BACKGROUND:The ageing process of human will cause changes in anatomy and physiology. Biologically, ageing is associated with the gradual accumulation of various molecular and cellular damage. Disorders of sleep quality are influenced by several factors, such as the medical condition of illness, stress, anxiety, and others. Brain gym is a collection of simple movements that aim to connect or unite the mind and body.AIM:To find out the effect of brain gym in the quality of sleep and anxiety in the elderly at nursing home Karya Kasih Medan.SETTING AND DESIGN:This is an experimental pre and post-test design with non-probability consecutive sampling.METHODS:This study involved 68 elderly who undergone brain gym for eight weeks. These patients were recruited from the nursing home Karya Kasih Medan, Indonesia. This study was conducted in July-November 2018. This study was approved by the local ethical committee. The Pittsburgh Sleep Quality Index (PSQI) is used to assess sleep quality. Anxiety is assessed using the Hamilton Rating Scale for Anxiety (HARS). Data were analysed by paired t-test of SPSS version 22.RESULTS:PSQI score pre-test [mean (SD); 16.39 (0.68)] and post-test [mean (SD); 8.99 (0.89)], (p < 0.001). HARS score pre-test [mean (SD); 20.4 (6.7)] after post-test [mean (SD); 10.7 (5.2)], (p < 0.001).CONCLUSION:Brain gym increased the score level of the PSQI and HARS in the intervention group (p < 0.001).

BACKGROUND: The lives of individuals diagnosed with HIV and the subsequent illness, AIDS, were often chaotic because these individuals deal with the physical, emotional, and interpersonal sequelae of this illness. Depressive symptoms and stress were common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. Psychiatric clinical practice and rating scales have come to play an ever-increasing role both in determining specific symptoms and diagnosing an individual condition. Descriptive reports of psychiatric morbidity among those with HIV infection, that relied primarily on self-report rating scales, described high rates of symptomatic depression and stress. AIM: This study aimed to determine the proportion of depression among people living with HIV/AIDS using the BDI-II and PSS to determine a relationship between symptoms of depression and stress with CD4 counts. METHODS: This study was a numerical correlative analytic study with a cross-sectional study approach that assessed the correlation between stress, depression and CD4 level in people with HIV/AIDS that were receiving ARV therapy in the Voluntary Counselling Test (VCT) Polyclinic of General Hospital Haji Medan by recruiting 46 subjects. CD4 level was examined in the Pramita Medan laboratory. RESULTS: When analysis of BDI-II level and CD4 scores were done, a significant correlation was found (P < 0.05). The strength of the relationship between the BDI score and the CD4 score was 0.548 revealing a positive correlation with moderate correlation strength CONCLUSION: We have shown a significant relationship between depression, stress and CD4 level among people with HIV/AIDS in Medan, Indonesia. Psychological distress may affect the immunity in infected people, leading to the disease progressivity.

BACKGROUND: BDNF implies to the development of abnormal nerves and neurotransmission that occurred during the changes of cognitive functions. However, in determining initial diagnosis of schizophrenia, measurements focus on the presences of positive and negative symptoms, and general psychopathological features without concerning the BDNF serum, which involves in central nervous system as the main symptom of schizophrenia. AIM: To determine the relation of BDNF serum level to cognitive functions of schizophrenia patients based on sub-domain of Montreal Cognitive Assessment Indonesia Version (MoCA-Ina) METHODS: This study was carried out based on observational analysis with cross-sectional design study. The samples were collected by non-probability sampling and consecutive sampling by recruiting 65 of male schizophrenia patients at Prof. Dr. M. Ildrem Mental Hospital, Medan, North Sumatera, Indonesia. BDNF serum levels were analysed throughout quantitative sandwich enzyme immunoassay method, while the cognitive functions were conducted by performing the MoCA-Ina, which concern to attentions and concentrations, executive function, memory, languages, visuoconstructional abilities, numerical calculation, and orientation. RESULTS: The serum level of BDNF was accounted averagely for 27161.26, with 5350.37 of standard deviation. There was positive correlation with medium strength (r = 0.4 - < 0.6) in visuospatial function, attention (r = 0.437), and memory (r = 0.413). CONCLUSION: Relation between BDNF serum level and cognitive function occurred in visuospatial, attention and memory domains based on MoCA-Ina assessment.

Tepat pada 11 Maret 2020, World Health Organization (WHO) menetapkan bahwa virus Coronavirus Disease 2019 (Covid-19) sebagai pandemi global. Pemerintah memberikan kebijakan membatasi aktifitas keluar rumah, sehingga kegiatan sekolah dirumahkan. Beberapa penelitian menunjukkan perubahan kebiasaan belajar mengajar ini menimbulkan hambatan yang akan memicu terjadinya stres pada mahasiswa. Mahasiswa baru memiliki beban stres tersendiri, seperti menyesuaikan diri dengan lingkungan dan kegiatan perkuliahan. Mengetahui gambaran tingkat stres pada mahasiswa Angkatan 2021 terhadap aktivitas pembelajaran di Fakultas Kedokteran Universitas Islam Sumatera Utara saat masa Pandemi Covid-19. Penelitian ini menggunakan metode observasional-deskriptif dengan pendekatan cross sectional. Data yang digunakan adalah data primer, yang diambil dari kuesioner Medical Student Stressor Questionnaire (MSSQ) versi Bahasa Indonesia. Populasi penelitian seluruh Angkatan 2021 dengan teknik pengambilan sampel total sampling. Pada penelitian ini ditemukan hasil yaitu mayoritas mahasiswa mengalami stres sedang sebanyak 45 orang (54,22%), stres ringan 15 orang (18,07%), stres berat 22 orang (26,51%) dan stres sangat berat 1 orang (1,20%). Sebagian besar mahasiswa Angkatan 2021 Fakultas Kedokteran Universitas Islam Sumatera Utara mengalami stres sedang.

ANALISIS  STRUKTURALISME TEKS DRAMA JAKA TARUB  DAN  7 BIDADARI KARYA AKHUDIAT