<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.0 20120330//EN" "JATS-archivearticle1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Towards an Emo-aware Education Through Physiological Emotion Detection</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Franci Suni Lopez</string-name>
          <email>fsunilo@unsa.edu.pe</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Veronica Marisol Collanqui Puma</string-name>
          <email>vcollanqui@unsa.edu.pe</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Luis Enrique Ancco Calisaya</string-name>
          <email>luis.ancco@ujcm.edu.pe</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Betsy Carol Cisneros Chavez</string-name>
          <email>bcisnerosc@unsa.edu.pe</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Universidad Nacional de San Agust n de Arequipa</institution>
          ,
          <country country="PE">Peru</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Universidad Privada de Moquegua Jose Carlos Mariategui</institution>
          ,
          <country country="PE">Peru</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>During the di erent educative processes in the high school or university, a student feels di erent emotions. For instance, physiological stress has mostly experimented during exam periods, when there is academic overload, in new topics or learning too focused on memorization. Additionally, the stress has been associated with chronic diseases (e.g., heart diseases, faults in the immune system, anxiety or headaches). In line with these notions, in this paper, we introduce the idea of measuring emotions in order to empower the educative processes by providing relevant emotional information of all stakeholders involved in the educational task. This kind of information is highly useful for analyzing new educational methodologies or for evaluating the current educational approaches (educational institutions), and for students because it will allow a possible optimization in their teaching-learning process. Regarding the results, we present a preliminary experiment to evaluate the emotion detector, which obtained an accuracy of 79.17%.</p>
      </abstract>
      <kwd-group>
        <kwd>educational approach</kwd>
        <kwd>emo-aware architecture</kwd>
        <kwd>real-time emotion detection</kwd>
        <kwd>physiological stress</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        The stress and its in uence on the life of the humans have been resumed at
present with great force, driven by the new theoretical conceptions assumed, its
recognition as a disease or its association with multiple alterations of the normal
functioning of the organism. Despite its insertion in the eld of medical, social
and educational sciences, a general consensus among experts on the de nition
of the term stress has not been achieved. This situation has generated a
conceptual, theoretical and methodological diversity re ected in a wide range of
research collected in many studies. Academic stress is a systemic process, of an
adaptive and essentially psychological nature, which occurs when the student is
subjected, in school contexts, to a series of demands that, under the assessment
of the student, are considered stressors; when these stressors cause a systematic
imbalance (stressful situation) that manifests itself in a series of symptoms
(indicators of imbalance); and when this imbalance forces the student to carry out
coping actions to restore the systemic equilibrium [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ].
      </p>
      <p>
        According to Arias-Gund n and Vizoso-Gomez [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], the main factors that
generate stress in people are: poverty, constant changes in the employment
situation and social, pollution and competition among co-workers and classes. Several
studies agree that entering university or school represents a set of highly
stressful situations, due to a lack of adaptation to the new environment. This kind
of stress can be classi ed as academic stress, it is expressed for example, during
exam periods [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ], when there is academic overload [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] at the
beginning of the in the courses [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ], a teaching and learning focused on memorization
[
        <xref ref-type="bibr" rid="ref16">16</xref>
        ], when there is a lack of time [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ], the demands of some subjects [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ], during
the interventions in public [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ], at the moment that there are methodological
deciencies of the teaching sta [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ] and when unsatisfactory results are obtained
[
        <xref ref-type="bibr" rid="ref23">23</xref>
        ]. For an educational institution, it is important to know the main academic
stressors in its students, given that stress has been associated with chronic
diseases [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ], heart diseases [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ], faults in the immune system [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ] , anxiety [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ]
[
        <xref ref-type="bibr" rid="ref21">21</xref>
        ], headaches [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ], anger [
        <xref ref-type="bibr" rid="ref21">21</xref>
        ], metabolic and hormonal disorders, depression
[
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ] [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] , sadness [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] [
        <xref ref-type="bibr" rid="ref21">21</xref>
        ]; irritability [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ] [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], decrease in self-esteem,
insomnia [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ] [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], even with asthma [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ], memory and concentration disturbances [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ],
a ecting both the health and the academic performance of the students [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ].
      </p>
      <p>Therefore, it is important then to carry out these kinds of studies that will
be useful; rstly for the students, because it will allow them to increase the
theoretical knowledge on the subject and with it, a possible optimization in
their teaching-learning process and secondly, for the institution, because it will
allow them to have knowledge about stress of the students who are part of it.
Finally, the paper is organized as follows: Section 2 discusses the background
and the related works on human emotions. Section 3 presents the architecture
and the algorithms used in our stress detector. The description of the experiment
and results are presented in Section 4. Finally, conclusions and future work are
discussed in Section 6.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Human emotions</title>
      <p>
        Emotions are located in many parts of the brain. Cognitive responses are located
in the cerebral cortex, mainly in the prefrontal area. Also, they imply changes
in human behavior, autonomic nervous system, and neuroendocrine alterations.
The cerebral centers involved in these processes are located in subcortical
regions, in the limbic system and the brain stem [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. The amygdala is a brain
structure located in the limbic system that has historically been directly related
to emotions, it has the size and shape of an almond and its direct electrical
stimulation produces subjective reactions of fear and apprehension [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Additionally,
the autonomic nervous system is responsible for the physiological activation of
the person. It is a basic survival mechanism that allows us to mobilize many of
the resources available for rapid action. Before the perception of a threat
activates the sympathetic autonomous nervous system that would produce a series
of changes in the viscera that are detailed below. While if there is no perception
of threat and everything goes smoothly, the parasympathetic nervous system
remains activated. According to speci c stimuli, the autonomic nervous system
changes the behavior of a determined physiological signal.
      </p>
      <p>
        In this context, human emotions recognition has been investigated in di erent
computer science elds. For instance, in video games, Tognetti et al. proposed
to detect enjoyment in a racing game [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ]. In software engineering, Muller and
Fritz presented a method to recognize the perceived di culty of developers [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]
and in other work the frustration and the happiness [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. Also, we can nd
more proposals in the literature such as Healey and Picard [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ], Tognetti [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ],
Muller and Fritz [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ], Lee et al. [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ] or Leon et al. [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ]. Overall, the di erent
proposed works use di erent data sources to recognize emotions (e.g., images,
microphone data, physiological signals or text). However, according to [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]
physiological signals (e.g., heart rate, electroencephalography, electrodermal activity,
electromyogram or electrocardiogram) provides a reliable way to recognize
emotions because this theory is based on detecting automatic physiological responses
of the body. For our practical case of education, we use Electrodermal activity
(EDA) as a source of data because EDA is one of the best real-time correlates
of stress [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. EDA is a psychophysiological parameter that re ects the activity
of the sympathetic nervous system [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. It could be interpreted as the level of
activation of the subject. In other words, when the subject is very activated
(i.e. high emotionality) the electrical conductance of the skin increases; on the
contrary, when the subject is little activated (relaxed), the conductance of the
skin decreases.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Emo-aware education approach</title>
      <p>
        Figure 1 shows the architecture of our proposal; which is addressed not only
for one person but also for many students (e.g., students of a course). On the
left side, each user uses one or more physiological sensors (e.g., E4-wristband3 or
Moodmetric ring4); in case of the E4-wristband, this device is placed on the wrist
of the non-dominant hand of the subject. Also, the collected signals are the input
of the real-time emotion detector module. This module has the responsibility to
determine whether the user feels an emotion or not; for this paper, the
physiological stress was selected as target emotion, in other words, the detector will mark
a label of "stressed" or "not stressed"; for that objective, we have implemented
the pre-processing steps (see Section 4 for details) proposed by Bakker et al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]
for arousal detection in an integrated pipeline to enable real-time processing.
Next, this information is input for the inference engine component, which
according to the set of assessment rules in the rule base, it decides which metrics
will be sent to the messaging application module. This last module provides
relevant information about each student in the experiment to the stakeholders (e.g.,
      </p>
      <sec id="sec-3-1">
        <title>3 https://www.empatica.com/research/e4/</title>
        <p>4 http://www.moodmetric.com/
professors, teachers or researchers). Finally, it is important to remark that each
physiological sensor placed on the subjects is directly connected by Bluetooth
to the inference engine module; in other words, the inference engine also works
as a server to receive all information.</p>
        <sec id="sec-3-1-1">
          <title>Real-time emotion detector</title>
        </sec>
        <sec id="sec-3-1-2">
          <title>Rule base</title>
        </sec>
        <sec id="sec-3-1-3">
          <title>Inference</title>
          <p>engine</p>
        </sec>
        <sec id="sec-3-1-4">
          <title>Messaging application</title>
          <p>
            Sensors
…
Subjects
In this section, we present the rst stage of experiments to analyze the
performance of the primary module (i.e., real-time emotion detector) of our approach.
First, it is presented the description of the algorithms used for detecting
physiological stress; next, it is presented the details of the experiment and the obtained
results.
As the real-time emotion detector is the primary module of our approach, then it
is necessary to ensure a good performance of this module for the correct working
of the complete pipeline. Therefore, the goal of this preliminary experiment
is to evaluate the performance of the real-time stress detector in terms of its
accuracy. As was mentioned before, the stress detector is based on a change
arousal detection approach proposed by Bakker et al. [
            <xref ref-type="bibr" rid="ref4">4</xref>
            ].
          </p>
          <p>
            As we use signals is required a previous step of noise lter applying a median
lter over a moving window of size n = 100 EDA samples. After it is applied
an aggregation process of one value for each 240 EDA samples. Next, the data
is discretized using the symbolic aggregate approximation (SAX) method [
            <xref ref-type="bibr" rid="ref15">15</xref>
            ].
Finally, we use a change detection algorithm based on ADaptive WINdowing
(ADWIN) method [
            <xref ref-type="bibr" rid="ref6">6</xref>
            ]; basically, this algorithm analyzes the statistically signi
cant di erence between two consecutive splits. For instance, given 1 and 2 as
the means of two splits of a sequence of EDA signals, then j 1 2j &gt;2cut is
the condition for a change detection that is computed with the Equation 1.
(1)
where W2 is the variance of the elements of W. is the desired con dence
and 0 = =(ln n) [
            <xref ref-type="bibr" rid="ref4">4</xref>
            ]. Figure 2 shows the output the algorithm detecting a stress
change.
The goal of this preliminary experiment was to evaluate the accuracy of the
real-time stress detector, for that objective the following research question was
proposed:
          </p>
          <p>What is the accuracy of the real-time stress detector able to recognize
physiological stress changes in semi-controlled conditions?</p>
          <p>
            To achieve this objective, we use two di erent stressful5 (i.e., the Stroop Task
[
            <xref ref-type="bibr" rid="ref12">12</xref>
            ] and an environmental noise [
            <xref ref-type="bibr" rid="ref19">19</xref>
            ]) for generating stress on participants, and
the stress detector can detect these emotional changes. Also, the used stressful is
          </p>
        </sec>
      </sec>
      <sec id="sec-3-2">
        <title>5 A stressful is any stimulus that generates stress on the user.</title>
        <p>de ned as the independent variable, and as dependent variables, the user stress
state (measured by the stress detector) and the reported stress by the subjects.</p>
        <p>The experiment involved 14 subjects (i.e., master students and Ph.D.
candidates), whose ages ranged between 21 and 32 years old. The experiment lasted
about 30 minutes; where the subjects interacted with the two stressful by ve
minutes each one. All subjects used the E4-wristband, that is a wearable device
that o ers real-time physiological data acquisition. Additionally, after of the
interaction with the stressful, all participants are asked to complete a questionnaire
about their stress perception (self-report stress). Overall, comparing the results
of the stress detector and the reported stress by the subjects, the real-time stress
detector obtained an accuracy of 79.17% (to compute the accuracy we use the
Equation 2).</p>
        <p>accuracy =</p>
        <p>T P + T N
T P + T N + F P + F N
(2)</p>
        <p>Where TP indicates true positives, TN true negatives, FP false positive and
FN false negatives. In this case, examples where reported stress and stress
detector are labeled as stressed are considered as true positive.
5</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Applications</title>
      <p>The recognition of physiological stress on students is a valuable information for
di erent stakeholders and this information could be used with di erent proposes.
In line with this notion, in this paper we identify two potential applications,
which are explained as follow.
5.1</p>
      <p>Evaluation of teaching-learning processes
In the last decades, from economic, political and social spheres, one of the main
objectives of the education, in any of its levels, is the quality. The legal
educational regulations have emphasized this demand and for which various projects
and institutions have been launched, in order to achieve the highest levels of
quality in Peruvian institutions. In addition, there is a need for accountability,
demanded by society, with the interest of planning improvement processes that
provide as a result the increase in the quality of the education system. In which
undoubtedly, the evaluation plays an important and necessary role.</p>
      <p>Initially, the evaluation was an activity carried out by those who were in a
position of power, authority or superiority over the people who are evaluated.
In this way, the evaluation has served and serves for the selection of people, for
the quali cation of the apprenticeships, for the promotion within the system or
for the certi cation of socially recognized quali cations. However, the
evaluation is not a process that consists of controlling and demanding the evaluated,
but it is a process of re ection that requires us all to commit to knowledge and
improvement. One of the intrinsic reasons for the need for evaluation is that
an educational program cannot be designed and developed e ectively and e
ciently without the evaluation phase is naturally present. Therefore, the value
of evaluation as a quality factor can hardly be denied. Being aware of the need
to promote evaluation procedures that address the needs, already mentioned, of
accountability and improvement of teaching, a potential use of this emotional
information is in the evaluation of educational processes.</p>
      <p>Contextualizing in the educational area, it is possible to evaluate the negative
emotions that could generate the methodologies that use a teacher, the teaching
process, the selected educational competencies, the educational material, or the
number of hours in which the students stay in an institution. In line with this
notion, it is important to carry out these type of evaluations together with
psychologies who can supportand orient about emotional intelligence topics that
could be useful for managing emotions in relation to students behavior.
5.2</p>
      <p>
        Prevention of chronic diseases
Stress as a psychophysiological response of the organism due to external or
internal factors (classi ed as stressors). Stress can complicate the health of people
and consequently, it could result in chronic diseases. Regarding the educational
area, stress can a ect both teachers and students even reaching more aggressive
pathologies such as Burnout Syndrome [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] which is an emotional disorder that
is linked to the workplace (e.g., schools). This syndrome can have very serious
consequences, both physically and psychologically.
      </p>
      <p>Therefore, the collection of emotional information takes on a crucial
importance in order to make quick decisions in order to avoid and/or prevent
this problem from worsening. In our proposal, the collection of information is
obtained objectively, appropriately and in real-time, unlike other conventional
procedures, to provide true data that help identify cases that require prompt
help and derive this information to the corresponding professionals avoiding so
that the problem becomes chronic. This information collection could be done
during a month, approximately, both to professors and students and from the
information that is obtained begin to plan actions oriented to the prevention
and treatment of stress.
6</p>
    </sec>
    <sec id="sec-5">
      <title>Conclusions and future works</title>
      <p>The academic stress whose source is in the educational environment is a question
that a ects the students' learning and their well-being.</p>
      <p>In this paper, we present an emo-aware architecture for providing emotional
information of students (from high school or university) during a
teachinglearning process. We argue that this kind of emotional information is
fundamental to understand the di erent behaviors in the student reactions involved
in a teaching-learning process. Another important contribution of our approach
is for the students, which can use the information collected from themselves
to analyze their learning di culties and after to make decisions about how to
optimize their educational processes.</p>
      <p>
        In the rst stage of experiments (analyzing only the real-time emotion
detector component), an experiment was conducted with 14 subjects using the
E4-wristband device to gather physiological data (physiological sensors).
Comparing the outcome of our stress detector with the reported by each subject
(perceive stress), the real-time stress detector obtained an accuracy of 79.17%.
Overall, we can conclude the real-time emotion detector based on stress
recognition has had a good performance for detecting physiological stress in
semicontrolled conditions (i.e., in a room), because this result show a good accuracy
in comparison with other machine-learning based on recognition methods, due
to it oscillates between 70% and 85% [
        <xref ref-type="bibr" rid="ref1 ref10">1, 10</xref>
        ], values reported in the literature of
stress recognition using physiological data.
      </p>
      <p>As part of our future work, it is important to generate interest in future
research in which academic stress is the focus of attention, because it is necessary
to prevent or even cushion the e ects of stress in students, although it may seem
to some to be unimportant in comparison with others, it is closely related to
undesirable alterations, such as memory failures at the moment of performing a
stressful test, or failures in the learning process itself. Also, we plan to conduct
a series of simulation-based experiments to assess our inference rules. Then, we
plan to conduct experiments with multiple groups of subjects for evaluating the
relevance of the information delivered by our prototype application.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          1.
          <string-name>
            <surname>Alberdi</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Aztiria</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Basarab</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Towards an automatic early stress recognition system for o ce environments based on multimodal measurements: A review</article-title>
          .
          <source>Journal of Biomedical Informatics</source>
          <volume>59</volume>
          ,
          <issue>49</issue>
          {75 (feb
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          2.
          <string-name>
            <surname>Amat</surname>
            <given-names>V</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Fernandez</surname>
            <given-names>C</given-names>
          </string-name>
          ,
          <string-name>
            <surname>O.I.P.M.R.M.R.D.</surname>
          </string-name>
          :
          <article-title>Estres en estudiantes de enfermer a</article-title>
          .
          <source>Rev. Rol enferm</source>
          .
          <volume>133</volume>
          ,
          <issue>75</issue>
          {
          <fpage>78</fpage>
          (
          <year>1990</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          3.
          <string-name>
            <surname>Arias-Gund n</surname>
            ,
            <given-names>O.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Vizoso-Gomez</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          :
          <article-title>Causas de estres academico en estudiantes universitarios (</article-title>
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          4.
          <string-name>
            <surname>Bakker</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pechenizkiy</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Sidorova</surname>
          </string-name>
          , N.:
          <article-title>What's your current stress level? detection of stress patterns from gsr sensor data</article-title>
          .
          <source>In: Proceedings of the 2011 IEEE 11th International Conference on Data Mining Workshops</source>
          . pp.
          <volume>573</volume>
          {
          <fpage>580</fpage>
          . ICDMW '11, IEEE Computer Society, Washington, DC, USA (
          <year>2011</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          5.
          <string-name>
            <surname>Barraza</surname>
            <given-names>A</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Mart nez</surname>
            <given-names>JL</given-names>
          </string-name>
          ,
          <string-name>
            <surname>S.J.C.E.A.R.</surname>
          </string-name>
          :
          <article-title>Estresores academico y genero: un estudio exploratorio de su relacion en alumnos de licenciatura</article-title>
          .
          <source>VE-IUNAES</source>
          <volume>5</volume>
          (
          <issue>12</issue>
          ),
          <volume>33</volume>
          {
          <fpage>43</fpage>
          (
          <year>2011</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          6.
          <string-name>
            <surname>Bifet</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Gavalda</surname>
            ,
            <given-names>R.</given-names>
          </string-name>
          :
          <article-title>Learning from time-changing data with adaptive windowing</article-title>
          .
          <source>In: Proceedings of the 2007 SIAM International Conference on Data Mining</source>
          , pp.
          <volume>443</volume>
          {
          <fpage>448</fpage>
          .
          <string-name>
            <surname>Society</surname>
          </string-name>
          for Industrial and Applied Mathematics (apr
          <year>2007</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          7.
          <string-name>
            <surname>Boucsein</surname>
          </string-name>
          , W.: Electrodermal Activity. Springer US (
          <year>2012</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          8.
          <string-name>
            <surname>Dawson</surname>
            ,
            <given-names>M.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Schell</surname>
            ,
            <given-names>A.M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Filion</surname>
            ,
            <given-names>D.L.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Berntson</surname>
            ,
            <given-names>G.G.</given-names>
          </string-name>
          :
          <article-title>The electrodermal system</article-title>
          . In: Cacioppo,
          <string-name>
            <given-names>J.T.</given-names>
            ,
            <surname>Tassinary</surname>
          </string-name>
          ,
          <string-name>
            <given-names>L.G.</given-names>
            ,
            <surname>Berntson</surname>
          </string-name>
          ,
          <string-name>
            <surname>G</surname>
          </string-name>
          . (eds.) Handbook of Psychophysiology, pp.
          <volume>157</volume>
          {
          <fpage>181</fpage>
          . Cambridge University Press (
          <year>2007</year>
          ). https://doi.org/10.1017/cbo9780511546396.007, https://doi.org/10.1017/cbo9780511546396.007
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          9.
          <string-name>
            <surname>Embriaco</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Papazian</surname>
            ,
            <given-names>L.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kentish-Barnes</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pochard</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Azoulay</surname>
          </string-name>
          , E.:
          <article-title>Burnout syndrome among critical care healthcare workers</article-title>
          .
          <source>Current Opinion in Critical Care</source>
          <volume>13</volume>
          (
          <issue>5</issue>
          ),
          <volume>482</volume>
          {488 (oct
          <year>2007</year>
          ). https://doi.org/10.1097/mcc.0b013e3282efd28a, https://doi.org/10.1097/mcc.0b013e3282efd28a
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          10.
          <string-name>
            <surname>Garcia-Ceja</surname>
            ,
            <given-names>E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Osmani</surname>
            ,
            <given-names>V.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Mayora</surname>
            ,
            <given-names>O.</given-names>
          </string-name>
          :
          <article-title>Automatic stress detection in working environments from smartphones x2019; accelerometer data: A rst step</article-title>
          .
          <source>IEEE Journal of Biomedical and Health Informatics</source>
          <volume>20</volume>
          (
          <issue>4</issue>
          ),
          <volume>1053</volume>
          {
          <fpage>1060</fpage>
          (
          <year>July 2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          11.
          <string-name>
            <surname>Healey</surname>
            ,
            <given-names>J.A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Picard</surname>
          </string-name>
          , R.W.:
          <article-title>Detecting stress during real-world driving tasks using physiological sensors</article-title>
          .
          <source>Trans. Intell. Transport. Sys</source>
          .
          <volume>6</volume>
          (
          <issue>2</issue>
          ),
          <volume>156</volume>
          {166 (Jun
          <year>2005</year>
          ). https://doi.org/10.1109/TITS.
          <year>2005</year>
          .
          <volume>848368</volume>
          , http://dx.doi.org/10.1109/TITS.
          <year>2005</year>
          .848368
        </mixed-citation>
      </ref>
      <ref id="ref12">
        <mixed-citation>
          12.
          <string-name>
            <surname>Lattimore</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          :
          <article-title>Stress-induced eating: an alternative method for inducing egothreatening stress</article-title>
          .
          <source>Appetite</source>
          <volume>36</volume>
          (
          <issue>2</issue>
          ),
          <volume>187</volume>
          {188 (apr
          <year>2001</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref13">
        <mixed-citation>
          13.
          <string-name>
            <surname>Lee</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kim</surname>
            ,
            <given-names>K.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Rho</surname>
            ,
            <given-names>H.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kim</surname>
            ,
            <given-names>S.J.:</given-names>
          </string-name>
          <article-title>Empa talk: A physiological data incorporated human-computer interactions</article-title>
          .
          <source>In: CHI '14 Extended Abstracts on Human Factors in Computing Systems</source>
          . pp.
          <year>1897</year>
          {
          <year>1902</year>
          . CHI EA '
          <volume>14</volume>
          ,
          <string-name>
            <surname>ACM</surname>
          </string-name>
          , New York, NY, USA (
          <year>2014</year>
          ). https://doi.org/10.1145/2559206.2581370, http://doi.acm.
          <source>org/10</source>
          .1145/2559206.2581370
        </mixed-citation>
      </ref>
      <ref id="ref14">
        <mixed-citation>
          14.
          <string-name>
            <surname>Leon</surname>
            ,
            <given-names>E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Clarke</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Callaghan</surname>
            ,
            <given-names>V.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Sepulveda</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          :
          <article-title>A userindependent real-time emotion recognition system for software agents in domestic environments</article-title>
          .
          <source>Eng. Appl. Artif. Intell</source>
          .
          <volume>20</volume>
          (
          <issue>3</issue>
          ),
          <volume>337</volume>
          {345 (Apr
          <year>2007</year>
          ). https://doi.org/10.1016/j.engappai.
          <year>2006</year>
          .
          <volume>06</volume>
          .001, http://dx.doi.org/10.1016/j.engappai.
          <year>2006</year>
          .
          <volume>06</volume>
          .001
        </mixed-citation>
      </ref>
      <ref id="ref15">
        <mixed-citation>
          15.
          <string-name>
            <surname>Lin</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Keogh</surname>
            ,
            <given-names>E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Lonardi</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Chiu</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          :
          <article-title>A symbolic representation of time series, with implications for streaming algorithms</article-title>
          .
          <source>In: Proceedings of the 8th ACM SIGMOD Workshop on Research Issues in Data Mining and Knowledge Discovery</source>
          . pp.
          <volume>2</volume>
          {
          <fpage>11</fpage>
          . DMKD '03,
          <string-name>
            <surname>ACM</surname>
          </string-name>
          , New York, NY, USA (
          <year>2003</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref16">
        <mixed-citation>
          16.
          <string-name>
            <surname>Mar n</surname>
            <given-names>MM</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Alvarez</surname>
            <given-names>CG</given-names>
          </string-name>
          ,
          <string-name>
            <surname>L.A.A.A.L.B.</surname>
          </string-name>
          :
          <article-title>Estres academico en estudiantes: El caso de la facultad de enfermer a de la universidad michoacana</article-title>
          .
          <source>rev. iberoam. produccion academica gest. educ</source>
          <volume>1</volume>
          (
          <issue>17</issue>
          ) (
          <year>2014</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref17">
        <mixed-citation>
          17. Muller, S.C.:
          <article-title>Measuring software developers' perceived di culty with biometric sensors</article-title>
          .
          <source>In: Proceedings of the 37th International Conference on Software Engineering - Volume</source>
          <volume>2</volume>
          . pp.
          <volume>887</volume>
          {
          <fpage>890</fpage>
          . ICSE '15, IEEE Press, Piscataway, NJ, USA (
          <year>2015</year>
          ), http://dl.acm.org/citation.cfm?id=
          <volume>2819009</volume>
          .
          <fpage>2819206</fpage>
        </mixed-citation>
      </ref>
      <ref id="ref18">
        <mixed-citation>
          18. Muller,
          <string-name>
            <given-names>S.C.</given-names>
            ,
            <surname>Fritz</surname>
          </string-name>
          ,
          <string-name>
            <surname>T.</surname>
          </string-name>
          :
          <article-title>Stuck and frustrated or in ow and happy: Sensing developers' emotions and progress</article-title>
          .
          <source>In: Proceedings of the 37th International Conference on Software Engineering - Volume</source>
          <volume>1</volume>
          . pp.
          <volume>688</volume>
          {
          <fpage>699</fpage>
          . ICSE '15, IEEE Press, Piscataway, NJ, USA (
          <year>2015</year>
          ), http://dl.acm.org/citation.cfm?id=
          <volume>2818754</volume>
          .
          <fpage>2818838</fpage>
        </mixed-citation>
      </ref>
      <ref id="ref19">
        <mixed-citation>
          19.
          <string-name>
            <surname>Passchier-Vermeer</surname>
            <given-names>W</given-names>
          </string-name>
          , P.W.:
          <article-title>Noise exposure and public health</article-title>
          .
          <source>Environ Health Perspect</source>
          . p.
          <volume>108</volume>
          (
          <issue>suppl 1</issue>
          ):
          <volume>123</volume>
          {
          <fpage>31</fpage>
          (
          <year>2000</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref20">
        <mixed-citation>
          20.
          <string-name>
            <surname>Pulido</surname>
            <given-names>MA</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Serrano</surname>
            <given-names>ML</given-names>
          </string-name>
          ,
          <string-name>
            <surname>V.E.C.M.H.P.V.F.:</surname>
          </string-name>
          <article-title>Estres academico en estudiantes universitarios</article-title>
          .
          <source>Psicolog a y Salud</source>
          <volume>21</volume>
          (
          <issue>1</issue>
          ),
          <volume>31</volume>
          {
          <fpage>37</fpage>
          (
          <year>2011</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref21">
        <mixed-citation>
          21.
          <string-name>
            <surname>Rivadeneira</surname>
            <given-names>C</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Minici</surname>
            <given-names>A</given-names>
          </string-name>
          ,
          <string-name>
            <surname>D.</surname>
          </string-name>
          J.:
          <article-title>Algunas puntualizaciones sobre el estres</article-title>
          .
          <source>Revista de terapia cognitivo conductual 23</source>
          ,
          <issue>1</issue>
          {
          <issue>7</issue>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref22">
        <mixed-citation>
          22. y Rodrigo Mazo Zea,
          <string-name>
            <surname>N.B.G.</surname>
          </string-name>
          :
          <article-title>Estres academico</article-title>
          .
          <source>Revista de Psicolog a Universidad de Antioquia</source>
          <volume>3</volume>
          (
          <issue>2</issue>
          ),
          <volume>55</volume>
          {
          <fpage>82</fpage>
          (
          <year>2012</year>
          ), https://aprendeenlinea.udea.edu.co/revistas/index.php/psicologia/article/view/11369
        </mixed-citation>
      </ref>
      <ref id="ref23">
        <mixed-citation>
          23.
          <string-name>
            <surname>Rodr guez</surname>
            <given-names>B</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Gonzalez</surname>
            <given-names>MP</given-names>
          </string-name>
          ,
          <string-name>
            <surname>B.L.</surname>
          </string-name>
          :
          <article-title>Estresores academicos percibidos por estudiantes pertenecientes a la escuela de enfermer a de Avila, centro adscrito a la universidad de salamanca</article-title>
          .
          <source>Rev. enferm. CyL</source>
          <volume>6</volume>
          (
          <issue>2</issue>
          ),
          <volume>98</volume>
          {
          <fpage>105</fpage>
          (
          <year>2014</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref24">
        <mixed-citation>
          24.
          <string-name>
            <surname>Tognetti</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Garbarino</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bonanno</surname>
            ,
            <given-names>A.T.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Matteucci</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bonarini</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Enjoyment recognition from physiological data in a car racing game</article-title>
          .
          <source>In: Proceedings of the 3rd International Workshop on A ective Interaction in Natural Environments</source>
          . pp.
          <volume>3</volume>
          {
          <issue>8</issue>
          . AFFINE '10,
          <string-name>
            <surname>ACM</surname>
          </string-name>
          , New York, NY, USA (
          <year>2010</year>
          ). https://doi.org/10.1145/1877826.1877830, http://doi.acm.
          <source>org/10</source>
          .1145/1877826.1877830
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>