Cultura

Advancing Theoretical Coherence in Critical Thinking: Dual-Synthesis Study for Primary Science Education in Society 5.0

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Primus Devra Raihan, Ali Mustadi, Woro Sri Hastuti, Maria Ulfa Yudha Julistiyana, Sasmita Sari, Agil Aryanto

Abstract

Critical thinking is essential in primary science education to prepare students for 21st-century challenges and the demands of Society 5.0. However, research in this field remains fragmented due to theoretical gaps and methodological limitations. This study integrates bibliometric analysis and systematic literature review to map research trends, identify antecedents and outcomes, and examine instructional approaches that foster critical thinking. The bibliometric analysis of 161 Scopus-indexed articles shows a growing interest after 2020, dominated by constructivist models. The systematic review of 34 studies identifies 29 antecedents and 17 outcomes across cognitive, instructional, and environmental dimensions. Most studies use quantitative cross-sectional methods, with limited integration of frameworks such as Self-Determination Theory and Social Identity Theory. This study offers a contextual framework for strengthening critical thinking in science education. Future research should employ longitudinal designs, hybrid theoretical approaches, and cross-cultural perspectives to support inclusive and sustainable science learning in digitally transforming educational environments.

Keywords : Critical thinking science, learning society 5.0, bibliometric, Systematic Literatur Review, Constructivist pedagogy..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty