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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 526 Documents
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Functional Independence Through Compensatory Neurorehabilitation in a Young Adult After Severe Intracerebral Hemorrhage: A Case Report Ani Purwati Paligar; Farida Arisanti; Dian Marta Sari
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.613

Abstract

Introduction: Intracerebral hemorrhage (ICH) in young adults is associated with high morbidity, particularly involves extensive lobar areas and necessitates surgical intervention. Although increased neuroplasticity is associated with younger age, the functional recovery following craniotomy can differ significantly even neuroplasticity increased in young adults. Limited evidence available on rehabilitation-focused outcomes in this population. Objective: This study aimed to describe functional recovery following a structured rehabilitation program in a young adult patient after severe intracerebral hemorrhage and craniotomy Methods: A 39-year-old man had a large left frontotemporoparietal ICH with intraventricular extension had emergency craniotomy and hematoma evacuation. Two months later, severe right-sided paralysis (Brunnstrom stage 1), shoulder subluxation, poor functional speech, and total dependence on everyday activities (Barthel Index 40/100) were evident. A structured, goal-directed rehabilitation programme was implemented over four weeks, focusing on endurance training, mobility control, compensatory strategies using the unaffected limb, cognitive stimulation and caregiver education. Results: After a month of rehabilitation, the patient achieved independent bed-to-sit mobility, increased unsupported sitting tolerance from 10 to 60 minutes, partially comprehensible speech, and improved independence in basic activities of daily living using compensatory strategies. The Barthel Index improved to 65/100 with Burnnstrom increase from 2 to 3 for right extremities and Burnnstrom 2 to 5 for left extremities. Conclusion: Young adults with severe intracerebral haemorrhage (ICH) can achieve meaningful functional independence through endurance-focused and compensatory rehabilitation strategies, even neurological motor recovery is limited. Significant functional outcomes beyond motor restoration may be achieved through rehabilitation goals targeting activity and participation.
Overview of The Results of Tuberculosis (TB) Examination with Molecular Rapid Test (TCM) at X Hospital in Gamping Regency, 2023-2024 Selna Hamidjun; Farida Noor Irfani; Nazula Rahma Shafriani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.614

Abstract

Introduction: Tuberculosis (TB) is a significant global health problem, including in Indonesia. In the Special Region of Yogyakarta, TB prevalence is quite high, with a higher incidence among men than women. The Molecular Rapid Test (TCM) method using the GeneXpert MTB/RIF machine has been recommended by the World Health Organization as a fast and accurate diagnostic tool to detect the presence of Mycobacterium tuberculosis as well as resistance to rifampicin. Objective: This study aims to describe the results of TCM examinations in TB patients at X Gamping Hospital during the period 2023-2024 and to analyze the influence of age and gender on the examination result. Method: The study used a cross-sectional retrospective design with secondary data collection from the medical records of patients undergoing GeneXpert TCM examination. Result and Discussion: The results showed that the majority of patients were in the productive age group (15-64 years) as much as 74.1% and dominated by men at 58.9%. All patients showed Rifampicin Sensitive results. Conclusion: Most tuberculosis patients at X Gamping Hospital in 2023-2024 were of productive age (15-64 years) and were mostly male
Determinants of Stunting in Toddlers Aged 24-59 Months in East Jambi District, Jambi City in 2025 Kiki Ayu Apriani; Asparian Asparian; Herwansyah Herwansyah
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.615

Abstract

Introduction: Stunting is a chronic nutritional problem that remains a challenge in Indonesia, including in Jambi City. This condition is influenced by various factors. Objective: This study aims to identify factors associated with stunting among toddlers aged 24–59 months in East Jambi District in 2026. Methods: This study used a quantitative design with a cross-sectional approach. The population was 1,861 toddlers, with a sample of 329 respondents selected using a purposive sampling technique. Data were collected through interviews using a questionnaire and analyzed using the Chi-Square test. Results and discussion: The results of the study showed that there was a relationship between maternal history of KEK (p=0.000; PR=2.718), history of LBW (p=0.018; PR=1.698), early initiation of breastfeeding/IMD (p=0.026; PR=1.662), exclusive breastfeeding (p=0.040; PR=1.591), time of complementary feeding (p=0.005; PR=1.877), immunization status (p=0.012; PR=1.758), and history of diarrhea infection (p=0.000; PR=3.654) with the incidence of stunting in toddlers. Conclusion: There is a significant association between maternal factors, infant feeding practices, health services, and a history of infectious diseases with stunting. Efforts to improve maternal nutrition education, optimize maternal and child health services, and prevent infectious diseases are needed to reduce stunting rates
Effect of Water Hyacinth (Eichhornia crassipes) and Biochar on pH and Fe and Mn Concentrations in Acid Mine Drainage Fitriyati Sholehati Albanjari; Ajidirman Ajidirman; Wiskandar Wiskandar
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.616

Abstract

Introduction: Acid mine drainage (AMD) is a major environmental problem characterized by low pH and elevated heavy metals such as Fe and Mn that can contaminate aquatic ecosytems. Environmentally friendly treatment alternatives include water hyacinth (Eichhornia crassipes) for phytoremediation and biochar for metal adsorption and pH buffering Objective: To analyze the effects of water hyacinth and biochar on increasing pH and reducing Fe and Mn concentrations in AMD Method: An experimental study was conducted using combination treatments of water hyacinth and biochar at several dosage levels. Measured parameters included pH and Fe–Mn concentrations. Data were analyzed using ANOVA followed by Duncan’s New Multiple Range Test (DNMRT) at a 5% significance level. Results and Discussion: Water hyacinth did not significantly increase pH but significantly reduced Fe at 15 stems. Biochar significantly raised pH toward near-neutral conditions and reduced Fe and Mn, with the best performance at 20 g L⁻¹. Combined treatments were more effective than single treatments, increasing pH to 6.5–7.5 and achieving >99% Fe and Mn removal Conclusion: Water hyacinth–biochar combinations offer a promising, low-cost, and eco-friendly AMD treatment via synergistic phytoremediation and adsorption
Accident Prevention Program in the Nickel Mining Facility Project at the Indonesia Growth Project (IGP), Pomalaa Noor Faiz Achmad; Felixtianus Eko Wismo Winarto
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.618

Abstract

Introduction: Construction projects in nickel mining, such as the Indonesia Growth Project (IGP) Pomalaa, involve numerous workers and high-risk activities, making occupational accidents a significant concern. Safety management practices in many projects are often administrative and reactive, limiting their effectiveness in systematically preventing accidents. This study examines the implementation of accident prevention programs and identifies strategies to enhance occupational health and safety management in mining construction projects. Objective: The study aims to analyze the factors causing workplace accidents, describe how accident prevention programs are implemented, and evaluate their effectiveness in improving safety performance at the IGP Pomalaa construction project. Method: A descriptive qualitative approach was employed, complemented by secondary quantitative data. Data were collected through field observations, interviews with safety personnel including managers, officers, supervisors, and workers, as well as document reviews of safety reports, accident records, and safe work procedures. Data analysis followed the steps of reduction, presentation, and conclusion drawing to provide an in-depth understanding of the Occupational Health and Safety Management System implementation within the project. Result and Discussion: The main causes of workplace accidents were identified as Job Safety Analyses that were insufficiently specific to task hazards, unsafe worker behaviors including non-compliance with protective equipment and housekeeping procedures, weak supervision, and safety communication not fully aligned with field conditions. These factors interacted to form chains of causation consistent with accident prevention theory. The findings show that strengthening risk analysis, improving safety leadership, and implementing participatory, context-specific safety programs are critical to enhancing the safety culture in mining construction projects. Conclusions: Addressing through targeted safety programs can significantly reduce workplace accidents and improve overall safety culture in mining construction projects.
Impact of Animated Video–Based Education on Breast Care Knowledge Among Female University Students at Bale Bandung University Siti Solihat; Budiman Budiman; Nadirawati Nadirawati; Murtiningsih Murtiningsih; Lina Safarina
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.619

Abstract

Introduction: Adequate knowledge of breast care is essential for young women to support early prevention of breast health problems, including breast cancer. Effective and engaging nursing health education strategies are needed to improve students' understanding. Objective: This study aimed to examine the effectiveness of Health Promotion Model–based animated video education in improving breast care knowledge among female university students. Method: A quasi-experimental study with a pretest–posttest control group design was conducted among first-year female students at Universitas Bale Bandung. A total of 122 participants were divided into an experimental group (n = 60) and a control group (n = 62). The experimental group received a 13-minute animated educational video, while the control group received no intervention. Knowledge was measured using a validated questionnaire and analyzed using the Wilcoxon test with a significance level of 0.05. Result and Discussion: The experimental group showed a significant increase in mean knowledge scores after the intervention, whereas the control group showed no improvement and tended to experience a decrease. The findings indicate that animated video education effectively enhances students' understanding of breast care. Conclusions: Health education using animated video is effective in increasing breast care knowledge among female university students and can be applied as an alternative nursing strategy in campus-based health promotion programs
Analysis of the Stop Work Authority (SWA) Program and Development of a Microlearning Training Module for Construction Workers Farhan Alparizi; Joko Wintoko
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.621

Abstract

Introduction: Construction projects with high risk levels require strong occupational safety and health systems, yet the implementation of the Stop Work Authority program often faces challenges such as uneven risk understanding, ineffective communication, limited training, and weak safety culture. Objective: This study aims to evaluate the influence of risk understanding, Stop Work Authority understanding, communication, and training on safety compliance, and to develop microlearning-based electronic learning media to enhance program effectiveness. Method: A quantitative descriptive cross-sectional survey was conducted involving construction workers, supervisors, and safety officers in a building project at Universitas Gadjah Mada, with 84 respondents selected from a population of 106. Data were collected using a validated and reliable Likert-scale questionnaire, supported by observations and interviews, and analyzed using descriptive statistics and multiple linear regression with classical assumption testing. Result and Discussion: The findings show that all variables are in good to very good categories, and all independent variables have a significant positive effect on safety compliance. Strengthening these aspects contributes to improved worker behavior and program implementation. Conclusions: Enhancing risk understanding, communication, and structured training supported by microlearning-based electronic learning is essential to improve safety compliance and strengthen safety culture in construction projects.
Regenerative Therapy in Degenerative Joint Disease Muhammad Yusuf Ginanjar; Irma Ruslina Defi; Muhammad Luthfi Dharmawan; Istingadah Desiana
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.622

Abstract

Introduction: Degenerative joint disease is a major cause of disability and functional limitation, particularly in the elderly, and conventional treatments are often limited to symptomatic relief without addressing structural degeneration. Objective: This study aims to review the mechanisms of action and clinical effectiveness of regenerative therapies in the management of degenerative joint disease. Method: A literature review was conducted by analyzing relevant scientific articles, including clinical trials, systematic reviews, and experimental studies focusing on platelet-rich plasma, mesenchymal stem cells, prolotherapy, and regenerative hydrogels. Result and Discussion: Regenerative therapies show the ability to reduce pain, improve joint function, and support tissue repair through biological mechanisms such as anti-inflammatory effects, cell proliferation, and extracellular matrix regeneration. Platelet-rich plasma shows consistent benefits in early-stage disease, while mesenchymal stem cells offer potential for long-term structural regeneration. Prolotherapy provides a simple and cost-effective alternative, and hydrogels enhance therapeutic delivery and tissue support, especially in combination therapies. However, variability in protocols and limited long-term evidence remain key challenges. Conclusions: Regenerative therapy represents a promising approach for degenerative joint disease management, but further standardized and long-term studies are required to optimize clinical application and ensure safety and effectiveness
The Influence of Knowledge Management, Work Discipline, and Organizational Culture on Occupational Health and Safety (OHS) Implementation at PT Nihon Chemical Indonesia Ova Perdanawati; Soehatman Ramli; Adenan Adenan; Edison Sembiring
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.623

Abstract

Introduction: Occupational Health and Safety (OHS) implementation remains a critical issue in industrial sectors, particularly in developing countries where workplace accidents continue to increase despite regulatory frameworks. Objective: This study aims to examine the influence of knowledge management, work discipline, and organizational culture on OHS implementation at PT Nihon Chemical Indonesia. Method: A quantitative approach with an explanatory research design was employed, using primary data collected through questionnaires distributed to employees and analyzed using multiple linear regression, supported by validity, reliability, and classical assumption tests. Result: The findings indicate that knowledge management, work discipline, and organizational culture have positive and significant effects on OHS implementation, both partially and simultaneously, with organizational culture identified as the most dominant factor. Conclusion: The integration of these three factors plays a crucial role in improving OHS implementation, emphasizing that workplace safety is influenced not only by formal regulations but also by behavioral and organizational dimensions, while also providing empirical contributions and practical insights for strengthening safety performance in the Indonesian chemical industry
Bilateral Anterior Descending Artery Variant Mistaken as Chronic Occlusive Disease on Coronary Angiography: A Case Report Bayu Aji, Kuncoro; Zhiwen, Tao
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.501

Abstract

The bilateral left anterior descending artery (LAD) variant is a rare congenital coronary anomaly defined by the presence of two LADs within the anterior interventricular groove. The shorter LAD terminates proximally, while the longer LAD extends distally to supply the apical region of the heart. This report describes a patient with typical stable angina pectoris in whom a bilateral LAD variant was identified. Coronary angiography revealed a proximal LAD occlusion, no ostial lesion was found in intravascular ultrasound examination. Subsequent coronary computed tomography angiography (CCTA) confirmed the presence of bilateral LADs. The shorter LAD originated from the left main coronary artery, and the longer LAD arose from the proximal conus branch of the right coronary artery, passing between the aorta and the right ventricular outflow tract. These imaging findings are consistent with a type VI bilateral LAD variant. Recognition of this rare anatomical configuration is crucial, as it may complicate the diagnosis and management of coronary artery disease. This case underscores the importance of multimodal imaging, particularly CT angiography, in accurately identifying coronary artery variations that can significantly influence clinical decision-making and interventional planning

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