Background: Stroke is a major health problem worldwide, especially in Asia, which has more than 60% of the world’s population. Besides causing a health problem, stroke is also an economic and social burden in low and middle-income countries. Stroke may cause cognitive impairment, thus cognitive assessment in stroke survivors is important in addition to determine the treatment aimed at improving cognitive function following a stroke. Objectives: This study aims to determine the association between gender, age, and duration of education and cognitive impairment of post-stroke patients at Rumah Sakit Universitas Sumatera Utara. Methods: This study is an analytical research study using a cross-sectional design with a total of 24 respondents selected by consecutive sampling. Data collection was done by using medical records and interviewing the MoCA-Ina questionnaire to respondents. Results: On the analysis of chi-square obtained, gender value p = 0.673 indicating there is no association between gender and cognitive impairment, age (p = 0.035) and duration of education (p = 0.013) indicating there is an association between age as well as the duration of education and cognitive impairment of post-ischemic stroke patients. Conclusion: There is an association between age as well as the duration of education and cognitive impairment, whereas gender does not show association with cognitive impairment in post-ischemic stroke patients. Keywords: cognitive function, ischemic stroke, MoCA-Ina, post ischemic stroke     Latar Belakang: Stroke merupakan masalah kesehatan utama di dunia terutama di Benua Asia dengan penduduk lebih dari 60% populasi dunia. Selain menimbulkan masalah kesehatan stroke juga menjadi beban ekonomi dan sosial di negara yang berpendapatan rendah dan menengah. Stroke dapat menyebabkan gangguan fungsi kognitif sehingga pemeriksaan fungsi kognitif pada pasien stroke merupakan hal yang penting untuk dapat menentukan penanganan selanjutnya yang bertujuan memperbaiki fungsi kognitif. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan jenis kelamin, usia dan lama pendidikan dengan gangguan fungsi kognitif pada pasien pasca stroke iskemik di Rumah Sakit Universitas Sumatera Utara. Metode: Penelitian ini merupakan penelitian analitik menggunakan desain penelitian potong lintang dengan sampel penelitian pasien pasca stroke iskemik di poliklinik saraf di Rumah Sakit Universitas Sumatera Utara dipilih dengan metode consecutive sampling sebanyak 24 responden. Pengambilan data dilakukan dengan menggunakan rekam medik serta wawancara menggunakan kuisioner MoCA-Ina kepada responden. Hasil: Pada analisis uji chi square didapatkan jenis kelamin (p = 0,673) tidak berhubungan dengan gangguan fungsi kognitif pada pasien pasca stroke, sedangkan usia (p = 0,035) dan lama pendidikan (p = 0,013) menunjukkan hubungan dengan gangguan fungsi kognitif pada pasien pasca stroke iskemik. Kesimpulan: Terdapat hubungan antara usia dan lama pendidikan dengan gangguan fungsi kognitif, sedangkan jenis kelamin tidak menunjukkan adanya hubungan dengan gangguan fungsi kognitif pada pasien pasca stroke iskemik. Kata kunci: fungsi kognitif, MoCA-Ina, pasca stroke iskemik, stroke iskemik

ABSTRACT Obesity is a public health concern that its prevalence and intensity on children have been increasing with alarming status. Breastfeeding has been considered as one of protective factors that can prevent childhood obesity. The aim of this study is to discover the relationship between history of breastfeeding and obesity on elementary school children. This is an analytical study with cross sectional design. All children in first and second grade of Namira Islamic Elementary School and their mothers were included as population. Ninety samples were recruited randomly. Data on breastfeeding history were collected by using questionnaire guided interview from the mothers. The BMI-for-age curve CDC 2000 was used to determine obesity status of the children (≥ 95th percentile). Data were analyzed using chi-square test. This study found percentage of children with and without history of breastfeeding consecutively is 92.2% and 7.8%. Prevalence of children with obesity is 12.2% and without obesity is 87.8%. Eight of 83 children with history of breastfeeding (72.7%) were obese, and 3 of 7 children without history of breastfeeding (27.3%) were obese (PR=0.2; 95% CI=0.27-0.752;p<0.05). Based on the study, there is a relationship between history of breastfeeding and obesity in elementary school children. Keywords: Breastfeeding, Elementary School Children, Obesity   ABSTRAK Obesitas merupakan masalah kesehatan yang prevalensi dan intensitas kejadiannya pada anak terus meningkat serta telah mencapai status yang mengkhawatirkan. Pemberian ASI telah dipertimbangkan sebagai salah satu faktor yang dapat mencegah terjadinya obesitas pada anak. Tujuan dari penelitian ini adalah untuk mengetahui adanya hubungan antara riwayat pemberian ASI dengan kejadian obesitas pada anak sekolah dasar. Penelitian ini dilakukan melalui pendekatan analitik dengan desain cross sectional. Populasi penelitian ini adalah anak Sekolah Dasar Swasta Islam Namira yang berada di kelas satu dan dua dan Ibu nya. Jumlah sampel dalam peneltian ini adalah 90 orang yang dipilih secara acak. Data mengenai riwayat pemberian ASI didapatkan melalui wawancara dengan kuesioner dari Ibu. Kriteria obesitas pada anak ditentukan dengan menggunakan kurva indeks massa tubuh menurut usia dari CDC 2000 (persentil ≥95). Data yang didapat dianalisis dengan uji kai kuadrat. Pada penelitian ini ditemukan 92.2% anak mendapat ASI dan 7.8% anak tidak mendapat ASI saat bayi. Anak yang mengalami obesitas adalah 12.2% sedangkan anak yang tidak mengalami obesitas adalah 87.8%. Anak yang mendapat ASI dan mengalami obesitas adalah 72.7% sedangkan anak yang tidak diberi ASI dan mengalami obesitas adalah 27.3%. Berdasarkan hasil uji hipotesis didapatkan (RP=0.2; 95% CI=0.27-0.752: p<0.05). Berdasarkan hasil penelitian didapatkan bahwa terdapat hubungan antara riwayat pemberian ASI dengan kejadian obesitas pada anak sekolah dasar. Kata Kunci: Anak Sekolah Dasar, ASI, Obesitas

One of the most problematic things faced by Indonesians is health issue, especially for school-age children. The cases which is occurred are behavioural disorder, the development of physiological disorder, learning disabilities, and general health problem, occur frequently in children. School Public Health is a place to promote Healthy and Clean Living Behaviour for school-age children. The community service team which consists of lecturer from Medical Faculty of Universitas Sumatera Utara do counseling and training activity in Susuk Village, Tiganderket sub-district, Karo disctrict. This activity was followed by 72 students, consisting of 18 students from grade 4, 33 students from grade 5, and 21 students from grade 6. Besides counseling and training activity, students was given a questionnaire form to measure their knowledge. From the answer of questionnaire, it was obtained that the respondent having good knowledge is 53 students (73,6%), 23,6% having moderate knowledge, and 2,8% having low knowledge.

. Background.COVID19 has made lectures turn online. This sudden change can cause stress for students. Stress levels in students are ranging from mild, moderate, to severe stress. There are few symptoms of stress experienced by these students and headache is one of the common forms of stress. Primary headaches show a very high prevalence rate in college students and psychological conditions are the most triggering factors for tension headaches in college students. Aim. This study aims to determine the association between the stress level of USU Medical Faculty students with primary headaches during online lectures.Method. The study used observational analytical methods by design cross-sectional study. The sample was 262 students of the Faculty of Medicine, University of North Sumatra who met the inclusion criteria. The data used is primary data that will be obtained from questionnaires filled out online through the application Line, WhatsApp and Instagram.Results. Of the 77 respondents, 48 ​​were female (62.3%), and 29 were male (37.7%). There are 42 students who experience primary headaches, and 27 suffer from moderate stress, 9 mild stress and 6 severe stress. In the chi-square test, there is a significant association between stress levels and primary headaches with a value of p=0.010 (p<0.05).Conclusion. There is an association between the stress level of USU Medical Faculty students and primary headaches during online lectures.

Introduction: Quality of life is an important parameter to be assessed, especially in progressive chronic diseases such as patients with Parkinson's Disease (PD). Parkinson's Disease Questionnaire-39 (PDQ-39) is the most widely used measurement tool in assessing the quality of life of PD patients. In PD, a series of features can affect the quality of life including the degree of disease severity and the number of medications. The aim of this study is to determine the relationship between the severity of the disease and the number of medications with the quality of life of people with PD so that it is hoped that it can help improve the quality of life of PD patients. Method: This study used a cross-sectional design. The research subjects were PD patients at the Neurology Polyclinic at Haji Adam Malik Hospital Medan from April - November 2020 who met the inclusion criteria. Assessing the severity of the disease using the Hoehn and Yahr and measuring the quality of life using the PDQ 39. Data analysis used the Spearman correlation test for the degree of severity and the Mann- Whitney test for the number of medications. Results: Of the 47 subjects who met the inclusion criteria, most were males (68.1%), with a mean age of 64.82 ± 9.52 years old, with University graduates as the majority of education level (46.8%) and the civil servant as the majority of a profession (34.0%). Stage 2 on Hoehn and Yahr Scales is the most common severity level of disease (55.3%), and polytherapy is the majority of the number of medications (74.5%). The median value of quality of life is 35, with the lowest score being 10 and the highest score being 98. From the results of the bivariate analysis, it was found that there was a very strong, significant association between the degree of disease severity and the quality of life (p <0.001 r=0.872), and there was a significant difference between the number of medications with the quality of life of Parkinson's disease patients (p=0.041). Conclusion: There is a very strong association between the degree of severity and the quality of life of people with Parkinson's disease and there is a difference in the quality of life of PD patients between those who receive monotherapy and polytherapy so there is an effect of the number of medication given on the quality of life of Parkinson's disease patients.