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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 598 Documents
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Formulation and Physicochemical Characteristics and Acceptability of an Enteral Formula Based on Catfish, Soybean, and Purple Sweet Potato for Pregnant Women with Chronic Energy Deficiency (CED) Khoiriyah, Nafisa Fida'ul; Intifadah, Darin Syahidah; Mustikaningrum, Fitriana
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.v5i8.634

Abstract

Introduction: Chronic Energy Deficiency in pregnant women requires energy-dense nutritional interventions to support maternal and fetal health. One potential approach is the development of locally sourced enteral formulas with adequate nutritional and physicochemical properties.Objective: This study aimed to evaluate the physicochemical characteristics and sensory acceptability of a modified enteral formula based on catfish, soybeans, and purple sweet potatoes. Method: This experimental study compared two formulations, formulation A with soybean dominance and formulation B with catfish dominance, against a commercial control. The evaluation included measurements of energy density, viscosity, flow rate, acidity level, osmolarity, and sensory acceptability. Result and Discussion: The results showed that the modified formulas successfully achieved a high energy density of 1.2 kilocalories per milliliter. Both formulations showed ideal viscosity ranging from 31.45 to 36.39 centipoise, appropriate flow rate, and neutral acidity level suitable for nasogastric tube application, although both were categorized as hyperosmolar with values above 700 milliosmoles per liter. In the sensory evaluation, formulation A was significantly preferred over formulation B, particularly in texture and taste. The dominance of soybean protein in formulation A produced a smoother liquid consistency and effectively masked the fishy aftertaste found in formulation B. Conclusions: Formulation A is recommended as the most potential local food-based enteral formula prototype for pregnant women with chronic energy deficiency, although further optimization is needed to reduce its osmolarity level
Enhancing Occupational Safety Performance through the Implementation of UCAD in Drilling and Well Intervention Operations Helmi Indra Fauzi; Nur Rokhman
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.v5i8.635

Abstract

Introduction: The oil and gas industry carries high operational risks, particularly in drilling and well intervention activities, where incidents such as near misses continue to occur despite existing safety systems Objective: This study evaluates the implementation of the Upgrading Competency and Awareness Database (UCAD) system in mitigating risks within drilling and well intervention operations Method: A qualitative descriptive case study approach was employed, utilizing field observations, technical document reviews, and in-depth interviews with safety officers and operational personnel. Result and Discussion: The UCAD system implementation was categorized as poor, with a compliance rate of 38.5%. Significant gaps were identified in data utilization, personnel participation, and well control competency. Critical areas requiring improvement include inspections of well control equipment, dropped objects, hoisting systems, and pressurized systems. Conclusions: Cumulative participation in the program has not yet been achieved, and improvements are required in both system implementation and personnel competency development. Strengthening technical training and enhancing supervision are essential to prevent major accident hazards and to improve over all safety performance in drilling and well intervention operations.
Robotic Exoskeleton for Young Adult Large-Lesion Stroke: A Case Report Arisanti, Farida; Yunita Sari, Alfi; Sulistyo Wulandari, Maria Agustina; Larasati, Rinesa; Biben, Vitriana
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.v5i8.629

Abstract

Introduction: Large-lesion stroke in young adults often causes severe functional impairment, severely inhibiting people’s reintegration and long-term autonomy. In the subacute phase, severe motoric weakness, postural instability, and decreased aerobic capacity often inhibit effective walking rehabilitation. Objective: To evaluate the potential benefits of integrating a robotic dermoskeleton (KEEOGO) into the "Assist-as-Needed" (AAN) framework to achieve overground walking and cognitive motor integration. Method: A 34-year-old male with subacute ischemic stroke who presented with right hemiparesis (Brunnstrom Stage 2) and severe ambulation disturbance. The patient participated in a 4 week program consisting of robotic-assisted overground walking sessions. The AAN methodology provides adaptive support, responding with motoric effort directly to the patient. Results and Discussion: Post-intervention outcomes showed significant improvement. Walking endurance, as measured by the 6-Minute Walk Test, shows a marked improvement, rising from 96 m to 145 m, gait speed (10-Meter Walk Test) improved from 0.25 m/s to 0.46 m/s and cognitive function (MoCA-Ina) improved from 11 to 20. Conclusion: Robotic-assisted overground walking using an adaptive exoskeleton may be a safe and effective adjunctive modality for improving motor and cognitive outcomes in young patients with large-lesion stroke
Development of a Smartphone-Based Digital Reporting System to Optimize Radiation Safety Reporting in the Radiation Oncology Facility Elzar, Andri; Dian Pratiwi, Rita; Dharmastiti, Rini; Kusuma Frisky, Aufaclav Zatu
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.v5i8.638

Abstract

Introduction: Radiation safety reporting at the Radiation Oncology Facility of RSUD Dr. H. Abdul Moeloek was still paper-based, causing incomplete data, delayed reporting, and fluctuating Safety and Security Indicator (IKK) scores. Objective: This study aimed to develop and evaluate a smartphone-based digital reporting application to improve radiation safety reporting and safety culture. Method: This Research and Development study used the ADDIE model with mixed qualitative and quantitative approaches. The application was developed using the AppSheet low-code platform and validated by practitioners and media experts. Evaluation applied a one-group pretest-posttest design involving 30 radiation workers. Data were analysed using regression, paired t-test, and correlation analyses. Results and discussion: The SPEKTRA application achieved a validation score of 94.5% and was categorized as highly feasible. Post-implementation results showed significant improvements in perceived ease of use, perceived usefulness, intention to use, and safety culture (p < 0.001). Perceived usefulness was the dominant predictor of intention to use (β = 0.473; p = 0.022). Application adoption also significantly improved safety culture (p = 0.034). The projected IKK score increased from 75 in 2025 to 94 in 2026 through the integrated simulation feature. Conclusion: SPEKTRA effectively improved technology acceptance, safety culture, and radiation safety reporting management.
Development of a Risk Control System for the Granulation Process of Ferronickel Skimming Slag Based on HAZOP Analysis Results Hendri Saputro; Rochim Bakti Cahyono
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.v5i8.639

Abstract

Introduction: Occupational safety in mining and metallurgical operations continues to be a major concern because these processes involve extreme temperatures, hazardous materials, and complex interactions between workers and equipment, especially in ferronickel smelting where slag handling occurs under high thermal and pressure conditions. Objective: This study aims to develop and validate an integrated risk control system for the ferronickel slag skimming granulation process based on Hazard and Operability Study analysis. Method: A descriptive qualitative-quantitative case study approach was applied by analyzing three main process nodes using Hazard and Operability Study worksheets, supported by a 5×5 risk matrix to evaluate initial and residual risks, followed by the design and validation of engineering and administrative control systems. Result and Discussion: The slag granulation process was identified as a high-risk operation with several critical deviations, where Low Pressure Water showed the highest initial risk value (16) due to its potential to trigger failed granulation, slag agglomeration, and explosions. The main influencing variables included water jet pressure, slag temperature, water flow rate, pump condition, drill gun performance, and nozzle blockage. The developed risk control system integrated engineering and administrative controls, resulting in consistent risk reduction across all process nodes. Conclusions: Hazard and Operability Study-based risk control system effectively reduces process risk with an effectiveness range of 40%-75% and an average reduction of 56.62%, enhances process reliability, strengthens process safety management, and supports the development of a proactive safety culture in ferronickel smelter operations
Normative Juridical Study of Patient Storage Obligations and Access Rights to Medical Records Maria Verawati; Ni Luh Gde Ari Natalia Yudha
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.v5i8.617

Abstract

Introduction: Medical records are not merely administrative documents, but legal instruments that guarantee continuity of care, patient autonomy, and protection of sensitive health data. The expansion of electronic medical records in Indonesia has intensified the need to reconcile record-retention obligations, patient access rights, medical confidentiality, and personal data protection. Objective: To analyze the legal construction governing the storage of medical records and patient access rights, and to assess whether the current regulatory framework is adequate from the perspectives of human rights, proportionality, and personal data protection. Method: This study uses normative juridical research with statutory and conceptual approaches. Legal materials were analyzed prescriptively using a human rights approach, the proportionality principle, and data-protection principles, particularly confidentiality, purpose limitation, security, and accountability. Result and Discussion: The study finds that Indonesian law already recognizes the obligation of healthcare facilities to retain medical records and the right of patients to access their health information; however, implementation remains fragmented. Normative tension arises because regulations affirm patient access, yet do not sufficiently detail the limits, procedures, classification of accessible information, and safeguards for sensitive clinical notes in electronic systems. This ambiguity creates inconsistent practice, bureaucratic barriers, and legal uncertainty. Conclusion: Regulatory harmonization is needed through derivative rules that define the scope of patient access, role-based access control, retention governance, complaint mechanisms, and digital security standards so that patient rights are fulfilled without undermining confidentiality and data protection.
Analysis of Knowledge Level, Self-Efficacy, and Self-Management among Type 2 Diabetes Mellitus Patients in Rural Areas of Aceh Province Rihhadatul Aisy; Asniar Asniar; Teuku Tahlil
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.v5i8.636

Abstract

Introduction: Diabetes mellitus (DM) is a chronic disease and a major global health challenge. Uncontrolled hyperglycemia can cause microvascular and macrovascular complications. Patients' knowledge, self-efficacy, and self-management abilities, which vary in rural communities, influence effective management. Objective: This study aimed to analyze knowledge, self-efficacy, and self-management among patients with type 2 DM in rural areas of Aceh Province. Method: A cross-sectional design was used involving 72 respondents. Data were collected using structured questionnaires: DKQ-24 for knowledge, DES-SF for self-efficacy, and the Diabetes Mellitus Self-Management Behavior questionnaire for self-management. Result and Discussion: Descriptive and crosstab analyses were conducted. The mean score of knowledge was 13.60 (SD=2.516), self-efficacy 25.63 (SD=3.510), and self-management 73.54 (SD=10.911). The findings indicate that knowledge, self-efficacy, and self-management levels among patients with type 2 DM in rural Aceh remain varied and suboptimal. Conclusion: These findings highlight the importance of strengthening education and patient empowerment strategies tailored to rural settings. Improving access to continuous support from healthcare providers and communities may enhance treatment adherence, promote healthier behaviors, and reduce long-term disease burden locally
Physiotherapy and the Elderly from 2010 to 2026: A Bibliometric Study Gina Fazrina; Wita Hana Puspita
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.v5i8.641

Abstract

Introduction: The rapid increase in the elderly population has led to a rising prevalence of multimorbidity and has substantially expanded academic literature and evidence-based practice data, particularly in rehabilitation and physiotherapy. Objective: This study aimed to conduct a performance analysis and science mapping of global publications on geriatric physiotherapy, focusing on longitudinal publication trends, geographical contributions, intellectual network visualization, and emerging research trends through bibliometric analysis. Method: Data were retrieved from the Scopus database for the 2010-2026 period using the keyword strategy “physiotherapy AND elderly”. The data were then processed and visualized using VOSviewer to analyze research networks and thematic clusters. Results and Discussion: A total of 8,026 articles were identified and analyzed. Publication volume peaked in 2025 (n = 1,199; 14.94%), with the United States emerging as the leading contributor, producing more than 2,250 articles. A significant thematic shift was observed in keyword trends, moving from “RCT” and “strength” toward “telehealth” and “accessibility”. Conclusion: The transformation of study variables demonstrates that the geriatric physiotherapy research landscape has undergone a paradigmatic evolution, shifting from laboratory-based experimental approaches toward an integrated digital health ecosystem.
The Correlation Between Academic Stress and Psychological Well-Being Among High School Students in Indonesian Rural Areas Farah Dineva R; Sri Novitayani; Asniar Asniar; Putri Mayasari
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.v5i8.642

Abstract

Introduction: Adolescents experience various pressures in meeting multiple demands in school life. As a result, adolescents can undergo academic stress. The emergence of academic stress affects psychological well-being. Objective: This study examines the correlation between academic stress and psychological well-being experienced by high school students in rural areas. Method: This study applied a correlational design and cross-sectional approach. The samples in this study were 82 students from two senior high schools in rural areas with the criteria of students aged 15-19 years participating in the Adolescent Reproductive Health Information and Counseling Center (PIK-R) program. Result and Discussion: The results showed the value of p = .003 (p < .05) with correlation coefficient (r) = - .319. Conclusions: It shows the existence of negative correlation between academic stress and psychological well-being. It is hoped that students can overcome problems related to their academics with a positive response and that all parties involved in the school can carry out programs that help students overcome stress
Literature Review of Occupational Health and Safety in Oil Palm Plantations Aisyahfira Anindya; Daru Lestantyo; Yuliani Setyaningsih
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.v5i8.643

Abstract

Introduction: The palm oil industry presents high occupational accident risks due to heat exposure, heavy machinery, noise, chemicals, and low compliance with personal protective equipment (PPE). Therefore, Occupational Health and Safety (OHS) implementation is essential to protect workers and support productivity. Objective: This study aims to determine the overview of OHS implementation in palm oil plantations and palm oil processing factories based on previous research findings. Method: This study used a literature review method. Article searches were conducted through Google Scholar, PubMed, and Science Direct databases during the period 2021–2026 using keywords related to OHS implementation in the palm oil industry. From 200 identified articles, 12 articles met the inclusion criteria and were analyzed. Results and Discussion: OHS implementation reduced accident risks and improved productivity. Risk identification methods, including HAZOP, Job Safety Analysis (JSA), and HIRARC, helped identify hazards and determine controls. However, implementation barriers included low worker awareness, poor PPE compliance, limited training, weak supervision, traditional work culture, and low education. Conclusion: The implementation of OHS in the palm oil industry is very important in creating a safe, healthy, and productive work environment. Improving training, supervision, and workers’ awareness regarding the importance of OHS should be carried out continuously

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