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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 68 Documents
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A CENTURY OF INFLUENZA IN TAIWAN: EPIDEMIOLOGICAL PATTERNS AND THE EVOLUTION OF GENOMIC SURVEILLANCE Gong, Yu-Nong
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.v5i1.35533

Abstract

Influenza remains a major global public health concern, and Taiwan has experienced repeated pandemic waves, seasonal epidemics, and zoonotic threats over the past century. This review aims to summarize the historical development of influenza in Taiwan and its implications for surveillance and preparedness. A systematic literature review was conducted using scientific publications, government reports, historical archives, and genomic surveillance data accessed through indexed academic platforms. All sources were synthesized to describe pandemic history, seasonal patterns, avian influenza risks, and advancements in laboratory-based monitoring. The findings show that Taiwan was significantly affected by major pandemics, including the 1918 H1N1, 1957 H2N2, 1968 H3N2, and 2009 H1N1 outbreaks, each contributing to improvements in health system readiness. Seasonal influenza in Taiwan displays a dual-peak pattern driven by local transmission and international virus introductions, with shifting dominance among H1N1, H3N2, and influenza B. Zoonotic threats from H5N1 and H7N9 continue to demand strict poultry surveillance and One Health coordination. Since 2000, Taiwan’s nationwide laboratory network has strengthened rapid detection, genome sequencing, mutation analysis, and global migration modeling, supporting more effective responses to emerging strains. In conclusion, Taiwan’s robust surveillance capacity and genomic monitoring have enhanced preparedness for influenza threats. Nevertheless, rapid viral evolution, global mobility, and persistent zoonotic risks highlight the need for continuous genomic surveillance, improved international collaboration, and optimized vaccine strategies.
EFFECT OF EPIDURAL AND GENERAL ANESTHESIA ON PERIOPERATIVE NEUTROPHIL LYMPHOCYTE RATIO CHANGES IN MASTECTOMY PATIENTS Damayanti, Fina; Harahap, Muhammad Wirawan; Karim, Abdul Mubdi Ardiansar Arifuddin; Sommeng, Faisal; Swarga, Tirta
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.v5i1.36603

Abstract

Mastectomy induces a systemic inflammatory response that may be influenced by the anesthetic technique, as reflected by changes in the neutrophil–lymphocyte ratio (NLR). Unlike previous studies that assessed mixed breast surgeries, broadly evaluated regional anesthesia, or focused on combined general–epidural techniques and cytokine markers, this study uniquely compares perioperative pre–post changes in NLR (ΔNLR) between epidural anesthesia alone and general anesthesia alone in mastectomy patients using a routinely available biomarker. This quantitative experimental study was conducted at Ibnu Sina YW-UMI Hospital, Makassar, from August 2025, involving 30 mastectomy patients recruited consecutively and allocated into two independent groups (15 epidural, 15 general anesthesia). Venous blood samples were collected preoperatively and 24 hours postoperatively to calculate NLR, with ΔNLR as the primary outcome. Within-group analysis using the Wilcoxon test showed significant postoperative increases in NLR in both the epidural group (5.13 ± 5.42 to 7.65 ± 5.99; p0.001) and the general anesthesia group (4.12 ± 4.59 to 14.72 ± 8.43; p0.001). Between-group comparison using the Mann–Whitney test demonstrated that ΔNLR was significantly higher in the general anesthesia group (10.60 ± 7.23) than in the epidural group (2.52 ± 2.36; p0.001). These findings indicate that epidural anesthesia is associated with a smaller postoperative increase in NLR, suggesting better attenuation of the systemic inflammatory response after mastectomy. Further randomized studies with larger samples, additional inflammatory biomarkers, and clinical outcomes are recommended to enhance evidence strength and generalisability.
THE DUAL ROLE OF SOCIAL MEDIA IN SHAPING ADOLESCENT DIETARY KNOWLEDGE AND ATTITUDES: EVIDENCE FROM A SEMI-RURAL DISTRICT IN INDONESIA Dahlia, Besse; Ibrahim, Muh. Siddik; Alwi, Juwitriani
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.v5i1.34432

Abstract

Social media platforms have become dominant sources of food-related information among adolescents, shaping dietary knowledge, attitudes, and consumption behavior. However, evidence from semi-rural settings in Indonesia remains limited. This study aimed to examine the influence of social media exposure on adolescent dietary knowledge and attitudes in Pasarwajo District, a semi-rural area of Southeast Sulawesi, and to explore its implications for health promotion. A mixed-method cross-sectional design was employed involving 100 adolescents aged 15–18 years who were active social media users. Quantitative data were collected using structured questionnaires and analyzed using descriptive statistics and Fisher’s exact test, while qualitative data from in-depth interviews with 15 adolescents were analyzed thematically. The results showed that daily social media use was significantly associated with higher nutritional knowledge (p = 0.021) and more positive attitudes toward healthy eating (p = 0.039). Female adolescents demonstrated more favorable attitudes than males (p = 0.038). Qualitative findings revealed a dual influence of social media, combining exposure to health-promoting content with frequent fast-food promotions, while family remained an important non-digital influence. This study offers contextual novelty by demonstrating that in a semi-rural Indonesian setting, social media may function not only as a risk factor but also as a complementary channel for strengthening adolescent nutritional awareness when supported by family and school environments. These findings highlight the importance of integrating digital and community-based strategies in adolescent health promotion.
EXPLORING THE ASSOCIATION BETWEEN PREGNANCY SPACING, HISTORY OF DIABETES MELLITUS, AND OBESITY WITH THE INCIDENCE OF PREECLAMPSIA AT BULELENG DISTRICT HOSPITAL, BALI Handayani, Putu Devi Sri; Shammakh, Adib Ahmad; Karmila, Dany; Farmanda, Irsandi Rizki
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.37100

Abstract

Preeclampsia is a pregnancy complication that remains a major cause of maternal and infant morbidity and mortality; identifying risk factors that contribute to its occurrence is necessary. This study is novel in that it simultaneously analyzes the relationships among pregnancy spacing, diabetes mellitus, and obesity and the incidence of preeclampsia, and finds an opposite direction of the obesity relationship compared with most previous studies. This study aims to analyze the relationship between pregnancy spacing, diabetes mellitus, and obesity with the incidence of preeclampsia in pregnant and maternity mothers at Buleleng District Hospital. The Research method used is an observational-analytic case-control design, using medical record data for the period 2023–2024, with a sample size of 130 respondents: 65 preeclampsia cases and 65 controls without preeclampsia. Data analysis was performed univariately and bivariately using Fisher's Exact Test and Chi-Square with a significance level of P-value 0.05. The results showed that pregnancy spacing was significantly associated with preeclampsia incidence (P-value = 0.000), whereas diabetes mellitus was not (P-value = 0.492). Obesity showed a significant association with the incidence of preeclampsia, with an inverse relationship (P-value = 0.000). The conclusion of this study is that pregnancy spacing is a major risk factor for preeclampsia, while diabetes mellitus was not significantly associated, and obesity showed a significant inverse relationship; thus, regulating pregnancy spacing is an important strategy in efforts to prevent preeclampsia.
AGE, BREASTFEEDING HISTORY, AND HORMONAL CONTRACEPTIVE USE AS PREDICTORS OF BREAST CANCER INCIDENCE AT NTB PROVINCIAL HOSPITAL Mileniasari, Ni Made Srileona; Suanjaya, Made Agus; Pramana, Kadek Dwi; Mulianti, Rizki
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.36787

Abstract

Breast cancer is a major health problem in women whose incidence continues to increase, including in Nusa Tenggara Barat (NTB) Province, so that scientific evidence-based prevention efforts are needed. The novelty of this study lies in the simultaneous analysis of age, breastfeeding history, and hormonal contraceptive use as independent risk factors for breast cancer in the local NTB population using a multivariate approach. This study aims to analyze the relationship between age, breastfeeding history, and hormonal contraceptive use with breast cancer incidence at the NTB Provincial Hospital. The research used an observational analytical design with a retrospective case-control approach, involving 110 respondents (55 cases and 55 controls) and medical record data from 2024, with univariate analysis, a bivariate Chi-Square test, and multivariate logistic regression. The results showed that age 40 years and hormonal contraceptive use were associated with an increased risk of breast cancer, while breastfeeding history was protective, and all three variables remained significant in the multivariate analysis, with hormonal contraceptive use as the most dominant factor. The conclusion of this study states that age, breastfeeding history, and hormonal contraceptive use are independent risk factors for breast cancer. Therefore, strengthening health education, early detection in at-risk groups, and appropriate contraceptive counseling are needed as a breast cancer prevention effort in NTB Province.
PSYCHOSOCIAL DETERMINANTS OF PHYSICAL ACTIVITY AMONG ADOLESCENTS AT SMAN 1 MATARAM: PERCEPTION, SELF-EFFICACY, AND CUES TO ACTION Juliantini, Ni Putu Liska; Anulus, Ayu; S., Aulia Mahdaniyati; Pebruanto, Henry
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.37195

Abstract

Physical activity among adolescents plays an important role in maintaining health and preventing future health problems. However, adolescents’ levels of physical activity still tend to vary and are influenced by psychosocial factors. The novelty of this study lies in the comprehensive application of the Health Belief Model to analyse factors related to physical activity in high school students in Mataram City. The purpose of this study was to determine the relationships among the Health Belief Model constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action) and students’ levels of physical activity at SMAN 1 Mataram City. The research used an observational-analytical design with a cross-sectional approach, involving 310 respondents selected via a total sampling technique, and analyzed the data using the Spearman correlation test. The results showed that perceived susceptibility, perceived severity, and perceived benefits were not significantly related to physical activity, while perceived barriers (rs = −0,25; P-value 0,001), self-efficacy (rs = 0,12; P-value = 0,029), and cues to action (rs = 0,11; P-value = 0,041) had a significant relationship with physical activity, although weak. The conclusion of this study shows that psychosocial factors, especially perceived barriers, self-efficacy, and motivation to act, play a greater role in influencing adolescent physical activity than perceived risks and benefits, so that interventions to increase physical activity in schools need to focus on strengthening self-efficacy, increasing cues to action, and reducing barriers perceived by students.
THE IMPACT OF HYPERTENSION, HYPERCHOLESTEROLEMIA, AND SMOKING HISTORY ON STROKE INCIDENCE AT DR. R. SOEDJONO SELONG REGIONAL HOSPITAL Ningsih, Dera Ayu; Faridi, M. Sofyan; Putra, Risky Irawan; Utami, Sukandriani
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.37229

Abstract

Stroke is a major cause of morbidity and mortality and remains a public health problem, including in East Lombok Regency. The high incidence of stroke is closely related to modifiable risk factors, such as hypertension, hypercholesterolemia, and smoking habits. The novelty of this study lies in the analysis of stroke risk factors based on patient data from Dr R. Soedjono Selong Regional General Hospital, the main referral hospital in East Lombok, which has been reported only to a limited extent. This study aims to analyse the relationship between hypertension, hypercholesterolemia, and smoking history with stroke incidence at Dr R. Soedjono Selong Regional General Hospital. This study is an observational, analytical, cross-sectional study conducted in October–November 2025 on 84 respondents selected using a purposive sampling technique. Data obtained from medical records and structured interviews were then analysed using the chi-square test. The results showed that stroke incidence was found in 57.1% of respondents. Hypertension and hypercholesterolemia were shown to have a significant relationship with stroke incidence, with p-values of 0.005 and 0.000, respectively (p 0.05), while smoking history did not show a significant relationship with stroke incidence (p-value = 0.243). The conclusion of this study shows that hypertension and hypercholesterolemia are the main risk factors associated with stroke incidence, so that control of these two factors needs to be a priority in stroke prevention efforts at the health service level.
THE EFFECT OF LIFESTYLE ON SKIN AGING Sandewa, Ele; Vitayani, Sri; Namirah, Hanna Aulia; Waspodo, Nurelly Noro; Safei, Imran
International Journal of Health Science & Medical Research Vol 5, No 2 (2026): August 2026
Publisher : UNG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37905/ijhsmr.v5i2.37307

Abstract

Skin aging is a natural process influenced by intrinsic and extrinsic factors, with lifestyle-related exposures such as ultraviolet radiation, pollution, poor diet, smoking, alcohol consumption, and inadequate sleep contributing to its acceleration. However, research examining the comprehensive impact of lifestyle on objectively measured skin aging parameters in rural Indonesian populations remains limited. The novelty of this study lies in its focus on a rural community in Eastern Indonesia, combining a validated lifestyle assessment with objective clinical skin analysis to generate context-specific evidence. This study aimed to determine the influence of lifestyle on skin aging among individuals aged 30–40 years in Lipulalongo Village, Banggai Laut Regency, Central Sulawesi. An observational analytic study with a cross-sectional design was conducted on 60 respondents selected through simple random sampling. Lifestyle was assessed using the Lifestyle Assessment Questionnaire 2025, while skin aging was measured using the Vision Skin Analyzer based on hydration, elasticity, wrinkles, and pigmentation parameters. Data were analyzed using univariate and bivariate methods, with the Spearman rank correlation test applied due to the ordinal nature of lifestyle data. The results showed that most respondents had lifestyles requiring improvement (61.7%) or were at high risk (38.3%), with skin conditions predominantly classified as normal (28.3%) and slightly moist (21.7%). A significant moderate correlation was found between lifestyle and skin aging (P-value 0.001; r = 0.514). In conclusion, lifestyle significantly influences skin aging, highlighting the importance of targeted health education to promote healthier behaviors in similar rural populations

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