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Journal : Journal of Electronics, Electromedical Engineering, and Medical Informatics

Sleep Apnea Detection Model Using Time Window and One-Dimensional Convolutional Neural Network on Single-Lead Electrocardiogram Pratama, Fadil; Wiharto, Wiharto; Salamah, Umi
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 7 No 1 (2025): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v7i1.573

Abstract

Sleep apnea is an important disorder that involves frequent disruptions in breathing during sleep, which can result in numerous serious health issues, such as cognitive deterioration, cardiovascular illness, and heightened mortality risk. This study introduces a detailed model designed for the detection of sleep apnea using single-lead electrocardiogram signals, providing an accurate detection method. We can use single-lead ECG signals to get ECG-Derived Respiration (EDR). EDR combines important respiratory signals with RR intervals to help find sleep apnea more accurately. We structure the research process into seven systematic stages, ensuring a comprehensive approach to the issue. The process commences with the acquisition of data from the "Apnea-ECG Database" accessible on the PhysioNet platform, which underpins the ensuing analysis. Subsequent to data collection, we execute a sequence of preprocessing procedures, including segmentation, filtering, and R-peak detection, to enhance the ECG data for analysis. After that, we do feature extraction, which gives us 12 unique features from the RR interval and 6 features from the R-peak amplitude, which are both necessary for the model to work. The research subsequently utilizes feature engineering, implementing a Time Window methodology to encapsulate the temporal dynamics of the data. To ensure the results are robust, we conduct model evaluation using stratified K-fold cross-validation with five folds. The modeling technique employs a 1D Convolutional Neural Network (1D-CNN) utilizing the Adam optimizer. Ultimately, the performance assessment shows an accuracy score reaching 89.87%, sensitivity at 86.16%, specificity at 92.30%, and an AUC score of 0.96, attained with a Time Window size of 15. This model signifies a substantial improvement in performance relative to previous studies and serves as a feasible option for the detection of sleep apnea
Model Group Decision Support System Based on Depression Anxiety Stress Scales Using Ordered Weighted Averaging Aggregation Method Wiharto, Wiharto; Putri, Della K.; Sihwi, Sari W.; Salamah, Umi; Suryani, Esti; Atina, Vihi; Utomo, Pradityo
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 7 No 2 (2025): April
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v7i2.678

Abstract

Depression, anxiety, and stress are common psychological conditions often triggered by the pressures of daily life. Depression Anxiety Stress Scale (DASS), is a widely used tool for assessing the severity of these disorders, available in different versions such as the DASS-21 and DASS-42. In line with these findings, DASS-21 consists of 21 symptom items, categorized into three types of disorders, with seven items assigned to each. In contrast, the DASS-42 includes 42 symptom items, with 14 items allocated per disorder. Both versions serve as standardized tools for assessing the severity of depression, anxiety, and stress, and the different versions show that one item only affects one disorder. In practice, it can affect several disorders with different priorities. This condition increases the risk of subjective bias in a psychologist's decision-making, as personal experiences and perceptions may influence their assessments. Therefore, this study aims to develop a Group Decision Support System (GDSS) model that considers the preferences of several psychologists in determining the priority of disorders based on the DASS-42 and DASS-21 items. The model has been built using the psychologist's preference method for DASS-42 and DASS-21 in fuzzy form, then combined using the Ordered Weighted Averaging (OWA) method to produce one decision. The alignment of top-priority items between GDSS and DASS was assessed as part of the evaluation. The results show a high degree of similarity, with GDSS matching 16 out of 21 symptom items in DASS-21 and 35 out of 42 items in DASS-42. The GDSS model can accommodate the preferences of decision-makers in providing weighting of the influence on each item in the DASS-21 and DASS-42, thereby providing more objective decisions.
Classification of Ultrasound Images Using ResNet-50 with a Convolutional Block Attention Module (CBAM) Afif, Bagus Tegar Zahir; Wiharto, Wiharto; Salamah, Umi
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 8 No 1 (2026): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v8i1.1406

Abstract

Liver fibrosis staging is a crucial component in the clinical management of chronic liver disease because it directly affects prognosis, therapeutic decision-making, and long-term patient monitoring. Ultrasound imaging is widely used as a noninvasive diagnostic modality due to its safety, low cost, and broad accessibility. Nevertheless, ultrasound-based fibrosis assessment remains challenging because liver parenchymal echotexture often exhibits low contrast, speckle noise, and subtle inter-stage variations, particularly among adjacent METAVIR stages. These characteristics frequently limit the effectiveness of conventional convolutional neural networks, which tend to emphasize dominant global patterns while suppressing weak but clinically meaningful texture cues. This study presents a task-oriented integration of a Convolutional Block Attention Module into a ResNet-50 backbone to enhance feature discrimination for five-stage liver fibrosis classification using heterogeneous B-mode ultrasound images. Rather than introducing a new attention mechanism, the contribution lies in the systematic insertion of CBAM after residual outputs across multiple network stages, enabling repeated channel and spatial recalibration from low-level texture descriptors to higher-level semantic representations. To further improve robustness and reduce prediction variance, a stratified 5-fold training strategy is combined with logit-level ensemble inference, where logits from independently trained fold models are averaged prior to Softmax normalization. Experiments were conducted on a publicly available dataset comprising 6,323 ultrasound images acquired from two tertiary hospitals using multiple ultrasound systems, with fibrosis stages labeled from F0 to F4 according to histopathology-based METAVIR scoring. The proposed framework achieves a test accuracy of 98.34%and consistently high precision, recall, and F1 scores across all fibrosis stages, with the most pronounced improvement observed for intermediate stages. Statistical analysis based on paired fold-wise comparisons confirms that the performance gain over the baseline ResNet 50 model is statistically significant. These results demonstrate that combining lightweight attention-based feature refinement with logit ensemble inference effectively addresses the inherent challenges of ultrasound-based liver fibrosis staging and provides a reliable noninvasive decision support framework with strong potential for clinical application and future multicenter validation.
Mental Health Detection Expert System Model Based on DASS-42 Using Fuzzy Inference System Rahmat, Eko Ginanjar Basuki; Wiharto, Wiharto; Salamah, Umi
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 8 No 1 (2026): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v8i1.1443

Abstract

Mental health disorders such as depression, anxiety, and stress frequently co-occur and exhibit overlapping symptoms, making accurate diagnosis challenging due to the subjective nature of psychological assessments. Conventional use of the Depression Anxiety Stress Scales (DASS-42) relies on rigid score aggregation, while many machine learning approaches fail to adequately represent uncertainty and expert reasoning. This study aims to develop an expert system for mental health detection by integrating fuzzy logic with expert knowledge derived from the DASS-42 instrument. The main contribution of this research is a hybrid knowledge-based framework that combines decision tree–based rule extraction with psychological expert validation, ensuring both interpretability and clinical relevance. The proposed method employs a Fuzzy Inference System (FIS) using triangular and trapezoidal membership functions to model symptom intensity as linguistic variables, followed by rule generation using the CART decision tree algorithm and expert refinement. System performance is evaluated using Cohen’s Kappa coefficient, including standard error and 95% confidence intervals, to measure inter-rater reliability between the expert system, the DASS instrument, and two human experts. The results indicate that the expert system achieves almost perfect agreement in identifying dominant psychological conditions, with an average Kappa value of 0.918. For severity-level classification, strong agreement is observed for depression (Kappa = 0.842) and stress (Kappa = 0.811), while anxiety severity shows moderate-to-substantial agreement (Kappa = 0.648), reflecting inherent variability in expert interpretation. In conclusion, the proposed FIS-based expert system effectively captures expert diagnostic reasoning and outperforms decision tree–only models, demonstrating strong potential as an interpretable and reliable mental health screening tool.
Co-Authors Abdul Bashith Abdurrahman, Annas Afif, Bagus Tegar Zahir Agus Budianto Agus Naba Aishnabila, Shinta Akhwani Akhwani, Akhwani Al Khowarizmi Alwiyah Alwiyah Andi Prastowo Andromeda Andromeda Anggraeini, Cita Anggraeni Dwi Puspita , Reny Anggraeni, Feny Dwi Apik Rusdiarna Indra Praja Aprilia K. D, Novi Ardi, Subhan Zul Arofi, Mohammad Fahmi AS, Adelia Atina, Vihi Ayub Mursalin Azahra, Elsa Azkia, Soviatul Bahtiar Bahtiar Bambang Gonggo Murcitro Barchia, M Faiz Bustaman, Hendri Bustaman, Hendri Cornelia Sugijantoro, Alviana Deni Irawan, Deni Dewi, Mellita Diah Agustina Prihastiwi Dina Mayadiana Suwarma Djutaharta, Triasih Donwill Panggabean Dwi Ardiansyah, Nico Dwi Finna Syolendra EDHI TURMUDI Eka Saputra, Helfi Elen Puspitasari Endang Sumarti Erlina Rahmayuni, Erlina Ery purwanti Esti Suryani Fachry Abda El Rahman Faiha, Dhea Kirana Farizza, Rifqi Al Fatkhurozak, Fatkhurozak Fauziah, Salsa Alya Fernando, Riky Firdausiyah, Luluk Firman Hidayat Fitria, Humairah Ghozali Maski HAJRIAL ASWIDINNOOR Halimatus Sa’diyah Hanis Ratnasari Hariyadi Soetedjo Haryadi, Bagus Herlawati Herlawati Herman, Welly Heru Widiyono, Heru Hidaayah, Nur Hidayatulloh, Arif Hilmi, Isom Humang, Windra Priatna Husna, Muhimmatul I.P, Apik Rusdiarna Ikhsan, M. Alifudin Ilfi Nur Diana Indah, Erna Nikmatul Intan Chairun Nisa Jenuri Joni Iskandar, Joni Juliadi, Ertawan Kasuwi Saiban Khasanah, Muthi’atul Khasbulloh, M. Wahab Khodijah Khodijah KHOIRUL ANAM Khoirul Anam, Faris Kusuma, Damar Yoga Kusumo, Djati Wulan Lioni Anka Monalisa, Lioni Anka Lismaiyar Lula Nadia Lupitasari, Florentina Bety Indah M. Luthfi Oktarianto M. Yamin Jinca Mahir, Imran Makhrus, Ali Mardhotillah, Rachma Rizqina Marwanto Marwanto, Marwanto Mas’udah, Laili Maulana Fatih Falahuddin Merakati Handajaningsih Misbahul Munir Moestin, Moestin Mohamad Yusak Anshori Mufidah, Yasmin Muhammad Nasir Muhammad Taufiq Muhammad, Fauzi Muharjono, Muharjono Muliyono, Nurwakhid Mulyana, Desi Nurlaela Muryani, Susi Mutholingah, Siti Muzaini, M. Choirul Muzdalifah, Zahrotul Nadatien, Ima Nadhif, Moh. Nafi’ah, Nafi’ah Naysilla, Nawang Nindita, Anggi Noviyanti, Rinda - Novyriana, Ekka Nugraha, Nursila Dwi Nur Hayati Nur Khasanah Nurhidayati, Titin Nurlaily, Diana Oktira Roka Aji Pamungkas, Agung Laksana Hendra Permatasari, Eka Diana Persada, Yuris Indria Pradityo Utomo Pramudiyanti Pratama, Fadil Pratiwi, Novi Dian Priatna, Agnes Hilmi Purwanto, Bulan Putri, Della K. Putri, Masmoni Ade Qonitatul Hidayah Qonitatul Hidayah Qusaeri, Muammar Afif Al Rahmat Rahmat Rahmat, Eko Ginanjar Basuki Rahmatan Idul Rahmawan, Rizki Dwi Rahmayani Rahmayani Ratnasari, Khurin'in Raudhatun Nuzul ZA, Raudhatun Razak, Faisal Rizki, Aji Nur Rofiatul Hosna Rofiq, M. Nafiur Rokhyanto Rokhyanto, Rokhyanto Rossa Puteri Baharie, Sri Sa'dun Akbar Said, Achmad Said, Akhmad Salsabila, Alfiyyah Samosir, Omas B. Sayama Malabar Setioko, Sigit Setyaningrum, Ikawati Setyawan Purnomo Sakti Sihwi, Sari W. Singgih Purnomo Siti Helmyati Siti Mutholingah Sopar Sri Handayaningsih Sri Rosita Sumardi . Sunarti, Zeni Supanjani, Supanjani Supanjani, Supanjani Supriyati, Vidia Ajeng Susanto Susanto Tri Widodo Triyo Supriyatno Ubaidillah, Ibnu Ulfa, Mariya W Udi, Siti Muslima Wahyu Adhi Saputro Wahyu Widodo Wahyuni Ganefianti, Dwi Widhiastuti, Ratna Widodo Widodo Widodo, Yessy Pramita Widyantoro , Wisnu Wiharto Wiharto Wiharto Wiliyanto, Wiliyanto Willy Bayuardi Suwarno Wisnu Widiarto Yenny Sariasih Yudha, Ery Permana Yudi Ari Adi, Yudi Ari Yulia Fitri Yuni Astuti Yuniasari, Fenni Yuniawatika Zaenal Abidin Zaenu Zuhdi Zaki, Amin Zul Ardi, Subhan Zulkarnain Zulkarnain