistic regression analyzes show that organizational factors, particularly communication and work environment, play a dominant role in influencing the effectiveness of the training.
OVERVIEW OF KNOWLEDGE ABOUT OBESITY IN STUDENTS OF THE FACULTY OF MEDICINE, UNIVERSITY OF TARUMANAGARA Nugraha, Liem Kandi; Yapri, Julius Chandra
International Journal of Health Science & Medical Research Vol 5, No 1 (2026): February 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i1.33613

Abstract

In recent years, there has been an increase in obesity cases in Indonesia, with obesity rates in adults rising steadily between 2013 and 2018. This situation is concerning because obesity contributes to various degenerative diseases that may reduce population productivity. Factors such as limited nutritional education and the widespread promotion of unhealthy foods through social media can influence public understanding of obesity. Despite this growing issue, evidence related to obesity knowledge among medical students in Indonesia remains limited, particularly regarding how well pre-clinical students understand definitions, risk factors, and management strategies for obesity.Therefore, this study was conducted to determine the level of knowledge about obesity among Tarumanagara University medical students. A questionnaire consisting of statements related to the definition, risk factors, and treatment of obesity was administered, and the distribution of respondents’ answers was analyzed to illustrate their level of understanding. From research conducted on 103 seventh-semester students, it was found that 8.7% had good knowledge and 57.3% had sufficient knowledge. The study provides a novel contribution by presenting institution-specific data that fills a gap in national evidence regarding obesity knowledge among Indonesian medical students, especially those in the transitional phase from pre-clinical to clinical training—an area that has rarely been explored in previous studies. The findings highlight the need for strengthening obesity-related education in medical curricula. The author suggests incorporating additional items that reflect both formal and informal factors affecting obesity to provide a more comprehensive understanding among future health professionals.

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