Jurnal Teknokes
Aims JURNAL TEKNOKES aims to become a forum for publicizing ideas and thoughts on health science and engineering in the form of research and review articles from academics, analysts, practitioners, and those interested in providing literature on biomedical engineering in all aspects. Scope: 1. Medical Electronics Technology and Biomedical Engineering: Biomedical Signal Processing and Control, Artificial intelligence in biomedical imaging, Machine learning, and Pattern Recognition in a biomedical signal, Medical Diagnostic Instrumentation, Laboratorium Instrumentation, Medical Calibrator Design, Intelligent Systems, Neural Networks, Machine Learning, Fuzzy Systems, Digital Signal Processing, Image Processing, prosthetics, orthotics, rehabilitation sciences, Mobility Assistive Technology (MAT), Internet of Things (IoT), and Artificial Intelligence (AI) in the prosthetics and orthotics field, Breast Imaging, Cardiovascular Imaging, Chest Radiology, Computed Tomography, Diagnostic Imaging, Gastrointestinal Imaging, Genitourinary, Radiology, Head & Neck, Imaging Sciences, Magnetic Resonance Imaging, Musculoskeletal Radiology, Neuroimaging and Head & Neck, Neuro-Radiology, Nuclear Medicine, Pediatric Imaging, Positron Emission Tomography, Radiation Oncology, Ultrasound, X-ray Radiography, etc. 2. Medical Laboratory Technology: Hematology and clinical chemistry departments, microbiology section of the laboratory, parasitology, bacteriology, virology, hematology, clinical chemistry, toxicology, food and beverage chemistry. 3. Environmental Health Science, Engineering and Technology: Papers focus on design, development of engineering methods, management, governmental policies, and societal impacts of wastewater collection and treatment; the fate and transport of contaminants on watersheds, in surface waters, in groundwater, in soil, and in the atmosphere; environmental biology, microbiology, chemistry, fluid mechanics, and physical processes that control natural concentrations and dispersion of wastes in air, water, and soil; nonpoint-source pollution on watersheds, in streams, in groundwater, in lakes, and in estuaries and coastal areas; treatment, management, and control of hazardous wastes; control and monitoring of air pollution and acid deposition; airshed management; and design and management of solid waste facilities, detection of micropollutants, nanoparticles and microplastic, antimicrobial resistance, greenhouse gas mitigation technologies, novel disinfection methods, zero or minimal liquid discharge technologies, biofuel production, advanced water analytics 4. Health Information System and Technology The journal presents and discusses hot subjects including but not limited to patient safety, patient empowerment, disease surveillance and management, e-health and issues concerning data security, privacy, reliability and management, data mining and knowledge exchange as well as health prevention. The journal also addresses the medical, financial, social, educational, and safety aspects of health technologies as well as health technology assessment and management, including issues such as security, efficacy, the cost in comparison to the benefit, as well as social, legal, and ethical implications. This journal also discussed Intelligent Biomedical Informatics, Computer-aided medical decision support systems using a heuristic, Educational computer-based programs pertaining to medical informatics.
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<![CDATA[Analysis Of Early Warning System In Cold Room Vaccine Storage With Iot System ]]>
<![CDATA[Arniningtyas, Aprilina Gayuh]]>;
<![CDATA[Pudji, Andjar]]>;
<![CDATA[Yulianto, Endro]]>;
<![CDATA[Ali, Latafat Mikayilzade]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Cold room as a cold room for vaccine storage is an environment with a controlled temperature used to maintainand distribute vaccines in optimal conditions. The results of this review are expected to be a reference for researchers andreaders with the development of research using the DS B1820 temperature sensor which will analyze the results of the datalogger output and linearity at sensitive locations Cold Room with LCD output and equipped with an IoT system web displayon a PC for monitoring and alarm and notification via telegram when there is a change in temperature approaching and outsidethe range of 2 - 8 ° C so that this can make it easier for officers to monitor the temperature and quality of the vaccine. In theresults of the study, temperature graphs and temperature data can be displayed which are recorded in minutes. Temperature measurement with standard tools produces the largest difference of 0.83. The lowest temperature was 2.06°C and the highest temperature was 8.31°C as well as telegram notification of early warning (2.58°C), evacuation vaccine (2.31°C), and exposed vaccine (8.6°C). With this research a Warning System was obtained which was achieved with telegram notifications namely early warning, evacuation vaccines and exposed vaccines to maintain vaccine quality.]]>
<![CDATA[Literature Review: Management of Depression with Physical Exercise on Changes in Blood Sugar Levels in the Family of Diabetes Mellitus ]]>
<![CDATA[Fitriani, Fitriani]]>;
<![CDATA[Nasution, Siti Zahara]]>;
<![CDATA[Sari, Adinda Juwita]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[The increase in blood sugar in type 2 diabetes mellitus is a big problem because it can have physical and psychological impacts. Type 2 diabetes mellitus can cause lifestyle changes, physical weakness, vision problems, and potentially death. All the physical issues that arise indeed have the opportunity to cause emotional problems and depression in people with diabetes mellitus. This review aims to identify research articles on managing depression with physical exercise on changes in blood sugar levels in families with diabetes mellitus. This review is expected to provide benefits to increase knowledge of health service institutions in providing nursing care to patients with diabetes mellitus. The methods used in compiling this literature review are (1) identifying variables in the literature, (2) identifying relevant literature based on topics and titles, (3) obtaining literature in complete reading form, and (4) analyzing the results of various variables in the literature. A literature search was attempted on several databases, such as US Proquest, ScienceDirect, Pubmed, and Google Scholar. The results of this review were obtained from a total of 10 evidence bases, found one qualitative study, two quasi-experiments, four cross-sectionals, 2Systematic Literature Reviews (SLRs) and meta-analyses, and one randomized controlled trial (RCTs).The conclusions based on this review explain that research on the application of physics exercise for families with diabetes mellitus who are depressed with blood sugar levels above normal has decreased, which means it has a significant effect.]]>
<![CDATA[Comparison of Several Types of Plasma as Media in the Germ Tube Test for Identification of Candida albicans ]]>
<![CDATA[Hidayati, Yunia]]>;
<![CDATA[Asnaily, Asnaily]]>;
<![CDATA[Jumaisal, Akhirul]]>;
<![CDATA[Simanjuntak, James Perdinan]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Candida albicans is a commensal on the oral mucosal surfaces of healthy individuals but can be pathogenic in immunocompromised individuals. The germ tube test is an inexpensive, faster, and easier method used to identify and differentiate it from other yeast species. Generally, the test is carried out using serum as the medium. Plasma overall has the same characteristics as serum and differs only in the content of clotting factors. In addition, plasma is easier to obtain than serum in most healthcare services. This study aims to demonstrate three types of plasma as alternative media for germ tube tests. CPDA (Citrate Phosphate Dextrose Adenine), EDTA (Ethylenediaminetetraacetic), and Sodium Citrate plasma were compared to serum in producing of germ tubes. Each plasma and serum was tested in five repetitions. The experimental method was carried out in Mycology Laboratory at the Health Polytechnic of Jambi. The data were observed based on the germ tube formation time and analyzed with a one-way ANOVA test. The average germ tube formation times observed in this study were 70 minutes (serum), 129 minutes (CPDA plasma), 164 minutes (EDTA plasma), and 146 minutes (Citrate plasma). The lengths were significantly different between serum and the three plasma (P>0.05). Nevertheless, CPDA plasma showed the average time which is at the minimum incubation time limit according to the standard protocol of the test. The CPDA plasma was faster than other plasma in the formating time of the germination. Therefore, CPDA plasma can be recommended as a substitute for serum in the germ tube test for it was easier to obtain, and considered safer to use.]]>
<![CDATA[Implementation of Gyro Accelerometer Sensor for Measuring Respiration Based on Inhale and Exhale with Delphi Interface ]]>
<![CDATA[Utama, Egan Graha]]>;
<![CDATA[Triwiyanto, Triwiyanto]]>;
<![CDATA[Rahmawati, Triana]]>;
<![CDATA[Abdulhamid, Mohanad]]>;
<![CDATA[Abdullayev, Vugar]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Accelerometer sensor is widely employed in respiration studies for its ability to detect changes in position and speed. However, there is a lack of research focusing on the optimal placement of this sensor to achieve accurate respiration measurements. This study aims to investigate and analyze the ideal positioning of the gyro accelerometer sensor for precise respiration detection. To achieve this, a design is proposed that utilizes an Arduino Nano as a microcontroller to process signals and derive respiration values from three gyro accelerometer sensors. The obtained respiration signals and values are transmitted to a PC via Bluetooth and visualized through a Delphi application, enabling a comprehensive comparison of the signals from the three sensors. The main contribution of this research lies in studying the impact of gyro accelerometer sensor placement on respiration detection, ultimately identifying the most suitable sensor location. The analysis reveals that the overall error values obtained from the module are promising, with the highest error recorded at 2.06% when the sensor is positioned at the stomach and chest (sensor position 3). This result validates the feasibility of using gyro accelerometer sensors for respiration detection and provides valuable insights for future studies in this domain. However, it is important to acknowledge certain limitations in this research. During respondent movement or walking, noise is observed in the signal, which may affect the accuracy of respiration measurements. These limitations highlight the need for further investigation into refining the sensor placement and signal processing techniques to mitigate noise and enhance overall accuracy. In conclusion, this study emphasizes the significance of gyro accelerometer sensors in respiration detection and addresses the dearth of research regarding their optimal placement. By presenting the error analysis of three sensor positions, the study establishes a foundation for more precise and reliable respiration measurement techniques. Future efforts should concentrate on overcoming the limitations identified in this research, thereby advancing the potential of gyro accelerometer sensors for a wide range of respiration applications, such as monitoring respiratory health and sleep patterns]]>
<![CDATA[Design and Development of SpO2, Bpm, and Body Temperature for Monitoring Patient Conditions in IOT-Based Special Isolation Rooms ]]>
<![CDATA[Purwitosari, Dyah]]>;
<![CDATA[Irianto, Bambang Guruh]]>;
<![CDATA[Triwiyanto, Triwiyanto]]>;
<![CDATA[Huynh, Phuoc-Hai]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[The utilization of batteries as the primary power source in portable equipment systems presents certain drawbacks, primarily concerning the need for constant monitoring of battery power to ensure uninterrupted system functionality. Therefore, this study aims to address the battery power efficiency analysis to evaluate the viability of portable systems. The research endeavors to develop a portable measurement system capable of monitoring SPO2 (blood oxygen saturation), BPM (beats per minute), and body temperature in a specialized isolation treatment room. The proposed system is designed to assess the health conditions of patients afflicted with infectious diseases by measuring their heart rate, body temperature, and oxygen saturation. The devised measurement system incorporates a 2200mAH battery to power the IC TTGO ESP32, which manages data and displays measurement results. Additionally, the system integrates the MAX30102 sensor to measure oxygen saturation and heart rate, along with the MCP9808 sensor to monitor body temperature. To ensure its accuracy, the designed device underwent rigorous testing on respondents aged 25-40 years. The sensors were placed on the fingertip, and the resulting measurements were compared against those obtained from a standardized and calibrated device. The analysis of the measurement results exhibited a commendable ±5% error margin, indicating the feasibility of the proposed device for practical usage. Moreover, the study scrutinized the efficiency of battery power utilization in two distinct modes: normal mode and save mode. In the normal mode, the device consumed a current of 154.9 mA, while the save mode, which involved deactivating the LCD TTGO ESP32, required a current of 126.7 mA. The findings demonstrated that the device could operate for approximately ±14 hours in normal mode and up to ±17 hours in save mode before the battery needed recharging. The proposed design presents an effective approach for evaluating power efficiency in various device modes. Additionally, it empowers users by providing insights into the regular battery charging times, thus enabling them to determine the duration for which the device can be utilized to monitor patients. This knowledge proves invaluable for healthcare practitioners, as they can ensure uninterrupted monitoring while managing battery charging schedules effectively. Overall, this portable measurement system offers a promising solution for enhancing patient care and disease management in isolation treatment rooms.]]>
<![CDATA[A Pioneering Study on the Design and Implementation of Bioradar Sensors for Luxurious Portable Non-Contact Respiration Monitoring ]]>
<![CDATA[Erimelga N, Waode]]>;
<![CDATA[Gumiwang A, Her]]>;
<![CDATA[Luthfiyah, Sari]]>;
<![CDATA[Zen, Kartinah]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Respiratory disorders are a critical health problem. Respiration is a vital activity for the proper functioning of the body.Pandemic SARS-CoV-2 virus is a highly contagious disease and causes rapid spread of droplets. This study aims to determine theeffectiveness of the bioradar sensor used in non-contact respiration monitoring by exploring the distance to find out the optimal distance for sensor readings in monitoring respiration rate per minute. The results of this study for the 3 treatments given to respondents did not affect the results of measuring respiration rate. At distances of 10 cm and 25 cm they produce 40-43 times/minute, distances of 50 cm and 75 cm produce 33-36 times/minute, distances of 100 cm produce 20-22 times/minute and distances of 125 cm and 150 cm are not detected. The highest error value is -100.00% at a distance of 125cm and 150cm and the lowest error value is 3.39% at a distance of 100 cm. based on the results of the analysis of the effectiveness of sensor readings on distance, which is quite effective at a distance of ±100 cm. It is hoped that this research can reduce the level of disease transmission during the Covid-19 pandemic. The results of the study showed that the three treatments given to respondents did not affect the results of respiratory rate measurements. At a distance of 10 cm and 25 cm, it produced 40-43 times/minute, at a distance of 50 cm and 75 cm it produced 33-36 times/minute, at a distance of 100 cm it produced 20-22 times/minute, and at a distance of 125 cm and 150 cm it was not detected. The highest error value is -100.00% at a distance of 125 cm and 150 cm, and the lowest error value is 3.39% at a distance of 100 cm. Based on the analysis of the effectiveness of the sensor reading at a distance, it was found to be quite effective at a distance of ±100 cm. The implication of this study is that this bioradar sensor is effective in monitoring breathing rate at a distance of about 100 cm. The results of this study are expected to reduce the level of disease transmission during the Cov-19 pandemic, as non-contact monitoring can help in avoiding droplet spread, which is one of the ways the virus is transmitted. This study provides important information on the use of bioradar sensors in non-contact monitoring of breathing that can be used to improve the safety and quality of healthcare, especially in the context of a pandemic.]]>
<![CDATA[Bedside Monitor Based on Personal Computer Using STM32F7 Microcontroller ]]>
<![CDATA[Riswandhani, Ingga Ariestya]]>;
<![CDATA[Cahya Nugraha, Priyambada]]>;
<![CDATA[Syaifudin, Syaifudin]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[A vital sign examination is one of the important indications used to establish the diagnosis of a disease and is useful for determining the medical treatment plan needed for the patient. An electrocardiograph (ECG) is a parameter in medical equipment used in the process of measuring the electrical activity of the heart muscle by measuring biopotential differences from the body surface. In 2016, cardiovascular disease was the number-one cause of death in the world. This happens because the detection of cardiovascular disease is often late, so a monitoring tool is needed that can monitor the patient's condition quickly and efficiently. The purpose of this research is to create a tool that is used to facilitate the monitoring of patient conditions. The implication of this research is that in the many cases where the signal produced is not perfect and there is still a lot of noise, this can be overcome by using the STM32F7 microcontroller, which has a 16-bit resolution, so that the resulting signal will be better, smoother, and have less noise. produced is very small. The method used in this study was to use a phantom ECG as a comparison and to use five respondents whose BPM values were to be compared with another comparison using a pulse oximeter. The design of this tool uses an ECG analog circuit that is placed on the patient's lead II leads to detect the patient's electrocardiograph signal. Data processing will be done using the STM32F7 microcontroller, and the results of the data processing will be sent to the PC using Visual Basic. The results showed that the BPM error value using a phantom ECG was 2.5%. While the smallest error value is 0,83%. In BPM measurements using 5 respondents, the largesterror value was 0.9% and the smallest error value was 0%. The results of these tests indicate that this module can be used to monitor the value of each parameter in accordance with the plan.]]>
<![CDATA[Development IoT-based Infant Monitoring System for Preventing Sudden Infant Death Syndrome (SIDS) with Abnormal Condition Notifications and Lost Data Analysis ]]>
<![CDATA[Ananta, Erick Dwi]]>;
<![CDATA[Syaifuddin, Syaifuddin]]>;
<![CDATA[Soetjiatie, Liliek]]>;
<![CDATA[Utomo, Bedjo]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Sudden infant death syndrome or SIDS is the sudden death of a healthy baby under 1 year of age that occurs without any symptoms. It can be triggered by various factors, ranging from the baby's sleeping position to the baby's physical condition that has not reached a certain stage of development. Checking the baby's body temperature and heart rate is a very important element to monitor the baby's condition. In addition, checking body temperature and heart rate can also prevent febrile seizures that can cause epilepsy. Therefore, a tool is needed that can monitor the body temperature and heart rate of babies in real time and with an efficient mechanism. The purpose of this research is to conduct real-time monitoring with vital parameters of Respiration Rate using Piezo Electric sensor and heart rate monitoring using MAX30100 sensor. This research method is the design of a respiration and heart rate monitoring tool using piezoelectric sensors and ESP 32. The measurement results show that the largest difference value with the comparison tool is 28.74% and the smallest is 0.00%. suggestions and recommendations in this study on the right sensor placement so that effective results are obtained and the output results can be accessed via the website by doctors and other health workers and the existence of telegram notifications if conditions are abnormal so as to prevent SIDS..]]>
<![CDATA[Monitoring Oxygen Concentration and Humidity Parameters of Bubble CPAP Based on IoT ]]>
<![CDATA[Puspitasari, Ratna Ika]]>;
<![CDATA[Titisari, Dyah]]>;
<![CDATA[Lusiana, Lusiana]]>;
<![CDATA[Lamidi, Lamidi]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[Existing Bubble Continuous Positive Airway Pressure (CPAP) devices used in neonatal care. Specifically, the lack of digital result display and monitoring capabilities for oxygen concentration and humidity parameters is identified as a major issue. This study aims to address the shortcomings of existing Bubble Continuous Positive Airway Pressure (CPAP) devices used in neonatal care by designing a monitoring system for oxygen concentration and humidity parameters. The lack of digital result display and monitoring capabilities for oxygen rate, concentration, temperature, and humidity necessitates an improved solution. The proposed system utilizes Internet of Things (IoT) technology, allowing remote monitoring by healthcare professionals. Oxygen concentration is detected using the OCS-3f sensor, and humidity is measured with the DHT22 sensor. Data from these sensors are processed by the ESP32 microcontroller and transmitted to the https://thinger.io site via built-in Wi-Fi. The monitoring tool ensures accurate measurements between 21% to 95% oxygen concentration, with a maximum error of 4.6% and a minimum error of 0.04%. This high accuracy enhances the reliability of the CPAP bubble device for oxygen therapy. The study's significance lies in its contribution to neonatal care, offering a real-time monitoring system that facilitates prompt diagnosis and treatment. By integrating IoT and telegram notifications, healthcare professionals can remotely monitor and respond to the baby's condition, improving overall care quality. This innovative tool holds promise in enhancing neonatal care, ensuring optimal oxygen therapy, and supporting the well-being of infants receiving CPAP bubble therapy. Implications of this study are promising in terms of improving neonatal care, enhancing the reliability of CPAP devices, and leveraging technology to facilitate better healthcare practices for the most vulnerable population: premature and critically ill infants.]]>
<![CDATA[Monitoring the Occurrence of Alarms in Internet of Things-Based HFNC With Analysis of Signal Increases Before Blockages Error ]]>
<![CDATA[Widyaningtyas, Dwi]]>;
<![CDATA[Mak’ruf, Muhammad Ridha]]>;
<![CDATA[Pudji, Andjar]]>
<![CDATA[ Jurnal Teknokes Vol. 16 No. 2 (2023): June ]]>
Publisher : <![CDATA[Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia ]]>
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<![CDATA[HFNC must be closely monitored by nurses to increase the flow rate when the patient's condition worsens. The monitoring occurs every hour to assess the results of HFNC administration. If the patient's condition persists, the flow given to HFNC will be increased. Thus, careful monitoring is essential during oxygen therapy with HFNC to ensure the patient's oxygen dose remains consistent. Despite debates about aerosol side effects, HFNC has proven effective in increasing blood oxygen levels and improving lung performance. This study aims to analyze HFNC errors leading to decreased flow. The research employs a temperature setting of 34ºC and a flow setting of 30-60 LPM. Under a flow setting of 30 LPM, the average pressure value before the error is 0 in process 2, and after the error, it remains 0, indicating a Blockage error as notified by IoT. Similarly, under the same flow setting, the average pressure value before the error is 0 in process 1, and after the error, it remains 0, indicating a leaking error based on the IoT notification and tool condition. The study reveals an average error of 3.8 for Blockage and 1.5 for Leaking conditions. Future research could explore developments such as employing a more sensitive pressure sensor, like the MPX5010DP, and incorporating batteries to enhance the module's portability without the need for a voltage source.]]>
