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Early Detection of Diabetic Foot Peripheral Neuropathy With The Michigan Neuropathy Screening Instrument (Mnsi): A Scoping Review Nunung Khairun Nissa Oper; Heri Kristianto; Laily Yuliatun
Jurnal Health Sains Vol. 4 No. 12 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

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Abstract

Background: Neuropathy is a major cause of morbidity and mortality in type 1 and 2 diabetes worldwide. The development of neuropathy and its severity increases with increasing duration of DM and poor glycemic control. Early detection of neuropathy is essential to prevent worse disease complications. Objective: to identify a simple instrument MNSI in detecting peripheral neuropathy of diabetic foot. Methods: Scoping review protocol using 5 steps of Aksey and O'Malley Framework. Inclusion criteria were published in 2016-2023, full text, English language and discussed the use of MNSI in detecting peripheral neuropathy. This article used 4 databases (Pubmed, ProQuest, and ScienceDirect) with the keywords "Michigan screening instrument AND diabetic neuropathy AND early detection". Results: There were 10 articles that fit the inclusion criteria that mentioned that MNSI is a simple tool in detecting peripheral neuropathy in diabetic foot. Conclusion: MNSI is a reliable instrument, easy to do and can be used by doctors, nurses, and health workers involved in the treatment of patients with diabetes mellitus
Infrared Thermography in Detecting Peripheral Arterial Disease in Diabetic Foot: A Scoping Review Ken Rangga Galang Adiantara; Heri Kristianto; Yuyun Yueniwati
Jurnal Health Sains Vol. 5 No. 3 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

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Abstract

Early and accurate assessment of peripheral arterial disease (PAD) is crucial given its fatal complications such as amputation. Infrared thermography (IRT) offers various advantages in studying PAD. This study aims to map the use of Infrared thermography in detecting Peripheral Arterial Disease in diabetic feet. This review applies the scoping review method to review the literature related to Infrared thermography in detecting vascular disorders in diabetic legs. Article searches are conducted on five databases, namely Google Scholar, PubMed, EBSCO, ScienceDirect, and ProQuest. The Boolean keywords and codes used are "Infrared Thermography" AND "Diabetic foot" AND "Peripheral Arterial Disease". Searches are limited to articles published between 2018 and 2024. The journal selection process follows PRISMA's guidelines. The search process yielded 1,969 article titles relevant to the keywords and Boolean operators used. After being selected based on the research topic, 8 articles were left for analysis. IRT can be a useful tool for detecting PAD in diabetic foot. IRT can help track the progression of PAD and classify the foot as PAD without or prone with high accuracy
Faktor Risiko Mortalitas Pasien Sepsis di Instalasi Gawat Darurat: Tinjauan Sistematis Hardianti, Anugerah; Ahsan, Ahsan; Kristianto, Heri
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1445

Abstract

Sepsis is a medical emergency with a high mortality rate worldwide. Identifying risk factors for sepsis is crucial to optimizing outcomes for sepsis patients in the emergency department (ED). This systematic review aims to identify risk factors for mortality in sepsis patients in the ED. Literature search strategies were conducted using the PubMed, ProQuest, and ScienceDirect databases with a combination of keywords including “Risk factor,” “Sepsis,” “Mortality,” and “Emergency Department,” utilizing Boolean operators. This review follows the PRISMA protocol and includes English-language articles published between 2019 and 2024. Inclusion criteria include quantitative research articles (cohort studies, case-control studies, or cross-sectional studies), studies evaluating mortality risk factors in sepsis patients in the ED, and a minimum sample size of 50 patients. Exclusion criteria included qualitative studies, systematic reviews, narrative reviews, meta-analyses, articles without complete data, settings outside the ED, and studies that did not analyze mortality risk factors. Of the 23,917 articles identified, nine met the criteria and were assessed for eligibility using the JBI and analyzed narratively. The review of nine studies (seven cohort studies, one case-control study, and one cross-sectional study) found that most studies indicated that lactate levels ≥2 mmol/L (67%) and SOFA scores ≥2 (56%) were strong predictors of mortality. Other contributing factors included advanced age, gender, and comorbidities. These findings suggest that measuring lactate and SOFA biomarkers during triage in the ED has the potential to improve early detection and prompt intervention, such as fluid resuscitation and antibiotic administration within the golden hour, for high-risk sepsis patients. Keywords: Risk factors; Emergency Department; Mortality; Sepsis
Healthy Status in the Gymnastic Community in West Bandulan, Sukun, Malang Ratih Paramita Suprapto; Nia Kurnianingsih; Ardani Galih Prakosa; Heri Kristianto; Novita Titis Harbiyanti; Agwin Fahmi Fahanani
Journal of Community Engagement in Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i2.553

Abstract

Obesity is a risk factor for various degenerative diseases such as diabetes mellitus and coronary heart disease. Obesity and all degenerative diseases could be prevented by implementing a healthy lifestyle, early detection of risk factors for degenerative diseases, and increasing knowledge about degenerative diseases. Therefore, this service activity aimed to form a healthy community with a program for three consecutive months. Activities included healthy exercise once a week, degenerative disease risk factors screening, and health education. Activities were carried out every Sunday morning for three months located in Bandulan Barat, Sukun District, Malang City. This activity was attended by 40 non-menopausal women. Health screening included waist circumference, random blood glucose, uric acid, cholesterol, and blood pressure. Of the 40 women examined, 39 suffered from central obesity, 6 suffered from hypertension, 4 suspected diabetes mellitus, 5 suffered from hyperlipidemia, and 4 of them suffered from hyperuricemia. As an intervention, participants received education about healthy lifestyles and degenerative diseases, the treatment of hypertension, hyperlipidemia, hyperuricemia, and diabetes mellitus. From healthy screening, central obesity was the most prevalent in this women's community. Healthy exercise community activities with health screening, and health education could be effective strategies for promotive and preventive activities to prevent degenerative obesity.
PENGARUH TELEREHABILITASI SELF CARE OREM TERHADAP MOBILISASI PASIEN PASCA STROKE: The Effect of Orem’s Self Care Telerehabilitation on Mobilization of Post Stroke Patients Mohammad Fahrul Arifin; Heri Kristianto; Loeki Enggar Fitri; Ahmad Fauziansyah; Arifin, Mohammad Fahrul Arifin
Jurnal Penelitian Vol 6 No 1 (2024): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v6i1.358

Abstract

Post-stroke patients need to receive telerehabilitation to increase mobility, telerehabilitation approaches Orem's Self Care Theory to increase mobility so that recurrent strokes will be greatly minimized. The research method for this research is Quasi Experimental with a pre-post test design approach and purposive sampling technique. The population is post-stroke patients in the Neurology Polyclinic and Orchid Room at RSUD Dr. R Koesma Tuban numbered 50 patients. 25 people in the control group were given education and 25 people in the intervention group were given a rehabilitation video. The chi square test and normality test were carried out and data analysis used the Mann Whitney test. Mobilization during the pre test with the average score in the control group was 23.72 and the intervention group was 27.28. The Std value. Deviation 10.016 with p value = 0.381. Mobilization during the post test with the average score in the control group was 31.8 and the intervention group was 19.2. The Std value. Deviation 16.427 with p value = 0.002. Based on the results of this study, it was found that there was a significant increase in mobilization scores after being given telerehabilitation in the intervention group.   Keywords:  Mobilization; Orem's Self Care; Telerehabilitation
Screening Diabetic Foot Ulcer using Artificial Intelligence Modelling based on Digital Image Analysis: A Systematic Review Purnama, Avief Destian; Yueniwati, Yuyun; Ismail, Dina Dewi Sartika Lestari; Kristianto, Heri; Irawan, Paulus Lucky Tirma; Rosandi, Rulli; Kapti, Rinik Eko; Anggreni, Ni Kadek Indah Sunar
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 1 (2025): Volume 10 Number 1 Augustus 2025
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i1.43631

Abstract

Aims: This study conducted a systematic review with the aim of identifying the predictive models used in the development of AI-based digital image analysis in Diabetic Foot Ulcer cases and determining the features and segmentation used in the construction of Diabetic Foot Ulcer screening algorithm models. Methods: A systematic review was conducted by searching articles from ScienceDirect, PubMed, ProQuest, and CINAHL databases using a combination of relevant keywords. The selection process followed the PRISMA guidelines and article quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: A search of the electronic databases produced 374 research articles within the time range of 2019–2024, with an average article quality of 93% (strong). The results of this systematic review show that out of the eight articles, all were involved in developing an AI model, with seven journals developing convolutional neural network models and one journal developing an artificial neural network model. Digital image analysis involved colour segmentation of tissues and areas of Diabetic Foot Ulcer, which can be used for screening. Conclusion: The convolutional neural network AI model was used in two-dimensional digital imaging modalities for patients with diabetic foot ulcers. The development of an accurate prediction model can provide an automated system for assessing and monitoring Diabetic Foot Ulcer.
Co-Authors Abdul Qodir Agwin Fahmi Fahanani Ahmad Fauziansyah Ahmad Fauziansyah Zian Ahmad Hasyim Wibisono Ahsan Ahsan Ahsan Ahsan Ahsan Ahsan Aisyah Dzil Kamalah Aisyah Dzil Kamalah Alfrina Hany Alfrina Hany, Alfrina Anggreni, Ni Kadek Indah Sunar Ardani Galih Prakosa Arinda Nur Yunitasari Artawan, I.K Arum Desi Pratiwi, Arum Desi Bagus Rahmat Santoso Blow, David Christina, Kezia Dewi Gayatri Dewi Purnama Sari Dewi, Kadek NP Dian Pitaloka Priasmoro, Dian Pitaloka Didik Saudin Dina Dewi Sartika Lestari Ismail Djanggan Sargowo Dwi Astika Sari Efris Kartika Sari Elly Nurachmah Erik Irham Lutfi Fajar Ari Nugroho Fatma, Endah Panca Lydia Ferdian Utama Fetreo Negeo Putra Fitriono, Eko Nani Fujianti, Mery Eka Yaya Hardianti, Anugerah I Wayan Gede Saraswasta Ilahude , Imran Indah Winarni Indra, Mochamad R Irawan, Paulus Lucky Tirma Ismail, Dina Dewi Sartika Lestari Jenal Abidin Kadek NP Dewi Ken Rangga Galang Adiantara Laily Yuliatun Laksmi, Ida Ayu Agung Lenny Nurhandayani Loeki Enggar Fitri M. Fahrul Arifin Maydinah, Anissa Mifetika Lukitasari Mochamad R Indra Muchamad Supriyadi Nadie Fatimatuzzahro Nanang Bagus Sasmito Ni Made Candra Yundarini Ni Putu Jeny Mardiati Nia Kurnianingsih Nofita Dewi Kok Mesa Noorhamdani Noorhamdani Novi Khila Firani Novita Titis Harbiyanti Nunung Khairun Nissa Oper Purnama, Avief Destian Putri, Anyelir Viola Fatika Rahma Micho Widyanto Ratih Paramita Suprapto Retty Ratnawati Rieski, Wenny Arta Rinik Eko Kapti, Rinik Eko Rosikhah Al-Maris Rulli Rosandi Rustiana Tasya Ariningpraja Saifurrohman Saifurrohman Sandra Novita Yunianto Sartika Lestari Ismail, Dina Dewi Setyawati Soeharto Setyoadi Setyoadi Setyoadi Setyoadi Siti Nur Afifah Siti Roudhotul Jannah, Siti Roudhotul Sri Andarini Sri Andarini Sujud Priono Suryanto Suryanto Susetyo, Agus Suwaryo, Putra Agina Widyaswara Titin Andri Wihastuti Titin Andri Wihastuti Tony Suharsono Wibisono, Ahmad Hasyim Yulian Wiji Utami Yuyun Yueniwati