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All Journal Florona : Jurnal Ilmiah Kesehatan Asian Journal of Healthcare Analytics International Journal of Health and Medicine Cermin Dunia Kedokteran
Sibarani, Benly Levi Andreas
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Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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A review: Diagnosis dan tatalaksana anemia pada penyakit jantung Levi Andreas Sibarani, Benly; Kurniawan, Yandi
FLORONA : Jurnal Ilmiah Kesehatan Vol. 4 No. 1 (2025): Florona: Jurnal Ilmiah Kesehatan
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/florona.v4i1.1344

Abstract

Anemia merupakan keadaan yang ditandai dengan kurangnya kadar hemoglobin dalam darah dan sering ditemukan pada berbagai penyakit salah satunya sebagai komorbid dari penyakit jantung. Anemia dan penyakit jantung saling berhubungan baik secara langsung maupun tidak lansung. Tujuan: Tinjauan kepustakaan ini bertujuan untuk membahas etiologi, patofisiologi, konsekuensi anemia terhadap gagal jantung, serta koreksi anemia pada penderita gagal jantung. Metode yang digunakan dalam artikel ini yaitu mensintesis beberapa teori, penelitian dan artikel terkait dengan tujuan dari tinjauan kepustakaan yang membahas anemia pada penyakit jantung secara komprehensif. Hasil : Dari tinjauan ini didapatkan bahwa penyakit jantung dan anemia saling berkitan dalam patomekanisme penyakit keduanya, wawancara medis, manifestasi klinis, pemeriksaan fisik dan pemeriksaan penunjang spesifik seperti kadar transferrin, ferritin dan serum iron merupakan pemeriksaan spesifik yang dapat digunakan dalam menegakkan anemia pada penyakit jantung. Penatalaksanaan seperti pemberian transfusi darah, preparat eritropoietin, suplementasi besi atau diuretik memerlukan pertimbangan yang baik dan disesuaikan dengan keadaan khusus masing-masing penderita. Prognosis akan semakin buruk jika memiliki komorbid lain seperti gagal ginjal kronis. Kesimpulannya anemia pada penyakit jantung saling berhubungan yang memerlukan pemeriksaan secara komprehensif, penatalaksanaan berupa koreksi Hb dan penyakit yang medasari serta evaluasi sangat diperlukan pada kondisi ini.
Systematic Literature Review: Effectiveness of Insulin Combination Therapy with Glucagon-Like Peptide-1 (GLP-1) Incretin-Based Therapy in Patients with Type 2 Diabetes Mellitus Sibarani, Benly Levi Andreas; Utami, Putri
Asian Journal of Healthcare Analytics Vol. 3 No. 2 (2024): November 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v3i2.12310

Abstract

Diabetes mellitus remains an evolving metabolic and endocrine disease. Effective pharmacological management of type 2 DM is still a global concern. Insulin therapy often causes side effects of hypoglycemia, so other therapies are expected to be combined with insulin. The literature reviewed in this review used two databases, PubMed and Cochrane, based on objectives, clinical keywords, and choice of articles according to predetermined inclusion and exclusion criteria. The methodology was a systematic approach involving identification, analysis, synthesis, evaluation, and comparison of relevant literature. A total of two results were obtained showing that the composite of insulin-based therapy and GLP-1 therapy in patients with type 2 DM provides effective results to control the levels of blood sugar in type 2 DM patients.
Telemedicine in Internal Medicine: A Review of Patient Outcomes, Physician Workload, and Healthcare System Efficiency Benly Levi Andreas Sibarani; Maeike Grestiana Sinaga; Kartini Ganne Margareth; Aurora Fajria Anwari; Shella Sharon
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.494

Abstract

In recent years, rapid advancements in digital technology have significantly transformed global healthcare delivery. The COVID-19 pandemic acted as a catalyst, accelerating the integration of information technology into healthcare systems, particularly through the increased adoption of telemedicine. In the field of internal medicine, which often involves long-term care and management of chronic illnesses, telemedicine presents a promising solution to enhance service accessibility, improve care efficiency, and sustain favorable clinical outcomes. This study aims to conduct a narrative review to explore the impact of telemedicine on patient clinical outcomes, healthcare worker workload, and healthcare system efficiency within internal medicine practice. The review is based on an analysis of peer-reviewed literature published between 2020 and 2025, sourced from major databases including PubMed, Scopus, and Web of Science. Article selection was based on relevance to the topics of telemedicine and internal medicine, contextual applicability, and full-text availability. The findings of the review reveal that telemedicine contributes positively by expanding access to care, reducing travel time and logistical barriers for patients, accelerating clinical response times, and decreasing patient congestion in healthcare facilities. These outcomes are particularly beneficial for patients with chronic conditions who require regular monitoring and consistent communication with healthcare providers. However, the implementation of telemedicine also introduces new challenges, including increased administrative responsibilities and digital workload for healthcare professionals. The study underscores the importance of equipping healthcare systems with adequate digital infrastructure, implementing supportive and flexible policies, and providing comprehensive training for healthcare workers. These measures are crucial to ensure the successful and sustainable adoption of telemedicine in internal medicine. Overall, telemedicine holds strong potential to reshape the future of internal medicine, provided that its integration is strategically managed to balance technological advancement with human-centered care.
Systematic Literature Review: The Effect of Breastfeeding on the Incidence of Stunting in Infants and Children Sibarani, Benly Levi Andreas; Utami, Putri
Asian Journal of Healthcare Analytics Vol. 3 No. 2 (2024): November 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v3i2.12166

Abstract

Child malnutrition affects children's health in terms of morbidity and mortality rates. Stunting remains a persistent nutritional issue among children that has yet to be effectively addressed. This study aims to examine the impact of breastfeeding on the incidence of stunting in infants and young children. This study reviewed literature from two databases, PubMed and Google Scholar, based on predetermined criteria. The methodology was conducted using a systematic approach from the literature. The results of the study obtained nine articles that met the criteria, then continued with a systematic review. Three studies showed the role of breastfeeding as a significant protective factor. Five studies identified a link between breastfeeding and stunting incidence, while another study found no such association. The presence of a significant relationship and the protective role of breastfeeding against stunting are crucial in efforts to lower the risk of stunting among toddlers and young children.
Microsurgical versus Conventional Inguinal Varicocelectomy: A Systematic Review of Fertility Outcomes and Recurrence Risk Putra, Bobby Aksanda; Sibarani, Benly Levi Andreas; Sinaga, Maeike Grestiana
Asian Journal of Healthcare Analytics Vol. 4 No. 2 (2025): November 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v4i2.15750

Abstract

Infertility affects 8–12% of couples, with varicocele being the most common correctable male factor. Microsurgical subinguinal varicocelectomy offers better reproductive results than conventional or laparoscopic techniques. To compare fertility outcomes and recurrence rates between microsurgical and conventional varicocelectomy (2020–2025). A systematic review of 371 articles identified 9 eligible studies assessing semen quality, pregnancy rate, hydrocele, and recurrence. Microsurgical varicocelectomy showed greater improvements in semen parameters and natural pregnancy rates, along with lower hydrocele and recurrence. Sperm count increased by 7.7 ± 4.5 million/mL. Microsurgical subinguinal varicocelectomy is safer and more effective, and remains the preferred approach for varicocele management in infertile men.
Diagnosis dan Tata Laksana Akantosis Nigrikans: Tinjauan Pustaka Sibarani, Benly Levi Andreas; Putri Utami
Cermin Dunia Kedokteran Vol 53 No 04 (2026): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i04.1667

Abstract

Acanthosis nigricans (AN) is a skin disorder characterized by hyperpigmented, thickened, and velvety lesions, primarily affecting intertriginous areas. This condition is commonly associated with insulin resistance, diabetes mellitus, obesity, endocrine disorders, and the use of certain medications, and in some cases may serve as a marker of underlying internal malignancy. Individuals with darker skin are more prone to developing AN. Although it can be present at birth, AN is more commonly observed in adults. This literature review aims to discuss the etiology, pathomechanism, clinical manifestations, diagnostic approach, and management of acanthosis nigricans, with emphasis on its role as an indicator of underlying systemic disease. Literature was obtained from various relevant scientific sources, including review articles, case reports, and clinical studies. The pathogenesis of AN is primarily associated with hyperinsulinemia, which stimulates keratinocyte and fibroblast proliferation through the insulin-like growth factor-1 (IGF-1) pathway. Diagnosis is generally established clinically, although laboratory and histopathological evaluations may be required in certain cases. Management focuses on treating the underlying condition, such as weight reduction, improvement of insulin resistance, and management of malignancy when present, along with topical or procedural therapies to improve skin lesions and patients’ quality of life.
Co-Authors Aurora Fajria Anwari Kartini Ganne Margareth Kurniawan, Yandi Maeike Grestiana Sinaga Putra, Bobby Aksanda Putri Utami Putri Utami, Putri Shella Sharon Sinaga, Maeike Grestiana