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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 535 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 Saputro, Hendri; Cahyono, Rochim Bakti
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

Page 54 of 54 | Total Record : 535

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