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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.
Breast Cancer Classification on Ultrasound Images Using DenseNet Framework with Attention Mechanism Azka, Hanina Nafisa; Wiharto, Wiharto; Suryani, Esti
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 7 No 3 (2025): July
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v7i3.779

Abstract

Breast cancer is one of the most prevalent and life-threatening diseases among women worldwide. Early detection of breast cancer being critical for increasing survival rates. Ultrasound image is commonly used for breast cancer screening due to its non-invasive, safe, and cost-effective. However, ultrasound images are often of low quality and have significant noise, which can hinder the effectiveness of classification models. This study proposes an enhanced breast cancer classification model that leverages transfer learning in combination with attention mechanisms to improve diagnostic performance. The main contribution of this research is the introduction of Dense-SASE, a novel architecture that combines DenseNet-121 with two powerful attention modules: Scaled-Dot Product Attention and Squeeze-and-Excitation (SE) Block. These mechanisms are integrated to improve feature representation and allow the model to focus on the most relevant regions of the ultrasound images. The proposed method was evaluated on a publicly available breast ultrasound image dataset, with classification performed across three categories: normal, benign, and malignant. Experimental results demonstrate that the Dense-SASE model achieves an accuracy of 98.29%, a precision of 97.97%, a recall of 98.98%, and an F1-score of 98.44%. Additionally, Grad-CAM visualizations demonstrated the model's capability to localize lesion areas effectively, avoiding non-informative regions, and confirming the model's interpretability. In conclusion, the Dense-SASE model significantly improves the accuracy and reliability of breast cancer classification in ultrasound images. By effectively learning and focusing on clinically relevant features, this approach offers a promising solution for computer-aided diagnosis (CAD) systems and has the potential to assist radiologists in early and accurate breast cancer detection.
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.