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All Journal Indonesian Journal of Global Health research Journal of Health and Nutrition Research
Christina, Mikha
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Characteristics Early versus Late Recurrent Ischemic Stroke: A Scoping Review on Timing and Predictors Christina, Mikha; Eli Kosasih, Cecep; Prawesti, Ayu
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.494

Abstract

Recurrent ischemic stroke (RIS) is a major global health issue due to its high morbidity, mortality, and economic burden. While numerous studies have explored the timing and pattern of RIS globally, there is a limited understanding of this issue within the Indonesian context. In the absence of sufficient local data, synthesizing global evidence becomes crucial to inform clinical practice and policy development in regions like Indonesia. This review aimed to explore timing patterns of RIS especially early and late phases and estimate risks based on follow-up, to inform evidence-based interventions. A scoping review based on Arksey & O’Malley framework and PRISMA-ScR guidelines. Literature search (2014–2024) in PubMed, Scopus, ScienceDirect, and CINAHL. Nine studies were included and analyzed thematically. From 2,987 articles, 9 met inclusion criteria. RIS risk ranged 4.3–23.4%, with median recurrence time 21–25 days. Early RIS (<90 days) had distinct risk factors (e.g. hypertension, prior stroke, heart disease) compared to late RIS. Modified Rankin Scale (mRS) and National Institutes of Health Stroke Scale (NIHSS) were key instruments; follow-ups done via clinics, registries, or surveys. Early (<90 days) and late recurrent ischemic strokes differ in both risk factors and clinical implications. Early post-stroke monitoring is critical to reducing recurrence. To address long-term prevention and support adherence to secondary prevention strategies, technology-assisted monitoring or broader digital health solutions should be considered as potential interventions, particularly in overcoming challenges related to long-term follow-up and patient engagement.
Septic Shock due to Acinetobacter Baumannii Infection with Complications of Acute Respiratory Distress Syndrome: A Case Report Christina, Mikha; Noya, Fricilia; Freitas, Lurdes Acorta; Reis, Silvestre Dos; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3466

Abstract

Sepsis shock, characterized by sepsis-induced circulatory or metabolic disturbances, remains the leading cause of death in ICUs globally. Infection by Acinetobacter baumannii, which is frequently found in medical environments, can trigger life-threatening sepsis shock. This condition occurs when the bacteria or its bacterial products trigger adverse reactions from the immune system. ARDS, as a serious complication, results from endothelial damage that causes fluid to enter the alveoli, disrupting gas exchange and leading to respiratory failure. Purpose to describe a case in a patient diagnosed with epilepticus, with a history of autistic disorder, and non-specific pneumonia aged 30 years. This case report reviews a 30-year-old man admitted with a diagnosis of status epilepticus, with a history of autistic disorder, and non-specific pneumonia. The patient showed progressive improvement with initial therapy, including antiepileptic therapy and empirical antibiotics for pneumonia. However, the patient's condition deteriorated later, resulting in Acute Respiratory Distress Syndrome (ARDS) due to septic shock by Acinetobacter baumannii. The patient required mechanical ventilation and intensive management, including a change in antibiotic therapy and tracheostomy. With appropriate intervention, the patient showed improvement and was successfully discharged from mechanical ventilation. This patient with severe ARDS caused by sepsis shock due to Acinetobacter baumannii infection, demonstrates the importance of prompt and appropriate management of the complications of sepsis to prevent the patient's death. Acinetobacter baumannii infection causing ARDS and sepsis shock is a serious and rarely reported case, where aggressive treatment of sepsis with appropriate antibiotics and careful management of mechanical ventilation can improve the progression of ARDS.
Co-Authors Ayu Prawesti Priambodo Cecep Eli Kosasih Freitas, Lurdes Acorta Noya, Fricilia Reis, Silvestre Dos Ristina Mirwanti, Ristina