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Psikoedukasi Pada Siswa SMPN 2 Dewantara Untuk Meningkatkan Motivasi Belajar Siswa Safarina, Nur Afni; Astuti, Widi; Amalia, Ika; Munizar, Munizar; Mullah, Ikram
Society : Jurnal Pengabdian Masyarakat Vol 2, No 4 (2023): Juli
Publisher : Edumedia Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55824/jpm.v2i4.324

Learning motivation is a driving force that comes from outside and within the individual to foster enthusiasm in terms of learning. Motivation is very important for students which is used to foster student enthusiasm for learning, which can increase student learning motivation. Students in their learning process need encouragement to direct their learning behavior to achieve the desired achievement. Motivation encourages students to be able to learn to achieve their learning goals and objectives so that students are able to generate motion or move themselves to do something in order to increase learning motivation. This service aims to provide psychoeducation to 30 students of SMPN 2 Dewantara. The results of this dedication show that psychoeducation is beneficial to the participants, of the 30 students who were given pretest questions, the results obtained were an average of 57.66 from these students, which from these results it can be concluded that psychoeducation has an impact on students regarding student learning motivation, students also understand the problem of learning motivation, efforts to increase learning motivation, and the role of motivation in learning.

PSIKOEDUKASI MITIGASI BECANA INDUSTRI UNTUK MENINGKATKAN SCHOOL WELL-BEING PADA SISWA SMPS ISKANDAR MUDA Safarina, Nur Afni; Amalia, Ika; Safuwan, Safuwan; Dewi, Rahmia; Munizar, Munizar; Rahmayani, Fera
Jurnal Pendidikan dan Pengabdian Masyarakat Vol. 6 No. 4 (2023): November
Publisher : FKIP Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppm.v6i4.5443

Salah satu permasalahan yang dialami oleh siswa/i SMPS Iskandar muda yaitu seringkali memiliki school well being yang rendah dikarenakan kondisi sekolahnya yang berdekatan dengan industri yaitu PT. PIM. Bahkan ketika para siswa medengar suara atau ledakan yang terjadi di industri terdekat hal tersebut membuat school well-being siswa menjadi semakin rendah. Dan juga siswa akan merasa tidak nyaman ketika di lingkungan sekolah dan juga ketika belajar. Tujuan peneliti melakukan pengabdian masyarakat ini adalah untuk memberikan gambaran terkait situasi ketika sedang dalam bencana dan mampu memberikan pengetahuan terkait apa yang dapat dilakukan ketika dalam situasi bencana sebagai upaya dalam penyelamatan diri dan langkah awal penanganan akibat bencana. Penelitian ini menggunakan metode pendekatan melalui Psikoedukasi pada kegiatan ini tim memberikan penjelasan tentang materi yang bertema kecemasan. Hasil dari penelitian ini yaitu terdapat pengaruh dari psikoedukasi yang dilakukan oleh panitia terkait mitigasi bencana industri untuk meningkatkan school well-being pada siswa dengan hasil input data melalui spss statistics maka didapatkan nilai normalitas data sebesar 0.310, yang artinya data hasil post-test berdistribusi normal dan hasil dari one sample test sebesar 0.000.

A Term Pregnancy With Placental Entrapment At Uterus Cornu Due To Septate Uterus With Double Cervix And Longitudinal Vaginal : A Rare Case Report With Incidental Anomaly Finding Hendryan, Derevie; Munizar, Munizar; Salmiah, Salmiah
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 3 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v5i3.3291

Uterine malformations or Mullerian anomalies are anatomical abnormalities found in the uterus, cervix and vagina. This disorder is caused by problems with the development of the Mullerian duct during fetal growth, affecting about 4.3% of infertile women and 3.5% of infertile women. This disorder increases the risk of obstetrics, which leads to a higher incidence of miscarriage, premature birth (ranging from 17.44% to 33.3% in the case of the uterine septum), malpresentation, and a decrease in the live birth rate. Case Presentation : Mrs. 27 years old G2P0A1. The patient comes to the poly for the re-control of her pregnancy, the patient plans the Elective Section of the cesarean section a.i the location of the bond. Her menstrual cycle is regular, BMI is normal, has no history of surgery, has a 4-year history of infertility. The history of dyspareunia is denied, dysmenorrhea or chronic abdominal pain is denied. Obstetric examination was obtained at TFU 30, left back, DJJ: 159 x/i. It feels round, hard and bouncy in the lower right. The inspector's examination found 2 vaginal openings. Intraoperatively born a baby girl 2600 grams A/S 8/9 placenta sticky. An externalization of the uterus appears to bulging the placenta in the corneus sinistra. The placenta is removed manually and nausica sutures are performed in the cornea to overcome uterine hypotonia. Discussion : Anomalies of female genetic organs can be caused by several mechanisms that can be abbreviated as CAFÉ which stands for (Canalization, Agenesis, Fusion, Embryonic rest). Anomalies in the female genetic organs are caused by defects in the lateral and vertical fusion processes of the urogenital sinuses and Muller's ducts. The fusion process (fusion) of the right and left Muller ducts will be completed at 12 weeks of gestation. Meanwhile, the canalization process will be completed at 5 months of gestation. Failure of vertical fusion between the Muller duct and the urogenital sinus will cause disorders of the canalization of the genetical organs. Furthermore, failure to perform lateral fusion will lead to organ duplication. Impaired resorption will result in the formation of a septum. The patient also experiences placental retention. Conclusion: Uterine abnormalities or also known as uterine anomalies can increase the risk of miscarriage, premature birth, and fetal malpresentation. Often undiagnosed for many years, a cesarean section can provide unique diagnostic opportunities, as well as reduce additional risks.

A Term Pregnancy With Placental Entrapment At Uterus Cornu Due To Septate Uterus With Double Cervix And Longitudinal Vaginal : A Rare Case Report With Incidental Anomaly Finding Hendryan, Derevie; Munizar, Munizar; Salmiah, Salmiah
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 3 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v5i3.3291

Uterine malformations or Mullerian anomalies are anatomical abnormalities found in the uterus, cervix and vagina. This disorder is caused by problems with the development of the Mullerian duct during fetal growth, affecting about 4.3% of infertile women and 3.5% of infertile women. This disorder increases the risk of obstetrics, which leads to a higher incidence of miscarriage, premature birth (ranging from 17.44% to 33.3% in the case of the uterine septum), malpresentation, and a decrease in the live birth rate. Case Presentation : Mrs. 27 years old G2P0A1. The patient comes to the poly for the re-control of her pregnancy, the patient plans the Elective Section of the cesarean section a.i the location of the bond. Her menstrual cycle is regular, BMI is normal, has no history of surgery, has a 4-year history of infertility. The history of dyspareunia is denied, dysmenorrhea or chronic abdominal pain is denied. Obstetric examination was obtained at TFU 30, left back, DJJ: 159 x/i. It feels round, hard and bouncy in the lower right. The inspector's examination found 2 vaginal openings. Intraoperatively born a baby girl 2600 grams A/S 8/9 placenta sticky. An externalization of the uterus appears to bulging the placenta in the corneus sinistra. The placenta is removed manually and nausica sutures are performed in the cornea to overcome uterine hypotonia. Discussion : Anomalies of female genetic organs can be caused by several mechanisms that can be abbreviated as CAFÉ which stands for (Canalization, Agenesis, Fusion, Embryonic rest). Anomalies in the female genetic organs are caused by defects in the lateral and vertical fusion processes of the urogenital sinuses and Muller's ducts. The fusion process (fusion) of the right and left Muller ducts will be completed at 12 weeks of gestation. Meanwhile, the canalization process will be completed at 5 months of gestation. Failure of vertical fusion between the Muller duct and the urogenital sinus will cause disorders of the canalization of the genetical organs. Furthermore, failure to perform lateral fusion will lead to organ duplication. Impaired resorption will result in the formation of a septum. The patient also experiences placental retention. Conclusion: Uterine abnormalities or also known as uterine anomalies can increase the risk of miscarriage, premature birth, and fetal malpresentation. Often undiagnosed for many years, a cesarean section can provide unique diagnostic opportunities, as well as reduce additional risks.

Cesarean Scar Pregnancy: Case Series Munizar, Munizar; Yolanda, Febrina; Utami, Niken Asri
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.745

Tujuan: Kehamilan bekas luka sesar (CSP) merupakan kehamilan ektopik yang serius, dengan embrio tertanam pada jaringan parut dari operasi caesar sebelumnya. Penelitian ini bertujuan untuk melaporkan empat kasus CSP dan membahas penanganannya.Metode: Kasus yang dilaporkan melibatkan empat wanita dengan usia kehamilan 13-14 minggu yang mengalami perdarahan pervaginam dan nyeri abdomen. Diagnosis CSP dilakukan melalui ultrasonografi transvaginal. Penanganan melibatkan laparatomi eksplorasi, hysterotomi segmental, dan reseksi jaringan abnormal.Hasil: Semua pasien didiagnosis dengan CSP berdasarkan temuan USG yang menunjukkan jaringan abnormal dan hipervaskularisasi pada bekas luka sesar. Prosedur bedah dilakukan untuk mengatasi kondisi ini, dan setelah operasi, kondisi pasien stabil.Kesimpulan: CSP merupakan kondisi yang semakin sering terjadi seiring dengan meningkatnya jumlah persalinan sesar. Diagnosis awal melalui USG transvaginal sangat penting untuk mencegah komplikasi yang serius, seperti plasenta akreta. Penanganan bervariasi dari terapi medikamentosa hingga prosedur bedah, tergantung pada kondisi pasien. Edukasi mengenai risiko CSP pada kehamilan berikutnya sangat dianjurkan.

Evaluating serum cyclooxygenase-2 and vascular endothelial growth factor as biomarkers for endometriosis severity in reproductive-age women Aslam, Aga; Rajuddin, Rajuddin; Munizar, Munizar; Rusnaidi, Rusnaidi; Hasanuddin, Hasanuddin
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.2984

Endometriosis affects approximately 10–15% of reproductive-age women and up to 70% of those with chronic pelvic pain, with diagnosis typically relying on invasive laparoscopy with histopathological confirmation. Cyclooxygenase-2 (COX-2) and vascular endothelial growth factor (VEGF) are central mediators of the inflammatory and angiogenic pathways underpinning endometriosis pathogenesis, making them promising candidates for non-invasive biomarkers. This study aimed to analyze the correlation between serum COX-2 and VEGF concentrations and endometriosis severity to evaluate their potential utility as non-invasive biomarkers. A cross-sectional study was conducted among women with confirmed endometriosis at Dr. Zainoel Abidin General Hospital in Banda Aceh, Indonesia, in 2025. Peripheral blood samples were collected preoperatively, and serum COX-2 and VEGF concentrations were quantified using ELISA. Endometriosis severity was classified according to the American Society for Reproductive Medicine staging system. Correlation analyses were performed to assess associations between biomarker levels and disease stage, and diagnostic performance was evaluated using receiver operating characteristic (ROC) curve analysis to determine the area under the curve (AUC) values, optimal cut-off points, sensitivity, and specificity. Twenty-eight patients were included, with the mean COX-2 and VEGF levels being 1.16±1.28 ng/mL and 266.50±72.91 pg/mL, respectively. VEGF demonstrated a strong and statistically significant correlation with endometriosis staging (r=0.744, p<0.001), while COX-2 showed a limited correlation that did not reach statistical significance (r=0.367, p=0.055). The ROC analysis further highlighted VEGF’s superior diagnostic performance, with an AUC of 0.975 (95%CI: 0.926–1.000, p<0.001) compared with COX-2 (AUC 0.734; 95%CI: 0.518–0.950, p=0.057). The optimal VEGF threshold of 221 pg/mL yielded 90% sensitivity and 100% specificity, whereas the COX-2 threshold of 0.675 ng/mL provided 80% sensitivity and 62.5% specificity. These findings indicate that VEGF is a highly promising non-invasive biomarker for assessing endometriosis severity and may support the development of improved diagnostic approaches for endometriosis management.

Relationship between serum CA125, prolactin and cortisol levels with disease stage and pain level in endometriosis patients Fasha, Teuku A.; Rajuddin, Rajuddin; Dewi, Tgk. Puspa; Rusnaidi, Rusnaidi; Munizar, Munizar
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.2988

Endometriosis affects approximately 10% of women of reproductive age and is characterized by the presence of endometrial tissue outside the uterine cavity. Diagnostic delays are common due to nonspecific symptoms and the absence of reliable biomarkers. Serum CA125, prolactin, and cortisol have been implicated in the pathophysiology of endometriosis through inflammatory, neuroendocrine, and stress-response mechanisms. However, their role as biomarkers in endometriosis remains poorly studied. This study aimed to investigate the relationships between serum CA125, prolactin, and cortisol levels with endometriosis staging and pain severity in endometriosis patients. A cross-sectional study was conducted at Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, involving women with laparoscopically confirmed endometriosis. Serum CA125, prolactin, and cortisol levels were measured using electrochemiluminescence immunoassay (ECLIA). Disease staging followed the American Society for Reproductive Medicine (ASRM) classification, and pain severity was assessed using the Numeric Rating Scale (NRS). Statistical analyses were performed using the Spearman correlation test. A total of 30 women with confirmed endometriosis were included in this study, with a mean age of 37.2 years. Endometriosis stages were distributed as stage II (20.0%), stage III (16.7%), and stage IV (63.3%), and the mean pain score was 5.60±1.48. Elevated serum biomarker levels were observed with CA125 of 72.65±55.39 U/mL, prolactin of 1456.77±1799.79 μIU/mL, and cortisol of 341.92±189.02 nmol/L. The serum CA125 level was positively correlated with endometriosis staging (r=0.580, p=0.001) but not with pain severity. Prolactin and cortisol had no significant correlations with disease stage or pain severity (all p>0.05). This study shows that serum CA125 levels are significantly correlated with endometriosis staging, supporting its potential as a biomarker of disease progression. Although prolactin and cortisol levels were elevated, their lack of association with clinical parameters suggests broader neuroendocrine dysregulation rather than direct markers of disease severity.

Comparison of interleukin-6 and serum creatinine levels in preeclampsia and normal pregnancy patients: A cross-sectional study in Indonesia Dewi, Syerli R.; Yeni, Cut M.; Munizar, Munizar; Dewi, Tgk. Puspa; Utami, Niken A.; Rusnaidi, Rusnaidi
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3016

Preeclampsia (PE) is a complication of pregnancy with high morbidity and mortality, characterized by endothelial dysfunction, systemic inflammation, and impaired renal function. Interleukin-6 (IL-6) and serum creatinine have potential as biomarkers for early detection of PE; however, data from Indonesia are limited. The aim of this study was to compare IL-6 and serum creatinine levels between pregnant women with PE and normotensive controls, as well as their diagnostic performance in identifying PE. A cross-sectional study involving pregnant women with PE and normotensive controls was conducted at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. Serum IL-6 and creatinine levels were measured using the ECLIA method. Levels were compared using the Mann–Whitney test; diagnostic performance was assessed using receiver operating characteristic (ROC) curve analysis, and multivariable logistic regression was used to evaluate combined diagnostic contribution. A total of 68 pregnant women were included, comprising 34 patients with PE and 34 normotensive controls. Median IL-6 levels were significantly higher in the PE group (16.05 pg/mL) than in the control group (3.71 pg/mL). Receiver operating characteristic analysis demonstrated excellent diagnostic performance of IL-6, with an are under the curve (AUC) of 0.831 (95%CI: 0.734–0.929). At an optimal cutoff value of 5.52 pg/mL, IL-6 achieved a sensitivity of 73.53%, specificity of 76.47%, and diagnostic accuracy of 86.76%. Median serum creatinine levels were also significantly elevated in the PE group (0.56 mg/dL) compared with controls (0.44 mg/dL; p<0.001). The AUC for serum creatinine was 0.806 (95%CI: 0.700–0.912), indicating good diagnostic performance. At a cutoff value of 0.475 mg/dL, serum creatinine demonstrated a sensitivity of 70.59%, specificity of 73.53%, and accuracy of 72.06%. Multivariable logistic regression confirmed that IL-6 (B=0.123; p=0.005) and serum creatinine (B=9.306; p=0.023) were independently associated with PE, explaining 57.5% of PE variability (Nagelkerke R²=0.575). These findings indicate that serum IL-6 and creatinine are significantly associated with PE, and their combined assessment shows potential as a predictive biomarker with good diagnostic performance.

Multi-stakeholder perspectives on cervical cancer screening implementation in Indonesia: A qualitative study of cervical screening barriers in Banda Aceh Yolanda, Febrina; Dewi, Tgk. Puspa; Nainggolan, Sarah I.; Munawar, Munawar; Munizar, Munizar; Bulqini, Rijal; Suhanda, Rachmad; Rusnaidi, Rusnaidi
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3022

Indonesia is committed to the WHO's cervical cancer elimination strategy through the National Action Plan (RAN) 2023–2030, targeting 75% screening coverage by 2030. However, current rates remain critically low at 7.02%. This study explores multi-stakeholder perspectives to identify implementation barriers and facilitators for policy enhancement. A qualitative descriptive case study was conducted in Banda Aceh (July-August 2025) involving 25 stakeholders: City Health Office Head, 11 puskesmas heads, 11 VIA coordinators and 2 community organization representatives. Thematic analysis using NVivo v.16 identified key implementation factors. Five major themes emerged: (1) Knowledge gaps—screening perceived necessary only when symptomatic despite available information; (2) Access paradox—excellent geographic access and flexibility undermined by limited examination rooms, insufficient midwives, and psychosocial barriers (shame, fear, lack of spousal support); (3) Financial sustainability—free services threatened by complex BPJS claims and low reimbursement affecting logistics; (4) Service quality variation—dependent on cross-sector collaboration and staff competency, with uneven training and limited cryotherapy (only 2 centers); and (5) Communication challenges—inconsistent digital media use necessitates face-to-face counseling and cadres, though reach remains limited. Implementation faces psychological barriers, capacity limitations, and uneven digital adoption despite strong infrastructure. Priority policy recommendations include: (1) HPV DNA self-sampling to overcome privacy barriers; (2) simplified BPJS claims with adequate reimbursement; (3) systematic competency-building and cryotherapy expansion; and (4) culturally-adapted education integrating local language and religious leaders. These evidence-based enhancements could accelerate Indonesia's RAN 2030 elimination targets.

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