Articles
Sphygmomanometer Sphygmomanometer with Led Bar Display to Improve the Blood Pressure Reading Accuracy
Bambang Guruh Irianto Guruh Irianto;
Sumber Sumber;
Elmira Rofida Al Haq;
Mansour Asghari
Jurnal Teknokes Vol 15 No 3 (2022): September
Publisher : Jurusan Teknik Elektromedik, POLTEKKES KEMENKES Surabaya, Indonesia
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DOI: 10.35882/teknokes.v15i3.321
Instruments in the hospital environment have a role to help and promote more accurate diagnosis and treatment. The general condition of the equipment used and their delivery are very important for a good prognostic. One of them is a device to measure blood pressure called a sphygmomanometer. There are 3 types of sphygmomanometer, namely digital, mercury, and aneroid. Currently, digital sphygmomanometers are known to be easy to use, but their accuracy is low and reduces the ability of nurses to identify blood pressure in humans. Mercury sphygmomanometer has high accuracy, but should not be used because it still uses mercury as a display. This is supported by the Ministry of Health's program to free the world of health from mercury because of the impact of mercury on health and the importance of nurses to train the skills of nurses. The purpose of this study was to reduce the use of mercury which is harmful to humans, in addition to training the nurse's ability to take blood pressure readings on patients. The method used by the researcher is to test the suitability value of the module with the calibrator and to collect data on six respondents to compare the module with the sphygmomanometer that has been traded. The result of the research is the error value when testing the module's suitability value with the DPM (Digital Pressure Monitor) calibrator with a range from 0 to 0.67%. each set point has a different error value. and the lowest error value is among the six set points, namely 0% and the highest error value is 0.67%. Meanwhile, the lowest error value in systole is 0.2% and the highest error value is 2.16%. While the lowest error value in diastole is 0% and the highest error value is 5.55%. Based on the results of the research that has been carried out, the authors conclude that this module is made to replace mercury which is prohibited from being used because it is dangerous for humans and trains nurses' abilities in determining blood pressure readings.
Effect of Muscle Fatigue on Heart Signal on Physical Activity with Electromyogram and Electrocardiogram (EMG Parameter ) Monitoring Signals
Muhammad Fauzi;
Endro Yulianto;
Bambang Guruh Irianto;
Sari Luthfiyah;
Triwiyanto Triwiyanto;
Vishwajeet Shankhwar;
Bahaa Eddine ELBAGHAZAOUI
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 4 No 3 (2022): August
Publisher : Department of electromedical engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia
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DOI: 10.35882/ijeeemi.v4i3.240
Physical activity is an activity of body movement by utilizing skeletal muscles that is carried out daily. One form of physical activity is an exercise that aims to improve health and fitness. Parameters related to health and fitness are heart and muscle activity. Strong and prolonged muscle contractions result in muscle fatigue. To measure muscle fatigue, the authors used electromyographic (EMG) signals through monitoring changes in muscle electrical activity. This study aims to make a tool to detect the effect of muscle fatigue on cardiac signals on physical activity. This research method uses Fast Fourier Transform (FFT) with one group pre-test-post-test research design. The independent variable is the EMG signal when doing plank activities, while the dependent variable is the result of monitoring the EMG signal. To get more detailed measurement results, the authors use MPF, MDF and MNF and perform a T-test. The test results showed a significant value (pValue <0.05) in the pre-test and post-test. The Pearson correlation test got a value of 0.628 which indicates there is a strong relationship between exercise frequency and plank duration. When the respondent experiences muscle fatigue, the heart signal is affected by noise movement artifacts that appear when doing the plank. It is concluded that the tools in this study can be used properly. To overcome noise in the EMG signal, it is recommended to use dry electrodes and high-quality components. To improve the ability to transmit data, it is recommended to use a Raspberry microcontroller.
Analysis of The Accuracy of Temperature Sensors at The Calibrator Incubator Laboratory are equipped with data storage base on Internet of Thing
Candra Prastyadi;
Bambang Guruh Irianto;
Her Gumiwang Ariswati;
Dyah Titisari;
Steyve Nyatte;
Shubhrojit Misra
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 4 No 4 (2022): November
Publisher : Department of electromedical engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia
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DOI: 10.35882/ijeeemi.v4i3.241
A laboratory incubator is a tool used to incubate or incubate a breed. Incubators provide optimum temperature conditions for microorganisms to grow. The incubator has a temperature regulator so that the temperature can be adjusted according to the breed to be incarnated. Incubators utilize hot-dry like ovens. The purpose of this study is to conduct testing and analyze the accuracy of thermocouple sensors with incubator media in laboratory incubator calibrator tools. The contribution of the research is to know the level of accuracy of the sustainable sensor for sensing the temperature in the lab incubator. The main Design consists of 8 MAX 6675 Standards, 8 Thermocouple type K, Arduino Mega, and SD Card Standards. The temperature not in the incubator device is measured by a Type K thermocouple sensor. Thermocouple sensor numbers 8 channels that measure the temperature at each incubator camber point. The temperature will be stored on the SD card to analyze the data and the data can be processed into the form of a graphic. Benchmarking is done using a data logger temperature tool. This is done to make the Design results are under the standards of the Standard. After comparing with the Standard get the largest error value is 3.98%, at channel T6 temperature 35 °C with ordinary incubator media and the smallest error in ordinary incubator media point T6 temperature 37 ° C which is 0.06 % and in fan incubator temperature 35 C has the largest error which is 2.98 % and the smallest error 0.86%. The conclusion of this study is that the design can work well in measuring the temperature of the incubator, as well as the system for storing readings using the SD card Design and sending data using the internet network can work well.
Design of Carbon Dioxide Levels Measurement in Human Expiration Using EtCO2 Capnography Method
Rifky Maulana Fuadi;
Endro Yulianto;
Bambang Guruh Irianto;
Abhishek Mishra
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 5 No 1 (2023): February
Publisher : Department of electromedical engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia
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DOI: 10.35882/ijeeemi.v5i1.266
Asthma is a chronic respiratory disease and has become the main reason patients are always rushed to the hospital emergency department. Capnography is a new method for examining asthma by measuring CO2 levels released by the lungs. The aim of this research is to create an EtCO2 capnography device that is able to measure CO2 levels in patients with asthma or difficulty breathing to assist doctors in determining the urgency of using a ventilator in a patient. The EtCO2 Capnography device used in the hospital uses a sensor that is expensive, but in this study, a CO2 gas sensor type Cozir-WX-20 is used at a low price. The research was conducted by utilizing a CO2 gas sensor type Cozir-WX-20 which reads CO2 concentration in ppm value and a microcontroller as an analog to digital data processor to be displayed on the LCD. Sensor characterization was carried out to compare the side-stream and main-stream methods, response time readings, and the accuracy of the cozir sensor. The resulting data is taken from CO2 cylinders and medical air gas at various flow volume values and is connected to the Cozir sensor and EtCO2 main-stream patient monitors and side-stream EtCO2 patient monitors. The resulting CO2 readings from CO2 tubes and medical water on the Cozir-WX-20 sensor and main-stream patient monitors get an error of 4.6%, namely at a CO2 concentration of 7% or 70,000 ppm and sensor accuracy is above 95%. As for the side-stream method, the reading error is 1.96% and 1.74% at a CO2 concentration of 6-7%. Sensor accuracy on the side-stream method cozir module is above 95%. Response time reading CO2 gas at a concentration of 1%-7% under 5 seconds. It is hoped that this inexpensive EtCO2 Capnography device can be used for diagnostic purposes in the emergency room or intensive care unit to quickly and accurately determine the urgency of using a ventilator in a patient to avoid a fatal condition.
Design And Development Of Spo2, Bpm, And Body Temperature For Monitoring Patient Conditions In Iot-Based Special Isolation Rooms
Dyah Purwitosari;
Bambang Guruh Irianto;
Triwiyanto Triwiyanto;
Phuoc-Hai Huynh
Jurnal Teknokes Vol 16 No 2 (2023): June
Publisher : Jurusan Teknik Elektromedik, POLTEKKES KEMENKES Surabaya, Indonesia
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DOI: 10.35882/teknokes.v16i2.462
The use of batteries as the main power source in portable equipment systems has several drawbacks, including the percentage of battery power that must be monitored so that the system is always active. Analysis of battery power efficiency is needed to determine the resistance of portable systems. This study makes a portable system for monitoring the condition of patients with infectious diseases in a special isolation room that can measure heart rate, body temperature, and oxygen saturation. The design of this device uses a 2200mAH battery as a power source on the IC TTGO ESP32 to manage data and display measurement results, the MAX30102 sensor to measure oxygen saturation and heart rate, and the MCP9808 sensor to measure body temperature. The design of this device has been tested on respondents aged 25-40 years by placing the sensor on the fingertip then the measurement results are compared with a standard device that has been calibrated. The measurement results show that the device is feasible to use because the measurement error value is ±5%. Testing the efficiency of battery power in normal mode and save mode. In normal mode, the current used in the device is 154.9 mA, while the save mode by not activating the LCD TTGO ESP32 requires a current of 126.7 mA. The results of the analysis show that using the battery in normal mode can activate the device for up to ±14 hours and in save mode for ±17 hours. This designed method is useful for measuring power efficiency in different device modes and the user knows the battery charging time at regular intervals.
Design Of Bedside Monitor Based On Microcontroller
Bambang Guruh Irianto;
Agus Susilo Wibowo;
Dwi Herry Andayani
JURNAL INFOTEL Vol 11 No 4 (2019): November 2019
Publisher : LPPM INSTITUT TEKNOLOGI TELKOM PURWOKERTO
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DOI: 10.20895/infotel.v11i4.443
A Bedside monitor is the equipment used to monitor patient condition through some parameters that need sustainable monitoring so that the patient condition is always monitored. This research is monitored by 5 parameters namely heart signal, heart rate, temperature, respiration and SPO2. This research applies quasi experimental design. The free variable is an ECG phantom or human, and the dependent variable is a bedside monitor. The research instruments are a calibration equipment of ECG signal, temperature, and respiration. The result of the heart signal lead 2 is not different from the standard and the result of the heart rate lead has uncertainty (probability) 0 for Lead 2; which is still under the tolerance number (0.5). The results of the temperature measurement of 5 samples with 5 measurements show that there are 3 samples which have standard deviation and 0 (zero) uncertainty, whereas 2 samples have 0.76 (higher than 0.5) uncertainty. This condition is influenced by the patient movements, so the sensor attached on the patient-body does not fit with the standard installation. The respiration measurement results have an accuracy of 98%, while the SPO2 results have a standard deviation and uncertainty below 5% after being compared with the standard calculations. Here are the details: standard deviation 0.894427; 0.547723; 0.44; Probability 0.4; 0.244949; 0.2 and 0.2. Overall, it can be concluded that The Design of Bedside Monitor Based on Microcontroller is feasible and the measurement result of heart signal Lead 2, heart rate, temperature, respiration, SPO2 can be presented on a PC.
Monitoring Baby Incubator Central through Internet of Things (IoT) based on Raspberry Pi Zero W with Computer Monitoring)
Fransiska Ima Setia Ningsih;
Bambang Guruh Irianto;
Lamidi Lamidi;
Mohanad Abdulhamid
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 5 No 3 (2023): August
Publisher : Department of electromedical engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia
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DOI: 10.35882/ijeeemi.v5i3.283
Premature infants, with a gestational age of 37 weeks or less and weighing less than 2500 grams, face challenges in adapting to the outside world due to the underdeveloped state of their organ systems. Special care is essential to support their growth and development, including maintaining optimal temperature, humidity, and oxygen levels similar to those experienced in the mother's womb. Baby incubators play a crucial role in providing these conditions. This study aims to develop a convenient monitoring tool for midwives and healthcare workers responsible for multiple baby incubators. The tool operates independently and is compatible with various brands of baby incubators. Leveraging an IoT system, it utilizes ESP32 and Raspberry Pi Zero W modules for data transmission. The tool incorporates a DS18B20 sensor for monitoring skin temperature and a DHT22 sensor for monitoring the temperature inside the incubator chamber. Using a pre-experimental design with an after-only research design, the tool's measurements are compared against an incubator analyzer. The study reveals that the developed module still exhibits some measurement errors. However, despite these limitations, the research is expected to greatly assist medical personnel in simultaneously monitoring multiple baby incubators. Keywords : Premature infants, Baby incubators, IoT, Temperature, ESP32, Raspberry Pi Zero W
Description of the Risk of Heart Disease and Stroke in Residents of RW 03 Dampit, Malang, Based on Electrocardiogram and Fast Test Examination
Bambang Guruh Irianto;
Dwi Herry Andayani;
Sari Luthfiyah
Frontiers in Community Service and Empowerment Vol. 1 No. 2 (2022): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)
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DOI: 10.35882/ficse.v1i2.14
The Malang regency district has the fourth-highest smoking prevalence rate among those over 10 years old, at 30%. 23.91% of the population aged 10 to 18 are active smokers who smoke daily. The number of passive smokers or people exposed to cigarette smoke is estimated to be higher than the number of smokers because when active smokers smoke, they also interact with non-smokers. Residents of Rukun Warga 03 Dampit village who suffer from hypertension and smoke are believed to have an impact on the incidence of heart disease and stroke, characterized by changes in the configuration of the ECG signal and signs of stroke. The purpose of this community service is to get an overview of the residents of RW.03 Dampit Village who have the potential to get heart diseases and strokes. The methodology used in conducting the community service under the community partnership program (PKM) is a pre-experimental single case study, i.e. the results of studying cardiac records of partners with a target of 50 residents in the RT environment. 007 RW. 03. The results of the community service activities showed that most (59%) reported ST elevation (ischemia) and 30% reported ST depression, the remaining 16% reported T elevation, and another 16% reported T depression. The results of his ECG recording showed evidence of M-shape, ST elevation, and ST depression (arrhythmia and ischemia). Meanwhile, all VES (ventricular extrasystoles) indicated are female. The conclusion from this community service is that there are more people who have the potential to get heart disease and stroke than active smokers. The benefits to the community are to know the condition of the residents of RW.03 Dampit Village who are potentially affected by heart disease and strokes and to improve residents' knowledge of the dangers of smoking for both active and passive smokers, the importance of eating healthy foods, and routine of exercise.
Advancing healthcare: integrating telemedicine with baby incubators at puskesmas dampit to ensure seamless health services
Irianto, Bambang Guruh;
Luthfiyah, Sari;
Maghfiroh, Anita Mifthahul
Frontiers in Community Service and Empowerment Vol. 3 No. 1 (2024): March
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)
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DOI: 10.35882/ficse.v3i1.42
Puskesmas in Malang Regency do not yet have facilities for monitoring LBW in real time via android either by health workers at the health centre or the patient's family. Puskesmas Dampit serves communities spread across several villages with a coverage area spread across several villages. This is an obstacle for families to get access to monitor the patient's progress, because the patient is in the NICU or ICU room. Another thing is that there is no training for users in the use of telemedicine-based Baby Incubator equipment. The role of users and families of patients is very important to keep the equipment in good condition. However, operating trainings based on new technology for users have never been conducted. Efforts to solve the above problems are to carry out counselling and assistance in the use of baby incubator equipment to users including nurses, midwives and other non-health worker users, so as to increase the knowledge of officers or users which in turn will have an impact on increasing the productivity of officers or users and improving the quality of service at the health centre. The purpose of this Community Service is to increase the role and participation of Poltekkes Kemenkes Surabaya in improving the degree of public health in the Puskesmas Dampit area, Malang Regency. The results of community service through the application of telemedicine-based Baby Incubator at Puskesmas Dampit are increased knowledge and skills regarding telemedicine-based baby incubator equipment. This will improve health services, especially for babies who need intensive care. The implementation of this technology provides significant benefits, including increased accessibility of health services, speed of response to patient health conditions, family involvement in care, and efficient use of resources. Assistance to Puskesmas personnel and patient families in the form of training, monitoring and evaluation of the use of appropriate technology in the form of Telemedicine-based baby incubator utilization.
Enhancing Health Services through Telemedicine: Addressing the Gaps in LBW Monitoring and Training at Puskesmas Gedangan, Sidoarjo Regency
Guruh Irianto, Bambang;
Luthfiyah, Sari;
Gumiwang, Her;
Mifthahul Maghfiroh, Anita;
Kholik, Abdul
Frontiers in Community Service and Empowerment Vol. 3 No. 3 (2024): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)
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DOI: 10.35882/ficse.v3i3.69
Puskesmas in Sidoarjo Regency do not yet have facilities for monitoring LBW in real time via android either by health workers at the health centre or the patient's family. Puskesmas Gedangan serves communities spread across several villages with a coverage area spread across several villages. This is an obstacle for families to get access to monitor the patient's progress, because the patient is in the NICU or ICU room. Another thing is that there is no training for users in the use of telemedicine-based Baby Incubator equipment. The role of users and families of patients is very important to keep the equipment in good condition. However, operating trainings based on new technology for users have never been conducted. Efforts to solve the above problems are to carry out counselling and assistance in the use of baby incubator equipment to users including nurses, midwives and other non-health worker users, so as to increase the knowledge of officers or users which in turn will have an impact on increasing the productivity of officers or users and improving the quality of service at the health centre. The purpose of this Community Service is to increase the role and participation of Poltekkes Kemenkes Surabaya in improving the degree of public health in the Puskesmas Gedangan area, Sidoarjo Regency. The results of community service through the application of telemedicine-based Baby Incubator at Puskesmas Gedangan are increased knowledge and skills regarding telemedicine-based baby incubator equipment. This will improve health services, especially for babies who need intensive care. The implementation of this technology provides significant benefits, including increased accessibility of health services, speed of response to patient health conditions, family involvement in care, and efficient use of resources. Assistance to Puskesmas personnel and patient families in the form of training, monitoring and evaluation of the use of appropriate technology in the form of Telemedicine-based baby incubator utilization.