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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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Effectiveness of Health Education in Improving Mothers' Knowledge of Virgin Coconut Oil (VCO) Massage Therapy to Support Toddlers' Sleep Quality and Health Lina Ratnasari; Novita Ayu Indraswati; Nita Hestiyana
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.683

Abstract

Introduction: Maternal knowledge plays an important role in determining the successful implementation of complementary health interventions for toddlers. Virgin Coconut Oil (VCO) massage therapy has been widely recognized as a safe and affordable complementary practice that may improve children's sleep quality and overall well-being. However, the effectiveness of health education in improving mothers' knowledge and understanding of VCO massage therapy remains inadequately investigated, particularly in primary healthcare settings. Objective: This study aimed to evaluate the effect of health education on mothers' knowledge, understanding, and perceptions regarding Virgin Coconut Oil (VCO) massage therapy for toddlers at Cempaka Public Health Center. Method: A quantitative pre-experimental study employing a one-group pretest–posttest design was conducted among mothers of toddlers. Participants received structured health education regarding the benefits, indications, and proper techniques of VCO massage therapy. Data were collected using validated questionnaires before and after the educational intervention. Descriptive statistics were used to summarize participant characteristics, while changes in knowledge, understanding, and perceptions were analyzed by comparing pretest and posttest scores. Results: Health education substantially improved mothers' knowledge and understanding of VCO massage therapy. The proportion of respondents with good knowledge increased from 40.0% to 86.7%, while understanding of the benefits of VCO massage for improving toddlers' sleep quality increased from 50.0% to 90.0%. Understanding of its potential role in supporting children's health increased from 60.0% to 93.3%, and correct knowledge of massage techniques improved from 46.7% to 83.3%. Furthermore, support for routine implementation of VCO massage therapy increased from 66.7% to 96.7%. The mean knowledge score increased from 62.5 to 85.4, while understanding and perception scores also showed substantial improvement following the intervention. Conclusion: Health education effectively improved mothers' knowledge, understanding, and positive perceptions regarding Virgin Coconut Oil massage therapy for toddlers. Strengthening parental education may enhance the adoption of evidence-informed complementary childcare practices in community healthcare settings.
Factors Associated with JKN Premium Payment Compliance Among PBPU Participants in Jambi City Leni Novita Sari; Dwi Noerjoedianto; M Ridwan M Ridwan; Budi Aswin; Ashar Nuzulul Putra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.685

Abstract

Introduction: Compliance with National Health Insurance premium payments is essential for ensuring the sustainability of Indonesia's health insurance system. However, many independent participants fail to pay premiums on time. Objective: This study aimed to identify factors associated with premium payment compliance among Non-Wage Recipient Participants in Jambi City. Method: A quantitative cross-sectional study was conducted among 106 participants selected through random sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics and the Chi-square test with a significance level of 0.05. Results and Discussion: Employment, knowledge, income, payment method, history of catastrophic disease, perceptions of healthcare services, and family support were significantly associated with premium payment compliance. Participants with stable employment, better knowledge, higher income, convenient payment methods, positive healthcare service perceptions, a history of catastrophic disease, and stronger family support were more likely to comply with premium payments. These findings indicate that compliance is influenced by multiple socioeconomic, behavioral, and healthcare-related factors. Conclusion: Strengthening health education, improving healthcare service quality, expanding accessible payment channels, and increasing family support may enhance premium payment compliance and contribute to the sustainability of the National Health Insurance program
Identification of Microplastics in River Sediments: Type, Abundance, and Characteristics of Asam River Sediment, Jambi City Riska Rahmah Dani Fitria; Nazarudin Nazarudin; Mohd Zuhdi; Yuni Haryati
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.686

Abstract

Introduction: Microplastics have become a critical environmental pollutant in aquatic ecosystems, particularly in river sediments. The Asam River, a tributary of the Batanghari River in Jambi City, Indonesia, experiences substantial anthropogenic pressure from surrounding settlements, markets, and recreational areas. Objective: This study aimed to identify the types, abundance, colour variation, size distribution, and sediment characteristics of microplastics in the Asam River, Jambi City. Method: Sediment samples were collected from 9 sampling points using the grab sampling method (depth 0.8 – 1.2 m). Microplastic identification was performed by visual inspection under a stereo microscope. Sediment characterisation included analyses of water content, sand fraction, and silt content. Result and Discussion: A total of 152 microplastic particles were identified. Filaments dominated at 54.60%, followed by fibres (32.23%), fragments (10.52%), and granules (2.63%). Particle sizes ranged from 0.085 to 4.907 mm with a mean of 0.699 mm. Blue and transparent colours were predominant across all sampling points. Sampling point 1 recorded the highest abundance (30 particles; 20%), attributed to its proximity to dense urban activities and the Batanghari River confluence. Sampling point 6 had the lowest abundance (7 particles; 5%) and was located adjacent to plantation areas. Conclusion: Asam River sediment is contaminated by microplastics dominated by filament-type particles, with abundance strongly associated with proximity to human settlements and commercial activities.
Projected Impacts of Climate Variables on Oil Palm Productivity at PT Kumala Jambi Prakasa Nurul Hidayah Yuliani; Asmadi Saad; Ermadani Ermadani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.687

Abstract

Introduction: Oil palm productivity is influenced by climate variability through biological time lag effects due to its long reproductive cycle. Objective: This study aimed to analyze historical climate characteristics, evaluate the effects of macroclimatic variables on oil palm productivity using a time lag approach, develop the best regression model, and estimate the impacts of climate change under RCP 4.5 and RCP 8.5 scenarios at PT Kumala Jambi Prakasa. Method: Monthly data on rainfall, temperature, humidity, and Fresh Fruit Bunch (FFB) productivity during 2016–2025, along with bias-corrected Global Climate Model (GCM) projections, were analyzed using Pearson correlation with time lag (0–24 months) and multiple linear regression. Results and Discussion: The results showed that rainfall and humidity significantly affected productivity at an 8-month lag, while temperature had a significant effect at a 4-month lag. The developed multiple linear regression model explained 29.23% of the variation in oil palm productivity. Climate projections under RCP 4.5 and RCP 8.5 indicated declining productivity through 2035, with maximum reductions of 48.97% and 45.92%, respectively. These findings highlight the importance of adaptive strategies, including improved water management, climate-resilient varieties, and climate-based production planning. Conclusion: Oil palm productivity responds to climate variability through delayed physiological processes, and understanding these time lag effects is essential for developing long-term adaptation strategies under future climate change conditions.
Risk Control Strategy for Mobile Crane through Active Safety Barrier Using PIR Sensor: A Literature Review Robi Kurnia; Nur Rohman Rosyid
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.691

Abstract

Introduction: Mobile crane operations carry high accident risk in the line of fire zone, where workers face falling objects, load swing, and operator blind spots; national data show heavy-equipment accidents remain a significant contributor to occupational accidents, while control still relies on passive barriers dependent on worker compliance. Objective: This review examines theories and concepts underlying an active safety-barrier risk-control strategy using Passive Infrared (PIR) sensors in the line of fire zone of mobile crane operations. Method: A narrative literature review across nine themes: Hierarchy of Controls, Swiss Cheese Model, human error and human factors, ISO 31000:2018 risk management, mobile crane safety, the line of fire concept, the Bowtie method, passive-active safety barrier concepts, and PIR sensor technology. Result and Discussion: The nine themes are complementary and can be integrated into one theoretical framework, positioning the PIR sensor as an engineering control that closes latent and active gaps in the Swiss Cheese Model, mitigates human-factor limitations, and can be evaluated through ISO 31000 risk matrices and Bowtie diagrams before and after implementation. Conclusion: A PIR-based active safety barrier integrated with systemic risk management is potentially more reliable than administrative controls and PPE alone in reducing line of fire accident risk
Effectiveness of Nivolumab and Pembrolizumab as PD-1 Inhibitors in Unresectable or Metastatic Advanced Melanoma: A Systematic Review Naomi Winny Tioline; Subagio Subagio; Wita Zahara
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.692

Abstract

Introduction: Advanced melanoma is associated with poor prognosis because of limited effective treatment options, however, programmed cell death protein-1 inhibitors have transformed therapeutic strategies and significantly improved patient survival. Objective: This study aimed to evaluate the clinical effectiveness of nivolumab and pembrolizumab in patients with unresectable or metastatic advanced melanoma. Method: A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines using PubMed, ScienceDirect, and Wiley Online Library to identify studies published between 2020 and 2026. Clinical trials, randomized controlled trials, cohort studies, and single-arm studies reporting overall survival, progression-free survival, or objective response rate were included. Result and Discussion: wenty studies were included. PD-1 inhibitor monotherapy significantly improved overall survival versus ipilimumab (pembrolizumab: 32.7 vs. 15.9 months; nivolumab: 36.9 vs. 19.9 months). Nivolumab plus ipilimumab achieved overall survival exceeding 70 months with objective response rates up to 58%. Nivolumab combined with relatlimab improved progression-free survival (10.2 vs. 4.6 months) compared with monotherapy. Nivolumab also remained effective in brain metastases, though some combinations increased toxicity without added benefit. Conclusion: Nivolumab and pembrolizumab provide significant clinical benefits in unresectable or metastatic advanced melanoma by improving survival and treatment response
Clinical Effectiveness of Programmed Cell Death Protein-1 (PD-1) Inhibitors in Advanced Cutaneous Squamous Cell Carcinoma: A Systematic Review Wita Zahara; Subagio Subagio; Naomi Winny Tioline; Iman Agus Lisanto
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.693

Abstract

Introduction: Advanced cutaneous squamous cell carcinoma (cSCC) is associated with a poor prognosis, particularly in patients with unresectable locally advanced or metastatic disease, while conventional systemic therapies generally achieve objective response rates below 30%. Objective: This study aimed to systematically evaluate the clinical efficacy and safety of Programmed Cell Death Protein-1 (PD-1) inhibitors in patients with advanced cSCC. Method: A PRISMA 2020-based systematic review searched PubMed, ScienceDirect, and Wiley Online Library for studies published from January 2020 to March 2026. Twenty eligible studies involving cemiplimab, pembrolizumab, or nivolumab were included. Result and Discussion: Clinical trials reported objective response rates of 44.0–45.2% for cemiplimab, 35.2–50.0% for pembrolizumab, and 61.3% for nivolumab, while real-world studies reported 35.1–80.6%. Comparative studies showed improved overall survival and durable responses. Common adverse events included fatigue, rash, and immune-related toxicities. Conclusion: PD-1 inhibitors provide effective and well-tolerated first-line systemic therapy for advanced cSCC
The Relationship of Personal Hygiene to the Number of Eggs Soil Transmitted Helminths on Hand Nail Dirt Nurmaliza Hasan; Yulnefia Yulnefia; Eva Oktariani; Retha Arvina Permata
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.694

Abstract

Introduction: Soil Transmitted Helminths are worms whose life cycle takes place partly in the soil and are the tenth most common infection worldwide. STH infections are transmitted through poor personal hygiene and often occur in children aged 3–8 years. Objective: This study aims to determine the relationship between personal hygiene and the number of STH eggs in the fingernail dirt of students at Elementary School 40 Pekanbaru. Method: Observational analytic with a cross-sectional approach to samples that meet the inclusion criteria. Result and Discussion: The results of 116 samples obtained as many as 97 samples with good personal hygiene were found to have STH eggs of around 35.1%; as many as 17 samples with sufficient personal hygiene were found to have STH eggs of around 100%; as many as 2 samples with poor personal hygiene were found to have STH eggs of around 100%. Conclusion: Based on the Spearman correlation test with P=0.000, p value <0.05 was obtained which indicated a significant relationship between personal hygiene and the number of STH eggs in fingernail dirt. The number of Soil Transmitted Helminths eggs was found to be lower in someone with a high level of personal hygiene
Epidemiological Investigation Report of Food Poisoning in Banjarsari, Kanigoro District, Blitar Regency, 2025 Widyawati Ratnasariani; Rismawati Rismawati; Siti Shofiya Novita Sari; Endro Pramono
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.695

Abstract

Introduction: Food poisoning is still one of the causes of extraordinary events (KLB) that often occur in community activities, especially at events with large amounts of food processing. Epidemiological investigations are necessary to identify patterns of occurrence, risk factors, and possible sources of exposure. Objective: This study aims to describe the pattern of occurrences, analyze risk factors, and identify possible sources of food poisoning in KLB in Banjarsari Village, Kanigoro District in 2025.  Method: A descriptive observational investigation used case interviews, epidemic curve analysis, attack rate and attack rate ratio calculations, laboratory testing of food remnants, and observations. Result and Discussion: The epidemic curve indicated a common-source outbreak, with incubation periods ranging from 4 to 29 hours. Several foods showed high attack rates, but attack rate ratios were close to one, indicating no single dominant food source. Laboratory tests of three food samples were negative for pathogenic bacteria, although sample limitations and the absence of clinical specimens reduced interpretation. Environmental assessment identified unsafe food processing and storage practices. Conclusion: The incidence of food poisoning in Banjarsari Village, Kanigoro District in 2025 is a common source outbreak that is most likely caused by a combination of food processing factors that do not meet sanitary hygiene standards, inappropriate food storage, and risky environmental conditions, even though laboratory test results show negative results
The Influence of Safety Culture and Safety Behavior on Occupational Safety and Health (OHS) Performance at PT. Samudra Oceaneering Christianus Kakambong; Chinta Yolanda Sari; Jamal Jamal; Deddy Juniawan; Aldila Syabir Raswan; Ardila Sufany
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (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.v5i10.625

Abstract

Introduction: Occupational Health and Safety (OHS) is a critical priority in high-risk industries such as oil and gas, where accidents cause serious injury and financial loss. At PT. Samudra Oceaneering, Batam, Indonesia, recurring 2024 medical cases forced employees into administrative reassignment, underscoring the operational stakes of workplace safety management. Objective: This study aimed to empirically examine the influence of safety culture and employee safety behavior on OHS performance. Method: A quantitative, cross-sectional design surveyed 101 employees using a Likert-scale questionnaire, analyzed through PLS-SEM. Result and Discussion: Results showed safety culture had a positive but non-significant effect on OHS performance (β=0.148, p=0.145), while safety behavior significantly predicted it (β=0.419, p=0.001), together explaining 25.5% of its variance. These findings indicate that safety behavior, more than cultural perception, directly drives safety outcomes in high-risk offshore settings. Conclusion: The study concludes that safety culture must be actively reinforced through leadership visibility and accountability systems to translate values into measurable safety performance

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