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KESANS : International Journal of Health and Science
Published by Cv.Rifainstitut
ISSN : 28087380     EISSN : 28087178     DOI : https://doi.org/10.54543/kesans.v1i1.2
Core Subject : Health, Science,
Chemistry Health Professions Medicine & Pharmacology Physics Public Health
KESANS : International Journal of Health and Science provides a means for ongoing discussion of the relevant issues that fall within the focus and scope of the journal that can be examined empirically. This journal publishes research articles in the medicine, Nursing, Midwifery, Public Health, Health Technology, Occupational Health and Safety, Pharmacy, and physiotherapy. Articles published are the results of research, studies or scientific studies on important and current issues or scientific book reviews.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 472 Documents
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Fertilization and Embryogenesis Success Rates in Patients with Polycystic Ovary Syndrome Undergoing In Vitro Fertilization Imanuel Sirait, Batara; Eunike, Gracia; Novelyn, Silphia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.470

Abstract

Introduction: Infertility is a global health concern that affects individuals physically, emotionally, and socially. In women, ovulation dysfunction is a leading cause, most commonly related to Polycystic Ovary Syndrome (PCOS). Objective: This study aimed to assess fertilization and embryogenesis success rates in women with PCOS undergoing in vitro fertilization at the Morula IVF Clinic Jakarta between January and December 2024.Method: A descriptive study was conducted involving 66 patients who met the inclusion criteria. Data were obtained from medical records, including age, body mass index, antral follicle count, hormonal levels, and fertilization and embryo development outcomes at the cleavage and blastocyst stages. Result and Discussion: Most patients were under 35 years, with normal body mass index and hormone profiles. Fertilization success reached 100 percent for mature oocytes and 75 percent for those showing two pronuclei. Embryogenesis showed good quality in most cleavage and blastocyst stage embryos, while some demonstrated poor development, reflecting variations in embryo growth. Conclusion: Continuous monitoring of embryo morphology is essential to optimize embryo transfer decisions and improve in vitro fertilization success among women with Polycystic Ovary Syndrome
Clinical Profile of Primary Headache Patients Yudawijaya, Agus; Shirley Londo, Auxilia Briliana; Lasma Aritonang, Christina Roseville
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.471

Abstract

Introduction: Primary headache is a neurological disorder not caused by structural abnormalities or other medical conditions. It affects people globally and can occur across different ages, genders, and socioeconomic backgrounds. Objective: This study aims to describe the demographic and clinical profile of patients diagnosed with primary headache at the Tanjung Priok Health Center during January–December 2023. Method: A descriptive cross-sectional approach was used. Data were collected through a total sampling technique based on patient medical records. A total of 125 patients met the inclusion criteria. Result and Discussion: The most prevalent diagnosis was tension-type headache, accounting for 74.4% of cases. Most patients were female (61.6%) and aged between 31 and 60 years (51.2%). Housewives represented the largest occupational group (52.8%). Medication was the most frequently used treatment (90.4%). These findings suggest that hormonal, lifestyle, and psychosocial factors may contribute to the higher prevalence among adult women. Conclusion: Tension-type headache was the dominant form of primary headache. Most cases occurred in women aged 31–60 years, predominantly housewives, with medication being the main therapeutic option.
Sustainable Waste Management Strategy for Batik MSMEs in Jambi City Sartika, Emy; Tatik Maryani, Anis; Syarifuddin, Hutwan
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.473

Abstract

Introduction: The batik industry is a vital part of the creative economy, contributing to increased incomes. However, its production activities also have the potential to cause environmental pollution due to suboptimal waste management. Objective: This study aims to analyze the influencing factors and formulate a strategy for sustainable waste management for batik MSMEs in Jambi City. Methods : using the Analytical Hierarchy Process (AHP) involving 25 respondents consisting of batik craftsmen, government, and community leaders. Results and Discussion: Social factors had the greatest influence (0.362), followed by economic factors (0.268), environmental factors (0.240), and institutional factors (0.130). The main priority sub-criteria were supervision and monitoring (0.616), knowledge (0.510), and waste processing costs (0.481). The most prioritized alternative strategy was the application of natural and environmentally friendly dye technology (0.549), followed by community-based communal wastewater treatment plants (0.228), and multi-party collaborative partnerships (Pentahelix) (0.224). Conclusion: The success of sustainable batik waste management requires synergy between the government, the community, and business actors through a green technology approach and participatory governance
Identifying Barriers to the Implementation of the Standard Inpatient Class (KRIS): A Study in Denpasar City's Private Hospitals Effendi, Julham; Manuaba, I.B.G. Fajar; Sanjaya, I.N Hariyasa; Tania Fidzikri, Nanda Berliana; Yamin, Imam Syahputra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 1 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i1.474

Abstract

Introduction: The Indonesian government and BPJS Kesehatan plan to replace the current class-based inpatient system with a Standard Inpatient Class (KRIS) to ensure service equality. Government Regulation No. 47 of 2021 mandates that private hospitals must prepare at least 40% of their beds for KRIS. A preliminary survey showed only 57% of private hospitals in Denpasar were ready for this implementation. Objective: This study aimed to identify and analyze the obstacle factors in the implementation of KRIS in private hospitals in Denpasar. Method: This study used a qualitative design with a descriptive approach. Data were collected through in-depth interviews with 17 informants, including representatives from 14 private hospitals, BPJS Kesehatan, and the Provincial and City Health Offices between April and July 2023. Data were analyzed using thematic analysis. Result and Discussion: The study identified four main barriers: 1) Resource factors, particularly in meeting 12 KRIS criteria such as room density (50% compliance), bathroom accessibility (57.14%), and oxygen outlets (71.42%), compounded by land, building, and budget limitations; 2) Communication issues, including differing perceptions of KRIS implementation regulations; 3) Disposition challenges, where hospitals feel unable to meet the implementation timeline and 4) Bureaucratic hurdles, specifically the absence of specific technical government regulations. Conclusions: The most dominant obstacles are inadequate facilities and infrastructure, land and budget constraints, differing information perceptions, unachievable implementation targets, and the lack of technical guidelines.
Literature Review: HPV Vaccine Development Over Time Kumara, Thoma
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 9 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i9.370

Abstract

Cervical cancer is the fourth most common cancer case in the world. The mortality rate caused by this disease also high especially in the low and middle income countries including Indonesia. In an attempt to decrease the mortality rate, WHO and the government work on strategies, one of which is HPV vaccination by adding HPV vaccine into routine immunization program given to girls on primary school. This study aims to review and analyze literatures about HPV vaccine. The result shows that HPV vaccine has a significant efficacy on preventing cervical cancer, even more effective once given as early as possible towards adolescents. The vaccine’s dose required in order to form a long term protection is still being studied but some researchs find that a single dose is on par with 2 or even 3 doses in terms of giving protection. Further and longer duration of research needed in order to support this theory. That way, the limited amount of vaccine could be directed to a larger population and in the end formed the long awaited herd immunity.
Physical Fatigue as a Determinant of Occupational Accident Risk among Maritime Transport Workers Ayu Lestari, Indah; Febriyanto, Kresna
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.472

Abstract

Introduction: Work accidents in Indonesia’s maritime transport sector remain a major issue, often associated with physical fatigue due to prolonged working hours, insufficient rest, and exposure to extreme conditions. Objective: This study aimed to analyze the relationship between physical fatigue levels and occupational accident incidence among maritime transport workers in Samarinda and Balikpapan. Method: A cross-sectional study involving 136 crew members was conducted using accidental sampling. Physical fatigue was assessed with the Cumulative Fatigue Symptom Index (CFSI), and accident data were collected through a structured questionnaire. The Chi-square test was used for statistical analysis. Result and Discussion: High fatigue was reported by 51.5% of participants, and 67.6% had experienced work accidents. A significant association was found between fatigue and accident occurrence (p < 0.001), where workers with mild fatigue had a threefold lower risk of accidents (OR = 0.333; 95% CI: 0.237–0.469). Conclusions: Physical fatigue significantly increases the risk of occupational accidents among maritime transport workers, underscoring the importance of fatigue management and safety interventions in maritime operations.
EVOO Enhance the Expression of Endothelial Marker and Vascular Endothelial Growth Factor in Preeclampsia Placenta Rat Models Afniari, Maharani; Agnestia Naning Dian, Lovita; Yulia, Silvani; Wibi, Riawan
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.475

Abstract

Introduction: Preeclampsia is a pregnancy complication marked by hypertension and proteinuria after 20 weeks of gestation, often leading to maternal and fetal morbidity and mortality. The disorder arises from endothelial dysfunction, causing impaired vascularization, inflammation, and reduced placental perfusion. Objective: This study aimed to analyze the effect of Extra Virgin Olive Oil (EVOO) on endothelial markers CD31, CD34, and Vascular Endothelial Growth Factor (VEGF) expression in a preeclampsia rat model. Method: A post-test-only control group design was applied with five groups: negative control (normotensive pregnant rats), positive control (preeclamptic rats without EVOO), and three treatment groups receiving EVOO at doses of 0.5, 1, and 2 ml/day for 18 days. Immunohistochemical examination was used to assess the expression of CD31, CD34, and VEGF. Result and Discussion: EVOO significantly increased CD31, CD34, and VEGF expression (p<0.05) compared to the positive control, with the highest increase at a dose of 2 ml/day. The rise in angiogenic markers indicates endothelial recovery and improved placental vascularization. Conclusions: EVOO has potential as supportive therapy in preeclampsia by enhancing endothelial function and angiogenesis, leading to better placental blood flow
Association of Ergonomic Risk Exposure with Cholesterol Levels in Workers Aged Over 40 Years at PT. X Electronics Manufacturing Batam, 2025 Maulina, Diina; Krismadies, Krismadies; Kartika Wijaya, Juhanda; Sarbiah, Andi; Rahmani, Ardhi Arsala
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.476

Abstract

Introduction: Elevated cholesterol levels among workers aged over 40 years constitute an important risk factor for cardiovascular disease. Work conditions with ergonomic risk exposures such as static postures, repetitive movements, and limited rest periods are presumed to contribute to disturbances in lipid metabolism. Objective: This study aimed to analyze the association between ergonomic risk exposure and cholesterol levels among older workers at PT. X Manufacturing Elektronik Batam. Method: A cross-sectional design was employed involving 173 respondents. Data were collected through ergonomic observations, questionnaires, and laboratory examinations of total cholesterol. Result and Discussion: Bivariate analysis using the Chi-square test revealed that workers with static postures had a higher prevalence of dyslipidemia (36.7%) compared to those with non-static postures (19.2%) (p=0.083). Workers with high repetitive movements also showed a higher prevalence of dyslipidemia (37.0%) compared to those with light–moderate repetition (18.5%) (p=0.063). Furthermore, workers with inadequate rest had a higher prevalence of dyslipidemia (57.1%) compared to those with adequate rest (31.8%) (p=0.143). Although the results were not statistically significant, the observed trends indicate a potential relationship between ergonomic risk factors and cholesterol levels. Conclusion: These findings provide an important foundation for future longitudinal studies and ergonomic interventions aimed at preventing metabolic disorders in the workplace
Effect of Progressive Muscle Relaxation Therapy on Stress and Blood Pressure in the Pre-Hypertensive Group Herdiman, Herdiman; Adawiyah, Dita Rabiatul; Triantika, Triantika; Lindayani, Linlin
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.477

Abstract

Introduction: Prehypertension is a condition that precedes the onset of hypertension and typically presents without noticeable symptoms in affected individuals. One of the major contributing risk factors for hypertension among young adults is an unhealthy lifestyle, including elevated stress levels. Objective: This study aims to determine the effect of Progressive Muscle Relaxation (PMR) Therapy on stress and blood pressure among individuals with prehypertension. Method: A quantitative approach was used with a quasi-experimental two-group pre–posttest design involving 40 participants selected through purposive sampling, divided into intervention and control groups. Result and Discussion: The intervention consisted of PMR therapy administered for two consecutive weeks, with each session lasting 20 minutes. Statistical analysis using paired sample t-test showed that, prior to the intervention, 55% of participants in the intervention group experienced moderate stress, with an average blood pressure of 130.80 mmHg systolic and 85.15 mmHg diastolic. After the intervention, 60% fell into the mild stress category, and the average blood pressure decreased to 117.20 mmHg systolic and 76.15 mmHg diastolic. The significance value of 0.000 < 0.05 indicates a meaningful effect of PMR therapy on reducing stress and blood pressure in prehypertensive individuals. Conclusion: This therapy effectively enhances relaxation, reduces muscle tension, and serves as a beneficial nonpharmacological intervention for community use.
Analysis of Determinants of Nurses' Perception of Hospital Occupational Health and Safety at Hospital X Batam City Parisma, Wan Intan; Sari, Chinta Yolanda; Jayati, Trisna
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 2 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i2.479

Abstract

Introduction: Nurses are the health workers with the largest presentations and play an important role in the provision of health services. Hospital Occupational Safety and Health is all activities to ensure and protect the safety and health of hospital human resources. Objective: The purpose of this study is to find out the perception of nurses about hospital occupational safety and health at Regional General Hospital X Batam City. Method: The research design is cross sectional. The research population is nurses who work at Regional General Hospital X Batam City with a sample of 73 people who were taken by the proportional sampling method. Data analysis was carried out using chi-square. Result and Discussion: The results of the analysis showed that there were 53.4% of respondents with a bad perception of Occupational Safety and Health, 71.2% of respondents with a new working period, 56.2% of respondents who had never participated in HOHS training, 90.4% of respondents who had good knowledge and 69.9% of respondents with undergraduate education. Conclusion: The results of the statistical test showed that there was a significant relationship between the length of service (p-value 0.007), HOHS training (p-value 0.000), knowledge (p-value 0.003) and education level (p-value 0.001) with the perception of nurses about hospital occupational safety and health at Regional General Hospital X hospital safety, knowledge and nurse education level.

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