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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Aafiyah Health Research (JAHR) International Journal of Health and Pharmaceutical (IJHP)
Ghiffary, Muamar
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Health Professions Nursing Public Health

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SCOPING REVIEW: TANTANGAN TRANSPLANTASI GINJAL DI NEGARA BERKEMBANG Reza, Muhammad Alfi; Suweleh, Yasser Zein; Ghiffary, Muamar; Fauzi, Ahmad Nur; Pramanugraha, Randi Satria
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.38280

Abstract

Transplantasi ginjal merupakan salah satu solusi utama bagi pasien dengan gagal ginjal terminal, namun implementasinya di negara berkembang menghadapi berbagai tantangan besar. Oleh karena itu, penelitian ini bertujuan untuk memetakan dan menganalisis tantangan-tantangan utama dalam transplantasi ginjal di negara berkembang melalui pendekatan scoping review. Pendekatan scoping review digunakan untuk mengidentifikasi, memetakan, dan menganalisis berbagai bukti yang ada terkait dengan transplantasi ginjal di negara berkembang. Proses pencarian dilakukan secara sistematis di beberapa basis data, termasuk PubMed, Scopus, dan Google Scholar, dengan menggunakan kata kunci yang relevan seperti "kidney transplantation in developing countries", "challenges in kidney transplantation", dan "organ donation barriers". Artikel yang diterbitkan antara tahun 2018 hingga 2023 dipilih dan dievaluasi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil analisis menunjukkan bahwa tantangan medis utama dalam transplantasi ginjal di negara berkembang meliputi keterbatasan fasilitas medis, kurangnya tenaga medis terlatih, serta masalah terkait imunosupresan dan ketidaksesuaian HLA antara donor dan penerima. Tantangan sosial dan budaya juga berperan penting, dengan rendahnya kesadaran masyarakat mengenai pentingnya donor organ dan adanya stigma terkait donor hidup. Secara ekonomi, biaya tinggi untuk prosedur transplantasi dan perawatan pasca-operasi menjadi hambatan utama. Kebijakan yang lemah dan kurangnya regulasi donor organ turut memperburuk situasi ini. Kesimpulan penelitian ini adalah untuk mengatasi tantangan-tantangan tersebut, diperlukan peningkatan fasilitas medis, pelatihan tenaga medis, serta kebijakan yang mendukung donor organ.  
Impact of Head and Neck Radiotherapy on Perioperative Airway Management in Urological Surgeries: An Anesthetic and Vascular Perspective: Dampak Radioterapi Kepala dan Leher terhadap Manajemen Jalan Napas Perioperatif pada Bedah Urologi: Perspektif Anestesi dan Vaskular Ghiffary, Muamar; Reza, Muhammad Alfi; Sayati, Muhammad Satir; Awaluddin, Muhammad; Fauzi, Ahmad Nur
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 1 (2025): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i2.2026

Abstract

ABSTRACT Background: Radiotherapy is a primary treatment for various types of cancer, but it can cause long-term complications, including tissue fibrosis, vascular stenosis, and urological dysfunction. These effects influence anesthetic strategies, surgical technique selection, and postoperative management. Objective: This study aims to compare the effectiveness of endovascular techniques and open vascular reconstruction in managing post-radiotherapy vascular complications, as well as to evaluate the anesthetic and urological implications of radiation-induced tissue fibrosis. Method: This study reviews literature and clinical data on the effects of radiotherapy on the vascular system, airway, and urological system. The comparison between endovascular techniques and open vascular reconstruction is analyzed based on effectiveness, complication risks, and durability. Results: Endovascular techniques offer a minimally invasive approach with faster recovery but carry a higher risk of restenosis compared to open vascular reconstruction, which provides better long-term outcomes despite greater perioperative complications. In patients with post-radiotherapy fibrosis, carotid artery and jugular vein stenosis increase the risk of stroke, while radiation-induced urethral strictures require reconstructive approaches tailored to severity. In anesthesiology, patients with airway changes due to fibrosis are more safely managed with regional anesthesia and multimodal analgesia techniques. Conclusion: The management of post-radiotherapy patients requires a multidisciplinary approach involving anesthesiology, interventional radiology, urology, and vascular surgery specialists. Combining minimally invasive techniques with more aggressive reconstructive strategies can improve clinical outcomes in patients with vascular and urological complications resulting from radiotherapy.
Trends in Artificial Intelligence Research in Urology, Anesthesiology, Cardiology, and Otolaryngology: A Bibliometric Analysis (2019-2024) Sidharta Krisna, Muhammad; Alfi Reza, Muhammad; Ghiffary, Muamar; Satir Sayati, Muhammad; Awaluddin, Muhammad
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 1 (2025): February 2025 (Indonesia - Turkey - Malaysia - Australia - Iran)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i1.403

Abstract

Background: The application of Artificial Intelligence (AI) in medicine is rapidly evolving, particularly in urology, anesthesiology, cardiology, and otolaryngology (ENT). AI is utilized in image-based diagnosis, patient monitoring, as well as the optimization of therapy and robotic surgery. However, research trends in AI within these fields have not yet been comprehensively mapped. Methods: This study employs bibliometric analysis to evaluate publication trends in AI across these four medical fields from 2019 to 2024. Data were collected from Google Scholar, PubMed, and Scopus, then analyzed using VOSviewer and R-Bibliometrix to identify the number of publications, keyword trends, institutional collaboration networks, and the most highly cited articles. Results: The number of AI-related publications in medicine has increased from 50 articles in 2019 to 130 articles in 2024. The United States, China, and the United Kingdom have the highest number of publications. Research trends indicate that deep learning and machine learning dominate, with broad applications in disease diagnostics and medical imaging. Cluster analysis reveals four main domains: anesthesiology (120 publications), cardiology (105 publications), urology (98 publications), and ENT (80 publications). Conclusion: AI has become an essential component in the advancement of modern medicine. With the increasing number of studies and multidisciplinary collaborations, AI is projected to continue expanding in data-driven diagnosis and therapy. However, challenges in clinical validation, regulation, and AI ethics must be addressed to ensure its safe and effective use.
Co-Authors Alfi Reza, Muhammad Fauzi, Ahmad Nur Muhammad Awaluddin, Muhammad Pramanugraha, Randi Satria Reza, Muhammad Alfi Satir Sayati, Muhammad Sayati, Muhammad Satir Sidharta Krisna, Muhammad Suweleh, Yasser Zein