Catur Supriyanto

Adi Wijaya, Budi Hermawan, Wiga Maulana Baihaqi et al.

This study examines the evolution of Intelligent and Secure Smart Hospital Ecosystems using a Scoping Review with Bibliometric Analysis (ScoRBA) to map research patterns, identify gaps, and derive policy implications. Analyzing 891 journal articles from Scopus (2006-2025) through co-occurrence analysis, network visualization, overlay analysis, and the Enhanced Strategic Diagram (ESD), the study applies the PAGER framework to link Patterns, Advances, Gaps, Research directions, and Evidence-based policy implications. Findings reveal three interrelated clusters: AI-driven intelligent healthcare systems, decentralized privacy-preserving digital health ecosystems, and scalable cloud-edge infrastructures, showing a convergence toward integrated ecosystem architectures where intelligence, trust, and infrastructure reinforce each other. Despite progress in AI, blockchain, and cloud computing, gaps remain in interoperability, real-world implementation, governance, and cross-layer integration. Emerging themes such as explainable AI, federated learning, and privacy mechanisms highlight areas needing further research. Policy-relevant recommendations focus on coordinated governance, scalable infrastructure, and secure data ecosystems, particularly for developing country contexts. The study bridges bibliometric evidence with actionable policies, supporting informed decision-making in smart hospital development.

Sidhiq Mardianta, Affandy, Catur Supriyanto et al.

Diabetic retinopathy (DR) is one of the major complications in diabetic patients' eyes, potentially leading to permanent blindness if not detected timely. This study aims to evaluate the accuracy of artificial intelligence (AI) in diagnosing DR. The method employed is the Synthetic Minority Over-sampling Technique (SMOTE) algorithm, applied to identify DR and its severity stages from fundus images using the public dataset "APTOS 2019 Blindness Detection." Literature was reviewed via ScienceDirect, ResearchGate, Google Scholar, and IEEE Xplore. Classification results using Convolutional Neural Network (CNN) showed the best performance for the binary classes normal (0) and DR (1) with an accuracy of 99.55%, precision of 99.54%, recall of 99.54%, and F1-score of 99.54%. For the multiclass classification No_DR (0), Mild (1), Moderate (2), Severe (3), Proliferate_DR (4), the accuracy was 95.26%, precision 95.26%, recall 95.17%, and F1-score 95.23%. Evaluation using the confusion matrix yielded results of 99.68% for binary classification and 96.65% for multiclass. This study highlights the significant potential in enhancing the accuracy of DR diagnosis compared to traditional human analysis