Proceeding of International Conference on Medical Science & Health https://icomesh.unila.ac.id/2025/index.php/web en-US Proceeding of International Conference on Medical Science & Health Whole Grain Consumption and Gut Microbiota: Implications for Metabolic Health https://icomesh.unila.ac.id/2025/index.php/web/article/view/4 <p>Whole grain consumption has known beneficial effects for health. However, the interplay of whole grain consumption, the human gut microbiota, and metabolic health needs to be further unraveled. This paper aims to describe the interplay of whole grain consumption and gut microbiota for metabolic health. It is a narrative literature review. The journals were selected from PubMed, Science Direct, and Google Scholar. It was found that whole grain consumption could modulate the production of short-chain fatty acids. Whole grains contain phenolic acid, flavonoids, and plant sterols. The composition, diversity, structure, and metabolites of gut microbiota might be changed by whole grain consumption. Whole grain consumption might improve glucose metabolism, enhance immune function, and reduce inflammation. Glucose intolerance and insulin resistance might be reduced. Intestinal inflammation could be alleviated. In conclusion, whole grain consumption can improve gut health, better blood glucose control, and potentially reduced inflammation.</p> Yuliana . Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 1 4 Schistosomiasis Prevention Practices in North Lore District, Central Sulawesi: Wuasa Village, Watumaeta Village, and Alitupu Village https://icomesh.unila.ac.id/2025/index.php/web/article/view/93 <p>Schistosomiasis is a neglected tropical disease (NTD) categorized as a zoonotic disease that can be transmitted through the snail intermediate host. Schistosomiasis can cause serious complications and also inhibit growth in children. North Lore District is an endemic area for schistosomiasis, including Wuasa Village, Watumaeta Village, and Alitupu Village. Therefore, this study aims to determine the description of schistosomiasis prevention practices in the community in these three villages as endemic areas for schistosomiasis. This study used a quantitative study with a descriptive cross-sectional design involving 70 respondents selected based on the accidental sampling method. The analysis was carried out using SPSS using univariate analysis. The results showed that the majority of respondents used PPE while working (84.3%), routinely washed their hands with soap (97.1%), used bar soap (60.0%), used PDAM water as a source of drinking/cooking water (36.6%), processed drinking water by cooking (62.9%), used PDAM water for bathing/washing (60%), used private toilets (92.9%), used bathrooms for washing and bathing (70 people, 100%). In addition, the prevalence of families who had been infected with schistosomiasis from Wuasa Village, Watumaeta Village, and Alitupu Village were 8.6%, 4.3%, and 2.9%, respectively. In conclusion, efforts to increase public awareness regarding the prevention of schistosomiasis and the need for cross-sector collaboration are still needed.</p> Nur Azizah Azzahra Muhammad Jusman Rau Nur Hikmah Buchair Dilla Srikandi Syahadat Marselina Palinggi Stefiani Bengan Laba Nur Fadhilah Sari Hasanah Hasanah Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 5 10 Mapping the Calliphoridae Evidence Base for Post-Mortem Interval (PMI) Estimation: A Bibliometric Study https://icomesh.unila.ac.id/2025/index.php/web/article/view/112 <p>Research on post-mortem insects became increasingly significant in forensic science, particularly in determining the post-mortem interval (PMI). Within forensic entomology, the family Calliphoridae has emerged as a reliable taxon due to its consistent developmental patterns. Bibliometric analysis provides a systematic approach to evaluating scientific output, identifying global trends, and mapping collaborative networks in this field. This study presented a comprehensive bibliometric analysis of 625 publications indexed in Scopus up to 2025, comprising 624 journal articles and one book, with a specific focus on Calliphoridae and PMI estimation. The results revealed a significant growth in publications in recent years, with the United States (122), Brazil (62), and China (60) emerging as the most productive countries. Leading journals contributing to this field include Forensic Science International (134), Journal of Medical Entomology (89), and Journal of Forensic Sciences (80). Dominant keywords such as “forensic entomology,” “postmortem interval,” “Calliphoridae,” “Diptera,” and “larva” reflected the research focus on species identification, larval development, and forensic applications. Collaboration analysis highlighted strong international networks, with key contributions from institutions such as Goethe-Universität Frankfurt am Main (Germany) and Soochow University (China). The disciplinary distribution showed Medicine (506) as the leading field, followed by Agricultural and Biological Sciences (152), and Biochemistry, Genetics, and Molecular Biology (109). Overall, these findings provided a comprehensive mapping of the development of forensic entomology research, and indicated a trend toward integrating molecular approaches, insect growth analysis, and practical applications in forensic investigations.</p> Yolande Cathleya Soegiharto Anggi Safitri Aril Afandi Cindy Ameliya Vega Winarno Winarno Siti Hamidatul ‘Aliyah Endah Setyaningrum Priyambodo Priyambodo Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 11 16 The Role of Thread-Embedding Acupuncture in Epilepsy: A Narrative Review https://icomesh.unila.ac.id/2025/index.php/web/article/view/115 <p>Epilepsy is a chronic neurological disorder characterized by recurrent unprovoked seizures, which substantially impair quality of life through sleep disruption, cognitive deficits, and risk of sudden unexpected death. Pharmacotherapy with antiepileptic drugs remains the mainstay of treatment; however, long-term use may induce adverse effects. Non-pharmacological interventions such as acupuncture have been proposed as adjunctive or alternative therapies. In particular, thread-embedding acupuncture (TEA) has been explored for its potential efficacy in drug-resistant epilepsy (DRE). This review evaluates the evidence for TEA in epilepsy by analyzing recent randomized controlled trials. A patient-assessor blinded clinical trial involving 54 outpatients with DRE found that TEA produced significantly higher rates of satisfactory seizure control (≥50% reduction in seizure frequency) compared to sham TEA (37% vs 3.7%; p = 0.003). Moreover, TEA was associated with decreased heart rate and increased heart rate variability, suggesting modulation of autonomic nervous system activity. Current evidence suggests TEA maybe effective adjunct for reducing seizure burden in patients with DRE. Nonetheless, further large-scale, long-term randomized trials are warranted to confirm its effects, elucidate mechanisms (including neural, ionic, immunologic pathways), and define optimal treatment protocols.</p> Dewi Ratnasari Segoro Wahyuningsih Djaali Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 17 21 The Role of Acupuncture in Post-Traumatic Stress Disorder: A Literature Review https://icomesh.unila.ac.id/2025/index.php/web/article/view/118 <p>Post-Traumatic Stress Disorder (PTSD) is psychiatric condition that arises following a traumatic experience and is closely linked with anxiety, depression, and suicidal ideation. Common among military veterans, disaster survivors, and abuse victims, PTSD can significantly impair daily functioning. Acupuncture has demonstrated potential in reducing psychological symptoms, including anxiety, depression, and sleep disturbances, which are commonly observed in patients with PTSD. This study aims to evaluate the role of acupuncture in managing PTSD symptoms. A literature search was conducted on June 10, 2024, using PubMed, Cochrane, and Scopus databases with relevant keywords. Four studies were selected, including two randomized controlled trials (RCTs), one systematic review, and one systematic review and meta-analysis. Acupuncture has been found to reduce amygdala activation, modulate amygdala functional connectivity, and balance the sympathetic and parasympathetic nervous systems, improving central network connectivity. Common acupuncture points include PC6 and auricular points such as MA-TF1 (Shenmen) and MA-IC (Heart). Results suggest that acupuncture may reduce PTSD symptoms, improve sleep quality, and decrease daytime dysfunction. However, further high-quality RCTs with standardized acupuncture protocols are needed.</p> Felix Halim Sri Wahdini Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 22 25 Acupuncture as a Supportive Treatment for Anxiety in Schizoaffective Disorder: A Case Report https://icomesh.unila.ac.id/2025/index.php/web/article/view/121 <p>Generalized anxiety disorder (GAD) is a chronic condition characterized by excessive, difficult-to-control worry accompanied by somatic hyperarousal that can impair daily functioning. Comorbidity with mood–psychotic spectrum disorders, such as schizoaffective disorder, often increases symptom burden, complicates pharmacologic management, and raises the risk of relapse. These challenges have led to growing interest in adjunctive nonpharmacological approaches for managing residual anxiety, including acupuncture, which is hypothesized to influence glutamatergic signaling and autonomic regulation. We report a 38-year-old man with schizoaffective disorder, depressive subtype, and comorbid GAD who underwent 12 sessions of adjunctive acupuncture. The protocol combined scalp acupuncture with auricular laser acupuncture, targeting anxiety as the primary therapeutic focus. Post-treatment assessments demonstrated a clinically meaningful reduction in anxiety severity on the Hamilton Anxiety Rating Scale (HAM-A). Improvements were also observed in depressive symptoms (Hamilton Depression Rating Scale, HAM-D) and sleep quality (Pittsburgh Sleep Quality Index, PSQI), with no reported adverse events. This case suggests acupuncture may be a feasible complementary intervention for GAD, warranting further controlled studies.</p> Desi Recsanti Yoshua Viventius Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 26 31 Acute Respiratory Distress Syndrome on Disseminated TB in an ICU Patient: Case Study https://icomesh.unila.ac.id/2025/index.php/web/article/view/129 <p>A 23-year-old man presented to the hospital with shortness of breath, dizziness, and decreased level of consciousness. He was diagnosed with tuberculosis four years ago, but decided to stop taking his TB medication on the seventh day. Chest X-Ray A CT scan of his head revealed hydrocephalus. A hospital examination revealed MTB in his sputum and Cerebrospinal Fluid. Disseminated TB, which causes many complications because it can spread to all organs. Disseminated tuberculosis involves the blood, bone marrow, or liver, or the simultaneous involvement of at least two non-adjacent organs. Complications include TB meningitis, tuberculoma (which can develop into an SOL and hydrocephalus), and thrombocytopenia.</p> Lili Sofia Uun Sumardi Yetti Kusmiati Purnamasari Dewi Lena Suryani Kurniasih Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 32 35 Microbial Contamination and Mobile Phone Hygiene Awareness: A Study Among Medical Students at Universitas Pattimura https://icomesh.unila.ac.id/2025/index.php/web/article/view/185 <p>Mobile phones are widely used by medical students as communication and learning tools but may act as potential vectors for pathogen transmission. This study aimed to assess microbial contamination of mobile phones and the hygiene awareness of medical students at the Faculty of Medicine, Universitas Pattimura. This study involved 117 respondents. Data on phone hygiene practices were collected through a structured questionnaire, while swab samples from phone surfaces were cultured and evaluated semi-quantitatively for colony growth and morphology. Results showed that although most students acknowledged that microbes can live on mobile phones and considered phone hygiene important for health, their actual practices were suboptimal. Frequent behaviors included bringing phones into bathrooms, using them while eating, and rarely washing hands before use. Laboratory analysis revealed that all phone samples yielded microbial growth with diverse colony morphologies, indicating the potential presence of both bacterial and fungal contaminants. These findings highlight a gap between knowledge and behavior among medical students, emphasizing the need for targeted educational interventions to improve phone hygiene practices and reduce the risk of microbial transmission in healthcare settings.</p> Eka Astuty Marliyati Sanaky Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 36 39 Analysis of the Role of Students as Catalysts in Improving Nutritional Literacy Towards a Sustainable Stunting-Free Jatisari Village https://icomesh.unila.ac.id/2025/index.php/web/article/view/193 <p>Malnutrition, including stunting, is an urgent health issue in Indonesia, particularly in rural areas such as Jatisari Village. The high prevalence of stunting affects the quality of human resources and long-term development. As catalysts, university students play a strategic role in driving nutrition literacy programs through an integrated and comprehensive approach. This study aims to enhance students’ contributions in strengthening nutrition literacy in Jatisari Village through a community engagement program involving active participation from various stakeholders, including local residents, healthcare workers, and village authorities. To achieve detailed and comprehensive research results, the methods employed include field surveys to identify community needs, in-depth interviews to explore challenges faced by local residents, and the implementation of collaboratively designed nutrition education programs. The results indicate that student involvement in nutrition education programs successfully increased community knowledge about healthy eating patterns within the first three months of implementation. The program also enhanced consciousness of the importance of sustainable stunting prevention efforts. In conclusion, students significantly contribute to the structured advancement of nutrition literacy programs, supporting efforts to create a stunting-free Jatisari Village sustainably. This survey highlights that cross-sectoral collaboration with active student participation can create extensive and long-term positive impacts on rural communities.</p> Pilar Menara Falah Yudha Nurdian Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 40 47 Immunological Mechanisms Underlying Allergic Asthma Exacerbations Induced by Rhinovirus, Respiratory Syncytial Virus, and Influenza Virus https://icomesh.unila.ac.id/2025/index.php/web/article/view/195 <div> <p>Allergic asthma is a chronic airway inflammatory disease driven by allergen sensitization and atopic predisposition. Respiratory allergens may interact with viruses that infect epithelial cells of the respiratory tract, thereby aggravating allergic asthma. Rhinovirus (RV), Respiratory Syncytial Virus (RSV), and influenza are among the predominant respiratory viruses affecting both children and adults. The immunological pathways of allergic asthma and viral respiratory infections intersect through the innate immune system, which subsequently activates the adaptive T helper-2 (Th2) and T helper-1 (Th1) responses, respectively. In individuals with asthma, interferon (IFN) production is reduced, resulting in insufficient antiviral defensive. Similar to allergen exposure, viral infection triggers the release of alarmin cytokines by airway epithelial cells, the recruitment of neutrophils and eosinophils, and the induction of a Th2 immune response, leading to eosinophilia, excessive mucus secretion, airway hyperresponsiveness, and structural remodelling. The combined of allergic inflammation and viral infection underlies the occurrence of asthma exacerbations.</p> </div> Winna Soleha Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 48 52 The Rationality and Quantity of Antibiotic Use in the Intensive Care Unit of Pandega Pangandaran Regional Hospital https://icomesh.unila.ac.id/2025/index.php/web/article/view/214 <p>Respiratory disorders often require intensive care management and empirical antibiotic therapy, which may lead to inappropriate use. This study aimed to evaluate the rationality of antibiotic use in the Intensive Care Unit (ICU) of Pandega Pangandaran Regional Hospital in 2023 based on the Gyssens criteria and to measure the quantity of antibiotic consumption using the ATC/DDD method recommended by the World Health Organization. A mixed-methods design was applied, utilizing retrospective data from medical records. The Gyssens criteria were employed for qualitative evaluation, while the ATC/DDD method assessed quantitative consumption. Consecutive sampling was used to select ICU patients who received antibiotic therapy. The analysis revealed that 33.8% of antibiotic prescriptions were rational (category 0), while irrational use was identified in category IIIB (duration too short, 23.8%), category IVA (more effective alternatives available, 32.5%), and category IVC (less expensive alternatives available, 10.0%). Quantitative analysis showed that levofloxacin had the highest consumption rate (56.48 DDD/100 patient-days), followed by ceftriaxone (46.40 DDD/100 patient-days). These findings indicate that antibiotic prescribing practices in the ICU were not fully rational, primarily due to the absence of culture and sensitivity testing. Strengthening antimicrobial stewardship and incorporating microbiological results into prescribing decisions are essential to optimize antibiotic use and reduce resistance risks.</p> Sherly Gautama Putri Nur Rahayuningsih Keni Idacahyati Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 53 58 A Case Report: The Role of Acupuncture in Systemic Lupus Erythematosus Induced Peripheral Neuropathy https://icomesh.unila.ac.id/2025/index.php/web/article/view/223 <p>Systemic lupus erythematosus (SLE) can cause peripheral neuropathy via immunopathogenic mechanisms, producing polyneuropathy, mononeuritis multiplex, axonal injury, or demyelination, with pain, weakness, sensory loss, and brain fog. In neuropsychiatric SLE, peripheral involvement affects 4.9–7.6% of patients. Clinical patterns may resemble acute inflammatory neuropathies or neuromuscular junction disorders and include autonomic dysfunction. Acupuncture is an effective therapy for peripheral neuropathy with minimal side effects. A 30-year-old woman with SLE presented with complaints of weakness in both her legs and hands for the past week, accompanied by numbness that had been present for one month and was spreading upwards. The weakness in her legs and hands was reported to be persistent and increasing day by day. Physical examination revealed weakness in both hands and feet, with motor strength measured as 3332/2333/3333/3333, along with a negative Hoover sign. The NCS examination indicated small fiber neuropathy (2022). After 12 sessions of therapy, there was significant improvement, particularly after the 6th session when the patient began to notice an increase in motor strength. This outcome was also supported by positive changes in the NSS, EQ-5D, and HAM-A scores. Manual acupuncture therapy combined with electroacupuncture and scalp acupuncture showed satisfactory results with minimal side effects.</p> Firza Syailindra Indrani Nur Winarno Putri Christina Simadibrata Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 59 68 Feeding Behaviour In Children With Tuberculosis And Malnutrition: A Case Study In East Kikim Subdistrict, Lahat Regency https://icomesh.unila.ac.id/2025/index.php/web/article/view/229 <p>Feeding practices play an important role in children's growth. Poor feeding practices by mothers or caregivers can increase susceptibility to infection and exacerbate malnutrition. Malnutrition’s effects of on immune system development and respiratory tract infections among malnourished children create a dangerous cycle. Understanding the mechanisms that contribute to this interaction in children is essential to addressing the problems that arise from both. This study aims to analyze the feeding behavior in children infected with tuberculosis and suffering from malnutrition in Kikim Timur Subdistrict, Lahat Regency, South Sumatra Province. This study uses a qualitative method with a case study approach. The research was conducted from October to November 2022 in Kikim Timur Subdistrict, Lahat Regency, South Sumatra Province. Primary data collection was conducted through in-depth interviews with six informants, namely mothers with children infected with TB and suffering from malnutrition in Kikim Timur Subdistrict. The study’s results indicate a low level of knowledge and a negative perception regarding exclusive breastfeeding and dietary diversity in children, alongside a lack of support from health workers to assist mothers with feeding their children.&nbsp;</p> Indri Paradillah Deri Sentosa Evi Martha Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 69 73 Screening for Toxoplasmosis in Pregnant Women in an Effort to Prevent Congenital Toxoplasmosis https://icomesh.unila.ac.id/2025/index.php/web/article/view/236 <div class="page" title="Page 1"> <div class="layoutArea"> <div class="column"> <p>This literature review aims to describe toxoplasmosis screening in pregnant women and its relevance in preventing congenital toxoplasmosis. Toxoplasmosis in pregnancy is a serious global health problem, as it can be transmitted transplacentally and cause congenital toxoplasmosis. This condition can cause miscarriage, neurological damage, ocular disorders, and even fetal death, with an estimated 190,100 cases per year. As the disease is usually asymptomatic, toxoplasmosis screening in pregnancy is essential to prevent congenital transmission. The screening strategies vary by country. The United States, Canada, and the United Kingdom do not recommend routine screening, while France, Italy, Austria, and Slovenia have implemented mandatory antenatal screening, and other European countries use a selective approach. In Indonesia, there has been no literature review specifically discussing toxoplasmosis screening during pregnancy. A literature search in English and Indonesian was conducted using PubMed-MEDLINE, Google Scholar, university databases, electronic journals, medical textbooks, and official websites of health organizations. Publications were limited to the last thirty years, focusing on toxoplasmosis screening in pregnancy. Toxoplasmosis screening programs for pregnant women are beneficial in preventing the transmission of <em>Toxoplasma gondii </em>infection from mother to fetus, but their effectiveness is greatly influenced by regional prevalence. In countries with low prevalence, routine screening is considered inefficient because it may cause anxiety in pregnant women and unnecessary medical intervention. Conversely, in regions with moderate to high prevalence, screening can provide added value, especially when combined with appropriate therapy and monitoring.</p> <p> </p> </div> </div> </div> Reizika Putri Dwiana Ocviyanti Ika Puspa Sari Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 74 81 From task-oriented to meaning-making: beyond assessment drives learning to promote medical student engagement in narrative reflection https://icomesh.unila.ac.id/2025/index.php/web/article/view/285 <p>Reflective writing has been widely employed to teach and assess medical students’ reflective ability. However, challenges in assessing narrative reflection reduce students’ engagement, which further risks them becoming reflective zombies. This study aimed to explore student engagement processes in constructing reflective writing and how instructional design and assessment shape those engagement processes. We employed a qualitative descriptive approach and conducted three Focus Group Discussions (FGDs) involving 20 undergraduate medical students from year 2 (preclinical), year 4 (early clinical), and year 6 (late clinical). Participants were recruited through maximum variation sampling, and data were analyzed thematically. Our findings revealed how students’ perceptions of reflective writing assignments evolved across academic levels. Preclinical and early clinical students tended to view reflective writing primarily as an assignment to be completed, while late clinical students, drawing on more frequent exposure towards authentic clinical experiences, perceived it as an opportunity for personal and professional growth and engaged more deeply in the meaning-making process. Students further emphasized how their engagement in reflective writing was shaped by instructional design and assessment strategies. To maximize the impact of reflective writing, instructional design must transition from a reliance on explicit prompts and rubrics toward the integration of authentic experiential opportunities. A multi-layered framework highlighting longitudinal reinforcement across the curriculum, individual and group reflective dialogue, and adoption of creative methodologies would collectively transform reflective writing into a robust driver of personal and professional growth.</p> Nadia Greviana Diantha Soemantri Rita Mustika Ardi Findyartini Mardiastuti H. Wahid Sonar Soni Panigoro Purnomo Husnul Khotimah Dewi Anggraeni Kusumoningrum Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 82 91 Drug Pattern Study Of Allopurinol For Gout Arthritis At Sekip Palembang Health Center https://icomesh.unila.ac.id/2025/index.php/web/article/view/287 <p>Gout Arthritis is an inflammatory joint disease caused by the deposition of monosodium urate crystals in the joint areas, particularly in the extremities. In the therapeutic process, allopurinol is the first-line choice, especially in asymptomatic hyperuricemia, intercritical, and chronic phases. In Indonesia, there is no data discussing gout arthritis and the study pattern of allopurinol for gout arthritis patients, especially in Palembang, South Sumatra. This study aimed to evaluate the prescribing pattern of allopurinol in gout arthritis patients at Sekip Primary Health Center, Palembang. A retrospective descriptive drug utilization study was conducted using secondary data from medical records between July 1, 2021 and June 30, 2022. Total sampling was applied, and 101 eligible patients were included. The majority of patients were male (61.3%) and elderly (50.5%). The appropriateness of allopurinol use was assessed based on diagnosis, indication, dosage, frequency, duration, and potential drug interactions. Most prescriptions were appropriate in terms of diagnosis (96.1%) and indication (96.1%), with all patients receiving correct dosage and frequency (100%). The majority received once-daily dosing (53.5%) and treatment duration of less than two weeks (81.2%). Drug interactions were identified in a small proportion of cases. In conclusion, allopurinol prescribing patterns were generally appropriate; however, some cases lacked supporting laboratory evaluation prior to therapy initiation. Strengthening adherence to clinical guidelines is recommended.</p> Syarinta Adenina Aditya Putra Pratama Nita Parisa Nia Savitri Tamzil Theodorus Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 92 96 Training of Little Doctors as an Effort to Improve Students’ Health Status https://icomesh.unila.ac.id/2025/index.php/web/article/view/330 <p>The health of school-aged children is a critical determinant of their growth, development, and academic performance. Schools play a strategic role in promoting healthy lifestyle habits and shaping behaviors. Nevertheless, existing evidence indicates that many students still demonstrate limited awareness of personal and environmental health. An alternative strategy to address this issue is the Little Doctor training program, designed to equip students with fundamental health knowledge, basic first-aid skills, and the capacity to educate peers regarding Clean and Healthy Living Behaviors (CHLB). Previous programs have largely focused on knowledge improvement, with limited emphasis on structured intervention models, practical skill reinforcement, and measurable outcomes. This study addresses these gaps by integrating a stage-based training design, interactive methods, and pre–post evaluation. This community engagement activity was implemented through training sessions involving 20 elementary school students. The intervention encompassed three stages: preparation, implementation, and evaluation. This structured and participatory approach is a key contribution in strengthening both knowledge and practical competencies. The evaluation results demonstrated a statistically significant improvement in students’ knowledge, with the mean score increasing from 49.5 (SD = 7.592) to 69 (SD = 7.363) in the post-test (p &lt; 0.05). In addition, students were able to demonstrate essential skills, including proper handwashing techniques, basic first-aid management, and an understanding of balanced nutrition. Participants were also introduced to the role of peer educators to support health promotion activities within the school environment. In conclusion, the Little Doctor training program was effective in improving students’ health-related knowledge and basic skills.</p> Yeti Rahelli Egi Nisura Desta Ayu Pratama Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 97 101 Knowledge About Premarital Screening Thalassemia Genetic Counseling Among Students In the Medical Education Program at the Faculty Of Medicine, Sriwijaya University https://icomesh.unila.ac.id/2025/index.php/web/article/view/346 <p>Thalassemia is a genetic disorder with a high prevalence in Indonesia. Prevention through premarital screening and genetic counseling is essential to reduce the prevalence of this disease. As future medical professionals, medical students are expected to possess adequate knowledge about premarital screening and genetic counseling to support thalassemia prevention. This study aims to identify the knowledge of medical students at the Faculty of Medicine, Universitas Sriwijaya, regarding Premarital Screening and Genetic Counseling for Thalassemia. This research is a descriptive observational study with a cross-sectional design. The sample consisted of medical students from the Faculty of Medicine, Universitas Sriwijaya, who met the inclusion criteria and were selected using stratified random sampling. The research instrument was a Knowledge Questionnaire on Premarital Screening and Genetic Counseling for Thalassemia. The findings showed that 74.5% of students had adequate knowledge. Adequate knowledge was found among 2021 (80.2%), 2022 (70.9%), and 2023 (72.4%) cohorts. Female students showed a higher percentage (79.9%) compared to males (61.3%). Students with a family history had 100% adequate knowledge, while those without a family history had 74.3%. Those with interaction history scored 85.7%, compared to 73.9% for those without interaction history. Medical students at the Faculty of Medicine, Universitas Sriwijaya, possess adequate knowledge about Premarital Screening and Genetic Counseling for Thalassemia</p> Muhammad Naufal Asyraf Wibowo Septi Purnamasari Rara Inggarsih Ziske Maritska Triwani Triwani Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 102 107 From Opportunist to Menace: Rising Antimicrobial Resistance in Serratia Marcescens https://icomesh.unila.ac.id/2025/index.php/web/article/view/354 <p>Initially identified as a low-virulence opportunistic bacterium, <em>Serratia marcescens</em> has emerged as a significant pathogen, particularly in high-risk settings. Increasing reports of multidrug-resistant (MDR) and carbapenem-resistant (CR) isolates emphasise its role in healthcare-associated infections. Outbreaks have been documented, often linked to invasive devices, contaminated solutions, and lapses in infection prevention and control (IPC). While data from Southeast Asia remains limited, evidence suggests an upward trend. This narrative review summarises developments in <em>S.marcescens</em> resistance and therapeutic options. A PRISMA-informed search was conducted in ScienceDirect, PubMed and Google Scholar for English-language articles published between 2019 and 2025. Eligible studies included original research, surveillance reports, and case reports. Data were synthesised qualitatively. Published literature describes a global rise in resistant isolates.<em> S.marcescens </em>demonstrates intrinsic resistance to colistin, ampicillin, and first-generation cephalosporins, while also harbouring inducible AmpC β-lactamase. Acquisition of extended-spectrum β-lactamases (ESBLs) and carbapenemases further limits therapeutic options. Ceftazidime-avibactam (CZA) alone or in combination with aztreonam demonstrates efficacy against KPC-producing strains and metallo-β-lactamase producers. Cefiderocol, despite limited availability, has shown promising activity. In conclusion, the rising resistance of <em>S.marcescens </em>underscores the need for strengthened microbiological surveillance and antimicrobial stewardship. Future research should prioritise local resistance mechanisms and the optimisation of therapeutic strategies.</p> Erizka Rivani Rizki Andini Nawawi Achmad Riezky Adzanarasta Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 108 117 Ethnopharmacology of Repong Damar: Local Traditions and Potential for Novel Drug Discovery in Bukit Barisan Selatan National Park https://icomesh.unila.ac.id/2025/index.php/web/article/view/382 <p>Ethnopharmacological knowledge reflects the adaptive relationship between humans and biodiversity, serving as an essential foundation for discovering bioactive compounds and developing sustainable medicines. This study aimed to identify ethnopharmacological practices that are still actively maintained by the local community in Karya Penggawa Subdistrict, Pesisir Barat Regency, Lampung Province; to document the plant species utilized; and to identify the diseases treated through biodiversity resources within the Repong Damar ecosystem. Using an ethnographic approach, data were collected from July to October 2025 through in-depth interviews, observations, and documentation involving respondents selected via snowball sampling. The findings confirmed that traditional healing practices remain preserved, with eight out of the forty plant species identified in the study area being recognized for their medicinal properties. Frequently used plant parts included bark, fruit peel, and leaves, predominantly prepared through decoction (75%), mainly for treating gastritis, as well as infectious diseases such as fever and diarrhea, and metabolic disorders, particularly hypertension and diabetes mellitus. Only about 20% of the biodiversity was utilized, indicating selective yet empirically grounded knowledge. These results highlight Repong Damar as both a reservoir of indigenous wisdom and a potential source of pharmacological innovation. Further phytochemical and pharmacological studies are recommended to support bioprospecting efforts and integrate ethnopharmacology into sustainable health development in Indonesia.</p> Muhammad Umar Fadly Duryat Duryat Rikha Aryanie Surya Indriyanto Indriyanto Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 118 123 From Forest to Pharmacy: Repong Damar Ethnopharmacology as a Critical Resource for Novel Medicines in Karya Penggawa https://icomesh.unila.ac.id/2025/index.php/web/article/view/388 <p>Ethnopharmacological knowledge reflects the adaptive relationship between humans and biodiversity, serving as an essential foundation for discovering bioactive compounds and developing sustainable medicines. This study aimed to identify ethnopharmacological practices that are still actively maintained by the local community in Karya Penggawa Subdistrict, Pesisir Barat Regency, Lampung Province; to document the plant species utilized; and to identify the diseases treated through biodiversity resources within the Repong Damar ecosystem. Using an ethnographic approach, data were collected from July to October 2025 through in-depth interviews, observations, and documentation involving respondents selected via snowball sampling. The findings confirmed that traditional healing practices remain preserved, with eight out of the forty plant species identified in the study area being recognized for their medicinal properties. Frequently used plant parts included bark, fruit peel, and leaves, predominantly prepared through decoction (75%), mainly for treating gastritis, as well as infectious diseases such as fever and diarrhea, and metabolic disorders, particularly hypertension and diabetes mellitus. Only about 20% of the biodiversity was utilized, indicating selective yet empirically grounded knowledge. These results highlight Repong Damar as both a reservoir of indigenous wisdom and a potential source of pharmacological innovation. Further phytochemical and pharmacological studies are recommended to support bioprospecting efforts and integrate ethnopharmacology into sustainable health development in Indonesia.</p> Silvina Adelia Duryat Duryat Rikha Aryanie Surya Sugeng Prayitna Harianto Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 124 128 Determinants of Dengue Fever (DF) Trends In Lampung Province https://icomesh.unila.ac.id/2025/index.php/web/article/view/477 <p><span class="fontstyle0">Dengue Hemorrhagic Fever (DHF) is one of the public health issues that remains a serious concern in Lampung Province. This study aims to analyze dengue fever case trends in Lampung during the period 2015–2024 using secondary data from the Lampung Provincial Health Office. The methods used include data pre-processing to ensure completeness of information, as well as trend analysis using Moving Average (MA 3 and MA 6) to capture patterns of case fluctuations. Data visualization is presented in the form of trend graphs and spatial heatmaps based on maps of Lampung to illustrate the distribution of cases per district/city from year to year. The analysis results show a fluctuating pattern with an upward trend in cases during certain periods, as well as a high concentration of cases in urban areas with large population densities. These findings emphasize the importance of data-driven surveillance in planning health interventions. The conclusion of this study is that trend analysis can provide a comprehensive picture of the dynamics of dengue cases in Lampung, so that it can be used as a reference for the Health Office in formulating more targeted policies for dengue fever control and prevention.</span> </p> Feriany Said Dyah Wulan Sumekar Rengganis Helmy Fitriawan Arief Darmawan Neno Fitriyani Hasbie Copyright (c) 2026 Proceeding of International Conference on Medical Science & Health 2026-06-23 2026-06-23 3 1 129 133