Stroke menjadi penyebab kecacatan dan kematian terbanyak kedua di Indonesia. Stroke dapat berdampak pada kecacatan permanen hingga meninggal dunia. Stroke muncul akibat adanya faktor risiko stroke pada seseorang. Penilaian terhadap tingkat pengetahuan stroke pada masyarakat diharapkan dapat menjadi dasar dalam mengedukasi masyarakat tentang penyakit stroke. Metode yang digunakan dalam penelitian ini adalah metode deskriptif observasional dengan desain cross-sectional. Penelitian dilakukan pada anggota keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2017, 2018, dan 2019 dengan besar sampel 60 orang. Instrumen penelitian menggunakan kuesioner penilaian tingkat pengetahuan stroke. Penelitian dilakukan dengan online survey. Hasil penelitian mendapatkan skor responden tentang faktor risiko stroke adalah 73,5% (cukup), tanda dan gejala stroke adalah 68,9% (cukup), penanganan awal stroke adalah 93,3% (baik), upaya pencegahan stroke adalah 96,8% (baik), hasil akhir pengobatan stroke adalah 89,7% (baik), dan tingkat pengetahuan penyakit stroke keseluruhan adalah 93,3% (baik). Hasil penelitian menunjukkan bahwa tingkat pengetahuan keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara tentang penyakit stroke adalah baik.

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Background: Stroke is the leading cause of morbidity and mortality in Indonesia. Dyslipidemia is one of the main risk factors of ischemic stroke. Atherogenic index of plasma (AIP) is the logarithm of the triglyceride’s plasma ratio concentration to high density lipoprotein cholesterol (HDL-C) plasma concentration. Previous studies showed that the high AIP at hospital admission was associated with deterioration of neurological deficits in patients with acute ischemic stroke.Methods: This is a cross sectional study with 82 sample of acute ischemic stroke subjects that consecutively collected from the medical records of Haji Adam Malik general hospital Medan from January to December 2019, AIP assessment performed at the 1st day of hospitalization and then at the 7th -onset the national institutes of health stroke scale (NIHSS) score assessment was count. Data analysis is conducted with Spearman test.Results: Demographic characteristics showed that most subjects were female (51.2%), at age range between 60 -68 years (30.5%), had high school education level (48.8%), self-employed (35.4%) and Bataknese (68.3%). The mean of AIP was 0.15±0.26 and the mean NIHSS score was 6.70±3.6. There was a positive significant and mild power of correlation between AIP and the NIHSS score (p=0.017; r=0.262).Conclusions: There is a significant relationship between AIP and the NIHSS score. The higher the AIP of acute ischemic stroke patients was associated with the increase in the NIHHS scores.

Introduction: Diabetic neuropathy is a common and progressive microvascular complication of diabetes, so early detection and prevention is very important. Other modifiable risk factors such as hypertension, dyslipidemia, or central obesity can be managed. Central obesity with insulin resistance is a key pathophysiological factor in the metabolic syndrome. Waist hip ratio (WHR) has been proposed as a tool for detecting central obesity. Toronto Clinical Scoring System (TCSS) is a diabetic neuropathy scoring system that has high sensitivity and specificity. The aim of this study was to determine the relationship between waist hip ratio and the severity of peripheral diabetic neuropathy in type 2 Diabetes Melitus (DM) according to the Toronto Clinical Scoring System (TCSS). Method: This study used a cross-sectional design. Sampling was conducted at the Endocrinology Polyclinic and Neurology Polyclinic Hospital H. Adam Malik Medan. The research sample was taken as many as 45 subjects consecutively. TCSS examination is performed to diagnose and determine the severity of diabetic neuropathy Therefore, waist hip ratio was calculated to assess central obesity. Data analysis using Chi Square test. Results: On the demographic characteristics of the research subjects were male, age range 51-60 years, high school education level, not working, history of DM 5-10 years. The mean value of WHR is 0.87±0.051. Median TCSS Score 10 (6-16). The majority of subjects had mild diabetic peripheral neuropathy. Patients with central obesity had a grading of neuropathy that was classified as severe as many as 13 people (56.5%), moderate as many as 7 people (30.4%), and mild as many as 3 people (13.0%). While patients who are not obese have a grading of neuropathy that is classified as severe as many as 1 person (4.5%), moderate as many as 5 people (22.7%), mild as many as 16 people (72.7%). Based on the Chi Square test, it was found that there was a significant association between the waist hip ratio and the severity of diabetic peripheral neuropathy in type 2 DM patients with p<0.01. Conclusion: There is a statistically significant association between waist hip ratio and the severity of diabetic neuropathy in type 2 DM with p < 0.01.