Abstract:Abstract : Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin production and/or function. The prevalence of DM in Indonesia continues to rise, posing a significant…
nt public health concern, particularly due to its complications such as peripheral neuropathy, which may lead to diabetic foot ulcers. This community service activity aimed to improve patients’ knowledge and preventive practices through an educational and participatory approach focusing on diabetic foot care and screening. A total of 21 participants enrolled in the Prolanis program at St. Carolus Paseban Primary Clinic were involved in this activity. Data analysis showed that most participants were male (52.4%), aged 65–74 years (57.1%), and had a duration of DM of less than 4 years (57.1%). The majority had no history of foot ulcers (81%) and did not perform regular physical exercise (57.1%). The results of diabetic foot screening indicated that most participants were categorized as very low risk (57.1%). Based on these findings, recommendations and follow-up actions were provided according to the screening protocol. It is expected that participants will be able to regularly monitor their blood glucose levels and implement appropriate foot care practices to prevent the occurrence of diabetic foot ulcers
Keywords: Diabetes Mellitus; health education; foot screening
Abstrak : Diabetes Mellitus (DM) adalah penyakit kronis yang ditandai dengan kadar gula darah tinggi akibat gangguan produksi atau kerja insulin. Penyakit ini semakin meningkat di Indonesia dan menjadi salah satu masalah kesehatan utama karena dapat menimbulkan salah satu komplikasi serius yaitu neuropati perifer yang menyebabkan timbulnya ulkus diabetes pada kaki. Oleh karena itu perlu dilakukan upaya promotif dan preventif untuk meningkatkan kesehatan pasien DM dengan pendekatan edukatif dan partisipatif. Adapun tindakan yang dilakukan adalah pemberian edukasi kesehatan terkait perawatan kaki dan pemeriksaan atau skrining kaki DM. Peserta dalam kegiatan ini adalah pasien yang tergabung dalam Prolanis di Klinik Pratama St. Carolus Paseban sejumlah 21 peserta. Hasil analisis data pada kegiatan tersebut adalah mayoritas peserta laki laki (52,4 %), berusia 65 s.d 74 thn (57,1)dengan lama sakit DM adalah kurang dari 4 tahun (57,1 %). Selain itu mayoritas peserta tidak memiliki riwayat luka pada kaki (81%) dan tidak melakukan olahraga (57,1 %). Dari hasil skrining kaki DM yang dilakukan oleh tim Pengabdian Masyarakat didapatkan bahwa mayoritas peserta memiliki risiko sangat rendah yaitu sejumlah 57,1 %. Hasil yang diperoleh pada kegiatan pengabdian masyarakat ini adalah pemahaman peserta Prolanis yang meningkat tentang cara perawatan kaki dan pencegahan ulkus kaki diabetic. Selain itu juga terjadinya perubahan perilaku peserta Prolanis untuk melakukan pemantauan gula darah dan skrining ulang ke klinik pratama sebagai upaya pemeliharaan kesehatan.
Kata Kunci: diabetes Mellitus; edukasi kesehatan; skrining kaki
Abstract:Technological developments in various fields continue to increase, one of which is in the health sector, namely the use of applications to provide initial diagnoses of dental and oral diseases. Lack of public awareness and…
nd knowledge in maintaining oral health can give rise to various kinds of diseases, some of which can be cured with proper treatment. One way that can be done to prevent this disease is by providing education to the public by using a web-based application. The PKM team held activities at Ins Dental Care. The method used in this activity is training in the use of applications for early diagnosis of dental and oral diseases with the participants being doctors and nurses. The aim of this service activity is to provide knowledge to participants about applications that can be used by participants to provide initial diagnoses of dental and oral diseases so that later participants can easily obtain information about dental and oral diseases. With this application, Ins Dental Care can easily provide education to the public about dental health and reach local communities to provide education about dental health and dental disease. By utilizing a web application for early diagnosis of dental and oral diseases, people can obtain information on diagnosing dental diseases independently without having to come to the clinic.
Keywords: training; application; diagnosis; dental and oral diseases
Abstract:Abstract: Mental health issues, particularly depression among young adult university students, are often detected late due to stigma and reluctance to seek medical consultation. The objective of this study is to develop…
an early screening model employing machine learning techniques, specifically the random forest algorithm, on a dataset of 268 students (aged 17-29 years; consisting of 98 males and 170 females) within a multicultural educational setting. The principal challenges associated with this dataset are class imbalance and the potential for data leakage from clinical scores. This study implements a rigorous feature selection approach that involves the elimination of depression score features and the utilization of the Synthetic Minority Over-sampling Technique (SMOTE) to balance the training data distribution. Furthermore, a Threshold Tuning strategy is employed to prioritize detection sensitivity (Recall). The findings indicate that reducing the decision threshold to an optimal value of 0.25 led to a substantial enhancement in the recall value, increasing it from 36% (baseline) to 77%. A feature importance analysis was conducted, the results of which indicated that Total Social Connectedness (ToSC) is the most dominant predictor. In summary, the present study corroborates the notion that optimizing sensitivity through threshold tuning is of paramount importance for medical screening. Furthermore, social isolation factors emerge as more significant indicators of depression risk than demographic attributes.
Keywords: data mining; depression; imbalanced data; random forest; smote; threshold tuning
Abstrak: Masalah kesehatan mental, khususnya depresi di kalangan mahasiswa dewasa muda, sering terdeteksi terlambat akibat stigma dan enggan mencari konsultasi medis. Tujuan studi ini adalah mengembangkan model skrining dini menggunakan teknik machine learning, khususnya algoritma random forest, pada dataset 268 mahasiswa (usia 17-29 tahun; terdiri dari 98 laki-laki dan 170 perempuan) dalam lingkungan pendidikan multikultural. Tantangan utama yang terkait dengan dataset ini adalah ketidakseimbangan kelas dan potensi kebocoran data dari skor klinis. Studi ini menerapkan pendekatan seleksi fitur yang ketat, yang melibatkan eliminasi fitur skor depresi dan penggunaan Teknik Over-sampling Minoritas Sintetis (SMOTE) untuk menyeimbangkan distribusi data pelatihan. Selain itu, strategi Penyesuaian Ambang Batas diterapkan untuk memprioritaskan sensitivitas deteksi (Recall). Hasil penelitian menunjukkan bahwa mengurangi ambang batas keputusan ke nilai optimal 0,25 menyebabkan peningkatan signifikan dalam nilai recall, dari 36% (dasar) menjadi 77%. Analisis pentingnya fitur dilakukan, hasilnya menunjukkan bahwa Total Social Connectedness (ToSC) adalah prediktor yang paling dominan. Secara ringkas, studi ini membenarkan bahwa mengoptimalkan sensitivitas melalui penyesuaian ambang batas sangat penting untuk skrining medis. Selain itu, faktor isolasi sosial muncul sebagai indikator risiko depresi yang lebih signifikan daripada atribut demografis.
Kata kunci: penambangan data; depresi; data tidak seimbang; hutan acak; smote; penyesuaian ambang batas
Abstract:Abstract: Inventory management of consumable medical devices and drugs plays a crucial role in maintaining the continuity of healthcare operations. However, Jelita Dental Care still faces challenges in recording and controlling…
rolling stock due to manual procedures, which can lead to data inaccuracy, procurement delays, and the risk of stockouts. To address these issues, this study aims to develop a web-based Electronic Supply Chain Management (E-SCM) system that integrates stock monitoring and procurement processes. The Reorder Point (ROP) method is applied to determine the optimal reorder point based on average demand, lead time, and safety stock. This system was built using the PHP programming language and MySQL database. The results show that the JelitaMed system is able to improve the effectiveness and accuracy of inventory management, simplify the structured procurement submission process between the admin, owner, and supplier, and support decision-making in maintaining the availability of consumable medical devices and drugs. Thus, the implementation of E-SCM combined with the ROP method is a practical solution to improve inventory control in small-scale health clinics.
Keywords: e-scm; inventory; information system; medical supplies; reorder point.
Abstrak: Pengelolaan persediaan alat dan obat medis habis pakai memiliki peran penting dalam menjaga keberlangsungan operasional layanan kesehatan. Namun, Jelita Dental Care masih menghadapi kendala dalam pencatatan dan pengendalian stok akibat prosedur manual, yang dapat menyebabkan ketidaktepatan data, keterlambatan pengadaan, serta risiko kekurangan persediaan. Untuk mengatasi permasalahan tersebut, penelitian ini bertujuan mengembangkan sistem Electronic Supply Chain Management (E-SCM) berbasis web yang mengintegrasikan pemantauan stok dan proses pengadaan. Metode Reorder Point (ROP) diterapkan untuk menentukan waktu pemesanan ulang yang optimal berdasarkan permintaan rata-rata, lead time, dan safety stock. Sistem ini dibangun menggunakan bahasa pemrograman PHP dan database MySQL. Hasil penelitian menunjukkan bahwa sistem JelitaMed mampu meningkatkan efektivitas dan akurasi pengelolaan persediaan, mempermudah proses pengajuan pengadaan secara terstruktur antara admin, owner, dan supplier, serta mendukung pengambilan keputusan dalam menjaga ketersediaan alat dan obat medis habis pakai. Dengan demikian, penerapan E-SCM yang dikombinasikan dengan metode ROP menjadi solusi praktis untuk meningkatkan pengendalian persediaan pada klinik kesehatan skala kecil.
Kata kunci: alat medis; e-scm; persediaan; reorder point; sistem informasi
Abstract:Abstract: Accurate bone age estimation is essential for monitoring pediatric growth, diagnosing endocrine disorders, and supporting clinical decision-making. Although deep learning has improved prediction accuracy, limited…
ed studies have systematically examined how increasing model depth affects performance and reliability. This study evaluates the effectiveness of progressively deeper convolutional neural networks, specifically EfficientNet variants B0 to B5, for bone age estimation from hand radiographs. Experiments were conducted using 12,611 hand X-ray images from the RSNA Pediatric Bone Age Challenge dataset on Kaggle. To ensure fair comparison, all models were trained using a unified and consistent training pipeline. Model performance was evaluated using Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), Concordance Correlation Coefficient (CCC), and Pearson correlation coefficient. The results show a consistent improvement in prediction accuracy as model depth increases. Among the evaluated models, EfficientNet-B5 achieved the best performance, with an MAE of 21.5 months, MAPE of 6.23%, CCC of 0.9148, and Pearson’s r of 0.9203. These findings confirm that model scaling plays a critical role in enhancing prediction robustness and clinical reliability. Future work should emphasize external validation across diverse populations and incorporate interpretability techniques, such as Grad-CAM, to improve clinical transparency and trust.
Keywords: bone age prediction; deep learning; model evaluation; clinical validation
Abstrak: Estimasi usia tulang yang akurat sangat penting untuk memantau pertumbuhan anak, mendiagnosis gangguan endokrin, dan mendukung pengambilan keputusan klinis. Meskipun pembelajaran mendalam telah meningkatkan akurasi prediksi, studi yang secara sistematis meneliti bagaimana peningkatan kedalaman model memengaruhi kinerja dan keandalan masih terbatas. Studi ini mengevaluasi efektivitas jaringan saraf konvolusional yang semakin dalam, khususnya varian EfficientNet B0 hingga B5, untuk estimasi usia tulang dari radiografi tangan. Eksperimen dilakukan menggunakan 12.611 gambar sinar-X tangan dari dataset RSNA Pediatric Bone Age Challenge di Kaggle. Untuk memastikan perbandingan yang adil, semua model dilatih menggunakan alur pelatihan yang terpadu dan konsisten. Kinerja model dievaluasi menggunakan Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), Concordance Correlation Coefficient (CCC), dan koefisien korelasi Pearson. Hasil menunjukkan peningkatan yang konsisten dalam akurasi prediksi seiring dengan peningkatan kedalaman model. Di antara model yang dievaluasi, EfficientNet-B5 mencapai kinerja terbaik, dengan MAE sebesar 21,5 bulan, MAPE sebesar 6,23%, CCC sebesar 0,9148, dan Pearson’s r sebesar 0,9203. Temuan ini menegaskan bahwa penskalaan model memainkan peran penting dalam meningkatkan optimasi prediksi dan keandalan klinis. Penelitian selanjutnya dapat menekankan validasi eksternal di berbagai populasi dan menggabungkan teknik interpretasi, seperti Grad-CAM, untuk meningkatkan transparansi dan kepercayaan klinis.
Kata kunci: prediksi usia tulang; deep learning; evaluasi model; validasi klinis
Abstract:Abstract: Asthma is a chronic respiratory disease that affects millions of people worldwide, making early detection crucial to prevent complications. This study aims to compare the performance of the Decision Tree and Random…
ndom Forest algorithms in classifying asthma based on clinical symptom data. The data were processed through feature selection and model training stages, then evaluated using accuracy, precision, recall, and F1-score.The experimental analysis revealed that the Random Forest algorithm surpassed the Decision Tree in all metrics, achieving 95.19% accuracy, 90.43% precision, 95.00% recall, and 93.00% F1-score. In contrast, the Decision Tree obtained 89.14% accuracy, 90.60% precision, 88.70% recall, and 89.70% F1-score. These results suggest that Random Forest is more robust and dependable, especially in managing complex and imbalanced medical datasets.
Keywords: asthma detection; decision tree; random forest; machine learning.
Abstrak: Asma merupakan penyakit pernapasan kronis yang memengaruhi jutaan orang di seluruh dunia sehingga deteksi dini sangat penting untuk mencegah komplikasi. Penelitian ini bertujuan membandingkan kinerja algoritma Decision Tree dan Random Forest dalam mengklasifikasikan asma berdasarkan data gejala klinis. Data diproses melalui tahapan seleksi fitur dan pelatihan model, kemudian dievaluasi menggunakan akurasi, presisi, recall, dan F1-score. Hasil penelitian menunjukkan bahwa Random Forest memberikan performa terbaik dengan akurasi 90.43%, presisi 95.00%, recall 95.00%, dan F1-score 93.00%. Sebaliknya, Decision Tree memperoleh akurasi 89.14%, presisi 90.60%, recall 88.70%, dan F1-score 89.70%. Hasil ini menunjukkan bahwa Random Forest lebih kuat dan dapat diandalkan, terutama dalam mengelola kumpulan data medis yang kompleks dan tidak seimbang.
Kata kunci: deteksi asma; decision tree; random forest; pembelajaran mesin.
Abstract:Abstract: In the era of sensitive health data and frequent cyberattacks, securing electronic medical records (EMR) has become a critical challenge. This study proposes a hybrid encryption framework combining Affine and AES…
ES algorithms with an AI-based key management module to enhance EMR security while maintaining efficiency. A dataset of 1,000 simulated records was evaluated using five cryptographic configurations: Affine-only, AES-only, RSA-only, Affine–AES, and Affine–AES with AI. Performance was measured through encryption/decryption latency and ciphertext size, while security was assessed under brute-force, SQL injection, and phishing simulations. The AI decision tree for key generation was evaluated using accuracy, precision, recall, F1-score, and entropy metrics. Results show that the AI-enhanced hybrid method eliminates brute-force success, introduces only minor latency overhead, and generates high-entropy keys with reliability above 98%. These findings indicate that integrating AI-based dynamic key regeneration into hybrid encryption can improve EMR security while remaining practical for clinical and cloud-based healthcare systems. Future work should involve real clinical datasets and explore post-quantum cryptographic extensions.
Keywords: AI key management; attack resistance; encryption performance; electronic medical records; hybrid encryption
Abstrak: Di era meningkatnya sensitivitas data kesehatan dan maraknya serangan siber, perlindungan Rekam Medis Elektronik (RME) menjadi tantangan penting. Penelitian ini mengusulkan kerangka enkripsi hibrida yang menggabungkan algoritma Affine dan AES dengan modul manajemen kunci berbasis AI untuk meningkatkan keamanan RME tanpa mengorbankan efisiensi. Dataset simulasi berisi 1.000 entri diuji menggunakan lima konfigurasi kriptografi: Affine-only, AES-only, RSA-only, Affine–AES, serta Affine–AES dengan AI. Performa diukur melalui latensi enkripsi/dekripsi dan ukuran ciphertext, sedangkan keamanan dievaluasi melalui simulasi serangan brute force, SQL injection, dan phishing. Model decision tree untuk manajemen kunci dinilai menggunakan metrik akurasi, presisi, recall, F1-score, dan entropi. Hasil menunjukkan bahwa metode hibrida dengan AI menghilangkan keberhasilan brute force, menambah overhead latensi yang minimal, serta menghasilkan kunci berentropi tinggi dengan reliabilitas di atas 98%. Temuan ini menunjukkan bahwa regenerasi kunci dinamis berbasis AI dalam skema enkripsi hibrida dapat meningkatkan keamanan RME sekaligus tetap praktis untuk sistem klinis dan layanan kesehatan berbasis cloud. Penelitian selanjutnya disarankan menggunakan dataset klinis nyata dan mengeksplorasi kriptografi pascakuantum.
Kata kunci: enkripsi hibrida; ketahanan serangan; kinerja enkripsi; manajemen kunci berbasis AI; rekam medis elektronik
Abstract:Abstract: The management of veterinary drug stocks at the Veterinary Clinic Technical Implementation Unit (UPTD) of the North Sumatra Province Plantation and Livestock Service faces obstacles in the form of discrepancies…
between supply and demand, resulting in excess stock and budget waste. Uncertain demand for drugs is a factor that complicates decision-making in stock provision. This study aims to optimize drug stock management using the Mamdani fuzzy logic method, which is capable of handling data uncertainty and modeling information linguistically. Three input variables are used, namely initial stock, demand, and number of visits, with the output being the final stock. The process involves fuzzification, inference based on IF–THEN rules, and defuzzification using the centroid method. The results show that the developed system has a good accuracy level with a MAPE value of 17.52%, which means that this model is effective in providing optimal and efficient drug stock recommendations in a veterinary clinic environment.
Keywords: fuzzy mamdani; optimization; animal drug stock.
Abstract:Abstract: This study applies an integrated approach to optimize heart failure classification. The main objective is to address the challenge of class imbalance in medical datasets and to improve the accuracy, sensitivity,…
, and generalization of the classification model. The urgency of this issue is emphasized by statistics showing that cardiovascular diseases cause approximately 17.9 million deaths worldwide each year. Using a quantitative experimental approach, this study analyzes the "Heart Failure Prediction Dataset" from Kaggle, which consists of 918 records. The data were processed through normalization and encoding, followed by the application of SMOTE on the training set to balance class distribution. This step successfully increased model accuracy from 88.41% to 90.22% and minority class recall from 0.82 to 0.88. Furthermore, Bayesian Optimization was employed to refine the hyperparameters of SVM, resulting in a final model with an accuracy of 89.13% that demonstrated better generalization. This integrated approach significantly enhances the stability, sensitivity, and generalization of the model, making it a reliable tool for clinical decision support systems in predicting heart failure.
Keywords: bayesian optimization; heart failure; machine learning; SMOTE; SVM.
Abstrak: Penelitian ini menerapkan pendekatan terintegrasi untuk mengoptimalkan klasifikasi gagal jantung. Tujuan utama studi ini adalah untuk mengatasi tantangan ketidakseimbangan kelas dalam dataset medis dan meningkatkan akurasi, sensitivitas, serta generalisasi model klasifikasi. Urgensi ini ditegaskan oleh statistik yang menunjukkan bahwa penyakit kardiovaskular menyebabkan sekitar 17,9 juta kematian setiap tahun secara global. Menggunakan pendekatan eksperimental kuantitatif, penelitian ini menganalisis "Heart Failure Prediction Dataset" dari Kaggle, yang terdiri dari 918 catatan. Data diproses dengan normalisasi dan encoding, lalu SMOTE diterapkan pada data pelatihan untuk menyeimbangkan distribusi kelas. Langkah ini berhasil meningkatkan akurasi dari 88,41% menjadi 90,22% dan recall kelas minoritas dari 0,82 menjadi 0,88. Selanjutnya, Bayesian Optimization menyempurnakan hyperparameter SVM, menghasilkan model akhir dengan akurasi 89,13% yang menunjukkan generalisasi lebih baik. Pendekatan terintegrasi ini secara signifikan meningkatkan stabilitas, sensitivitas, dan generalisasi model. Hasil penelitian ini menjadikannya alat yang andal untuk sistem pendukung keputusan klinis dalam prediksi gagal jantung.
Kata kunci: bayesian optimization; gagal jantung; machine learning; SMOTE; SVM
Abstract:Abstract: Hypertension is one of the chronic diseases that can increase the risk of cardiovascular disease. A healthy diet is an important factor in managing hypertension, but many patients struggle to choose foods that…
are suitable for their condition. Therefore, a decision support system is needed to help patients determine healthy food choices objectively and systematically. This research aims to apply the ELECTRE (Elimination Et Choix Traduisant La Réalité) method in determining healthy foods for hypertension patients. This method is used because it can handle various criteria simultaneously and provide recommendations based on a mathematical approach. Data were obtained from Serozha Clinic through interviews, observations, and literature reviews on the nutritional content of food. The research results show that the ELECTRE method is capable of providing healthy food recommendations with an accuracy level of 90%, higher than the manual technique which only reaches 70%. In addition, the time required in the decision-making process has significantly decreased. Patients also showed a higher level of satisfaction with the proposed system. In conclusion, the ELECTRE method has proven effective in helping hypertension patients choose foods that meet their nutritional needs, and can thus be used as a reference in the development of decision support systems in the health sector.
Keywords: electre method; healthy food; health management; hypertension.
Abstrak: Hipertensi merupakan salah satu penyakit kronis yang dapat meningkatkan risiko penyakit kardiovaskular. Pola makan yang sehat menjadi faktor penting dalam pengelolaan hipertensi, namun banyak pasien kesulitan dalam memilih makanan yang sesuai dengan kondisi mereka. Oleh karena itu, diperlukan sistem pendukung keputusan yang dapat membantu pasien dalam menentukan pilihan makanan sehat secara objektif dan sistematis. Penelitian ini bertujuan untuk menerapkan metode ELECTRE (Elimination Et Choix Traduisant La Realite) dalam menentukan makanan sehat bagi penderita hipertensi. Metode ini digunakan karena mampu menangani berbagai kriteria secara simultan dan memberikan rekomendasi berdasarkan pendekatan matematis. Data diperoleh dari Klinik Serozha melalui wawancara, observasi, serta tinjauan literatur mengenai kandungan gizi makanan.Hasil penelitian menunjukkan bahwa metode ELECTRE mampu memberikan rekomendasi makanan sehat dengan tingkat akurasi 90%, lebih tinggi dibandingkan teknik manual yang hanya mencapai 70%. Selain itu, waktu yang dibutuhkan dalam proses pengambilan keputusan berkurang secara signifikan. Pasien juga menunjukkan tingkat kepuasan yang lebih tinggi terhadap sistem yang diusulkan.Kesimpulannya, metode ELECTRE terbukti efektif dalam membantu penderita hipertensi memilih makanan yang sesuai dengan kebutuhan gizi mereka, sehingga dapat digunakan sebagai referensi dalam pengembangan sistem pendukung keputusan di bidang kesehatan.
Kata kunci: hipertensi; makanan sehat; metode electre; pengelolaan kesehatan.