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Penyuluhan Dan Pemeriksaan Sindrom Ovarium Polikistik Pada Remaja Di Pesantren An Nizam Minas Nicko Pisceski Kusika Saputra; Munawar Adhar Lubis
KAIBON ABHINAYA : JURNAL PENGABDIAN MASYARAKAT Vol. 6 No. 2 (2024)
Publisher : Universitas Serang Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30656/ka.v6i2.7670

Abstract

Polycystic ovary syndrome (PCOS) is a complex condition characterized by increased androgen levels, menstrual irregularities, and/or the presence of small cysts in one or both ovaries. The incidence of PCOS increases every year, including in Riau Province. Therefore, this service is carried out on teenagers, namely female students at the An Nizam Minas Islamic Boarding School, Siak Regency, to see the picture of PCOS in teenagers so that they can change their behavior and attitudes regarding eating patterns and better lifestyles so that it does not interfere with fertility in teenagers if they are diagnosed with PCOS. We intend to provide education regarding PCOS to teenagers and carry out ultrasound examinations on students who are suspected of having PCOS. The indicator of the success of this activity is that there is an increase in students' knowledge regarding PCOS through analysis of pretest and posttest results. Through this activity, publications will be produced in national journals, mass media publications and intellectual property rights. We show that there is an increase in the level of respondents' knowledge about PCOS between before and after the activity.
Thoracic Ectopia Cordis At Term With Severe Intrathoracic Effusion Feldi Widianto; Febriani Febriani; Donel Suhaimi; Wiwin Suhandri; Munawar Adhar Lubis
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23733

Abstract

ABSTRACT Ectopia cordis is an exceptionally rare congenital anomaly characterized by partial or complete displacement of the fetal heart outside the thoracic cavity. It represents a spectrum of defects encompassed within Cantrell’s pentalogy, a constellation of five major ventral midline abnormalities. With an estimated incidence of 5.5–7.9 per one million live births, ectopia cordis remains a profound diagnostic and management challenge in prenatal medicine. We describe a 24-year-old primigravida at 36 weeks of gestation who presented with uncontrolled hypertension and suspicion of fetal structural abnormalities. Ultrasonography confirmed a severely malformed fetal heart located outside the thoracic cavity, accompanied by marked intrathoracic fluid accumulation and persistent fetal bradycardia. Given the non-survivable nature of the anomaly and absence of feasible postnatal interventions, a vaginal termination was performed. A female neonate weighing 2900 g was delivered with Apgar scores of 4 and 5, demonstrating complete thoracic ectopia cordis. The prognosis of ectopia cordis remains extremely poor and depends largely on the type of ectopia, degree of cardiac exposure, and the presence of intracardiac or associated structural malformations. Despite advances in fetal imaging and neonatal cardiac surgery, survival is exceedingly rare. In pregnancies with lethal features, conservative prenatal management represents an ethically appropriate approach. This case underscores the importance of early diagnosis, comprehensive counseling, and multidisciplinary decision-making. Keywords: Ectopia Cordis, Congenital Anomaly, Cantrell’s Pentalogy, Fetal Diagnosis, Pregnancy Management.