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Hoiruddin Fathurohman
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INDONESIA
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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Comprehensive Midwifery Care for a Postpartum Mother with Postpartum Hemorrhage (PPH) due to Retained Placenta: A Case Report Khomsiah, Nurul Fitri; Setyowati, Dewi; Andriyanti, Andriyanti
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.v5i7.611

Abstract

Introduction: Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality. In Indonesia, the maternal mortality rate in 2023 was 189 per 100,000 live births, with hemorrhage as the dominant cause. Retained placenta is an important factor because it inhibits uterine contractions, especially in mothers aged ≥35 years, multiparous, anemic, and with chronic energy deficiency (CED). Case description: A 36-year-old multiparous woman (G4P3A0) with CED and mild anemia developed PPH after failure of placental delivery despite active management of the third stage. Estimated blood loss was ~1200 mL. Manual placental exploration, uterotonics, and fluid resuscitation were provided, followed by hospital referral. Ultrasound confirmed retained placental tissue, and curettage was performed. The patient stabilized after comprehensive treatment Discussion: Older maternal age, multiparity, chronic energy deficiency (CED), and anemia contribute to impaired myometrial contractility and failure of placental separation. Chronic energy deficiency (CED) and anemia reduce energy reserves and the oxygen-carrying capacity of uterine tissues, thereby increasing the risk of retained placenta and Postpartum hemorrhage (PPH). Conclusion: Retained placenta and Postpartum hemorrhage (PPH) are closely associated with maternal risk factors, including age ≥35 years, multiparity, anemia, and chronic energy deficiency (CED). Early detection of risk factors during antenatal care, as well as immediate and coordinated management in the third stage of labor, are very important to reduce maternal morbidity and mortality
Data Profile of Lipoma and Liposarcoma at the Anatomical Pathology Laboratory of Siloam MRCCC Semanggi Cancer Hospital Jakarta Gultom, Fajar Lamhot; Simanjuntak, Jonathan Savero; Angreni, Frisca
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.v5i7.620

Abstract

Introduction: Soft tissue tumors arise from mesenchymal tissues, with lipoma and liposarcoma being common types derived from adipose tissue. Considering the increasing prevalence of tumors in Jakarta, updated data on these specific cases are essential for better diagnostic and preventive measures. Objective: This study aims to determine the data profile of lipoma and liposarcoma patients at the Anatomical Pathology Laboratory of Siloam Cancer Special Hospital MRCCC Semanggi Jakarta during 2018–2019. Method: This research used a descriptive method with a cross-sectional approach. Data were collected from secondary medical records of all patients diagnosed with lipoma and liposarcoma at the laboratory. Result and Discussion: The study identified 56 cases in total, consisting of 52 cases of lipoma (92%) and 4 cases of liposarcoma (8%). Lipoma was predominantly found in patients aged 40–60 years, consistent with global epidemiological trends, while liposarcoma cases remained rare but clinically significant due to their malignant nature. Conclusions: Lipoma is significantly more prevalent than liposarcoma at this facility. These findings provide baseline data for clinical management and further epidemiological studies in specialized cancer hospitals in Indonesia
Factors Influencing the Utilization of Visual Inspection with Acetic Acid Screening Among Women of Reproductive Age: A Systematic Review Yendranita, Arfina; Kalsum, Ummi; Ilham, Ilham; Asparian, Asparian; Eka Rini, Willia Novita; Muldiasman, Muldiasman
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.v5i7.624

Abstract

Introduction: Cervical cancer remains a major public health problem, particularly in developing countries, with low participation in early detection through visual inspection with acetic acid screening. Objective: This study aims to identify factors influencing the utilization of visual inspection with acetic acid screening among women of reproductive age. Method: A systematic literature review was conducted using five electronic databases, including PubMed, ScienceDirect, Google Scholar, Directory of Open Access Journals, and Garuda, for articles published between 2020 and 2025. Eligible studies were selected based on predefined criteria, and data were extracted and analyzed using a narrative approach. Result and Discussion: The findings show that screening utilization is influenced by predisposing factors such as knowledge, education, and age; enabling factors including access to health services and availability of information; and reinforcing factors such as support from husbands, families, and health workers. Knowledge was identified as the most dominant factor influencing screening behavior. Conclusion: The utilization of visual inspection with acetic acid screening is determined by the interaction of individual, structural, and social factors, indicating the need for comprehensive strategies to improve screening coverage
Development and Acceptability Test of Enteral Food Formulation Based on Local Foods “KarotenPe” Tempeh Flour and Carrot Flour High in BCAA for Cancer Disease Mastura, Khantsa; Visi Asmara, ⁠An-nisa; Sarbini, ⁠Dwi
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.v5i7.626

Abstract

Introduction: Cancer can impair nutritional status due to alterations in the metabolism of energy, protein, fat, and micronutrients, which may lead to malnutrition and require nutritional support through enteral formulas. The development of enteral nutrition based on local food ingredients offers a potential alternative to improve accessibility and nutritional quality for patients. Objective: This study aimed to develop an enteral formula based on tempeh flour as a source of plant protein and carrot flour as a source of beta-carotene, and to evaluate its physical characteristics and sensory acceptability. Method: A completely randomized design with three formulations was employed, analyzing viscosity, osmolarity, flow rate, moisture content, color parameters, and sensory evaluation. Result and Discussion: All formulations met viscosity and flow rate standards. Formula 2 demonstrated the closest flow rate to the commercial product and achieved the highest sensory scores. However, osmolarity across all formulations exceeded recommended ranges, and moisture content surpassed the ideal limit, potentially affecting product stability. No significant differences were found among formulations in sensory parameters. Conclusions: Formula 2 was identified as the most preferred formulation with characteristics closest to the commercial product. However, improvements are required in terms of osmolarity and moisture content to meet the standard requirements for enteral nutrition products
Safety Maturity Level Improvement Program At PT XYZ A Mineral (Nickel) Mining Company In Central Sulawesi Reza, Faisal; Cahyono, Rochim Bakti; Prayoga, Benidiktus Tulung; Arrofiq, Muhammad
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.v5i7.627

Abstract

Introduction: The nickel mining industry has high operational risks, thus requiring a mature safety management system. Objective: This study aims to analyze the Safety Maturity Level (SML) in nickel mineral mining operations at PT XYZ based on the parameters in the Decree of the Director General of Mineral and Coal No. 10.K/MB.01/DJB.T/2023. This evaluation is important to identify standard deviations and formulate a program for continuous improvement of safety culture. Methods: This study uses a qualitative and quantitative research design (mixed methods) by assessing four main indicators: worker participation, unit leader responsibility, accident statistical analysis, and risk control efforts. The research instruments include an assessment rubric according to ESDM regulations, in-depth interviews, field observations, and Focus Group Discussions (FGD). Results and Discussion: PT XYZ achieved a total safety performance score of 0.65 out of 1.00, placing the company at the "Reactive" level. Safety is still regarded as an administrative formality rather than an internalized work culture. Conclusion: To advance toward the "Proactive" level, strategic programs are proposed, including optimization of the "SLAMET" digital application, Management Walk Thru, and Advanced Data Analytics for accident investigation
Determinants of Stunting among Children Aged 24–59 Months: The Role of Maternal and Infant Factors in Muara Papalik Subdistrict, Indonesia Amelia Sari, Ayu Oktavia; Kalsum, Ummi; Asparian, Asparian; Eka Rini, Willia Novita; Dwi Fitri, Amelia; Muldiasman, Muldiasman
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.v5i7.630

Abstract

Introduction: Stunting remains a major public health problem, particularly in developing countries, including Indonesia. Despite a declining trend, its prevalence at the local level is still relatively high, indicating the presence of specific risk factors related to maternal and child conditions. Objective: This study aimed to identify maternal and infant factors associated with stunting among children aged 24–59 months in Muara Papalik Subdistrict, Tanjung Jabung Barat Regency. Method: A quantitative cross-sectional study was conducted among mothers with children aged 24–59 months. Data were collected through structured interviews and anthropometric measurements. Variables included antenatal care, maternal nutritional status, anemia during pregnancy, birth weight, exclusive breastfeeding, and early initiation of breastfeeding. Data were analyzed using univariate, bivariate, and multivariate logistic regression. Results and Discussion: Maternal and infant factors were significantly associated with stunting. Low birth weight, lack of exclusive breastfeeding, and poor maternal nutritional status were identified as key determinants. Birth weight was the most dominant factor influencing stunting. Conclusion: Stunting is influenced by combined maternal and infant factors, with birth weight as the strongest determinant. Improving maternal nutrition and promoting optimal infant feeding practices are essential to reduce stunting prevalence

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