KESANS : International Journal of Health and Science <p><strong>KESANS : International Journal of Health and Science</strong> 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.</p> en-US (Rifa'Institute) (Syarah Siti Maesyaroh) Mon, 20 Dec 2021 16:18:41 +0000 OJS 60 Achievement Motivation Training (AMT) for Burnout <p>A teaching profession is a form of human service profession that is full of challenges (Maslach &amp; Jackson, 1986). Greenbreg &amp; Baron (1995) stated that high job demands can lead to burnout. Pines and Aronson (1989) define burnout as physical, emotional, and mental exhaustion caused by long-term involvement in emotionally demanding situations. Burnout itself occurs because of three dimensions, namely emotional exhaustion, depersonalization, and decreased personal achievement so that high pressure at work can affect the three dimensions of Burnout. Sullivan (1989) explains that one of the factors that can affect burnout is motivation. Therefore, it is important for teachers to develop motivation in order to overcome the burnout problem they face, and one way to develop motivation is with Achievement Motivation Training (AMT). Achievement Motivation Training (AMT) is a training activity to increase the need for achievement in a person. The purpose of this study was to determine the effectiveness of Achievement Motivation Training (AMT) in reducing burnout with the hypothesis that Achievement Motivation Training (AMT) had an effect on reducing burnout. The sample of this study was 20 teachers at SMAI Miftahul Ulum Jatiurip Krejengan Probolinggo with details of 10 male teachers and 10 female teachers. Sampling in this study used a purposive technique, namely selecting samples according to the desired or with certain characteristics (Latipun, 2002). The method used to analyze the data in this research is a t-test. The t-test used is the Mann-Whitney test. Based on the hypothesis test from the analysis results obtained a significance value of 0.000. This means that there is an effect of Achievement Motivation Training (AMT) in reducing burnout. The results of the analysis also obtained the Mean Rank burnout of male and female teachers at the pretest time = 29.33 with the posttest value = 11.68. Based on this value, it can be concluded that giving an intervention using Achievement Motivation Training can reduce Burnout. From these results, it can be concluded that the provision of Achievement Motivation Training (AMT) can reduce burnout experienced by teachers at SMAI Miftahul Ulum Jatiurip Krejengan Probolinggo.</p> Abd Hamid Cholili Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Self-Compassion and Subjective Well-Being Working Mothers During The COVID-19 Pandemic <p>Due to the COVID-19, most workers are experiencing Work From Home (WFH). Changes in the work environment and greater responsibilities experienced by working mothers can have psychological impact and reduce their level of subjective well-being. This study aims to determine the relationship between self-compassion and subjective well-being in working mothers. This research uses quantitative correlational with 48 working mothers in RW 01 Jatimulyo Village, Malang City. The measuring instrument used was self-compassion scale (16 valid items ?=0.680), Positive and Negative Affect Scales (13 valid items ?=0.771), and Satisfaction with Life Scale (5 valid items ?=0.779). The results of data analysis using simple regression analysis showed p = 0.014 (p &lt; 0.005). The results show that the hypothesis is accepted. There was a positive relationship between self-compassion and psychological well-being toward working mothers in RW 01, Jatimulyo Village, Malang City, with 12.4% as its effective contribution</p> Ainindita Aghniacakti, Siti Zuliani, Taufiq Zduroikhan Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 The Role of Folic Acid in Stroke Prevention <p>Stroke is one of the most serious health problems faced today. This is because a sudden stroke can cause physical and mental disabilities that can interfere with a person's productivity and can even cause sudden death. Stroke can be divided into two, namely hemorrhagic stroke and non-hemorrhagic stroke. Hemorrhagic stroke is a stroke that occurs due to damage to blood vessels in the brain. While non-hemorrhagic stroke, also known as ischemic stroke, occurs when the blood supply to the brain is interrupted or stopped. About 80% of the most common strokes are caused by an ischemic stroke. One of the causes of ischemic stroke due to atherosclerotic plaque. Elevated levels of homocysteine ??in the blood (hyperhomocysteinemia) can lead to chronic inflammation of the blood vessels that triggers the formation of atherosclerotic plaques and causes blockage of blood flow. Folic acid is a type of water-soluble vitamin and can play a role in preventing stroke. Folic acid can act as an antihomocysteine ??so that it can prevent the formation of atherosclerotic plaques which is one of the risk factors for stroke</p> Alvin Anditya Almanda Zefanya, Mariska Dela Pebrianti Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Post-Therapy Sense of Taste Disorders in Nasopharyngeal Carcinoma <p>Nasopharyngeal Carcinoma (NPC) or Nasopharyngeal Carcinoma (NPC). Many are found in Indonesia. Radiotherapy as the gold standard for nasopharyngeal carcinoma (NPC). This study aims to determine the relationship between radiation therapy in NCP and taste disorders. article review. Conventionally for early stage NPC radiation (T1, T2) given at a dose of 200 - 220 cGy per fraction, given 5 times a week without rest. up to a total dose of 6000 - 7000 cGy in 6 weeks. As for NPC with a larger tumor size (T3 and T4), a higher total radiation dose was given to the primary tumor in the nasopharynx, namely 7000-7500 cGy.: There is a relationship between nasopharyngeal carcinoma therapy with the ability to feel.</p> Baiq Auliya Cahya Putri Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Diabetic Ketoasidosis <p>Diabetic ketoacidosis (DKA) is one of the acute complications for diabetics that usually occurs in type 1 DM, but it is possible in type 2 DM. DKA is caused by a decrease in effective insulin circulation associated with an increase in counter-regulatory hormones. The incidence of DKA ranges from 0 to 56 per 1000 people each year. In Indonesia, it is known that 71% of pediatric patients have DKA as the initial clinical presentation of type-1 DM in 2017. To know more about diabetic ketoacidosis. Knowing the characteristics of patients with diabetic ketoacidosis. Know how to treat patients with diabetic ketoacidosis. This reserch use Literatur-review method. DKA is a complication of uncontrolled type 1 diabetes mellitus and has a high risk of being life-threatening. The incidence of DKA in Indonesia is not known for certain, but it is estimated at 76.9% based on data from Riskesdas in 2007. DKA occurs due to insulin deficiency which will result in increased lipolysis and usually occurs due to metabolic stress conditions. Symptoms of DKA are symptoms of hyperglycemia and classic symptoms of hyperglycemia. The key to the diagnosis of DKA is an increase in total circulating ketone bodies. The initial management of DKA is to monitor and secure the airway, breathing, circulation.</p> Dela Serlina Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Parenting Patterns as A Determinant of Stunting in Toddlers Under Five Years in Indonesia <p>Stunting is identified as one of the unresolved nutritional problems in several countries in the world, including Indonesia. Stunting is identified as impacting the growth and development of children's motor, psychomotor, and mental conditions, and intelligence. One of the efforts to reduce the risk of stunting is to identify and analyze the pattern of parenting provided by mothers to toddlers. Parenting can be defined as parenting behavior for toddlers related to efforts to provide food and fulfill nutritional needs, provide access to health facilities, and care in other aspects based on knowledge, attitudes, and mother's behavior. Aims to analyze parenting as a determinant of stunting in Indonesia through the article review method. The type of the article is article review based on ten main articles that have been selected based on inclusion and exclusion criteria<strong>.</strong> Parenting has a relationship and contribution as a determinants of stunting in toddlers in Indonesia. Parenting patterns can be broadly classified into three types: parenting patterns according to the provision of food and nutrients, parenting patterns according to health aspects, and parenting patterns according to mother and family background.</p> Elvika Aulia Fitroningtyas Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Myopia <p>Refractive disorder is the most common cause of visual impairment in the world, and one of them is myopia. Myopia is a condition of the eye failing to focus light from an object causes it to focus in front of the retina. The elongation of the axis of the eyeball and the high refractive power of the cornea and lens might be the cause of myopia. Myopic patients often complain of blurred vision when looking at a far objects. There are several risk factors of myopia, including genetics, gender, age and environment.This article is literature review. The purpose of this paper is to provide an overview related to refractive disorders, especially myopia. The management of myopia patients can be divided into 2, including optical therapy and pharmacological therapy. Optical therapy includes the smallest negative spherical glasses that provide maximum visual acuity, contact lenses, and orthokeratology. Management of myopic patients aims to reduce progression and complications by providing optical therapy in the form of spherical glasses, contact lenses, and orthokeratology</p> I Dewa Bagus Ketut Widya Pramana Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Efforts To Improve Clean Water Quality To Support Community Health <p>Water is a fundamental part for every human being to survive and maintain his health, and therefore must also be seen as a major element in the fulfillment of the right to a decent standard of living. Water is the source of life for living things, especially humans, which develop with various kinds of basic human needs. Water is a primary need that is needed for daily needs such as drinking, cooking, bathing to industrial processing needs so that the function of water is not only limited to carrying out economic functions, but also as a social and cultural function. The water sector is getting significant attention. Therefore, the goal of Sustainable Development Goals 6thensures the availability and sustainable management of clean water and sanitation for all. In order to achieve the goal of clean water and proper sanitation by 2030. This article uses a Systematic review based on Preferred Reporting Items for Systematic Review &amp; Meta-Analysis (PRISMA) in order to identify all published literature (2011-2021) using relevant keywords. The literature collected is sourced from databases from Google, Google Scholar, PubMed, Emerald Insight, DOAJ. A total of 70 pieces of literature were collected, after screening based on inclusion and exclusion criteria, there were 7 articles that would be analyzed further. After the literature is collected and analyzed, it can be found that clean water is one of the main elements in human life which is an integral part of all humans. Living things cannot live if there is no water, so water is needed to maintain the survival of living things. Water in the human body is very useful for filling fluids in the body by drinking water. In addition to<a href=""> thirst quencher</a> and other main benefits of water for the body, water also has other benefits that are needed to support life. To get clean water, it must meet the requirements of 3 main parameters, namely the requirements, physical, chemical requirements, and bacteriological requirements. Clean water is very important for human life, but water quality must be maintained so that water does not endanger public health. By using clean water we can avoid diseases such as diarrhea, cholera, dysentery, typhoid, intestinal worms, skin diseases to poisoning. Clean water must meet 3 main parameters, namely; physical requirements, chemical requirements, and bacteriological requirements</p> Levi Anatolia S.M. Exposto, Martinus Nahak Lino, Jimedio A.C. Quim, Marilia Juvi Goncalves, Honorio Pereira Vicente Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 The Relationship of Academic Self-Efficacy to Academic Motivation of Junior High School Students From Families Towards Prosperity <p>Every individual behaves based on motives. The existence of a motive makes behavior directed towards the goals to be achieved by someone. Someone who has the motivation, based on the existence of self-confidence called self-efficacy. Especially in an academic setting, students will be motivated if they have confidence in the achievements they will achieve. The purpose of the study was to determine the relationship between academic self-efficacy and academic motivation of junior high school students from Families to Prosperity. The subjects in this study were 134 State Junior High School students in grades VII and VIII from those belonging to families towards prosperity. This research design uses a quantitative approach with regression analysis. The results of this study indicate that academic self-efficacy has an influence of 34% on the academic motivation of KMS students. The results of this study indicate that there is a relationship between self-efficacy and academic motivation of students who come from families to prosper. Self-efficacy as an internal factor has a greater role than external factors in increasing the academic motivation of students with family backgrounds towards prosperity</p> Muhammad Arif Furqon Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Dry Eyes Post Laser Assisted in Situ Keratomileusis <p>Dry eye is one of the most common complications following laser-assisted in situ keratomileusis (LASIK), with nearly all patients experiencing some degree of postoperative dry eye symptoms. Postoperative dry eye affects approximately 50% of patients at 1 week postoperatively, 40% at 1 month, and 20%-40% at 6 months postoperatively. LASIK can cause intracorneal nerve damage, goblet cell damage caused by suction, and can cause changes in the shape of the central cornea. Dry eye diagnosis can be made using a questionnaire to determine the patient's history, examination of tear break up time, staining of the eye surface using fluorescein or lissamine green, and Schirmer's test. This reserech use Literatur Review Method. Post-LASIK dry eye complaints such as irritation, red eyes, foreign body sensation, pain, gritty, and photophobia. Management of post-LASIK dry eyes can be done by giving tear supplements, anti-inflammatory agents, ointments and eye patches, and treatment of meibomian gland dysfunction. Post-LASIK dry eye usually peaks within a few months after surgery, and then improves in most patients 6-12 months after surgery. Although dry eye signs and symptoms are most common in the immediate postoperative period and are usually only temporary, a minority of individuals experience chronic and severe dry eye</p> Ni Komang Miraditi Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Non-Immune Hemolytic Anemia (Hemoglobinopathy) <p>Hemoglobinopathy is an autosomal recessive disorder that is classified into 2 major groups, namely thalassemia syndromes and structural variants of the hemoglobin chain. Thalassemia is a group of genetic disorders caused by decreased speed of chain synthesis or. The second group, structural abnormalities in the hemoglobin chain, often causes a condition called sickle cell (sickle cell anemia), this structural abnormality occurs due to the substitution of adenine by thymine which causes the conversion of the amino acid glutamate to valine. 7% of the world's population are carriers of hemoglobinopathies. This type of research is literature research or literature review. Based on data from the Indonesian Thalassemia Foundation (YTI) in 2008-2017, 5.8% of thalassemia carriers were found from 12,038 people examined, and 28.62% of 4,137 people according to the results of family screening. thalassemia in 2009-2017. The prognosis of thalassemia disease depends on medication adherence and the type of thalassemia suffered. Death in patients with sickle cell anemia is usually due to co-morbidities such as renal and other organ failure. Early and adequate symptom management can improve the prognosis. This disorder is autosomal recessive which is classified into 2 major groups, namely thalassemia syndrome and structural variants of hemoglobin chains that often produce sickle cell shape</p> Ni Putu Yunandari Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Poteng Local Food Potential with isolate Lactobacillus Plantarum in Preventing Depression <p>Depression is a global problem whose symptoms are easier to observe than cure. With a fairly high prevalence in Indonesia, which is up to 6.1% in 2018, this problem practically does not only affect the sufferer but also has an impact on the people around him which in turn will further reduce the quality of life of the sufferer. Lombok Island has a local food called poteng which is the result of fermented sticky rice. Poteng is able to act as a probiotic because it contains Lactobacillus plantarum. Probiotics can play a role in helping people with depression with the Gut Brain Axis mechanism by reducing Interleukin-6, increasing gamma-Aminobutyric Acid, and influencing Vitamin D and its receptors. In a depressed state, Interleukin-6 was observed to increase whereas GABA was observed to decrease. The Gut Brain Axis mechanism affects depression through neuroanatomical pathways, regulation of microbial metabolites (Short-Chain Fatty Acid), Tryptophan metabolism, and Immune Regulation.</p> Putri Nurhayati, Muhammad Sulthan Ardhi P.F, Abiyyu Didar Haq Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Musculoskeletal Tuberculosis <p>Tuberculosis (TB) remains the most common cause of death from infectious disease world-wide. In the UK, the incidence of TB has risen by 25% over the last 10 years; and almost one third of all case of tuberculosis are found in South East Asia. Extrapulmonary diagnosis remains challenging and can be delayed. This study evaluates the all aspect of musculoskeletal tuberculosis. To know an overview of general musculoskeletal tuberculosis; indentify the characteristic of patien with musculoskeletal tuberculosis; knowing the prevalance of musculoskeletal tuberculosis and how to treat musculoskeletal tuberculosis patien properly. This reserch use Literatur-Review method. Extra-pulmonary TB and is most often found in the spine, which is about 50% of all cases of tuberculosis of the musculoskeletal system. The common lesions in skeletal TB consist of osteomyelitis and arthritis. The most common signs and symptoms are spinal pain accompanied by weakness of the legs and neurological deficits. In addition, gibbus, swelling and limitation of motion in the joints can occur. Management in cases of musculoskeletal tuberculosis is treat the main etiologic in this case usually mycobacterium tuberculosis with anti-tuberculosis drug treatment</p> Putu Indira Paramitha Maharani, Baiq Auliya Cahya Putri, Siti Annisa Rahmasita Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Stevens-Johnson Syndrome (SSJ) and Toxic Epidermal Necrolysis (TEN) <p>Stevens-Johnson syndrome (SSJ) and toxic epidermal necrolysis (TEN) are acute, rare, and potentially fatal type IV (Subtype C) skin hypersensitivity reactions that cause skin loss and in some cases may result in loss of mucous membranes followed by systemic symptoms. In general, the incidence of SJS is 1-6 cases/million population/year, and the incidence of NET is 0.4-1.2 cases/million population/year. SJS and TEN are considered to be on the same disease spectrum with different degrees of severity. The exact cause of SJS is currently unknown, but several things have been found that can trigger SJS, such as drugs or viral infections. A collection of symptoms (syndromes) in SJS and TEN in the form of abnormalities characterized by erythema, vesicles, bullae, purpura on the skin at the mouth of the body cavity which has mucous membranes and eyelid mucosa. The success of SJS treatment is largely determined by early recognition of symptoms, stopping or overcoming the causative factors, and providing adequate supportive therapy. A literature review discusses and analyses published information in a particular subject area. Sometimes the information covers a certain time period. Syndrome Stevens-Johnson (SSJ) and nekrolisis epidermal necrolysis (NET) is a hypersensitivity reaction type IV (subtype C) skin that is acute, rare, and potentially fatal cause loss of skin and in some cases can result in its loss of mucous membranes followed by systemic symptoms</p> Putu Mega Asri Dhamasari, Rani Salsabilla, Ath-Thariq Ramadhan Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000 Analysis of Differences in Student Learning Satisfaction Levels Against ONLINE and OFFLINE Learning Faculty of Psychology UIN MALIKI Malang <p>This research aims to find out how much the level of difference in learning satisfaction to the online and offline learning process of the Faculty of Psychology UIN MALIKI Malang. Factors that affect learning satisfaction, namely: Tangible Aspects (Physical Evidence): Infrastructure Facilities, Teaching Media, Reliability Aspects (Reliability): Lecturer Reliability in teaching, Responsiveness Aspects: Lecturer Responsiveness, Assurance Aspects (Assurance): Lecturer's treatment of students and Empathy Aspect (Empathy): Understanding of student interests. This research was conducted on students of the Faculty of Psychology with a total of 134 subjects. Data collection tool in the form of a learning satisfaction questionnaire consisting of 40 items. Data analysis is carried out with the T-Test sample paired statistics technique, with the help of the SPSS statistics program version 28. From the results of the analysis of research data obtained correlation value 0.316. Based on the results of the analysis on this study, it can be concluded that there is a difference in student satisfaction of the Faculty of Psychology UIN Maulana Malik Ibrahim Malang between before the pandemic and at the time of the pandemic, both in the aspects of tangible, Reliability, Responsiveness, Assurance and empathy. Nevertheless, differences in satisfaction in Tangible aspects were not felt significantly between before and during the pandemic. This shows that students feel more satisfied studying online than offline.</p> Selly Candra Ayu, Muhammad Arif Furqon Copyright (c) 2021 KESANS : International Journal of Health and Science Mon, 20 Dec 2021 00:00:00 +0000