Suryo Bantolo
Universitas Yarsi

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Hubungan Neuropati Diabetik dengan Risiko Ulkus Kaki: Tinjauan Literatur Salsabila Afdalya; Maula N Gaharu; Suryo Bantolo
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2599

Abstract

Diabetic neuropathy is one of the chronic complications resulting from long-term diabetes. Symptoms in the early stages are often asymptomatic, making it difficult to detect the condition early on; this can potentially lead to more severe complications, such as diabetic foot ulcers. This study aims to analyze the relationship between diabetic neuropathy and the incidence of foot ulcers in patients with diabetes mellitus. The method used in this study was a literature review examining various scientific journals from the PubMed, Google Scholar, and ScienceDirect databases over the past five years. The factors discussed include the pathogenesis of the disease and metabolic involvement, clinical manifestations, diagnostic modalities, management, prognosis, and complications. Furthermore, patients with diabetic neuropathy should undergo routine early screening for pre-ulcer lesions to prevent severe complications. It is important to educate patients with diabetic neuropathy on self-foot care, proper hygiene, a healthy lifestyle, and good glycemic control, as well as to explain certain actions that should be avoided.
Peningkatan Tekanan Intrakranial pada Stroke Hemoragik Andini Cahya Mayda; Syairah Banu; Suryo Bantolo
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 4 No. 3 (2026): September: Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v4i3.2609

Abstract

Hemorrhagic stroke caused by intracerebral hemorrhage is a neurological emergency with high morbidity and mortality that requires prompt and appropriate management. Hypertension is the most common risk factor, particularly for deep hemorrhage in the basal ganglia. This case report aims to describe the clinical features, diagnosis, and management of spontaneous intracerebral hemorrhage accompanied by signs of raised intracranial pressure. A 45-year-old man presented to the emergency department with a sudden decrease in consciousness, preceded by acute right-arm weakness and vomiting. Examination revealed a somnolent patient with a Glasgow Coma Scale of E2M3V2, blood pressure of 207/118 mmHg, and right hemiparesis. Non-contrast head computed tomography showed a left basal ganglia hemorrhage of approximately 39.7 cc with perifocal edema, midline shift, and left lateral ventricle compression. Raised intracranial pressure was identified through decreased consciousness, vomiting, and neuroimaging findings of mass effect. Management comprised airway protection, controlled blood-pressure reduction with intravenous nicardipine, hyperosmolar therapy with mannitol, and neurosurgical decompressive craniectomy with hematoma evacuation. The patient's consciousness improved from a Glasgow Coma Scale of 7 to 15, although motor aphasia and right hemiparesis persisted. This case demonstrates that spontaneous intracerebral hemorrhage with raised intracranial pressure demands rapid diagnosis and comprehensive treatment, in which timely medical and surgical intervention may reduce mortality and improve prognosis.