https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/issue/feed Jurnal Teknokes 2024-02-10T13:44:04+00:00 Dr. Triwiyanto triwi@poltekkesdepkes-sby.ac.id Open Journal Systems <div style="text-align: justify;">The TEKNOKES is a peer-reviewed periodical scientific journal aimed at publishing research results of the Journal focus areas. <div style="text-align: justify;">The Journal is published by the Department of Electromedical Engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia. The role of the Journal is to facilitate contacts between research centers and the industry. The aspiration of the Editors is to publish high-quality scientific professional papers presenting works of significant scientific teams, experienced and well-established authors as well as postgraduate students and beginning researchers. All articles are subject to anonymous review processes by at least two independent expert reviewers prior to publishing on the Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics website.</div> </div> https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/615 Monitoring SpO2, Heart Rate, and Body Temperature on Smartband with Data Sending Use IoT Displayed on Android (SpO2) 2024-02-10T13:29:28+00:00 Navira Anggraini Anggraini naviraanggraini24@gmail.com Bambang Guruh Irianto triwiyanto123@gmail.com I Dewa Gede Hari Wisana triwiyanto123@gmail.com Ashish Kumbhare triwiyanto123@gmail.com <p>The patient's health must not deteriorate if treatment is not started right away if they show indications of a disease. Monitoring is the most important thing that needs to be done to ascertain the patient's state, especially for those with lung illness who have asthma and pneumonia with moderate symptoms. SpO2, BPM, and body temperature are vital signs that can be used as indicators of a person's degree of health. The main goal of this project was to create wearable devices index finger then a wrist-worn devices that can measure SpO2, Heart rate, and body temperature in real time, regardless of distance, and alert users' smartphones when a patient's condition is abnormal. The body temperature is measured using the MLX90614 sensor, positioned on the wrist, whereas the Oxygen saturation and Heart rate are measured with MAX30100 sensor, placed on the index finger. The ESP32 Microcontroller processes the sensor data after which the results are displayed on the TFT Display GC9A01 and to Ubidots application on a smartphone or computer. When the SpO2, BPM, and Temperature values drop below the predetermined range, Ubidots sends an alert message to the associated email address on the smartphone or computer. In comparison to BPM, which had the lowest error is 0.06% and highest at 5.65%, and temperature, which had the least error value of 0.1% and the most 0.88%, SpO2 had the lowest error is 0.2% and biggest error at 1.6%. MAX30100 sensor, which serves as a processor for SpO2 and Heart rate values on the index finger, delivers a good response when utilized by respondents, according to the smart band's manufacturer. The results of data measurement can also be shown on LCD TFT GC9A01 and Ubidots applications. This device will be kept in a hospital, clinic, or utilized on its own at home. Additionally, regardless of the distance, this application is anticipated to assist families or medical personnel in keeping track of the health of senior patients.</p> 2023-11-21T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/625 Digital Sphygmomanometer Detects Systole Diastolic Display 2024-02-10T13:29:29+00:00 Farahun Nisa Aulia farahaulia14891@gmail.com Andjar Pudji triwiyanto123@gmail.com Sumber Sumber sumber72@poltekkesdepkes-sby.ac.id Naqeeb Ullah triwiyanto123@gmail.com <p>Hypertension. characterized by elevated blood pressure against artery walls. can be influenced by a patient's body temperature. Therefore. detecting body temperature before measuring blood pressure is essential for accurate assessment. Currently. Digital Tension and Body Temperature parameters are typically evaluated separately. To address this. we propose a novel approach to combine these parameters into a single unit. enhancing health monitoring. Utilizing MPX5050GP for blood pressure and MLX90614 for body temperature detection. Both sensors are directly connected to the Arduino UNO microcontroller. enabling seamless data processing and display on the Nextion LCD. Experimental results demonstrate the device's effectiveness. with systolic blood pressure measurements showing a Maximum error: 2.23%. minimum error: 0.53% for systolic measurements. Diastolic measurements have with a remarkable maximum error of only 4.69% and a minimal error of 1.79%. Additionally. the body temperature measurements exhibited a Achieved exceptional precision with errors as low as 0.45% and a maximum of 1.65%. Successfully completed. this design facilitates simultaneous measurement of two vital parameters. Its potential to streamline health monitoring could significantly impact hypertension management and other related conditions. Further validation and implementation in clinical settings are anticipated to enhance its utility and benefits.</p> 2023-11-21T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/614 Monitoring SpO2, BPM, and Temperature on Smartband with Data Sending Using IoT Android Display 2024-02-10T13:29:29+00:00 Melva Mahardika melvamhrdk@gmail.com Bambang Guruh Irianto triwiyanto123@gmail.com I Dewa Gede Hari Wisana dewa@poltekkesdepkes-sby.ac.id Triwiyanto Triwiyanto triwiyanto123@gmail.com Yagnik Rathod triwiyanto123@gmail.com <p>No matter if a patient is receiving care at home or in a hospital, monitoring them is an essential part of healthcare. Currently, many hospitals use a manual method to measure body temperature, oxygen saturation, and heart rate, necessitating physical visits from nurses to patients' rooms to get data. This approach, however, turns out to be less effective and time-consuming. This research aims to develop a wearable device placed on a patient's wrist is the main goal of this project. Body temperature, oxygen saturation, and heart rate are the three vital sign metrics that this gadget will be able to continuously monitor in real-time. Additionally, Ubidots integration will enable the device to deliver notifications based on the data gathered.The contribution of this research is the development of IoT-based wearable devices for remote monitoring, which aims to improve the quality of health service monitoring. The tool is expected to facilitate remote monitoring for medical personnel and patient families. This research method uses MAX30100 as digital sensors to monitor heart rate, oxygen saturation and MLX90614 as a sensor to detect body temperature. The results of this research can display data on the Ubidots application and send notifications to email. The results showed that the SpO2 sensor had the lowest error rate of 0.2% and the highest mistake rate of 1.6%. The error rates displayed by the BPM sensor varied, with the lowest being 0.6% and the largest being 5.68%. For body temperature measurements, the minimum error rate recorded is 0.002%, while the maximum error rate is 0.016%. This research shows that it is time to develop further into a sophisticated health monitoring tool to improve the quality of health services.</p> 2023-11-21T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/636 Comparison of Digital Filter Orders in Single Lead Electrocardiographic Design for Reducing Interference Motion Artifact 2024-02-10T13:29:29+00:00 Anita Miftahul Maghfiroh anitamiftah@poltekkesdepkes-sby.ac.id Singgih Yudha Setiawan triwiyanto123@gmail.com Muhammad Umer Farooq Mujahid triwiyanto123@gmail.com <p class="Abstract" style="margin-right: 5.85pt;">Developed a new method to overcome motion artifacts in Electrocardiogram (ECG) signals, which often interfere with accurate clinical analysis. Motion artifacts, such as body movements, can cause significant distortions in the ECG signal, resulting in incorrect interpretation and affecting medical diagnosis. The main objective of this research is to design and implement an infinite impulse response (IIR) filter with a predetermined sequence, namely orders 2, 4, 6, and 8 to reduce motion artifacts in the ECG signal. We aim to improve ECG signal quality by preserving important ECG signal information and reducing noise caused by motion artifacts. This research contributes to developing more precise and reliable ECG signal processing techniques. The proposed method provides an effective approach to handling motion artifacts, enabling more accurate and reliable ECG interpretation by medical professionals. We used an ECG simulator that provides body movement simulation as a basis for experiments. The detected ECG signal is processed with a predetermined order IIR filter. We compare the filtered signal to the original signal to measure the effectiveness of reducing motion artifacts. Experimental results show that the applied IIR filter efficiently reduces motion artifacts in the ECG signal. The SNR assessment showed a significant improvement, proving the success of this method in maintaining ECG signal quality. The result is that in the 2nd order, the SNR value is 22.25 dB, in the 4th order the SNR value is 22.75 dB, in the 6th order the SNR value is 22.99 dB, in the 6th order the SNR value is 22.99 dB. 8 obtained an SNR value of 23dB. This study successfully demonstrated that using IIR filters in a specified order effectively reduces motion artifacts in the ECG signal, increases SNR, and maintains the integrity of clinical information in the ECG signal. The implications of this research extend to medical technology development and clinical applications, providing a strong foundation for continued research in more efficient and reliable ECG signal processing.</p> 2023-11-27T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/637 Design Analysis of Portable 1 Channel Infusion Device Analyzer Using Sensor SKU 237545 2024-02-10T13:44:04+00:00 Syaifudin Syaifudin syaifudin@poltekkesdepkes-sby.ac.id Triana Rahmawati triwiyanto123@gmail.com <p>An infusion pump is a tool used to inject a certain amount of fluid into the patient's body through the patient's veins continuously over a certain period of time. A syringe pump is a tool that functions to push the syringe rod so that it can produce a flow ranging from microliters to milliliters per minute periodically with high accuracy. Very often there are problems with blockages or occlusion when using infusion pumps and syringe pumps. The occlusion limit set is ≤20 PSI according to ECRI. The presence of occlusion in the infusion pump and syringe pump can be identified when there is an alarm buzzer which will sound when a blockage is detected. A 1 Channel Portable Infusion Device Analyzer has been designed using the SKU 237545 Sensor, namely by using a 1 channel flowrate and occlusion sensor and making it portable to be efficient. For this reason, it is necessary to analyze the performance of the tools that have been created. How accurate is it? From the results of performance testing, Oclusion was corrected at 0.242 psi and 0.3 Psi. For flow rate, the largest correction was 2.4 ml/hour and the uncertainty was 6,046 ml/hour. This shows that the accuracy of the design is still quite high and the resulting tool is still not stable, this can be seen from the uncertainty value. The uncertainty that occurs is likely due to the sensitivity of the droplet sensor related to the detection time of the droplet</p> 2023-11-23T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/622 IOT-Based Human Vital Sign Monitoring Tool Using Telegram Notifications (BPM and Respiration Rate Parameters) 2024-02-10T13:29:30+00:00 Rizky Dwi K rizkurniawan0304@gmail.com M. Prastawa Assalim Tetraputra triwiyanto123@gmail.com Abdul Kholiq triwiyanto123@gmail.com <p>Vital signs play a crucial role in monitoring the progress of adult or pediatric patients during hospitalization, as they enable prompt detection of delayed recovery or adverse events. Vital signs are measured to obtain fundamental indicators of the patient's health status. The measurement of vital signs, including blood pressure, temperature, pulse, and respiratory rate, is the most common intervention in hospital medicine. Advanced monitoring systems combine clinical and technological aspects to deliver innovative healthcare outcomes. Remote patient monitoring systems are increasingly becoming the cornerstone of healthcare delivery, replacing traditional manual recording with computer and smartphone-based electronic recording as a versatile and innovative health monitoring system. This study aims to design a Vital Sign Monitoring Parameter BPM and RR tool with Notifications via the IoT-Based Telegram application. The tool enables the monitoring of vital signs, particularly BPM and RR, regardless of the patient's location and at any given time. This allows doctors, health workers, and patients to stay informed about their health condition. Real-time display of vital sign data is available through the TFT LCD screen, and the data from the screen can be accessed via Telegram. The Telegram application will send notifications in the event of abnormal patient conditions. MAX30100, a digital sensor for detecting breathing rate and heart rate, is utilized in this research. Furthermore, the data obtained shows errors that are within the allowable limits for each parameter. The difference between the heart rate readings and the respiratory rate values on the device and the patient monitor is 1.14% for heart rate and 0.84% for respiratory rate. This study indicates that it is time to monitor vital signs that can be seen remotely and have a system that is an inexpensive and easy-to-operate device for health workers without interfering with activities of daily living.</p> 2023-11-21T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/635 Comparison of Pressure Sensor in Flow Analyzer Design for Peep Measurement on Ventilators 2024-02-10T13:29:30+00:00 Levana Forra Wakidi lep.forra@gmail.com Farid Amrinsani triwiyanto123@gmail.com Alfi Nur Zeha triwiyanto123@gmail.com Riqqah Dewiningrum triwiyanto123@gmail.com Steyve Nyatte triwiyanto123@gmail.com <p>The PEEP parameter is one of the parameters that need to be considered in mechanical ventilation because inappropriate parameter values can increase the risk of death for patients. Monitoring of these parameters can be done using a flow analyzer. The purpose of this study is to find out which pressure sensor is stable and has high accuracy. This study compares MPX2010DP and MPX5010DP pressure sensors where the readings of the two sensors will be compared with the pressure read by DPM (Digital Pressure Meter). The pressure read is the pressure obtained from the lung test with 11 pressure reading points and carried out as many as 5 experiments. The results of this study found that the smallest percentage of error was found in the MPX2010DP sensor at a pressure of 5 cmH2O rising pressure and 20 cmH2O rising pressure with an error percentage of 0.00%, while the largest percentage of error was found in the MPX2010DP sensor at a pressure of 5 cmH2O down pressure with an error percentage of 5.16%. The largest standard deviation value is 0.52 found on the MPX5010DP sensor at a pressure of 20 cmH2O rising pressure. The greatest uncertainty value is 0.23 found in the MPX5010DP sensor at a pressure of 20 cmH2O rising pressure. While the largest correction value is 0.54 on the MPX5010DP sensor at a pressure of 25 cmH2O rising pressure. From the data obtained, it can be said that the sensor MPX2010DP more accurate and more stable.</p> 2023-11-27T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/621 The Implementation of Life Saving Facilities at RSUD Surabaya East Java Province in 2023 2024-02-10T13:29:28+00:00 Demes Nurmayanti demes@poltekkesdepkes-sby.ac.id Umi Nadziroh dziroh28@gmail.com ferry Kriswandana ferry@poltekkesdepkes-sby.ac.id setiawan setiawan setiawan@poltekkesdepkes-sby.ac.id <p>The implementation of life-saving facilities is crucial to be considered in a hospital in order to minimize adverse events during emergency conditions. This study aims to describe the implementation of life-saving facilities at RSUD Suraabaya, East Java Province. The research utilizes a descriptive method with data collection through observation and measurement. The research subject is located at RSUD Surabaya, East Java Province, with the K3RS organization as the respondent. The variables examined include the identification of potential fire hazards and life-saving facilities such as emergency stairs, emergency doors, emergency lights, exit routes, exit signs, and assembly points. Data analysis is conducted descriptively. The research findings indicate that the identification of potential fire hazards in both the New and Old Buildings under normal conditions is in accordance with the applicable Standard Operating Procedures (SOP). Emergency stairs and emergency doors fall under the category of being sufficient, emergency lights fall under the category of being insufficient, while the exit routes, exit signs, and assembly points fall under the category of being good. Overall, the assessment of life-saving facilities falls under the category of being sufficient. Therefore, it is recommended that RSUD Surabaya, East Java Province, conducts monitoring regarding the compliance with SOP, carries out improvements, and procures life-saving facilities that do not meet the requirements.</p> 2023-11-04T00:00:00+00:00 ##submission.copyrightStatement## https://teknokes.poltekkesdepkes-sby.ac.id/index.php/Teknokes/article/view/631 Candida Albicans CT Value in Asthmatics with Prolonged Corticosteroid Inhaler Uses 2024-02-10T13:29:28+00:00 Ema Zahiroh Nur Cholidah emazahiroh239@gmail.com Retno Sasongkowati retnosasongkowati123@gmail.com Christ Kartika Rahayuningsih chrstkartika@gmail.com Suliati Suliati suliati.05suli@gmmail.com <p>Corticosteroid inhaler is one of the first-line drugs given for the control and prevention of asthma attacks in the long term and continuously. The use of corticosteroid inhalers for a long time has systemic side effects in the oral cavity which can be a predisposing factor for normal fungal infection of Candida albicans microflora, an increase of Candida albicans’s amount in the oral cavity can cause oral candidiasis. Candida albicans detection using q-PCR to detect specific genes in oral swab specimens can provide an indirect picture of the amount of Candida albicans in the samples taken. The purpose of this study was to determine the relationship between the length of use of corticosteroid inhalers and the cycle threshold value in oral swab samples of asthma patient. This type of research is correlational research with data collection techniques using a purposive sampling technique on 30 respondents at the Lung Polyclinic at Bhayangkara Hospital H.S Samsoeri Mertojoso Surabaya who fit the inclusion criteria. Samples were examined using q-PCR to detect specific genes in the ITS-2 region to detect Candida albicans. This research was conducted at the Molecular Biology Laboratory of the Ministry of Health Surabaya Polytechnic during the period April – May 2023. The results showed that there were 26 samples (86.7%) positive for the ITS-2 gene and 4 samples (13.3%) negative for the ITS-2 gene. with sig. 0.307 so that it can be concluded that there is no relationship between the length of use of corticosteroid inhalers and the cycle threshold value of C. albicans in asthmatic’s oral swab sample.</p> 2023-11-04T00:00:00+00:00 ##submission.copyrightStatement##