Stunting is a chronic condition of a child's poor linear growth which is an accumulation of the effects of various factors such as poor nutrition and health before and after the birth of the child. Riskesdas data in 2013 amounted to 37.2% of Indonesian children experiencing stunting. This figure increased compared to 2010 (35.6%) and 2007 (36.8%). This study was conducted to analyze exclusive breastfeeding status and diarrheal disease as risk factors for stunting in children under the age of 24-59 months in the working area of ​​Sangkub Community Health Center, Sangkub Subdistrict, Bolaang Mongondow Utara Regency. This type of research is Analytical Observational with a Retrospective Cohort design. Conducted in January - February 2019 in the working area of ​​the Sangkub Community Health Center, Sangkub District, North Bolaang Mongondow Regency. with a sample size of 40 toddlers. The sampling technique is consecutive sampling.The results showed that the results of statistical tests using the Fisher's Exact Test test obtained a significant level (p = 0.037) which means p = <0.05. From these results it can be seen that there is a significant relationship between exclusive breastfeeding status and the incidence of stunting in infants aged 24-59 months in the working area of ​​Sangkub Community Health Center, Sangkub Subdistrict, North Bolaang Mongondow Regency and obtained a significant level (p = 1,000) means p => 0.05, which means that there is no significant relationship between diarrheal disease and the incidence of stunting in infants aged 24-59 months in the working area of ​​Sangkub Community Health Center, Sangkub District, North Bolaang Mongondow Regency.

Pemberdayaan masyarakat merupakan salah satu cara untuk mendukung pelaksanaan pembangunan kesehatan, salah satu diantaranya dengan pemberdayaan kader kesehatan. Hasil Riset Kesehatan Dasar (RISKESDAS) 2013 diperoleh hasil prevalensi karies penduduk di Indonesia sebesar 25,9%, kecenderungan indeks DMF-T 4,6, di Sulawesi Utara itu sendiri  kecenderungan DMF-T 5,4. Kader kesehatan gigi sekolah adalah individu yang terorganisir dalam kurun waktu tertentu dan selama itu kualitasnya terus ditingkatkan guna mencapai suatu tujuan yaitu peningkatan kualitas kesehatan gigi dan mulut. Tujuannya adalah  meningkatnya pengetahuan dan sikap kader tentang kesehatan gigi  dan meningkatkan ketrampilan  kader dalam upaya  pencegahan penyakit karies gigi dengan tehnik ART.Metode yang dilaksanakan adalah dengan melakukan pelatihan dan pendampingan bagi siswa SD kelas 4 sejumlah 60 orang terdiri dari 2 sekolah di daerah Silian. Setelah diberikan pelatihan, selanjutnya kader kesehatan gigi dibimbing untuk menerapkan hasil pelatihan dalam rangka meningkatkan kemampuan dalam pencegahan penyakit karies gigi.Hasil kegiatan menunjukkan terjadi peningkatan tingkat pengetahuan siswa sebelum dan sesudah diberikan pelatihan yaitu pengetahuan baik menjadi  93%, dan pengetahuan kurang baik menjadi 0%. Selain itu, gigi tetap yang telah mendapatkan penambalan gigi dengan tehnik ART sebanyak  53 elemen gigi, dan berjumlah 25 elemen gigi yang ditambal dengan fissure sealant. Hal tersebut menunjukkan adanya peningkatan pengetahuan, motivasi, sikap dan perilaku para peserta kader dan perubahan kasus karies gigi setelah dilakukan tindakan penambalan gigi.

Appropriate supplementary food breast milk should start at 6 months of age, but the reality in many infants under 6 months has been given food. According to data Riskesdas 2013, North Sulawesi Province of malnourished status of 3.7% (National 5.7%) and nutritional status less 12.8% (National 13.9%). Results of Nutrition Status Monitoring (2015) North Sulawesi Province, nutrition sufferer less 10.6%, for stunting case with very short category North Sulawesi Province 6.3%, and short category 15.%. The purpose of this research is to know mother knowledge and nutritional status of children under two yearsbefore and after getting training of local food-based supplementary food breast milk in South Minahasa Regency.The research type is quasi experiment with pre and post design control group design. This study was conducted in the area of ​​Puskesmas district South Minahasa in June to September 2017. The population in this study were all mothers with children aged 12 to 24 months. Total sample amounted to 70 samples consisted of treatment group 35 samples and control group 35 samples and how to determine the sample size by Simple random sampling. Bivariate analysis used different test of two groups in pairs and inter-group different test. Result of research and conclusion: There is significant difference of knowledge of Baduta mother before and after training of local food-based supplementary food breast milk. There was no significant difference in nutritional status of Baduta children before and after local food-based supplementary food breast milk.

BACKGROUD: Diabetes mellitus is an assembly of symptoms that arise in a person caused by increased blood sugar levels due to insulin deficiency, both absolute and relative. The highest prevalence in North Sulawesi is in Tomohon City (4.8%) then Manado City (3.2%). AIM: This study aimed to determine the correlation between dietary compliance with blood glucose levels and duration of hospitalization of type 2 diabetes mellitus (T2DM) patients with hypertension complications in the Pancaran Kasih General Hospital, Manado. METHOD: This research was observational with a cross-sectional design. The population in this study were all patients with type 2 diabetes who were hospitalized and 34 people involved as a sample through purposive sampling technique. RESULTS: The results showed that 88.2% of respondents with not normal blood glucose did not adhere to the diet. Fisher’s test obtained p = 0.011 (p < 0.05), indicated a significant correlation between dietary compliance with blood glucose levels. About 82.4% of patients did not adhere to the diet with a long day of hospitalization and p = 0.027 (p < 0.05). It indicated a significant correlation between dietary compliance and length of stay. CONCLUSION: This study concluded a correlation between dietary compliance with blood glucose levels and dietary compliance and length of stay for T2DM patients with hypertension complications.

BACKGROUND: Acalypha indica Linn. has been used as traditional medicine, it contains flavonoids, alkaloids, tannins, saponins, steroids, triterpenoids, and essential oils. AIM: This study aimed to determine the bio-larvicide effects of A. indica Linn. leaf stew and the silver nanoparticles against Anopheles sp. larvae. METHODS: The fresh leaves of A. indica Linn. extracted using distilled water at 100°C for 30 min. The silver nanoparticles were made by mixing a solution of silver nitrate with the stew, which acts as a reducing agent. The resulting silver nanoparticles were characterized by particle size analyzer and UV-vis spectrophotometer. The bio-larvicide effects against Anopheles sp. larvae performed using a completely randomized design. There were eight groups consisted of ten larvae and three replications. Treatment groups of stew and silver nanoparticle for concentrations 0.05%, 0.5%, and 5%, respectively. The negative control group was distilled water and the positive control group was the 0.01% abate solution. Assessment of larvicide activity was carried out every hour for 6 h and continued if there were larvae that live up to 24 h. The LC50 value was calculated based on Probit analysis. RESULTS: The results showed that the A. indica Linn. leaf stew can be made into silver nanoparticles preparations, optimal results were obtained from a mixture of 1% stew and 3 mM AgNO3. The result of bio-larvicides effect test against Anopheles sp. larvae showed that the LC50 value of the A. indica Linn. leaf stew was 727,3 ppm and the LC50 value of silver nanoparticles was 3.366 ppm. CONCLUSION: It can be concluded that A. indica Linn. is a promising larvicidal plant and can be made into silver nanoparticle preparations.