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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 542 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
Mother-Daughter Relationship and Self-Esteem Levels in Undergraduate Midwifery Students at Brawijaya University Prasanti, Gayatri Anindya; Ariani, Dewi; Maharani, Afniari; Wardani, Diadjeng Setya
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (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.v5i8.628

Abstract

Introduction: Self-esteem plays an important role in mental health and personal development. However, limited evidence is available regarding the relationship between mother–daughter relationships and self-esteem among midwifery students, particularly in the Indonesian context. Objective: This study aims to examine the association between mother-daughter relationship and self-esteem among undergraduate midwifery students at Brawijaya University. Method: with a cross-sectional. A total of 174 female students were selected from cohorts 2022–2024. The Mother-Adult Daughter Questionnaire (MADQ) was used to assess mother-daughter relationship and the Rosenberg Self-Esteem Scale (RSES) was used to measure self-esteem. Data were analyzed using Spearman rank correlation and ordinal logistic regression. This study employed an observational analytical design. Results and Discussion: Most respondents had high self-esteem and strong mother-daughter relationships. All three dimensions connectedness (r 0.386; p < 0.05;), interdependency dimension has a significant relationship with self-esteem (p < r 0.189; p<0.05), and the trust in hierarchy (; r 0.278 ; p < 0.05) were significantly associated with self-esteem. In multivariate analysis, only connectedness remained a significant predictor. Conclusion: Mother-daughter relationship are significantly associated with self-esteem among midwifery students, with emotional connectedness emerging as the most influential factor. These findings highlight the importance of supportive family relationships in promoting students’ psychological well-being
Analysis of Determinants of Public Health Service Utilization in the Working Area of the West Ampana Health Center, Tojo Una-Una Regency Amita, Tri Mayang; Rajindra, Rajindra; Amalinda, Finta
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (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.v5i8.631

Abstract

Introduction: Low utilisation of public healthcare services remains a persistent challenge influenced by multiple individual and environmental factors. The Community Health Centre (Puskesmas), as a primary healthcare facility, plays a critical role in improving community health status. Key determinants such as accessibility, culture, family support, and perceptions of illness and services are considered central to understanding patterns of healthcare utilisation. Objective: This study aims to identify and analyse the determinants of public healthcare service utilisation in the working area of the West Ampana Community Health Centre, Tojo Una-Una Regency. Method: A quantitative analytical approach was employed involving 99 respondents selected using Slovin's formula. Data were collected through structured questionnaires and analysed using univariate, bivariate, and multivariate analysis with SPSS. Results and Discussion: Significant relationships were found between accessibility, culture, family support, perceptions of illness and services, and healthcare utilisation (p < 0.005). Multivariate analysis revealed that accessibility and culture were the most dominant influencing factors, indicating that structural and sociocultural barriers substantially limit community engagement with available health services. Conclusion: Healthcare service utilisation is shaped by accessibility, culture, family support, and perceptions of illness and services. Improving culturally sensitive approaches and health education by healthcare workers are essential strategies to enhance service utilisation and optimise primary healthcare engagement at the community level
Acceptability of Chicken Liver, Egg, and Coconut Milk Enteral Formula (HATASA) as an Alternative for Managing Wasting in Toddlers Yahya Saputri, Emma; Ayu Saputri, Nanda; Nur Isnaeni, Farida; Puspitasari, Dyah Intan
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (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.v5i8.632

Abstract

Introduction: Wasting in toddlers remains a significant problem affecting growth and development, requiring affordable and nutritionally adequate interventions such as enteral formulas based on local food ingredients. Objective: This study aimed to evaluate the acceptability of an enteral formula made from chicken liver, eggs, and coconut milk as an alternative for managing wasting in toddlers. Method: A combination of true experimental and quasi-experimental research with a completely randomized design was conducted from July to August 2025 using three formulations (F1, F2, F3). Chicken liver flour was produced through drying at 90°C for 3 hours, followed by grinding and sieving. Organoleptic testing involved 15 untrained panelists using a 7-point hedonic scale, and data were analyzed using Kruskal-Wallis and Mann-Whitney tests. Result and Discussion: The shrinkage of chicken liver into flour reached 86.7% and 93.05%. Osmolality values ranged from 258-296 mOsm/kg, lower than the commercial product (491 mOsm/kg), while moisture content ranged from 3.76-4.02%, comparable to the commercial product (3.77%). Flow rate ranged from 0.56-1.20 sec/ml. Color values showed l* 31.4-39.9, a* 3-3.45, and b* 7.8-10.4 with no significant differences (p>0.05). Organoleptic results indicated that Formula 1 had higher preference scores (color 5.73, aroma 4.80, overall 4.73) compared to other formulas, although taste, texture, and overall aspects showed significant differences (p<0.05). Higher chicken liver content tended to reduce acceptability, particularly in taste. Conclusions: The best formula was F1 (20 g chicken liver flour and 20 g egg flour), which showed the highest overall acceptability and comparable physical characteristics.
Disorders of Sex Development in South Kalimantan: First Case Reports of a Neonate with 46,XX Virilization and an Adolescent with 46,XY Undervirilization Niarsari Anugrahing Putri; Indra Widjaya Himawan; Maria Ulfah; Naisya Balela
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 8 (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.v5i8.633

Abstract

Introduction: Disorders of Sex Development (DSD) are rare congenital conditions with high diagnostic complexity. Objective: To describe the challenges in the diagnosis and management of DSD in South Kalimantan through two case reports. Method: Data were obtained from the medical records of two DSD patients in South Kalimantan. Results and Discussion: Case 1: A 10-day-old 46,XX neonate with ambiguous genitalia (Prader III), hyperkalemia (K 8.8), hyponatremia (Na 134), and hypoglycemia. Salt-wasting Congenital Adrenal Hyperplasia (CAH) was diagnosed (17-OHP 237 ng/mL). Case 2: A 17-year-old raised female with progressive virilization since age nine. Examination showed Prader IV, 7-cm phallus, bilateral testes (10–12 mL), absent Müllerian structures, and 46,XY karyotype, suggesting Partial Androgen Insensitivity Syndrome (PAIS) or 5α-reductase deficiency. Both cases reflect regional limitations: unavailable comprehensive hormonal testing, genetic molecular analysis, and no permanent multidisciplinary DSD team. Conclusions: Limitations in diagnostic resources at the regional level significantly impact the optimization of DSD patient management, necessitating the development of diagnostic capacity and multidisciplinary collaboration

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