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"Secara global, termasuk di Indonesia, ibu hamil merupakan populasi rentan untuk mengalami gejala kecemasan dan depresi. Apabila kedua gejala tersebut tidak teridentifikasi dan ditata laksana selama kehamilan akan menimbulkan dampak terhadap kesehatan ibu seperti, depresi pascapersalinan, pre eklampsi, bahkan bunuh diri, dan kesehatan anak seperti, prematur dan berat badan lahir rendah. Oleh karena itu, skrining gejala kecemasan dan depresi pada ibu hamil sangat penting dilakukan. Indonesia telah memiliki kebijakan penilaian kesehatan jiwa dalam antenatal care (ANC) sejak Juli 2021. Indonesia juga sedang melakukan transformasi kesehatan digital untuk meningkatkan mutu pelayanan kesehatan. Namun, Indonesia belum memiliki instrumen dan protokol skrining gejala kecemasan dan depresi dalam pelayanan antenatal baik secara konvensional maupun pemanfaatan teknologi digital. Tujuan penelitian ini adalah mengembangkan sistem skrining gejala kecemasan dan depresi pada ibu hamil berbasis expert system dalam ANC. Penelitian ini terdiri dari tiga tahap. Tahap ke-1 menguji validitas dan reliabilitas instrumen Edinburgh Postnatal Depression Scale (EPDS) versi bahasa Indonesia pada 125 ibu hamil secara daring melalui penyebaran formulir Google. Tahap ke-2 menilai kemampuan skrining instrumen EPDS dibandingkan dengan instrumen MINI-International Neuropsychiatric Interview (MINI) sebagai gold standard pada 298 ibu hamil. Tahap ke-2 ini dilakukan di Kota Depok (Puskesmas Beji, Cipayung, Jati Jajar, dan Pancoran Mas). Penilaian MINI dilakukan secara daring oleh dua orang enumerator terlatih. Tahap ke-3 dilakukan pengembangan prototipe sistem skrining gejala kecemasan dan depresi berbasis expert system. Analisis statistik pada tahap 1 dengan berbagai jenis uji validitas dan reliabilitas. Tahap ke-2 dilakukan penilaian sensitivitas dan spesifisitas. Tahap ke-3 dilakukan evaluasi terhadap akurasi expert system dan fisibilitas prototipe. Penelitian ini menghasilkan instrumen EPDS versi bahasa Indonesia yang terbukti valid dan reliabel untuk digunakan pada populasi ibu hamil. Instrumen ini memiliki sensitivitas dan spesifisitas > 90% untuk skrining gejala kecemasan dan depresi kehamilan. Proporsi akurasi pada expert system > 90%. Ibu hamil menyatakan prototipe ini mudah, waktu penilaian singkat, dan bermanfaat untuk digunakan. Prototipe berbasis expert system yang disebut BMoms, layak dan mampu laksana untuk skrining gejala kecemasan dan depresi pada ibu hamil dalam ANC. Oleh karena itu, prototipe BMoms dapat dikembangkan lebih lanjut menjadi aplikasi siap dan tepat guna sehingga menjadi solusi inovatif untuk skrining kesehatan jiwa pada ibu hamil.

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Globally, including Indonesia, pregnant women are vulnerable population to experience symptoms of anxiety and depression. If these two symptoms are not identified and treated during pregnancy, it will have an impact on maternal and child health, such as suicide, pre-eclampsia, postpartum depression, premature, and low birth weight. Therefore, screening for symptoms of anxiety and depression in pregnant women is very important. However, Indonesia does not yet have instruments and protocols for screening symptoms of anxiety and depression in pregnant women in antenatal care (ANC) both conventionally and the use of digital technology. In fact, Indonesia already has a mental health assessment policy in ANC since July, 2021 and is currently carrying out a digital health transformation to improve the quality of health services. This study aimed to develop a screening system for symptoms of anxiety and depression in pregnant women based on an expert system in ANC.

The study consists of three stages. Phase 1 tested the validity and reliability of the Indonesian version of the Edinburgh Postnatal Depression Scale (EPDS) instrument on 125 pregnant women online through the dissemination of Google forms. Phase 2 assessed the screening ability of EPDS instrument compared to MINI-International Neuropsychiatric Interview (MINI) instrument as gold standard in 298 pregnant women. This 2nd phase was carried out in Depok City (Beji, Cipayung, Jati Jajar, and Pancoran Mas public health centre). The MINI assessment was carried out online by two trained enumerators. The 3rd stage was carried out by developing a prototype of an anxiety and depression symptom screening system based on expert system. Statistical analysis at stage 1 employed various types of validity and reliability tests. The 2nd stage was carried out to test sensitivity and specificity. The 3rd stage was evaluated on the accuracy of the expert system and the feasibility of the prototype. This study produced an Indonesian version of the EPDS instrument that was proven to be valid and reliable for use in the population of pregnant women. This instrument had a sensitivity and specificity of > 90% for screening for symptoms of pregnancy anxiety and depression. The proportion of accuracy in expert systems was > 90%. Pregnant women state that this prototype was easy, short assessment time, and useful to use. The prototype based on expert system called BMoms, was feasible and able to be carried out for screening symptoms of anxiety and depression in pregnant women in ANC. The BMoms prototype can be further developed into a ready and appropriate application so that it becomes an innovative solution for mental health screening in pregnant women."

"Antenatal care (ANC) merupakan program yang efektif untuk mencegah dan mengatasi anemia selama kehamilan. Studi ini bertujuan untuk menilai pelayanan antenatal care dan hubungannya dengan status anemia pada ibu hamil di Jakarta Timur. Studi potong lintang ini dilaksanakan pada 285 ibu dengan kehamilan ≥32 minggu. Pelayanan ANC dan kadar hemoglobin dinilai.Studi menunjukkan bahwa ibu hamil dengan skor pengetahuan rendah?sedang tentang gejala berbahaya kehamilan dan peran keluarga dalam ANC, secara bermakna lebih rendah berresiko menderita anemia. Hal ini terkait dengan kecenderungan lebih baiknya konsumsi suplemen/multivitamin yang mengandung zat besi oleh subyek dengan skor rendah?sedang.

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Antenatal care (ANC) is an effective program to prevent and overcome anemia during pregnancy. This study aimed to assess ANC services and its association with anemia status among pregnant women in East Jakarta. A cross sectional study was conducted among 285 pregnant women with ≥32 weeks gestation. ANC services and hemoglobin level were assessed.

This study showed pregnant women with low?medium score on education related to danger sign on pregnancy and family role on maternal care, had significantly lower risk of anemia. This contrary results was due to a tendency of better supplement/multivitamin containing iron consumption by subjects with lower-medium score."

"Di Indonesia, sistem rujukan masih belum berjalan dengan baik, hal ini disebabkan oleh banyak faktor yang mempengaruhi. Faktor yang mempengaruhi yaitu pemberlakuan sistem rujukan yang belum terlaksana, informasi yang tidak tersampaikan dengan baik. Penelitian ini mencari hubungan kualitas pelayanan antenatal dengan pengetahuan, sikap, dan perilaku ibu hamil mengenai sistem rujukan. Responden penelitian ini adalah ibu hamil sebanyak 109 orang yang berkunjung ke Puskesmas Kecamatan Koja. Desain penelitian menggunakan cross-sectional. Jumlah sampel dalam penelitian ini adalah kurang lebih 97 orang. Pada penelitian ini mencari hubungan latar belakang dan keadaan kehamilan dengan pengetahuan, sikap,  dan perilaku ibu hamil. Hasil yang didapat Pada penelitian ini yaitu pengetahuan, sikap, dan perilaku tidak mempunyai hubungan yang bermakna. Pengetahuan,sikap,dan perilaku tidak mempunyai hubungan yang bermakna dengan semua variabel. Namun, ada beberapa variabel yang mendekati hubungan yaitu penghasilan yang di atas rata-rata mempunyai pengetahuan dan sikap yang baik. Pada penelitian yang lain menyebutkan faktor sarana transportasi mempunyai pengaruh dalam sistem rujukan. Semakin jauh pusat pelayanan kesehatan sekunder maka ibu hamil menolak untuk dirujuk.

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In Indonesia, the referral system has not been working well, and several factors contribute to this condition. Some of these factors are the incomplete implementation of the referral system itself and the conveying of the information of the system to the general public. This research aims to seek the relationship of the quality of antenatal care with the knowledge, attitude, and behaviour of pregnant women to the referral system. The respondent of this research are 109 pregnant women who were visiting Puskesmas Kecamatan Koja. This study uses cross-sectional method. The number of respondent finally committed to the study was 97 subjects due to drop-out. Result provided by Chi-square and Fischer Exact Test analyses shows that there is no relationship between antenatal care with the knowledge, attitude, and behaviour of pregnant woman to the referral system. This study show there is no relationship sociodemografic pregnant woman with knowledge, attitude, and behaviour. Therefore, this study shows that financial issues contribute a greater factor to knowledge and attitude to the referral system, as shown by the better knowledge and attitude with above average monthly salary respondent. However, other study has also shown that transportation method available to the respondent contribute as well to the referral system."

"Kecemasan dan depresi merupakan gangguan perasaan hati (mood) yang sering dialami oleh ibu hamil. Penelitian ini bertujuan untuk menggambarkan tingkat kecemasan dan depresi pada ibu hamil trimester tiga. Desain penelitian ini yaitu deskriptif kuantitatif dengan melibatkan sampel ibu hamil yang berada di wilayah kerja UPT Puskesmas Cimanggis, dan Sukmajaya sebesar 96 responden yang dipilih dengan teknik consecutive sampling. Hasil penelitian dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa sebagian besar ibu hamil mengalami kecemasan ringan dan tidak menunjukkan gejala depresi. Peneliti merekomendasikan untuk dilakukan pendidikan terkait persalinan dan manajemen kecemasan untuk mencegah perparahan kecemasan sehingga mampu mengurangi komplikasi selama persalinan.

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Anxiety and depression becomes one of those mood disorders occured on pregnant women. This research aimed to indicate level of anxiety and depression of women with third trimester pregnancy. This research used quantitative descriptive method and included 96 sampel of women with third trimester pregnancy chosen by consecutive sampling. This research took place in UPT Puskesmas Cimanggis and Sukmajaya. The datas were described using univariat analysis. Data showed that the majority of the respondent had a mild anxiety and indicated no sign of depression. This research suggested to increase prenatal education and anxiety management to avoid anxiety leveling thus can reduce complication during labor."

"Glikosuria merupakan suatu kondisi ketika terdapat kandungan gula di dalam urine. Umumnya, penderita glikosuria adalah pasien diabetes. Kandungan gula diatas 11,10 mmol/L mengindikasikan pasien tersebut menderita diabetes. Menurut data dari International Diabetes Federation, sekitar 537 juta orang dewasa mengidap penyakit diabetes. Ibu hamil pengidap diabetes berpeluang untuk melahirkan anak dengan diabetes, hal tersebut dapat memengaruhi tumbuh kembang anak sehingga berpotensi mengidap stunting. Pada penelitian ini, dibangun sistem estimasi berbasis kolorimetri dan arsitektur CNN-AlexNet dari citra strip uji. Sistem akuisisi citra dilakukan di dalam kotak uji dengan sumber pencahayaan LED, barcode uji, dan papan warna referensi. Citra barcode uji diakuisisi dengan menggunakan kamera ponsel pintar Huawei Nova 5T, Samsung Galaxy A72, dan Vivo Y12. Citra dikoreksi menggunakan model Polynomial Color Correction (PCC) orde 9. Warna referensi yang digunakan untuk mengoreksi citra dilakukan evaluasi terhadap warna-warna yang berpengaruh dalam proses koreksi warna. 16 warna referensi dipilih dengan warna yang digunakan adalah warna grayscale, warna primer RGB, dan beberapa warna natural. Validasi dengan urine asli menggunakan arsitektur CNN-AlexNet menghasilkan performa pada model klasifikasi adalah 0,96 dan pada model regresi adalah 0,93. Hasil tersebut menunjukkan bahwa sistem estimasi berbasis citra ponsel pintar dengan prinsip kolorimetri dapat digunakan untuk menentukan kelas dan mengukur kadar gula urine.

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Glycosuria is a condition characterized by the presence of sugar in the urine. Diabetic patients are more likely to have glycosuria. Diabetes is indicated by a sugar content greater than 11.10 mmol/L. According to the International Diabetes Federation, approximately 537 million adults have diabetes. Pregnant women with diabetes have the potential to have children with diabetes, which can affect their growth and development, potentially leading to stunting. In this study, an estimation system based on colorimetry and CNN-AlexNet architecture was built from test strip images. The image acquisition system is performed in a test box with LED lighting source, test barcode and reference color board. The Huawei Nova 5T, Samsung Galaxy A72, and Vivo Y12 smartphone cameras were used to capture the test barcode image. The image is corrected using a 9th order Polynomial Color Correction (PCC) model. The reference color used to correct the image is evaluated for the colors that affect the color correction process. Grayscale colors, RGB primary colors, and a few natural colors are used as the 16 reference colors that were chosen. Validation with urine using the CNN-AlexNet architecture resulted in a classification model performance of 0.96 and a regression model performance of 0.93. These results indicate that an estimation system based on smartphone imagery with colorimetric principles can be used to determine the class of sugar content and measure urine sugar levels."

"Angka kematian ibu (AKI) di Indonesia yang masih tinggi menyebabkan sulit tercapainya salah satu poin Millenium Development Goals. Salah satu penyebab AKI yang tinggi adalah kurang baiknya kualitas pelayanan antenatal (ANC) dan ketidak tahuan ibu terhadap tanda bahaya kehamilan. Penelitian ini mencari hubungan kualitas ANC dengan pengetahuan dan sikap ibu hamil terhadap tanda bahaya kehamilan. Subjek penelitian ini sebanyak 109 ibu hamil yang berkunjung ke Puskesmas Kecamatan Koja pada Bulan Maret 2013. Kualitas ANC dinilai melalui observasi pada saat pelayanan, sementara pengetahuan dan sikap dinilai melalui kuesioner yang diajukan secara terpimpin. Penelitian ini mendapatkan bahwa terdapat hubungan bermakna antara kualitas ANC dengan pengetahuan ibu hamil terhadap tanda bahaya kehamilan (p=0,011). Ditemukan pula hubungan bermakna antara pendidikan (p=0,038) dan pengalaman mengikuti penyuluhan tanda bahaya kehamilan (p=0,043) dengan pengetahuan ibu hamil terhadap tanda bahaya kehamilan. Selain itu, terdapat hubungan bermakna antara jumlah kehamilan ≤ 2 (p=0,042) dan datang ke ANC ditemani (p=0,011) dengan sikap ibu hamil terhadap tanda bahaya kehamilan. Kualitas ANC perlu ditingkatkan agar pengetahuan ibu hamil terhadap tanda bahaya kehamilan semakin membaik. Terdapat hubungan antara beberapa faktor sosiodemografis terhadap pengetahuan dan sikap ibu hamil terhadap tanda bahaya kehamilan. Penelitian lanjutan diperlukan untuk menguji hubungan variabel lain yang dapat mempengaruhi kualitas pelayanan antenatal.

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The maternal mortality rate (MMR) in Indonesia that is still high causing one of the points the Millennium Development Goals becomes difficult to achieve. One of the causes is the lack of good quality of antenatal care (ANC), also the lack of knowledge of the danger signs of obstetric. This research finds relationship between quality of ANC and knowledge and attitude of pregnant woman towards danger signs of obstetric. Subjects were 109 pregnant women who visited Puskesmas Kecamatan Koja in March 2013. ANC Quality assessed through observation during the service, while knowledge and attitudes were assessed through a questionnaire guided by researcher.

It was found that there is a significant relationship between the quality of ANC and maternal knowledge about the danger signs of obstetric (p = 0.011). Also found a significant relationship between education level (p = 0.038) and experience in danger sign of obstetric counseling (p = 0.043) with maternal knowledge of the danger signs of obstetric. In addition, there is a significant relationship between number of pregnancies ≤ 2 (p = 0.042) and being accompanied while having ANC (p = 0.011) with maternal attitude toward danger signs of obstetric. Quality of ANC needs to be improved in order to increase pregnant women’s knowledge about danger signs of obstetric.

There are relationships between several sociodemographic factors of pregnant women and knowledge and attitude of pregnant women toward the danger signs of pregnancy. Further research is needed to examine the relationship of other variables that may affect the quality of antenatal care."

"Salah satu langkah yang dapat dilakukan untuk menurunkan angka kematian ibu di Indonesia adalah pelayanan antenatal (antenatal care). Penelitian ini dilakukan untuk mengetahui hubungan kualitas pelayanan antenatal terhadap pengetahuan, sikap, dan perilaku ibu hamil mengenai pemilihan tempat kelahiran. Penelitian ini juga dilakukan untuk mencari hubungan kondisi sosioekonomi dan keadaan kehamilan terhadap pengetahuan, sikap, dan perilaku ibu hamil. Desain penelitian cross-sectional digunakan dalam penelitian ini yang berlangsung di Puskesmas Kecamatan Koja, Jakarta Timur, pada bulan Maret 2013. Sampel sebanyak 109 orang diambil dengan metode konsekutif. Kualitas pelayanan dinilai dengan mengisi daftar tilik selama proses pengamatan. Pengetahuan, sikap, dan perilaku ibu hamil dinilai dengan menjawab kuesioner yang diberikan oleh peneliti secara terpimpin. Dalam penelitian ini, tidak ditemukan hubungan signifikan antara kualitas pelayanan antenatal terhadap pengetahuan, sikap, dan perilaku ibu hamil mengenai pemilihan tempat kelahiran. Namun, ditemukan hubungan signifikan antara pendidikan dan sikap ibu hamil (p=0.048), pengalaman edukasi mengenai pemilihan tempat kelahiran dan perilaku ibu hamil (p=0.033), dan pemilihan tempat kelahiran sebelumnya terhadap perilaku ibu hamil (p=0.015). Tidak ditemukan hubungan yang signifikan pada variabel lainnya. Perlu peningkatan kualitas pelayanan antenatal untuk meningkatkan pengetahuan, sikap, dan perilaku ibu hamil mengenai pemilihan tempat kelahiran. Pendidikan memegang peranan penting dalam membentuk sikap dan perilaku ibu hamil.

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One program that can be done to minimize high mortality rates in Indonesia is antenatal care (ANC). This study determines relationship between quality of ANC with knowledge, attitudes, and practice about birthplace preference. This study also finds relationship between socioeconomic status and pregnancy state with knowledge, attitudes, and practice. Cross-sectional method was used in this study which is taking place in Puskesmas Kecamatan Koja, Jakarta Utara, in March 2013. Sample of 109 people was taken with consecutive method. Quality of ANC was assessed by completing a checklist during the observation process. Knowledge, attitude, and behavior were assessed by filling the questionnaire asked by researcher. In this study, there was no significant relationship between the quality of antenatal care on knowledge, attitudes, and practice about birthplace preference. However, a significant relationship was found between education with attitudes (p=0.048), educational experience about birthplace preference with practice (p=0.033), and the selection of the previous birthplace with practice (p=0.015). There was no significant relationship between other variables. In conclusion, quality of ANC needs to be increased to improve the knowledge, attitudes, and practice of pregnant women about birthplace preference. Education plays an important role in shaping the attitudes and behavior of pregnant women."

"Salah satu cara menurunkan angka kematian ibu adalah meningkatkan kualitas pelayanan antenatal. Penelitian ini mencari hubungan kualitas pelayanan antenatal dengan pengetahuan, sikap, dan perilaku ibu hamil mengenai pemeriksaan kehamilan. Penelitian ini menggunakan desain cross-sectional. Penelitian dilakukan di Puskesmas Kecamatan Koja pada Maret 2013. Sampel diambil sebanyak 109 orang dengan metode konsekutif. Kualitas pelayanan antenatal dinilai melalui daftar tilik. Sedangkan pengetahuan, sikap, dan perilaku melalu kuesioner. Data dianalisis dengan uji chi-square. Mayoritas ibu hamil dalam golongan tidak berisiko, berpendidikan lebih tinggi, tidak bekerja, beban finansial keluarga di bawah rata-rata, paritas tidak lebih dari dua, dalam trimester ketiga, memiliki kunjungan yang lebih, ditemani saat berkunjung, dan tidak memiliki pengalaman pemeriksaan kehamilan. Kualitas pelayanan antenatal yang baik 42,2% dan tenaga kesehatan belum mencuci tangan, menggunakan sarung tangan, dan memberi edukasi menyusui. Pengetahuan, sikap, dan perilaku ibu hamil baik. Ada hubungan kualitas pelayanan antenatal (p=0,010) dan pendidikan (p=0,020) serta pekerjaan (p=0,039) ibu hamil terhadap pengetahuan mengenai pemeriksaan kehamilan. Ditambah, ada hubungan antara pendidikan (p=0,017) ibu hamil dengan perilaku mengenai pemeriksaan kehamilan. Kualitas pelayanan antenatal di Puskesmas Kecamatan Koja perlu ditingkatkan dengan memperketat aturan mencuci tangan dan menggunakan sarung tangan serta edukasi menyusui untuk meningkatkan keamanan dan wawasan pasien.

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One way to reduce maternal mortality rate is to improve antenatal care (ANC) quality. This research finds association between quality of ANC with knowledge, attitude, and practice about pregnancy assessment. Research design is cross-sectional. Data collection was performed at Puskesmas Kecamatan Koja on March 2013 and 109 subjects taken with consecutive sampling method. Quality of ANC is valued in checklist, while knowledge, attitude, and practice is valued by questionnaire. Data was analyzed with chi-square test. The majority of pregnant women there are in unrisk, higher education level, unemployed, below average finance, not more than two parities, in third trimester, have more visits, accompanied while visiting ANC, and no pregnancy assessment?s experience. Good quality of ANC is 42,2% and healthcare giver haven?t washed their hands, wore gloves, and given lactacy education. Knowledge, attitude, and practices is good. There is significant difference between quality of ANC (p=0,010), education level (p=0,020), and occupation (p=0,039) with knowledge about pregnancy assessment. In addition, there is siginificant differences between education level and pregnant women?s knowledge (p=0,017). Quality of ANC at Puskesmas Kecamatan Koja needs improving by strict policy in washing hands, wearing gloves, and lactacy education in order to increase patient safety and knowledge."

"Ibu hamil trimester tiga seringkali mengalami gangguan tidur karena kecemasan dan depresi menjelang persalinan. Penelitian ini bertujuan untuk mengidentifikasi hubungan kecemasan dan depresi dengan kualitas tidur ibu hamil trimester tiga.Desain penelitian menggunakan deskriptif korelatif dengan pendekatan cross sectional. Teknik sampling yang digunakan adalah consecutive sampling dengan melibatkan 110 ibu hamil trimester tiga di UPT Puskesmas Kecamatan Cimanggis dan Sukmajaya. Pengambilan data menggunakan instrumen Zung Self-Rating Anxiety Scale, The Zung Self-Rating Depression Scale, dan The Pittsburgh Sleep Quality Index.Hasil penelitian menunjukkan adanya hubungan yang signifikan antara kecemasan dengan kualitas tidur (p value < 0,05) namun tidak ada hubungan yang signifikan antara depresi dengan kualitas tidur (p value > 0,05) pada ibu hamil trimester tiga. Peneliti merekomendasikan perawat dan tenaga kesehatan lainnya agar dapat memberikan edukasi mengenai manajemen kecemasan dan kualitas tidur ibu hamil khususnya pada periode trimester tiga.

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Third trimester pregnant women often have sleep disturbances because of the anxiety and depression before labor. The purpose of this study was to identify the correlation between anxiety and sleep quality, as well as between depression and sleep quality of third trimester pregnant women.This study used descriptive correlation design with cross sectional approach. The sampling technique used was consecutive sampling which involved 110 third trimester pregnant women in UPT Puskesmas Kecamatan Cimanggis and Sukmajaya. To obtain the data, Zung Self-Rating Anxiety Scale, The Zung Self-Rating Depression Scale, and The Pittsburgh Sleep Quality Index instrument were used.The result showed that there was a significant correlation between anxiety and sleep quality but there was no significant correlation between depression and sleep quality of third trimester pregnant women. It is recommended that nurses and other health providers should give an education about anxiety management and quality of sleep to pregnant women in third trimester of pregnancy."

"In the modern era, our lifestyles are very fast-moving; this makes us highly susceptible to diseases, especially those associated with heart problems. In this research, we developed a portable early detection system for cardiac disorders. This system consists of passive electrodes, named SHIELD-EKG-EMG-PA; a shield which allows Arduino-like boards to capture electrocardiography (ECG) and electromyography (EMG) signals, named SHIELD-EKG-EMG, both devices produced by Olimex; a microcontroller, based on Arduino Uno; and an expert system which is implemented by a personal computer. This system detects time intervals of various segments in ECG signals which are captured by the devices; it then analyzes the signals in order to determine whether the patient has cardiac disorders. We call our detecting system the HEALTHCOR system. A database was established, containing various possible values of parameters in ECG signals. The types of diseases that can be detected are heart rhythm disorders including sinus bradycardia, sinus tachycardia, sinus arrhythmia, and cardiac symptoms associated with intervals and the wave height, such as myocardial infarction. From our tests, the accuracy of our system is 96%. The resultant diagnoses of four patients are all appropriate, and used a commercial 12-lead electrocardiograph."