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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 63 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.

Page 7 of 7 | Total Record : 63

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