Maeike Grestiana Sinaga
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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.
Microsurgical versus Conventional Inguinal Varicocelectomy: A Systematic Review of Fertility Outcomes and Recurrence Risk Bobby Aksanda Putra; Beny Levi Andreas Sibarani; Maeike Grestiana Sinaga
Jurnal Siti Rufaidah Vol. 3 No. 4 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i4.247

Abstract

Infertility affects approximately 8–12% of couples worldwide, with male factors contributing to nearly half of all cases. Varicocelectomy, particularly the microsurgical subinguinal technique, is now considered the primary treatment that provides superior reproductive outcomes compared to conventional or laparoscopic approaches. To evaluate and compare fertility outcomes and recurrence risks between microsurgical and conventional inguinal varicocelectomy, based on recent evidence from 2020 to 2025. Methods A systematic review was conducted using databases including PubMed, Scopus, Cochrane, ScienceDirect, and Google Scholar. Out of 371 identified articles, 9 studies met the inclusion criteria. Results, most studies demonstrated that the microsurgical technique significantly improved sperm concentration, motility, and morphology, as well as higher natural pregnancy rates. The risks of hydrocele and recurrence were also markedly lower than those observed with laparoscopy. The average postoperative sperm count increased by 7.7 ± 4.5 million/mL (p< 0.001). Furthermore, the microsurgical subinguinal approach allows for more precise identification of arteries and lymphatic vessels, thereby minimizing vascular injury and facilitating faster recovery. Conclusion, the microsurgical subinguinal varicocelectomy has proven to be more effective and safer than conventional approaches. This technique significantly enhances semen parameters and pregnancy rates, while reducing the risk of hydrocele formation and recurrence.