The prevalence of stress on medical students is very high, especially on first grade medical students. Theproblem to adapt to new environment is the most common cause of stress occuring on first grade medicalstudents. Stress can become negative effect to person. The aim of this study was to understand the stresslevels on first grade medical students of Faculty of Medicine, University of Riau. This study used descriptivedesign with cross-sectional approach. Samples in this study were 166, using total sampling technique. Datawas accumulated by using Medical Student Stressor Questionnaire (MSSQ) that had been modified forstress levels. The results showed that 57.23% had moderate stress levels with stressors related academicand stressors related teaching-learning relationship as the highest stressors.

Stroke is the first cause of death in women and the second leading cause of death in men in industrialized countries. In Asia, every year an estimated 500 thousand people experience a stroke. Therefore recognizing stroke risk factors and managing them appropriately is key to designing primary prevention strategies in non-stroke populations and secondary prevention to avoid recurrent strokes. This research was cross sectional study to describe profile stroke patients in Arifin Achmad hospital Riau Province. Research data was taken through questionnaire and patient medical records. In this study, stroke patients in Arifin Achmad Hospital were mostly <60 years old, 65.80% and male sex 64.50%. The proportion of hypertension is 90.80%. Diabetes mellitus 7.90%, dyslipidemia 63.20%, smoking 21.10%, obesity 32.90%, and sedentary life 73.70%.

Asthma is a chronic inflammatory disorder of the airways. Asthma gymnastics is one of rehabilitation efforts that may improve asthma patients lung function. This research was a cross sectional study to determine correlation of duration of asthma gymnastics with pulmonary function. Respondents were all asthma patients who follow asthma gymnastics in Riau University Teaching Hospital and Health Center Rumbai. Data were collected with spirometry test with total sampling. Most of respondents were in the age group 41-50 years (38.7%), female respondents 77.4%, most of respondents had a history of asthma in the family (61.3%), duration of asthma gymnastics more than 3 months (61.3%), asthma degree was intermittent (38,7%), level of asthma control was controlled 61.3% and spirometry test showed that 54.8% respondent were classified obstructive. There is a moderate positive correlation between duration of asthma gymnastics with lung vital capacity with r = 0,451 and p = 0,011.

Abstrak. Stroke adalah penyakit akibat gangguan peredaran darah otak yang dipengaruhi oleh banyak faktor risiko. Stroke merupakan penyebab utama disabilitas. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah obesitas. Tujuan penelitian ini adalah untuk mengetahui gambaran obesitas pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 115 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada usia terbanyak terjadi pada rentang usia 51-65 sebanyak 60 kasus (52,2%). Jenis kelamin terbanyak yaitu laki-laki sebanyak 67 kasus (58,3%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 62 kasus (53,9%). Terdapat 65 kasus (56,5%) pasien obesitas, sebanyak 34 kasus (52,3%) adalah stroke hemoragik. Kesimpulan dari penelitian ini adalah obesitas lebih banyak terjadi pada stroke hemoragik dibanding stroke iskemik.Kata kunci:  obesitas, strokeAbstract. Stroke is a disease caused by the interrupted of blood supply to the brain which can be influenced by several risk factors. Stroke is a major cause of disability. Stroke is generally classified as ischemic or non-hemorrhagic and hemorrhagic stroke. One of those risk factors of stroke is obesity. The aim of this study was to describe obesity in acute stroke patients at Arifin Achmad Regional Hospital of Riau Province in January- December 2019. This was a descriptive study design with cross sectional study method while using medical records of the acute stroke patient’s at Arifin Achmad Regional Hospital of Riau Province in January to December 2019. There were 115 cases fulfilled the criteria. The results show that the majority happened within 51-65 years age group with 60 cases (52,2%) and frequently in male as much as 67 cases (58,3%). Most patients had hemorrhagic stroke with 62 cases (53,9%). In 65 cases (56,5%) of obese patients cases, 34 cases (52,3%) were hemorrhagic strokes. The conclusion of this study is that obesity more commonly occurs in hemorrhagic stroke types compared to the ischemic.Keywords: acute stroke, obesity

Menopause has some effects on women's health. Exercise is one alternative to resolve menopausal complaints. Regular exercise can increase serum estrogen level in postmenopausal women. This increase is believed to occur through increased aromatization of androgen in extragonadal tissue especially adipose tissue in postmenopausal women. The purpose of this study is to explore estrogen levels in adipose tissue and serum due to regular exercise in ovariectomized rats. A post-test only control group design was performed in this study. Ten female Sprague dawley rats were used throughout the study and randomly selected. Rats were ovariectomized and divided into two groups: five rats in treated group and five rats in control group. Treatment groups get treadmill exercise for 8 weeks. Furthermore, rats blood were taken for examination of serum estrogen level, rats were killed and subcutaneous abdominal adipose tissue were removed for examination of estrogen level in adipose tissue. Statistical analysis was performed with independent t test. Estrogen level in adipose tissue was higher in the treatment group but not statistically significant (p > 0,05). Higher serum estrogen levels in the control group but not statistically significant (p > 0,05). Extragonadal aromatization has occurred in adipose tissue of ovariectomized rats with regular exercise.