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Cross-Reactivity of Guillain-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with Complications Respiratory Failure: Case Report Harlasgunawan, Alia Rahmi; Palo, Daud; Abdullah, Dirman; 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.v6i5.3441

Abstract

Guillain-Barre Syndrome (GBS) and Thrombotic Thrombocytopenic Purpura (TTP) are two medical conditions that are rare but can cause serious complications if they appear simultaneously. Both conditions involve autoimmune mechanisms and can result in organ failure, including respiratory failure. Although there are several case reports of each condition, research exploring the interaction between GBS and TTP in the context of respiratory failure is limited. Purpose: The aim of this study is to describe a case of cross-reactivity of Guillian-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with complications respiratory failure. Methods: This research uses a case study design involving an adult patient who was treated at a hospital in Bandung. Data was collected through a comprehensive nursing assessment. Patients provided informed consent before data were collected. Data analysis was carried out descriptively to describe clinical findings and patient management results. Results: The patient is a young woman 27 year old admitted to hospital with a diagnosis of GBS. Eleven days before entering the hospital the patient experience dascending paralysis, fever, nausea and vomiting.TTP cross-reactivity and peripheral nervous system inflammation in GBS.Complications of respiratory failure requiring invasive mechanical ventilation (IMV) in the ICU. Laboratory and radiological examinations supported the diagnosis, and medical intervention was performed according to protocol for both conditions. This shows the importance of close monitoring and prompt treatment to prevent further complications. These findings emphasize the need for a multidisciplinary approach in managing patients with complex medical conditions. Conclusion: An in-depth understanding of the interaction between GBS and TTP is essential for effective clinical management, especially in preventing and managing complications of respiratory failure.
PEMBERDAYAAN MASYARAKAT MELALUI AGENT OF CHANGE PENCEGAHAN STUNTING DI KELURAHAN PILOLODAA KECAMATAN KOTA BARAT KOTA GORONTALO Aswad, Ahmad; Adam, Lusiane; Suma, Juwita; Abdullah, Dirman
Devote: Jurnal Pengabdian Masyarakat Global Vol. 2 No. 2 (2023): Devote : Jurnal Pengabdian Masyarakat Global, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v2i2.1936

Abstract

Stunting is a condition where a toddler has a length or height that is less than normal when compared to his age. Toddlers with growth delays may be at risk of decreased intelligence, decreased productivity and increased risk of degenerative diseases in the future. The purpose of this community service is to increase mothers' knowledge about nutritious food before pregnancy and after childbirth, use of clean water and sanitation. Pilolodaa Village was chosen as the location for the community service because it is one of the working areas of the West City Health Center which has the highest number of stunted children under five with a percentage of 28.46%. The method of implementing community service is carried out in the form of counseling using lecture methods, discussions, consultations, freezes, empowerment, mentoring and evaluation of knowledge about stunting prevention through a series of activities, namely licensing, coordination with the Kota Barat Health Center and Pilolodaa Village, preparing tools, media and places to use for program implementation. The results of the community service were an increase in knowledge about stunting prevention and an increase in skills in preparing nutritious food in the Pilolodaa Community Village, Kota Barat District, Gorontalo City.