Proceeding of International Conference on Medical Science & Health

Juvenile Myoclonic Epilepsy: A Case Report

Roro Rukmi Windi Perdani — 2025-12-19

Juvenile myoclonic epilepsy is one type of epileptic syndrome typically manifesting in adolescence, presented with myoclonic seizure in all affected individuals. We reported a 12-year-old girl with her recurrent episodes of myoclonic seizure. Physical examination, vital signs, and general status were normal. An increased muscle tone was found in neurological examination. An electroencephalogram was performed and showed polyspike-and-wave patterns consistent with JME. An abnormality was found in brain MRI. The patient was managed with antiseizure medication. Subsequently, the patient showed an improvement. This case report highlights the importance of early diagnosis, proper management, and prognosis of children with juvenile myoclonic epilepsy.

Herbal Medicine in Elderly with Hypertension

Desy Armalina — 2025-12-18

The researcher previously described various age-related cardiovascular changes, including decreased heart rates, reduced oxygen extraction, stiffening of the arteries, vasoconstriction, elevated systolic blood pressure, thickening of the heart muscle, decreased diastolic filling rate, alterations in rhythmic rate, and prolongation of the action potential. Various prescription medications, non-prescription substances, and herbal supplements have the potential to impact blood pressure and complicate the management of hypertension in persons undergoing treatment. Approximately 70-80% of the global population depends on traditional herbal medicine as their main source of primary healthcare. The purpose of this study was to ascertain the prevalence of herbal medication utilization among elderly individuals with hypertension, as well as to identify the most frequently employed herbs in this population. The prevalence of hypertension in the older population in this study exceeded the national average, since they utilized herbal medicine at different intervals and durations. The prevalence of herbal medicine in this study was more than that observed in a study conducte

Analysis of Factors Influencing Chronic Energy Deficiency (CED) in Adolescent Girls in the Development of the RF-AR Mobile Health Application for Early Detection and Effective Intervention

Mohamad Rangga Firdaus — 2025-12-21

Chronic Energy Deficiency (CED) is one of the nutritional problems that pose a threat to adolescents in Indonesia, especially adolescent girls. According to the 2018 Basic Health Research (Riskesdas), the proportion of CED among adolescent girls in Indonesia was 36.3%. This study aims to analyze the factors that influence the risk of CED in adolescent girls and develop an RF-AR mobile health application for early detection and effective intervention. This study used an observational design with cross-sectional data. The respondents were adolescents aged 15-19 years from three high schools in Pesawaran, with a total of 100 adolescents in Pesawaran. Bivariate analysis was conducted to evaluate the relationship between nutrient intake (energy, carbohydrate, fat) and nutritional status with the risk of CED in adolescent girls. The results of the analysis showed that energy, carbohydrate, and fat intake had a significant relationship with the risk of CED. Adolescents with deficient nutrient intake had a higher risk of developing CED. Underweight nutritional status was also found to be a significant factor that increases the risk of CED. The results of this study emphasize the importance of fulfilling adequate nutritional intake and monitoring nutritional status in the prevention of CED. The RF-AR mobile health application has the potential to be an effective tool for early detection and intervention in adolescent girls, helping them to effectively monitor their nutritional intake and nutritional status

Exploration of Medicinal Plants Utilized by Indigenous Papuans in Arfak Mountains Regency

Agatha C. Maturbongs — 2025-12-21

This study aimed to explore the use of plants as traditional medicine by indigenous Papuans in the Arfak Mountains. The local population residing in the villages of the Arfak Mountains primarily consists of the Arfak tribes, including the Hatam, Sough, and Meyah. These communities have traditionally relied on local plants to address various health issues. The research employed a descriptive method, incorporating interviews and direct field surveys. Respondents were selected based on their extensive knowledge of medicinal plant use. The results revealed that 20 plant species are utilized by the local population to treat a range of health conditions. These include coughs, colds, fevers, flatulence, itching, boils, malaria, external wounds, hypertension, body aches, internal pain, lumps, fertility issues, facilitation of childbirth, and ailments attributed to witchcraft. Some plants are used individually, while others are combined with different plants. Processing methods include mashing, boiling, or squeezing to extract the liquid. Utilization methods involve drinking, chewing and swallowing the juice, or applying it to affected areas. The plant parts used include leaves, stems, tubers, and flowers.

The Determinant and Impact of Stunting

Yuliana Yuliana — 2025-12-21

Stunting is still a problem, including in Indonesia. The consequences of stunting include higher susceptibility to chronic diseases (such as diabetes and heart diseases), lower developmental milestones, and lower school performances. Irreversible brain damage might happen due to iodine and iron deficiencies. Therefore, understanding the determinants and impact of stunting is critical. This paper aims to describe the determinants and impact of stunting. The impact of stunting might affect the brain and mental development. Poor school performance results in low income and poverty. Children who live in urban areas are less likely to be stunted due to better health care system access and facilities, greater availability of food, electricity, housing, water, transportation, and sanitation. A higher economic and educational level plays important roles in decreasing the prevalence of stunting. Stunting children pose a higher mortality risk. Stunting is a part of the monitoring framework of the Sustainable Development Goals. Providing a nutritious and diverse diet would prevent stunting. Improving affordable local management of food systems is one of the steps in increasing the nutritional status of stunted children. In conclusion, the determinants of stunting are socioeconomic status and the impacts of stunting are various from chronic disease, lower educational status, brain damage, and a higher mortality risk.

Empowering Healthcare Professionals: A Comprehensive Guide to Navigating Postpartum Depression Symptoms

Elsy Junilia — 2025-12-21

Management of postpartum depression is generally done by choosing one of the medical services such as hospitals, health centers or midwife practices. Each of these settings has a specific role in screening, diagnosing and treating pregnant and postpartum women. This study is an observational study to examine the effectiveness of collaboration by collecting data on postpartum patients who have accessed services at hospitals, or Primary healthcare clinic (puskemas) or maternity clinics. This data was then analyzed using a cross- sectional approach. Data were collected from 117 patients who were willing to participate in this study. The results showed the characteristics of various variables related to postpartum depression and quality of life after childbirth. The average incidence of postpartum depression was 55%, while the quality of life after childbirth variable recorded an average score of 67. The physical health dimension had the lowest score. The results of the forward-selection multiple regression analysis model resulted in the collaborative services of psychologists, doctors and midwives having a significant effect in linear regression with a significant level (sig) <0.01, which means that it has a significant effect on the variables of postpartum depression and quality of life of mothers after childbirth with an increase of 17.2%. For postpartum depression variable has a significant influence (Sig) <0.01 which means it has a significant influence on the variable quality of mothers after childbirth

A Minor Female as A Victim of Sexual Assault: A Clinical Forensic Case Report

Septia Eva Lusina — 2025-12-22

Indonesia is facing a national emergency regarding sexual assault against children. The number of cases of sexual assault against children is increasing year by year. The threat of sexual assault often comes from a child's immediate environment. The cases of sexual assault against children often were only revealed after the incident occurred, and not a few had fatal consequences. The purpose of this study is to summarize general history, physical examination findings, and their relationship to medicolegal aspects in child sexual assault cases. This study is a type of case report in the Forensic and Medicolegal section of Abdul Moeloek Hospital. The case involves a 15-year-old patient who was sexually assaulted by an unidentified person. The result of this study showed that there was tear in the hymen, spermatozoa found in the mouth, genitals, and anal. There were signs of violence in the form of wounds on the genitals, and bruises on the right breast. This could be the basis for sexual harassment case. The victim's statement regarding the incident is reinforced by the basic evidence of the alleged sexual assault case, and the full determination by the investigator, the doctor as the examiner only has the right to check and give an opinion.

58 Year Old Woman P3A0 With Carcinoma Cervix

Fonda Octarianingsih Shariff — 2025-12-22

A 58-year-old patient came to the Obgyn Clinic of RSPBAH Bandar Lampung with complaints of vaginal bleeding 4 months before entering the hospital, bleeding in the form of fresh blood. The patient claimed to have been menopausal since 3 years ago. On physical examination, vital signs were obtained including Blood Pressure 110/81 mmHg, Pulse Rate 72 x/min, Respiratory Rate 20 x/min, Temperature 36.7 °C, Oxygen Saturation 99%. On examination of gynecological status by inspection, it was found that there was an endophytic cervical mass with a size of ± 1x1 cm, fragile, bleeding easily and humped. Histopathological examination concluded Invasive keratinizing squamous cell carcinoma. The diagnosis in this case is cervical cancer. The management obtained by the patient is observation of bleeding, periodic vital sign checks, indications for hospitalization with home treatment IVFD RL xx tpm, Inj. Tranexamic acid 3x1 amp, Inj. Mefenamic acid 3x1 amp. The prognosis in this patient is dubia ad bonam.

The Association Between Breakfast Habits, Nutritional Status, and Anemia on Working Memory Capacity in Teenage Girls at Madrasah Tsanawiyah of Al Fatah

Afiska Prima Dewi — 2025-12-26

Working memory capacity is a cognitive aspect that can affect student learning achievement. Working memory
capacity is a limited capacity system that stores and manipulates information temporarily and plays a very
important role in the student learning process. This study aims to analyze the association between breakfast
habits, nutritional status, and anemia on working memory capacity in teenage girls. The research design was
cross-sectional, conducted on students girls in Madrasah Tsanawiyah of Al Fatah, July 2024. The sample used
purposive sampling following the inclusion and exclusion criteria provisions. The sample consisted of 30
students. Data collection on characteristics and breakfast habits used a questionnaire that the respondents
themselves filled in. Nutritional status data was collected using anthropometric measurements and determined
based on BMI (Body Mass Index) for Age. Anemia data was obtained through hemoglobin level measurements.
Working memory data was collected using digit span test measurements. Data was analyzed using the Gamma
correlation test. The results showed that there was a association (p<0,05) between breakfast habits and anemia on
working memory capacity, while nutritional status had no association with working memory capacity (p>0,05). In
conclusion, breakfast habits and anemia have association with working memory capacity.

Anticancer Potential of Padina sp Ethanolic Extract by Using Brine Shrimp Lethality Test (BSLT)

Devi A Khasana — 2025-12-18

Cancer remains one of the leading causes of global mortality, prompting the need for novel, effective, and affordable anticancer agents. Marine macroalgae, including Padina sp., are known to contain bioactive compounds with therapeutic potential. This study aimed to evaluate the anticancer potential of ethanolic extract of Padina sp. using the Brine Shrimp Lethality Test (BSLT) and compare it with taurine as a control compound. Phytochemical screening confirmed the presence of several secondary metabolites including alkaloids, flavonoids, phenolics, saponins, tannins, terpenoids, and steroids in the ethanolic extract. Toxicity assays using Artemia salina larvae revealed that both taurine and Padina sp. extract induced larval mortality in a dose-dependent manner. Regression analysis indicated LC50 values of 170.69 ppm for taurine and 168.52 ppm for the Padina sp. extract, categorizing both as having low toxicity levels. The observed larval mortality is likely associated with the bioactive compounds, particularly alkaloids, flavonoids, saponins, and tannins, which have been previously reported to exhibit cytotoxic and anticancer properties. These findings suggest that Padina sp. ethanolic extract has potential as a natural anticancer candidate and warrants further investigation using cancer cell lines and in vivo models.

Expanded Dengue Syndrome Presenting with Encephalitis Dengue, Acute Liver Failure, Acute Kidney Injury in a 32-Year-Old Man: a Case Report

Shabrina Shabrina — 2025-12-19

Introduction: Expanded dengue syndrome is a manifestation of dengue fever which involves various complications to other organs such as the brain, liver, kidneys, and heart.
Case presentation: A 32-year-old man was referred with altered mental status. He complained of fever, vomiting, headache and myalgia since two days before hospitalized for five days in previous hospital. On admission in our hospital he was delirium E2M5V2, normal other vital signs, and jaundice. Laboratory parameters showed Hb 15.9 g/dl, Ht 37%, WBC 26170/μl, platelet 16000/μl, creatinine 2.04 mg/dl, ureum 103 mg/dl, ALT 3711 U/l, AST 7961 U/l, total bilirubin 13.3 mg/dL, direct bilirubin 7.80 mg/dL, positive serum NS-1 antigen, anti-dengue IgM and IgG, while negative seromarkers for hepatitis A, B, and C, malaria and IgM Salmonella. The head CT scan examination was suggestive of cerebral edema. The abdominal ultrasound results was fatty liver. The patient was given 1 g daily of intravenous methyl prednisolone tapering off, curcuma xanthorrhiza, and intravenous stronger neo-minophagen C. The patient had good response and was discharged after 8 days of hospitalization.
Conclusion: This case report establishes expanded dengue syndrome with multiple organ involvement. Prompt diagnosis and treatment and elimination of differential diagnoses is crucial.

Overview of the Distribution Pattern of Stunting Toddlers in Pesawaran Regency, Lampung Province

Sutarto Sutarto — 2025-12-21

Stunting is a chronic malnutrition condition accompanied by disease complications that are still a serious health problem in Indonesia. Based on the 2022 National Nutrition Status Survey (SSGI), the prevalence of stunting in Indonesia reached 21.6%, down from 24.4% in the previous year, but still far from the 2024 target of 14%. Pesawaran Regency in Lampung Province has the highest prevalence (25.1%), while Central Lampung Regency has the lowest prevalence (8.7%). Stunting is detrimental in the short and long term and starts from the nutritional status of the mother during pregnancy to the age of the child under 2 years old. Nutritional counseling for pregnant women and maternal and child health services is very important in preventing stunting. The distribution of stunting cases is not arbitrary and tends to form groups in certain areas. In Pesawaran Regency, stunting cases are spread across 11 sub-districts with different performance coverage results, influenced by the location of the region. Nearest Neighbor Analysis is used to understand this distribution pattern. The results of the analysis show a highly grouped distribution pattern with statistically significant values, indicating the specific factors that led to this grouping. Factors that contribute to stunting grouping include socio-economic, environmental, health and nutrition, educational, and cultural factors. These factors include limited access to resources, poor housing and sanitation conditions, lack of nutritional intake, limited access to health services, maternal knowledge of nutrition, and traditional practices or local beliefs. Understanding these factors is important for designing appropriate and effective interventions to reduce stunting rates in the region.

Using the Health Belief Model (HBM) to Assess Young Aduly Behavior in Health Information Searching and Sharing

Suprihatin Ali — 2025-12-21

In an era of plentiful digital health information, public health communication strategies must understand how young consumers find and share health content. The Health Belief Model (HBM) is used to examine health information behavior in 18-29-year-olds. A quantitative technique was used to poll young individuals from varied demographics online. Survey tool used HBM structures. The HBM helps explain young consumers' health information practices. Findings imply that improving perceived advantages, eliminating barriers, and strengthening information appraisal self-efficacy may improve young adult health information engagement. These insights should help public health communicators customize initiatives to this demographic's beliefs and motives. Implications: This study adds to the literature on digital health communication and can help health educators, policymakers, and digital platform developers increase health literacy and information distribution among young consumers.

The Relationship between Nutritional Status, Mid-Upper Arm Circumference (MUAC), and Anemia on Working Memory Capacity in Adolescent Girls

Afiska Prima Dewi — 2025-12-21

One of the causes of students' difficulty in remembering is due to low working memory capacity. Working memory is a cognitive process that has the main function of facilitating and increasing the capacity of encoding, storage, and search functions that are important for learning at the information processing level. This study aims to analyze the relationship between nutritional status, MUAC (Mid-Upper Arm Circumference), and anemia on working memory capacity in adolescent girls. The research design was cross-sectional, conducted on students girls of Adila College of Health Sciences in July 2024. The sample used total sampling following the inclusion and exclusion criteria provisions. The sample consisted of 35 students. Data collection on characteristics used a questionnaire that the respondents themselves filled in. Nutritional status data was collected using anthropometric measurements and determined based on BMI (Body Mass Index). MUAC (Mid-Upper Arm Circumference) data was measured to determine the risk of CED (Chronic Energy Deficiency). Anemia data was obtained through hemoglobin level measurements. Working memory data was collected using digit span test measurements. Data was analyzed using the Gamma correlation test. The results stated that there was a relationship (p<0,05) between nutritional status and anemia on working memory capacity, while MUAC had no relationship with working memory capacity. In conclusion, nutritional status and anemia are related to working memory capacity.

Physical Properties and Moisture test of Lip Balm Formulation with Rampai Fruit Juice (Lycopersicon pimpinellifeloium)

Shinta wulandari — 2025-12-21

Lip balm being on of topical cosmetic that applies to the lips in preventing dryness and protecting against some environmental factors. This study aims to measuring the physical and moisture test of lip balm with rampai fruit juice in varying concentrations. Then this formulation is tested with physical properties tests in the form of organoleptic tests, homoegnity tests, pH tests, irritation tests, moisture tests and hedonic tests. All formulations had homogeneous results with organoleptic test results on F0 being solid with a white color and a distinctive odor. In F1, F2 and F3 the organoleptic results were solid, yellowish white in color and had a distinctive smell. The pH test results in F0 7, F1 5.77 F2 5.23 and F3 5. In the irritation test it does not occur on all formulations. In the moisture test, the results showed a significant difference in the moisture value before and after using lip balm (sig value <0.005). F1 became the best formulation in hedonic test. Rampai fruit juice lip balm formulation meets all the physical requirements and there is a significant difference in the moisture value.

Implementation of a Decision Tree Algorithm to Analyze the Risk Factors of Stress Among University Students in Lampung Province

Fiqih Satria — 2025-12-21

Stress among university students in Lampung Province has become a significant concern. This study aims to delve deeper into the unique and context-specific risk factors associated withstress by leveraging the decision tree algorithm. Through in-depth analysis of data encompassing academic pressure, social support,extracurricular involvement, adaptability, sleep patterns, the impact of campus green spaces, and spirituality, this research endeavors to develop an accurate predictive model. Consequently, it is expected to identify distinctive stress patterns and provide targeted intervention recommendations, such as data-driven counseling programs, the development of peer support communities, or the optimization of academic counseling services. The findings of this study are anticipated to make a substantial contribution to improving the mental well-being of students in Lampung Province and serve as a reference for similar studies in other regions.

CLINICAL FORENSIC EVIDENCE OF VICTIM WITH SEXUAL ABUSE: A CASE REPORT

Septia Eva Lusina — 2025-12-22

Introduction: Sexual abuse refers to any act that degrades, insults, harasses, or attacks an individual's body or reproductive functions due to power imbalances and/or gender inequality. This can lead to psychological and/or physical suffering, affecting reproductive health and hindering the individual's ability to pursue education or work safely and effectively.
Purpose: This case report aims to summarize the general history, physical findings and their relationship with medicolegal aspects in cases of child sexual abuse.
Methodology: This study is case report. The subject is a 17-year-old girl victim with sexual abuse. This case report provides case details such as patient description, clinical scenario, results of physical examination and anogenital examination and its relation to medicolegal.
Result: Examination of the victim found in a pregnant condition and a tear on the hymen. Furthermore, there are no injuries to other parts of the body.
Conclusion: Result of the examination proves there was intercourse that can shed light on the case of sexual violence. The victim's statement regarding the incident is reinforced with basic evidence of alleged sexual violence, and the determination is entirely by the investigator, the doctor as the examiner only has the right to examine and provide an opinion.

The Relationship between pH (Potential Of Hydrogen) of Water in Clean Water Sources and Gastritis Complaints in Household around Temporary Waste Shelter Site in Bandar Lampung City

Winda Trijayanthi Utama — 2025-12-22

Clean water is an important need in human life and is a natural resource that has a very vital function. Bandar Lampung City, especially households around temporary waste shelter site, have the potential to have health problems due to poor drinking water quality. Waste that has strong acids can cause pollution to the acidity quality of water. The normal pH value for water suitable for consumption is between 6.5 and 8.5. The quality of drinking water, including its acidity level, can affect human digestive health, one of which is gastritis. This study aims to determine the relationship between pH (potential of Hydrogen) of clean water and complaints of gastritis in temporary waste shelter site households in Bandar Lampung City. The research design was cross-sectional with proportionate stratified random sampling technique. The sample size is 100 households divided into 20 subdistricts and 56 temporary shelter. The research was conducted in November 2024 using a questionnaire and laboratory water examination using a pH conductivity meter aqua searcher AB33M1-F and pH meter EZ-9909. Data were analyzed using the chi square test Results: A significant relationship was found between the pH (potential of Hydrogen) of clean water and gastritis complaints in households around the Bandar Lampung City temporary waste shelter site due to the Chi square test (p=0.017) and Odds Ration (OR=2,667). There is a significant relationship between the pH (potential of Hydrogen) of clean water and complaints of gastritis in temporary waste shelter site households in Bandar Lampung City.

Phenotypic Diversity in First Plagiotropic Branch of Caffeine- Producing Robusta Coffee Population in Gunung Betung, Bogorejo

Winarno Winarno — 2025-12-30

Coffee has caffeine content that may be beneficial for health in the appropriate dosage use. Robusta coffee has a higher caffeine content compared to other types of coffee. Robusta coffee is the most widely cultivated type of coffee in Indonesia as it is more tolerant of certain pests and is suitable for the climate in Indonesia. Supporting the germplasm diversity management, identification of robusta coffee diversity is essential, both in terms of phenotypic and genotypic characters. This research has been conducted as a comprehensive part of phenotyping identification of robusta coffee populations in Gunung Betung, Bogorejo, Pesawaran, Lampung. This investigation has aimed to determine the diversity of robusta coffee phenotypes according to leaf width on plagiotropic branches. Samples were taken using purposive sampling method on 30 individual robusta coffee plants. Identification has been done based on leaf morphology, width of the first leaf on the first plagiotropic branch. Leaf width can be utilised as an indicator to identify different robusta coffee varieties or genotypes. The phenotypic character of the width of the first leaf on the first plagiotrope branch is crucial because this branch is the first point where the crop shows an early response to its environment, which may include factors such as light, water, and nutrients. Leaf width has been measured directly in the field using a standardised measuring instrument on the widest part of the first leaf on the lowest plagiotrope branch. The results have demonstrated significant diversity, with a range of leaf widths varying from 6.0 cm to 15.0 cm with an average of 9.21 cm. This variation has indicated the existence of genetic diversity based on phenotypic characters among members of the robusta coffee population at Gunung Betung, Bogorejo, Pesawaran.