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Evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi Atun, Sri; Sofiani, Yani; Yunitri, Ninik; Jumaiyah, Wati; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1610

Abstract

Background: Diabetic neuropathy is a complication that develops slowly and often goes undiagnosed. Guttormsen explained that neuropathy usually appears after years of diabetes and is often the initial cause of wounds and amputations. Therefore, early detection is crucial to prevent further complications. One recommended approach is non-invasive screening, which allows for early identification before severe symptoms appear. Purpose: To evaluate the effectiveness of non-invasive screening for early detection of foot disorders in people with diabetes. Method: The implementation of evidence-based nursing practice (EBNP) at Al Ihsan Regional Hospital, West Java Province, from June to July 2025, involved a non-invasive screening intervention for each patient for early detection of foot disorders in diabetic patients. This study was preceded by a systematic review and meta-analysis that compiled data from various previous studies. Results: Participants with the ROC curve test showed screening results on BDRFS with a sensitivity value of 1.000; on monofilament screening the sensitivity value was 0.545; vibration screening test sensitivity value was 0.818; temperature screening test sensitivity value was 0.864. In the QST screening test of touch sensation, it showed that the temperature screening test sensitivity value was 0.909. The QST screening test of vibration sensation showed that the temperature screening test sensitivity value was 0.909. The QST screening test of temperature sensation showed that the temperature screening test sensitivity value was 0.773. Conclusion: The implementation of EBNP “Evaluation of the Effectiveness of Non-Invasive Screening for Early Detection of Foot Disorders in Diabetics” has been proven to significantly increase early detection of diabetic neuropathy through a method that is safe, inexpensive, and can be performed by nurses.   Keywords: Diabetes; Early Detection of Foot Disorders; Non-Invasive Screening.   Pendahuluan: Neuropati diabetik merupakan komplikasi yang berkembang secara perlahan dan sering kali tidak terdiagnosis secara dini. Guttormsen menjelaskan bahwa neuropati biasanya muncul setelah bertahun-tahun menderita DM dan sering kali menjadi penyebab awal terjadinya luka hingga amputasi. Untuk itu, deteksi dini sangat penting guna mencegah komplikasi lebih lanjut. Salah satu pendekatan yang direkomendasikan adalah skrining non-invasif, yang memungkinkan identifikasi dini sebelum muncul gejala berat. Tujuan: Untuk mengevaluasi efektivitas skrining non-​​invasif untuk deteksi dini gangguan kaki pada diabetisi. Metode: Penerapan praktik keperawatan berbasis bukti (Evidence Based Nursing Practice/EBNP) yang dilaksanakan di RSUD Al Ihsan Provinsi Jawa Barat pada bulan Juni-Juli 2025. Setiap pasien dilakukan intervensi berupa pemeriksaan skrining non-invasif untuk deteksi dini gangguan kaki pada pasien diabetes. Hasil: Partisipan dengan uji ROC curve menunjukkan hasil skrining pada BDRFS dengan nilai sensitivity 1.000; pada skrining monofilamin nilai sensitivit 0.545; skrining vibrasi test nilai sensitivity 0.818; skrining temperatur test nilai sensitivit 0.864. Pada uji skrining QST sensasi sentuhan menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi getaran menunjukkan bahwa skrining temperatur test nilai sensitivit 0.909. Uji skrining QST sensasi suhu menunjukkan bahwa skrining temperatur test nilai sensitivit 0.773. Simpulan: Penerapan EBNP “evaluasi efektivitas skrining non-invasif untuk deteksi dini gangguan kaki pada diabetisi” terbukti dapat meningkatkan deteksi dini neuropati diabetik secara signifikan melalui metode yang aman, murah, dan dapat dilakukan oleh perawat.   Kata Kunci: Diabetisi; Deteksi Dini Gangguan Kaki; Skrining Non-​​Invasif.
What are the Misconceptions that occur to Students in Science Learning in Indonesia? A Systematic Literature Review Muhammad Ikhsan; Heru Kuswanto; Sri Atun; Naffa Afkarina Izzata Dini; Oky Pamungkas
IJIS Edu : Indonesian Journal of Integrated Science Education Vol 7, No 1 (2025): January 2025
Publisher : UIN Fatmawati Sukarno Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29300/ijisedu.v7i1.4840

Abstract

This study is a systematic review of 26 articles published between 2017 and 2024, focusing on misconceptions in science education within Indonesian schools. Misconceptions, defined as persistent misunderstandings that hinder effective learning, are a significant barrier to students' scientific literacy. The research employs the Systematic Literature Review (SLR) method, following the PRISMA model, to synthesize findings and address key research questions regarding these misconceptions.The analysis reveals that the majority of misconceptions were identified in 2023, accounting for 27% of the total findings, with a notable prevalence at the high school level (50%), followed by junior high (31%) and elementary schools (19%). In terms of subjects, physics misconceptions dominate at 50%, followed by chemistry (31%) and biology (19%). Geographically, East Java emerges as a hotspot for these misconceptions, representing 27% of the cases analyzed.This research contributes to the field of science education by highlighting critical areas where misconceptions occur, particularly in physics at the high school level. By identifying these misconceptions, educators can develop targeted interventions to enhance teaching strategies and improve overall student comprehension in science, ultimately fostering better scientific literacy among Indonesian students.
Identification and Mercury Sensitivity Test of Rhizosphere Bacteria From Ageratum conyzoides Plants Growing In Ratatotok Gold Mine, North Sulawesi Rania Nur Farida; Anna Rakhmawati; Tien Aminatun; Sri Atun
Indonesian Journal of Bioscience (IJOBI) Vol. 2 No. 2 (2024): Indonesian Journal of Bioscience (IJOBI)
Publisher : Department of Biology Education FMIPA Universitas Negeri Yogyakarta in collaboration with Perhimpunan Biologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/ijobi.v2i2.933

Abstract

Indonesia is known for its abundant natural resources, such as gold. However, the mercury-based amalgamation method in illegal gold mining causes environmental pollution. This research explores the potential of utilizing mercury-resistant rhizosphere bacteria from Ageratum conyzoides, a gold hyperaccumulator plant, to develop an effective bioremediation strategy for contaminated gold mining areas. This descriptive-exploratory study aims to identify and determine the sensitivity of mercury in five rhizosphere bacteria isolates from previous research. Bacteria were isolated from the roots of Ageratum conyzoides growing in the Ratatotok gold mining area of North Sulawesi. Bacteria identification was determined using profile-matching methods based on microscopic, macroscopic, physiological, and biochemical features. Similarity Indexes were determined using dendrogram visualization with MVSP software. Mercury sensitivity was analyzed using the cup-plate technique, varying mercury concentrations from 0 ppm to concentrations where clear zones appeared, indicating bacterial growth inhibition. The result indicated that the five isolates were bacteria from the genera Alcaligenes, Pseudomonas, Enterococcus, Streptococcus, and Micrococcus. Notably, Pseudomonas showed the highest potential for mercury resistance, being mercury sensitive at a concentration of 470 ppm, followed by Alcaligenes (110 ppm), Enterococcus (30 ppm), and both Streptococcus and Micrococcus (20 ppm).
Learning Difficulties in Biochemistry: Student Perspectives and Emerging Trends Sa'adah, Siti Imroatus; Mamluaturrahmatika, Annisa; Marpaung, Aisyatur Radhwa; Arianingrum, Retno; Atun, Sri; Naqsyahbandi, Fajar
Jurnal Tadris Kimiya Vol 10 No 2 (2025)
Publisher : Department of Chemistry Education, UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/jtk.v10i2.46883

Abstract

This study analyzes students’ learning difficulties in understanding biochemistry concepts, materials, and processes through a survey, and examines bibliometric patterns of biochemistry learning models and methods to identify potential alternative solutions. A descriptive research design was employed, combining survey methods and bibliometric analysis. The survey was conducted with 82 fourth-semester students of the Chemistry Study Program, including Class B (48 students) and Class E (34 students). Data were collected using an open-ended questionnaire and analyzed descriptively and qualitatively. In parallel, a bibliometric analysis of scientific articles on biochemistry learning difficulties was performed using VOSviewer software, identifying dominant sub-themes such as learning models, learning methods, and biochemistry education. The survey results indicate that students experience the greatest difficulties in protein biosynthesis (82%), lipid metabolism (55%), enzymes (53%), protein metabolism (50%), and carbohydrate metabolism (45%). These findings highlight challenges with metabolic pathways and molecular structures, emphasizing the need for visualization-based learning media. Additionally, the bibliometric analysis suggests that flipped classroom and blended learning approaches have strong potential as innovative strategies to address these difficulties. The study concludes with recommendations for future research focused on the development and evaluation of such approaches in biochemistry education.
A Systematic Review: Strategies in Chemistry Learning Sari, Winda Putri Permata; Atun, Sri
Jurnal Tadris Kimiya Vol 10 No 2 (2025)
Publisher : Department of Chemistry Education, UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/jtk.v10i2.49530

Abstract

This study aims to synthesize research related to learning strategies focusing on chemistry learning research in the last ten years from various reputable journals and proceedings focusing on the last ten years, grounded in the theoretical framework of conceptual change and the challenges posed by chemistry's multiple representational levels (macroscopic, submicroscopic, and symbolic). After searching national and international reputable databases using key patterns of relevance (Pattern 1: “chemistry learning strategies” “Merdeka Curriculum”; Pattern 2: “learning strategies” ‘chemistry education’; Pattern 3: ‘chemistry learning strategies’ ‘effective’), the 19 relevant articles were systematically reviewed. Inclusion criteria required publication in reputable journals (Q1–Q4) or proceedings, english language, and explicit discussion of strategy effectiveness in secondary or higher chemistry education. The results showed that cooperative learning and inquiry learning dominated from several articles used as learning that is often applied in the learning process to see its effect on learner achievement, cognitive development, laboratory skills, science process skills, and understanding of science knowledge. The implementation of the Merdeka Curriculum requires educators to provide innovations to the learning strategies applied. Technology-based learning is one form of innovation that is in accordance with the curriculum and the development of the current era. Learning strategies by utilizing ICT create enthusiasm and meaningfulness for students to learn independently. This review contributes a refined theoretical understanding of chemistry specific learning strategies, identifies research gaps, and suggests future directions in chemistry education.
Augmented Reality sebagai Media Inovatif dalam Pembelajaran Kimia untuk Meningkatkan Motivasi Belajar Siswa: Sebuah Systematic Literature Review Laila, Erni; Atun, Sri
Jurnal Pendidikan Matematika dan Sains Vol. 14 No. 1 (2026): February 2026
Publisher : Faculty of Mathematics and Natural Sciences, Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/jpms.v14i1.90940

Abstract

Penelitian ini bertujuan untuk mengembangkan tinjauan literatur yang sistematis. Penelitian ini menelaah secara sistematis 24 publikasi yang terbit pada periode 2015–2024 yang berfokus pada penerapan teknologi AR dalam pembelajaran kimia. Penelitian ini menggunakan metode PRISMA, artikel-artikel relevan dipilih dari basis data Scopus. Hasil penelitian mengungkapkan bahwa AR meningkatkan keterlibatan kognitif, motivasi, dan keterampilan visualisasi spasial siswa. Alat berbasis AR seperti model molekul 3D, simulasi interaktif, dan platform kolaboratif memberikan pengalaman belajar yang imersif, menjembatani pengetahuan teoretis dan aplikasi praktis. Selain itu, AR terbukti efektif dalam mengajarkan topik-topik keberlanjutan, mendorong pembelajaran aktif melalui gamifikasi, dan mendukung pendidikan jarak jauh. Namun, tantangan seperti biaya pengembangan yang tinggi dan pelatihan guru yang terbatas tetap ada. Studi ini menggarisbawahi potensi AR untuk merevolusi pendidikan kimia, selaras dengan paradigma pembelajaran abad ke-21 yang menekankan interaktivitas, kolaborasi, dan relevansi kontekstual
Development of Critical Thinking Essay Test Instrument and Prosocial Intention Questionnaire for Environmental Care in Students Muhammad Ikhsan; Sri Atun; Fauji Agusta; Habibatul Unayah; Rusdiman Buhera; Oky Pamungkas; Muhamad Sarip; Patar Ariyanto Sitorus
Journal Evaluation in Education (JEE) Vol 6 No 1 (2025): January
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jee.v6i1.1273

Abstract

Purpose of the study: Assessment of students' critical thinking skills and environmental care attitudes is crucial for science learning. This research aims to develop an essay test instrument for critical thinking and a questionnaire for environmental care attitudes, evaluating their validity through expert assessments and trials. Methodology: Utilizing the Research and Development (R&D) model by Oriondo & Dallo-Antoio (1998), the study comprises three stages: test planning, trials, and validation. A random sampling technique was employed, involving 267 students. The critical thinking instrument consists of essay questions, while the environmental care attitudes are measured using a prosocial intentions questionnaire. Main Findings: Validity results indicate a high Aiken index of 0.96 for critical thinking essays and 1.0 for the environmental care questionnaire. Reliability estimates were 0.73 for critical thinking and 0.71 for environmental attitudes, both good. The difficulty level for the critical thinking instrument was classified as medium (0.68), while the environmental care instrument was deemed difficult (1.65). Limitations include focusing solely on science subjects, trials restricted to one area, and reliance on self-reports for environmental attitudes, which may introduce bias. Novelty/Originality of this study: The novelty of this study lies in integrating critical thinking assessment with environmental care attitudes, a rare approach in previous research. In conclusion, the developed instruments effectively measure students' critical thinking skills and environmental care attitudes in science education, particularly regarding global warming.
Co-Authors Abas Susilo Ade Sofiana Suryani Alfin, Riandi Althaaf, Nabila Tsabita Alya Rizkita Irwan Aminatun, Tien Ana Siti Nurjanah Anak Agung Gede Sugianthara Anisa Nur Khakim Anna Rakhmawati Anugrah Anang Respati Apriani, Nuni Arifudin Idrus Arthamena, Vegha Dwi Artina Diniaty Artina Diniaty, Artina Astuti Lestari Ayubi, Mizzan Azeeza, Sabira Nurul Azizah, Fidasari Nur Bian Ihda An Naila Darmono Dessy Kurniasari Dewi ANGGRAENI Dewi Anggraini Emilio L Ghisalberti Erlina Erlina Euis Holisotan Hakim Fajar Naqsyahbandi Fapriyan Wijoyo Mulyopratikno Fauji Agusta Ghabby Maharani P Habibatul Unayah Hadibah Kalor Heru Kuswanto Hurrahman, Mifta Ika Rosdiani Indah Puspita Sari, Mega Insih Wilujeng Jumaiyah, Wati Kamari, Azlan Kasyfi Rifqi Mouromadhoni Laila, Erni Latifah Kurnia Devani Lia Dewi Juliawaty Luthfi Fitri Frindryani Luthfia Ulva Irmita Maemonah, Maemonah Mamluaturrahmatika, Annisa Marpaung, Aisyatur Radhwa Masatake Niwa Mouromadhoni, Kasyfi Rifqi muhamad arif nur rokhman Muhamad Sarip Muhammad Ikhsan Muhammad Ikhsan Mukti Syarifah Mulyopratikno, Fapriyan Wijoyo Nadiya Fitri Anisa Nafakoti, Nadia Naffa Afkarina Izzata Dini Naqsyahbandi, Fajar Nelly Fadliyani Ni Putu Laksmi Cintya Dewi, Ni Putu Laksmi Cintya Nida Qurbaniah Juhara Niwa Masatake Nova Irawati Simatupang Nova Irawati Simatupang, Nova Irawati Nurfina Aznam Oky Pamungkas Pamungkas, Oky Patar Ariyanto Sitorus Purnamaningsih, Nur Aini Rahman, Nanang Rania Nur Farida Ratri Panggih Pangastuti Rayasari, Fitrian Retno Arianingrum RISHA KURNIA DWI HARTANTI Romadhoni, Siti Dzakiya Royani, Elmi Rusdiman Buhera S. Senam Sa'adah, Siti Imroatus Sabar Nurohman Sabar Nurohman Sangal, Aditi Sari, Winda Putri Permata Satriya, M. Agung Senam Senam Simbolon, Doly siswanti ningsih Siti Aisyah SITI NUR'AINI Sjamsul Arifin Achmad Sogen, Jasintah Tagan Sri Lestari Sujangka, Arsyad Suryadi Prasetyo Susila Kristianingrum Suyanta Suyanta Tia Rachmatika Wahyuni Tonapa, Nely Wijoyo Mulyopratikno, Fapriyan Yana Maolana Syah Yani Sofiani Yasaroh, Sabila Yunitri, Ninik