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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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Analysis of Prostate-Specific Antigen Examination Results Using the iChroma II Device at Pandan Arang Hospital Boyolali During July–September 2025 Monika Putri Solikah; Mayasyah Adelia Putri; Puput Handayani; Inapoik Feroni Kelyau Tanody; Fikran Suneth
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.v5i10.688

Abstract

Introduction: Prostate-specific antigen is an important biomarker used in the early detection and monitoring of prostate disorders. Objective: This study aimed to identify the distribution of prostate-specific antigen examination results by age group, determine the proportion of normal and abnormal prostate-specific antigen levels, and analyze the relationship between age and prostate-specific antigen levels in male patients at RSUD Pandan Arang Boyolali. Method: This descriptive study was conducted at the laboratory of RSUD Pandan Arang Boyolali from July to September 2025 using purposive sampling. A total of 33 male patients aged more than 50 years with complete medical records were included. Prostate-specific antigen levels were measured using the iChroma II device. Result and Discussion: Most patients had prostate-specific antigen levels within the normal range (60.6%), while 18.1% had low levels and 21.2% had high levels. Patients with elevated prostate-specific antigen levels were 52 to 83 years old, and the highest values were found in older patients. These findings indicate an age-related tendency toward increased prostate-specific antigen levels. Conclusions: There was a relationship between increasing age and prostate-specific antigen levels among male patients examined using iChroma II at RSUD Pandan Arang Boyolali.
Prolonged Activated Partial Thromboplastin Time in Adults with Nephrotic Syndrome: A Case Report Mutiara Ferina; Alvina Alvina; Karina Shasri Anastasya; Deasyka Yastani; Andira Larasari; Rima Anindita Primandari
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.v5i10.689

Abstract

Introduction: Nephrotic syndrome is classically associated with a hypercoagulable state driven by the compensatory hepatic overproduction of procoagulant proteins and platelet hyperreactivity. However, massive proteinuria can rarely disrupt this paradigm, inducing a paradoxical bleeding diathesis that presents a significant clinical challenge. Discussion: A 22-year-old man presented to the emergency department with a two-week history of generalized edema and a recent onset of melena. Laboratory investigations revealed profound hypoalbuminemia (1.1 g/dL) and extraordinary, massive nephrotic-range proteinuria (63.42 g/24 h), accompanied by dyslipidemia and anemia. Coagulation profiling demonstrated a significantly prolonged activated partial thromboplastin time (aPTT) of 51.4 seconds, confirming an active upper gastrointestinal hemorrhage in the setting of ultra-severe nephrotic. He was treated with methylprednisolone, furosemide, candesartan, and simvastatin, together with albumin transfusion for severe hypoalbuminemia. Conclusion: This case highlights a rare hemorrhagic paradox in nephrotic syndrome and underscores the importance of prompt coagulation workup, including a mixing study, when bleeding occurs in a condition typically considered prothrombotic
The Relationship between Body Image and Bullying Behavior among Adolescents at SMK Bunga Persada Cianjur Inggit Sri Kusdiyanty; Victoria Firman Widouzan; Vironica Rahmantio; Sephia Rapiani Hardiana
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.v5i10.696

Abstract

Introduction: Bullying is a psychosocial problem widely experienced by adolescents and has a serious impact on mental health and social development. One of the associated factors is body image. Objective: This study aimed to determine the relationship between body image and bullying behavior among adolescents at SMK Bunga Persada Cianjur in 2025. Method: This study used a quantitative correlational design with a cross-sectional approach. The population consisted of 291 eleventh-grade students, with 168 respondents determined using the Slovin formula. The research instruments were body image and bullying questionnaires. Data were analyzed using the Chi-Square test at a significance level of 0.05. Result and Discussion: Ninety-four respondents (56.0%) had a positive body image and 74 respondents (44.0%) had a negative body image. Seventy-nine respondents (47.0%) experienced bullying and 89 respondents (53.0%) did not. The Chi-Square test showed a significant relationship between body image and bullying behavior (p = 0.000; p < 0.05). Conclusions: There is a significant relationship between body image and bullying behavior among adolescents. The more positive an adolescent's body image, the lower their tendency to be involved in bullying
Clinical Performance of Oxgall Pre-enrichment qPCR for Salmonella Detection in Antibiotic-Exposed Patients Suspected of Typhoid Fever Annisa Pratiwi Gunawan; Sartika Rajagukguk; Yusuf Hanafiah; Aurellia Firstania; Muhammad Fathurrahman; Eka Yuni Nur Jannah; Putri Ayu Lestari
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.698

Abstract

Introduction: The reliability of typhoid fever diagnostics in endemic regions is frequently compromised by low circulating bacterial loads and widespread pre-hospital antibiotic use. Objective: This study evaluates the specific factors contributing to false-negative outcomes when using an oxgall-pre-cultured real-time polymerase chain reaction method for Salmonella typhi detection. Method: A cross-sectional evaluative study was conducted using thirty blood samples from Widal-positive patients. Laboratory optimization using spiked samples established a technical limit of detection. Clinical specimens were analyzed using conventional blood culture and real-time polymerase chain reaction targeting the invA gene after a six-hour enrichment in ten percent oxgall medium. Result and Discussion: While laboratory optimization successfully detected spiked matrices, one hundred percent of clinical samples yielded negative results via real-time polymerase chain reaction, and blood culture identified only one positive case. Evaluative analysis revealed that all subjects received antibiotic therapy prior to sampling and most were already in the second week of fever, exceeding eight days. Conclusions: The high rate of false-negative results is primarily due to bacterial loads dropping below the limit of detection because of antibiotic interference and late-stage sampling. Furthermore, ten percent oxgall concentration may inhibit the recovery of antibiotic-stressed bacteria
Effectiveness of Abdominal Massage on Reducing Constipation in Patients with Diabetes Mellitus Nurul Khairani; Hilman Syarif; Asniar Asniar
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.702

Abstract

Introduction: Constipation is a common gastrointestinal complication in patients with diabetes mellitus and may reduce quality of life. Abdominal massage is a safe non-pharmacological nursing intervention that may improve bowel motility. Objective: This study evaluated the effectiveness of abdominal massage in reducing constipation among hospitalized patients with diabetes mellitus. Method: A quasi-experimental pretest-posttest control group design was used. Seventy participants were selected through purposive sampling and assigned to intervention and control groups of 35 each. The intervention group received a 15-minute abdominal massage once daily for three consecutive days, while the control group received routine care. Constipation severity was measured using the Constipation Scoring System. Data were analyzed using Wilcoxon signed-rank and Mann-Whitney tests. Result and Discussion: Baseline constipation scores did not differ significantly between groups. After intervention, the median score in the intervention group decreased from 17.00 to 10.00, whereas the control group remained at 17.00. The posttest difference between groups was significant. The improvement may reflect stimulation of parasympathetic activity, the gastrocolic reflex, and colonic motility. Conclusions: Abdominal massage effectively reduced constipation severity and may be integrated into routine nursing care and discharge planning
The The Effect of Gerga Orange Peel Extract Nanoemulsion Gel on Wound Area in Rats Tiara Helmiza; Miftahurrahmah Miftahurrahmah; Wahyu Indah Dewi Aurora; Denok Tri Hardiningsih; Hafizah Hafizah; Anggelia Puspasari; Erny Kusdiyah
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.703

Abstract

Introduction: Gerga orange peel contains flavonoids, tannins, saponins, vitamin C, alkaloids, and essential oils that may support wound healing through antioxidant, anti-inflammatory, and antimicrobial activity. Objective: To determine the effect of Gerga orange peel extract nanoemulsion gel on wound area changes in male Wistar rats. Method: This post-test-only controlled laboratory experiment included 24 male Wistar rats divided into six groups: negative control, 0.1% gentamicin sulfate positive control, Gerga orange peel extract gel, and Gerga orange peel extract nanoemulsion gels at 2.5%, 5%, and 7.5%. Wound area was measured on days 1, 7, and 14 using ImageJ. Data were analyzed using Kruskal-Wallis and post hoc tests. Result and Discussion: All groups showed wound area reduction. The greatest median reduction from day 1 to day 7 occurred with 2.5% nanoemulsion (93.340 mm²). The greatest reductions from day 7 to day 14 and day 1 to day 14 occurred with extract gel (149.392 mm² and 175.985 mm²). A significant between-group difference was found only from day 7 to day 14 (p = 0.010). Conclusions: Gerga orange peel extract gel and Gerga orange peel extract nanoemulsion gel reduced wound area, but the most effective nanoemulsion concentration could not be established.
Implementation of Drone-Based Monitoring for Work at Height Operations in the Petrochemical Industry: A Case Study at PT XYZ Priambodo Galih Puspito; Aufaclav Zatu Kusuma Frisky
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.704

Abstract

Introduction: Work-at-height activities in the petrochemical industry involve significant occupational safety risks due to PPE non-compliance, unsafe behavior, and limitations of conventional monitoring systems. Objective: This study aimed to evaluate the effectiveness of drone-based safety monitoring in improving Full Body Harness compliance, reducing unsafe behavior, and decreasing occupational risks during work-at-height activities. Method: A field-based quasi-experimental pre-test-post-test design was conducted over four months using structured observations, drone-based visual documentation, paired-sample t-test, Cohen’s d effect size, and Fine-Kinney risk assessment. Result and Discussion: Drone implementation reduced Full Body Harness violations from 23 to 9 cases (60.87% reduction) and unsafe behavior from 12 to 6 cases (50% reduction). Statistical analysis confirmed significant improvements in PPE compliance (p = 0.004; Cohen’s d = 1.50) and unsafe behavior (p = 0.020; Cohen’s d = 1.06). Fine-Kinney assessment showed that monitoring risks decreased from 900 (Very High Risk) to 18 (Acceptable Risk) for elevated structure observation and from 540 (Very High Risk) to 30 (Possible Risk) for lifting operations. Conclusions: Drone-based safety monitoring effectively improves safety behavior, enhances monitoring effectiveness, and reduces occupational risks during work-at-height activities in the petrochemical industry
The Relationship Between Family Support and Medication Adherence Among Employees with Hypertension in a Shipping Logistics Company Andri Theja; Shirley Moningkey; Marshell Handoko
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 11 (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.v5i11.705

Abstract

Introduction: Hypertension is a major global health issue and ranks second among diseases at a shipping logistics company in Surabaya. Medication adherence is vital for preventing complications, yet evidence on family support remains inconsistent. Objective: This study examined the association between family support and medication adherence in hypertensive employees. Methods: A cross-sectional design with 84 purposively sampled hypertensive employees undergoing treatment was used. Data were collected via structured questionnaires on demographics, the Perceived Social Support from Family Scale, and the Hill-Bone Compliance Scale. Bivariate analysis used the Chi-square test. A family support intervention was piloted on five lowest-support respondents and evaluated with a paired t-test. Results and Discussion: Most participants were male, aged >50 years, and held a bachelor's degree. The majority reported strong family support and moderate adherence. A significant relationship was found (p<0.05); strong support correlated with >8-fold higher adherence likelihood. The intervention significantly increased support scores (p<0.05). Conclusions: Family support significantly associates with better medication adherence among hypertensive employees. Preliminary evidence suggests structured interventions can effectively enhance perceived family support

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