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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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Environmental Health and Behavioral Factors Associated with the Incidence of Diarrhea in Children: A Scoping Review Devanty Yuliana; Budiyono Budiyono; Yusniar Hanani Darundiati
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.654

Abstract

Introduction: Diarrhea remains a major public health problem among children under five years of age and is closely associated with poor environmental sanitation, inadequate hygiene behavior, and limited access to clean water. Objective: This study aimed to identify and synthesize evidence regarding environmental and behavioral factors contributing to diarrhea incidence in infants and toddlers. Method: A scoping review approach was applied by searching articles in PubMed, ScienceDirect, and Scopus using keywords related to diarrhea, sanitation, hygiene, water quality, drinking water, and environmental health. Articles published from 2019 to 2025 were screened, resulting in 14 eligible studies from 6,484 identified articles. Result and Discussion: Environmental conditions and hygiene behavior contribute to fecal contamination pathways that increase diarrhea risk. Improving sanitation, promoting proper hygiene practices, and ensuring access to safe water are essential and interconnected prevention measures. Conclusions: Diarrhea incidence in children under five is influenced by environmental, behavioral, and clean water management factors
Systematic Review: Factors Associated with the Incidence of Colorectal Cancer Tassya Alfiola; Ummi Kalsum; Fairuz Quzwain
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.655

Abstract

Introduction: Colorectal carcinoma (CRC) ranks third in global cancer incidence with an estimated 1.93 million new cases in 2020 and constitutes the second leading cause of cancer-related mortality worldwide. Indonesia documented 34,189 new cases, predominantly diagnosed at advanced stages, underscoring the critical need for comprehensive identification of CRC risk determinants. Objective: To systematically synthesize factors associated with CRC occurrence and analyze the magnitude of their associations to formulate evidence-based prevention recommendations. Methods: A systematic literature review following PRISMA 2020 guidelines was conducted across PubMed, Google Scholar, and ScienceDirect (2015–2024), yielding 30 selected articles from 309 initial records. Results and Discussion: Non-modifiable factors demonstrated the highest associations, including first-degree family history (OR 17.78), precancerous lesions (OR 8.57), and inflammatory bowel disease (OR 7.07). Modifiable factors encompassed physical inactivity (OR 5.69), excessive red meat consumption (OR 4.97), alcohol (OR 4.92), central obesity causally confirmed via Mendelian randomization (OR 1.38), diabetes (HR 2.20), and hypertension (HR 1.99). Gut microbiota dysbiosis actively contributed to carcinogenesis through genotoxicity and chronic inflammation mechanisms. Conclusion: CRC is multifactorial in nature; while non-modifiable factors carry larger absolute effect sizes, modifiable factors offer more strategically actionable intervention targets
Four weeks Sustainable Montessori Program for Preschool Child Self-Reliant Attitude at Kindergarten school Ringinrejo District Kediri Zakiah Diah Zulfiani; Ni Luh Putu Herli Mastuti; Rahma Dian Hanifarizani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.656

Abstract

Introduction: Early childhood education plays an important role in shaping character, one of which is preschool self-reliant Attitude children. However, the level still varies, and the inconsistent application of learning methods can hinder the development of it. Objective: This study aims to determine the effect of a Sustainable Montessori Program (4 weeks) on Preschool Children's Self-Reliant Attitude at Kindergarten School, Ringinrejo District, Kediri Regency. Method: The study used a quantitative approach with a quasi-experimental nonequivalent control group design, involving 30 children who were divided into a control group and an experimental group. Data were collected through pretests and posttests using observation sheets and then analyzed using the Wilcoxon Test at a significance level of 0.05. Result and Discussion: This study showed an increase in Self-Reliant Attitude in the experimental group (p-value of 0.001), Conclusions: The Sustainable Montessori Program (for 4 weeks) has a significant effect on improving Self-Reliant Attitude of preschool children
Impact of Door-to-Needle Time on Outcomes in Acute Ischemic Stroke Treated with Intravenous Thrombolysis at Thrombectomy-Capable Centers: A Systematic Review Grace Septi Yudanthi Kerihi; Werenfridus Rainoldy Resdiana Wangi; Sri Suryati Ningsih Putri Kusumo
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.657

Abstract

Introduction: Acute ischemic stroke (AIS) is a leading cause of disability and mortality worldwide, with intravenous thrombolysis (IVT) serving as the cornerstone of reperfusion therapy. Door-to-needle time (DTN) represents a key modifiable determinant of IVT effectiveness, yet its clinical impact in thrombectomy-capable settings remains incompletely defined Objective: To evaluate the association between DTN and clinical outcomes in AIS patients undergoing IVT in thrombectomy-capable centers. Methods: A systematic review was conducted following PRISMA 2020 guidelines, with searches performed across PubMed, Cochrane Library, and ScienceDirect. Adult AIS patients treated with IVT, with or without thrombectomy, were included. Outcomes of interest were functional independence, mortality, and symptomatic intracerebral hemorrhage Results and Discussion: Four studies were included. Shorter DTN, particularly under 60 minutes, was consistently associated with reduced mortality and superior neurological recovery in a dose-dependent manner. No significant association was identified between shorter DTN and increased hemorrhagic risk. The findings support the time-dependent effectiveness of intravenous thrombolysis, even in the era of endovascular thrombectomy. Early thrombolysis may enhance reperfusion and improve downstream outcomes. Despite heterogeneity across studies, the overall direction of evidence was consistent. Conclusion: Reducing door-to-needle time remains a critical priority in acute stroke management, including in thrombectomy-capable centers, and should be emphasized in workflow optimization strategies
Transarterial Embolization for Hematuria after Percutaneous Nephrolithotomy (PCNL) Stephanus Tangel; Andy Susanto; Djony Edward Tjandra; Richard Marnix Sumangkut
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.658

Abstract

Introduction: Arterial embolization is an effective definitive therapy for treating severe bleeding after percutaneous nephrolithotomy (PCNL), especially when caused by vascular lesions such as pseudoaneurysms. Although rare, this complication can lead to massive hematuria and hemodynamic instability if not promptly treated. Methods: This is a descriptive case report of four patients experiencing post-PCNL bleeding. All patients underwent angiography and selective arterial embolization procedures appropriate to the vascular lesions identified. Results and Discussion: All four patients demonstrated significant clinical improvement after embolization. Angiography demonstrated successful occlusion of the bleeding source, and after approximately four days of observation, the patients clinically experienced no bloody urination and no post-procedure complications. Conclusion: Selective arterial embolization is an effective and safe treatment for massive post-PCNL bleeding due to vascular lesions such as pseudoaneurysms. The success of the procedure depends heavily on early detection, access to angiography facilities, and operator skill. Embolization should be a primary consideration in the management of severe hematuria after PCNL prior to performing invasive procedures
Policy Analysis on Forest and Land Fire Prevention and Management in Jambi Province M Alfiansyah M Alfiansyah; Hutwan Syarifuddin; Marwoto Marwoto
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.659

Abstract

Introduction: Forest and land fires are major environmental problems in Indonesia, particularly in peatland areas of Jambi Province, where fires occur almost every year and cause ecological, social, and economic impacts. Objective: This study aimed to analyze forest and land fire prevention and control policies and determine priority control strategies in Jambi Province using SWOT and Analytical Hierarchy Process (AHP). Method: This study used a descriptive qualitative approach. Data were collected through interviews, questionnaires, and documentation involving stakeholders related to forest and land fire management. SWOT analysis was used to identify internal and external factors, while AHP was applied to determine strategic priorities. Results and Discussion: The results showed that forest and land fires in Jambi Province still occurred annually during 2015–2024, with the highest number of hotspots recorded in 2019 at 3,539 hotspots. SWOT analysis placed the fire control strategy in Quadrant I, indicating that strengths and opportunities could support fire management efforts. The AHP analysis identified strengthening forest fire task forces based on hotspot monitoring technology and early warning systems as the main priority strategy with a global weight value of 0.348742384. Conclusion: Strengthening institutional capacity and utilizing hotspot-based information technology and early warning systems are important strategies for improving forest and land fire prevention and control in Jambi Province
Determinants of Occupational Health and Safety (OHS) Implementation: The Role of Knowledge Management, Work Discipline, and Organizational Culture in the Chemical Industry Adenan Adenan; Muth Mainnah
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.661

Abstract

Introduction: Occupational Health and Safety (OHS) remains a persistent challenge in industrial sectors, particularly in developing countries where workplace accidents continue to occur despite the implementation of safety regulations. Objective: This study aims to examine how knowledge management, work discipline, and organizational culture influence the effectiveness of OHS implementation in the chemical industry in Indonesia. Method: This research applied a quantitative explanatory approach involving 300 employees from a chemical manufacturing company (PT X). Data were collected through structured questionnaires and analyzed using multiple regression analysis, supported by tests of validity, reliability, and classical assumptions. Results and Discussion: The findings show that all independent variables significantly affect OHS implementation (p < 0.05). Organizational culture has the strongest influence (β = 0.410), followed by knowledge management (β = 0.308) and work discipline (β = 0.256). The model explains 65.5% of the variance in OHS implementation (R² = 0.655). Conclusion: These results indicate that OHS effectiveness is largely determined by the alignment between knowledge, employee behavior, and organizational values. Strengthening safety culture and encouraging behavioral-based safety practices are essential for improving sustainable safety performance in high-risk industries
Quality of Life in Patients with Pickwickian Syndrome (Obesity Hypoventilation Syndrome): A Systematic Literature Review William Giovanni Mulyanaga; Dian Marta Sari; Farida Arisanti
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.663

Abstract

Introduction: Pickwickian Syndrome, also known as Obesity Hypoventilation Syndrome, is a chronic respiratory disorder associated with obesity that substantially affects patients’ physical, psychological, and social quality of life. Although several treatment approaches are available, their effects on quality-of-life outcomes have not been comprehensively synthesized. Objective: This study aimed to evaluate the influence of different treatment approaches on the quality of life of patients with Pickwickian Syndrome. Method: A systematic literature review was conducted using PubMed, EBSCOhost, and Web of Science databases. A total of 28 articles were identified and screened according to predefined eligibility criteria based on the Population, Intervention, Comparison, and Outcome framework. Following duplicate removal and full-text assessment, six studies were included in the final review. Result and Discussion: The findings showed that weight-loss interventions, including bariatric surgery and dietary management, improved body weight, sleep-disordered breathing, and quality of life. Rehabilitation programs combining exercise, nutritional counseling, and behavioral support enhanced functional capacity, exercise tolerance, and health-related quality of life. Positive airway pressure therapies, including continuous positive airway pressure and noninvasive ventilation, improved gas exchange, sleep quality, daytime alertness, respiratory symptoms, and overall well-being. Conclusions: Different treatment approaches positively affect the quality of life of patients with Pickwickian Syndrome. Weight-loss interventions target the underlying cause of the disease, rehabilitation programs improve functional and psychosocial outcomes, and positive airway pressure therapies effectively alleviate respiratory and sleep-related symptoms
Artificial Intelligence Applications in Microbiome Research for Prostate Cancer: A Narrative Review Muhammad Rizki Fadil; Fabian Gamal Sutrisno; Archie Fontana Iskandar
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.664

Abstract

Introduction: Prostate cancer is one of the most common malignancies in men worldwide and exhibits substantial biological heterogeneity, creating challenges in diagnosis, prognosis, and treatment selection. Artificial intelligence has emerged as a promising approach for analyzing complex microbiome datasets characterized by high dimensionality and biological variability. Objective: This narrative review aims to summarize current evidence regarding the application of artificial intelligence in microbiome research related to prostate cancer, with emphasis on biological insights, analytical approaches, current challenges, and future research directions. Method: A narrative review was conducted through a literature search of scientific databases using keywords related to prostate cancer, microbiome, microbiota, machine learning, artificial intelligence, and deep learning. Relevant original studies, review articles, and methodological papers were identified through database searching, citation tracking, and manual reference screening. The selected literature was synthesized narratively according to major thematic areas. Result and Discussion: Current evidence suggests that alterations in microbiome composition may be associated with prostate cancer through mechanisms involving immune modulation, microbial metabolites, inflammation, hormonal regulation, and host-environment interactions. Artificial intelligence, particularly machine learning, has been increasingly applied to microbiome analysis for feature selection, pattern recognition, biomarker discovery, and predictive modeling. Algorithms such as Random Forest, Least Absolute Shrinkage and Selection Operator, Extreme Gradient Boosting, and deep learning have showed potential for extracting biologically relevant information from complex datasets and supporting precision oncology approaches. Conclusions: The integration of artificial intelligence and microbiome research in prostate cancer represents a promising but still emerging field
Analysis of the Determinants of Preeclampsia in Samarinda City Febriana Metallica Yeng Heling; Cipta Pramana; Nurhayati Nurhayati
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (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.v5i9.665

Abstract

Introduction: Preeclampsia remains one of the leading causes of maternal morbidity and mortality worldwide and contributes substantially to adverse maternal and fetal outcomes. Objective: This study aimed to analyze determinants of preeclampsia among pregnant women in Samarinda City, Indonesia. Method: A quantitative analytical observational study with a retrospective case-control design was conducted using secondary maternal health data from 11 community health centers in Samarinda City during 2023-2024. The study included 246 respondents consisting of 82 cases of preeclampsia and 164 controls. Independent variables included maternal age, pre-pregnancy body mass index, parity, and pregnancy interval. Data were analyzed using univariate analysis, Chi-square tests for bivariate analysis, and binary logistic regression for multivariable analysis. Result and Discussion: Bivariate analysis showed that pre-pregnancy body mass index was significantly associated with preeclampsia, while maternal age, parity, and pregnancy interval were not statistically significant. Multivariable logistic regression demonstrated that pre-pregnancy body mass index was the strongest determinant of preeclampsia, with women who were overweight or obese before pregnancy having 3.621 times higher odds of developing preeclampsia than women with normal body mass index. Maternal age younger than 20 years or older than 35 years was also independently associated with an increased risk of preeclampsia, whereas parity and pregnancy interval were not significantly associated after adjustment. These findings show the importance of maternal nutritional status and reproductive age in the occurrence of preeclampsia. Conclusions: Pre-pregnancy body mass index was the most dominant determinant of preeclampsia among the variables examined, followed by maternal age, while parity and pregnancy interval were not significantly associated with preeclampsia among pregnant women in Samarinda City

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