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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Analysis of Medical Systems to Control the Driver's Condition to Improve Traffic Safety</article-title>
      </title-group>
      <contrib-group>
        <aff id="aff0">
          <label>0</label>
          <institution>Comenius University in Bratislava</institution>
          ,
          <addr-line>Bratislava</addr-line>
          ,
          <country country="SK">Slovakia</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Operation and Repair of Automotive Vehicles Lviv Polytechnic National University</institution>
          ,
          <addr-line>Lviv</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Publishing Information Technology Department, Institute of Computer Science and Information Technologies Lviv Polytechnic National University 12 Bandery str.</institution>
          ,
          <addr-line>Lviv, 79013</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Computer information technology is penetrating our way of life. They provide more and more protection against emergencies. Particularly dangerous is the health and satisfactory driving behavior of drivers. After all, drivers are alone for a long time and face every minute with dangerous situations on the roads. Particularly difficult is the situation when drivers suffer from chronic diseases, because every minute they are in dangerous situations. A system for monitoring the health of drivers while driving is proposed. Particularly noteworthy are the differences in altitude, as drivers move along the highway. From elevations, drivers may experience headaches, anorexia or nausea, dizziness, vomiting, insomnia, tachypnea, pulmonary rales, and more. This paper provides recommendations for considering these factors to ensure the safe movement of the driver In the presence of a system to monitor the condition of the driver can avoid a large number of accidents. Today, the software market offers several variants of software packages containing various driver tracking modules already built into the vehicle.</p>
      </abstract>
      <kwd-group>
        <kwd>driver status monitoring system</kwd>
        <kwd>tracking modules</kwd>
        <kwd>painful condition of the driver</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        The number of accidents caused by the state of fatigue or weakened attention [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] of
the driver at the wheel of a vehicle is increasing every year and leads to injuries
among the population worldwide. Many drivers at the wheel of a car feel tired or
weakened, and they do not even suspect that they are in this condition. According to a
report by the National Highway Traffic Safety Administration [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], up to nine percent
of accidents are caused by fatigue of drivers behind the wheel of a vehicle. According
to a study [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] by the AAA Foundation for Traffic Safety, dedicated to analyzing
driver behavior when driving in a half-sleep state, short-term sleep doubles the risk of an
accident compared to those who slept the recommended seven or more hours. The
likelihood of a driver crashing in a dream that lasts less than four hours increases by
11.5 times; from four to five hours - increases 4.3 times; from five to six hours - 1.9
times; six to seven hours - 1.3 times. Research has shown that lack of sleep and, as a
consequence, slowing down the reaction rate and drowsiness can be just as dangerous
as the state of alcoholic intoxication - a slow reaction and a decrease in concentration
of attention.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>Analysis of recent publications</title>
      <p>
        Traffic statistics show that a significant number of accidents are caused by the driver's
physical condition [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. A number of large automakers are actively working to create
various driver monitoring systems designed to, at a minimum, alert a person to an
unsafe condition and, as a minimum, to interfere with vehicle control and prevent an
event. The work is conducted in several directions, including fatigue control,
assessment of physical stress, determination of the driver's painful condition.
      </p>
      <p>
        The driver fatigue control system is designed to detect the onset of driver fatigue
and to prevent sleep at the wheel. The system proposes to take a break to rest the
alarm sound or the signal on the dashboard ("coffee cup") [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Determining the onset
of driver fatigue is carried out in various ways - assessment of the driver's actions in
driving, control the nature of the car-mobile movement, monitoring the driver's face
using a video camera [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ].
      </p>
      <p>
        Volkswagen is installing an ambulance system on the vehicle, which is an
extension of the lane assistance system. If the driver is unable to drive the car
(unconscious), the Emergency Assist system takes control of itself and stops the vehicle, as
well as warns other road users of a dangerous situation [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
      </p>
      <p>
        If the driver does not use the steering for a certain period of time, the Emergency
Assist system [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ] warns him of visual and audible signals, slows the car. In the
absence of a reaction from the driver, the system determines that it is unable to drive the
car. The lane-assist system ensures that the car is within the busy lane, and adaptive
cruise control prevents the car from hitting ahead. To warn other drivers, the alarm is
activated, the car starts to move the snake within the lane and stops at the end.
Another direction of development of control systems is to equip vehicles with biometric
sensors, by means of which it is possible to monitor important health indicators
(pulse, respiratory rate, skin conductivity, etc.). These developments are promising,
and should appear on production cars in the near future.
      </p>
      <p>The closest solution to the problem for the control system is the assessment of the
driver's load, designed to reduce inattention and excessive stress. The physical stress
of the driver is estimated by processing a variety of parameters: the movement of the
vehicle (speed, longitudinal and transverse acceleration, speed of spinning); driver
actions (steering angle, accelerator and brake position); road conditions (traffic
density, pavement character); biometric parameters (heart rate, respiratory rate, skin
temperature).</p>
      <p>If the load on the driver is high enough, the system takes measures to reduce the
voltage, including the function of automatically blocking the mobile phone from
incoming calls (the function "do not disturb").</p>
      <p>The following biometric sensors are used in the driver load assessment system:
 a piezoelectric sensor in the seat belt to monitor respiratory rate;
 conductive overlays on the steering wheel rim for pulse measurement;
 infrared sensors on the steering wheel rim to measure palm temperature;
 infrared steering wheel sensor that controls the face temperature.</p>
      <p>Jaguar Land Rover [8] proposes to monitor the driver's condition with the help of
biometric sensors built into the driver's seat. Driver Wellness Monitoring uses
respiratory and pulse sensors. If the system identifies serious health problems or unnecessary
driver arousal, then safety measures are taken. Stress regulates internal refreshment,
audio system and air conditioning. An emergency call is made in the event of a
sudden and severe illness, and the car stops automatically.</p>
      <p>
        In 2016, Audi introduced the FitDriver project [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] under the motto "My Audi cares
about me". Vital driver settings such as heart rate and temperature are controlled by
handheld devices (training bracelet or SmartWatch). This data is complemented by
information on driving styles, breathing rates, weather and road conditions provided
by various automotive sensors. Taken together, the data allow you to determine the
current status of the driver, including increased fatigue or stress.
      </p>
      <p>As a result of a comprehensive assessment of the physical condition, various
systems of the car are used for rest, restoration and protection of the driver: massage of
seats, silent mode of the phone, climate control, adaptive infotainment system,
adaptive interior lighting. In the future, Audi plans to use active safety systems.</p>
      <p>Ferrari has patented a technology that evaluates the voltage level of a brain wave
driver. Brain bioelectric activity is measured by pre-assisted wireless sensors built
into the driver's seat headrest. Depending on the driver's condition, the fuel supply to
the engine is reduced and the car's automatic stabilization is achieved.</p>
      <p>Jaguar Land Rover is also working in this direction. The Mind Sense system
determines when a driver is distracted or falls asleep while moving through brain
activity. It is established that the human brain generates several brain impulses of different
frequency. By constantly measuring the impulses, you can estimate how focused the
driver is (slowing down, dozing off or distracting).</p>
      <p>Brain waves are monitored using sensors built into the steering wheel. If the
activity of the brain indicates drowsiness or poor concentration of the driver, the steering
wheel or accelerator pedal begins to vibrate, paying attention to driving. If there was
no reaction from the driver, a visual and an audible signal are given.</p>
      <p>Another area of use for biometric sensors is related to controlling the physical
condition of older drivers as well as drivers with chronic conditions. As far as the car
companies work in this direction.</p>
      <p>
        All the same, Ford proposes to control drivers who are over 40 with the use of
heart rate sensors built into the seat. The basis of this technology is the
electrocardiogram technology, which monitors cardiac electrical pulses and timely identifies
abnormalities (eg, heart attack), as well as symptoms of other diseases (eg, high blood
pressure) [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ].
      </p>
      <p>Toyota uses sensors on the steering wheel rim to monitor vital indicators:
electrodes for heart rate monitoring and optical sensors for palm conduction evaluation.
The driver's condition monitoring system is linked to an emergency braking system
that allows you to stop the car in the event of a heart attack, as well as a navigation
system that automatically routes the route to your nearest hospital. The system allows
you to determine the onset of a heart attack from an early stage and thus prevent an
accident.</p>
      <p>BMW is working on a technology to alert drivers who have diabetes to raise their
blood sugar. The device for measuring blood sugar is connected to a smartphone,
which in turn is connected via Blue-tooth to the car's multimedia system. The system
displays information that alerts the driver to the risk of loss of consciousness due to
high blood sugar. In the long term, the measured parameters will be automatically
transmitted to the driver's doctor.</p>
      <p>The proposed system consists of the following basic elements: micro-computer,
camera, backlight, sound source, car sound system, light source, battery, and can also
be equipped with a device for measuring blood sugar that connects via Bluetooth, see
Fig. 1 which shows the functional diagram of the device.</p>
      <p>
        The camera is equipped with a block of high resolution forming, which was
developed in [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
Miniature infrared camcorder scans the driver's face in the infrared range and registers
the frequency of blinking of the driver and the direction of his gaze. The information
goes to the microprocessor, where after processing the algorithm, a conclusion is
drawn about the degree of fatigue of the person behind the wheel.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Investigation of the physiological state of drivers</title>
      <p>The physiological condition of the driver depends on many factors, including major
factors such as fatigue, physical exertion and the painful condition of the driver. All
these factors are manifested in the driver's driving behavior and are manifested as
follows: falling asleep and distracting.</p>
      <p>A healthy person cannot fall asleep immediately. And everything is the same for
everyone: yawning begins, the picture that arises in the mind of the driver narrows,
the eyelids weigh. With the accumulation of fatigue, blinking becomes more frequent,
and the pupils close their eyelids for a longer time.</p>
      <p>The first factor that 100% indicates the onset of falling asleep is the driver's
perception of blinking. In normal activities, the person does not notice the movement of
the eyelids down and up, but the tired person tends to fall asleep, so every blink is
longer than the previous one. And, when it reaches a second or two, the driver is
confronted, with the so-called, micro - in this minimum time the body has time to fall
asleep, and the brain, as a rule, has already shut off.</p>
      <p>Under normal visual conditions, the eye blinks every few seconds, approximately
15 times per minute. At the moment of blinking (the duration of blinking is from 100
to 400 ms) all visual information in the eye is practically stopped, but nevertheless the
interruptions in the receipt of the light signal of perception remain relatively
unchanged. As a rule, blinking is almost never noticed. This is all the more surprising
that it is known: if the light in the room goes out even for a shorter time than the
blinking, the person ceases to perceive the visual environment.</p>
      <p>Although one hardly notice the impact of our own blinking, sometimes one pays
attention to how other people blink, especially in certain situations. People tend to
blink more often when they are frightened, anxious, and stressed or tired. In contrast
to these situations, when performing work that requires visual strain, the frequency of
blinking decreases. For example, when reading, the number of blinks per minute,
usually equal to 15, is less than 5. However, reducing the blinking frequency is almost
a random process. Blinking occurs when the need for visual information is minimal.
Yes, a reading person is likely to blink when going from one line of text to another, or
flipping through a page, or at the end of a sentence or paragraph. Then, when
blinking, most likely, will not turn his attention and will not disturb the perception of
information. Usually, when reading, a person blinks when the probability of receiving
new information is minimal; when there are incentives that need attention and
information processing, one can speak of some inhibition or restraint of blinking (Fogarty
&amp; Stern, 1989; Orchard &amp; Stern, 1991).</p>
      <p>Sometimes blinking of the eyes can indicate serious illness: Disorders of the
nervous system, in particular, blepharospasm - a condition characterized by rapid,
uncontrolled blinking. These spasms can also be accompanied by other changes in the face
(uncontrolled movements of eyes and face, grimaces). Brain lesions such as stroke.</p>
      <p>The frequency and duration of blinks depend on the degree of fatigue. When the
person is tired, the head is less mobile, the direction of view changes less often, the
person blinks more often and leaves his eyes closed for long periods of time - the
difference can be measured in fractions of seconds or several degrees of rotation, but
it is.</p>
      <p>Therefore, tracking and analyzing the blinking of a driver is likely to reflect his
physiological condition. If the physiological condition is poor, the driver does not
perceive the road situation badly and cannot adequately respond to it. Therefore, the
proposed system should evaluate the physiological condition of the driver using a
sound and light notification system to inform the driver of his condition and a
communication system for reports of a dangerous physiological condition.
4</p>
    </sec>
    <sec id="sec-4">
      <title>Analysis of safety regarding exposure to altitude</title>
      <p>
        The analysis of the safety of traffic in relation to being at altitude of drivers. In the
experiment [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] Driver's health was attended by 400 people. Of these, 350 were
nonsmokers and 19 smoked more than 20 cigarettes daily; 326 periodically consumed
alcohol, 98 regularly consumed alcohol, 42 abstained completely. 23 suffered from
chronic conditions such as diabetes or hypertension; 19 took regular medication; and
107 had signs and symptoms of acute mountain sickness during previous ascents.
Such painful symptoms as experience headaches, vomiting, dizziness, insomnia,
tachypnoca, oedema, pulmonaru rales, ataxia were analyzed. On the basis of these
experiments, the graphs of drivers' painful states with respect to their altitude, which
are shown in Fig. 2. As we can see from Fig. 2 to 1000 meters above sea level 50-40
cases of painful conditions in drivers is observed, which must be taken into account
when building a traffic safety system.
5
      </p>
    </sec>
    <sec id="sec-5">
      <title>Construction of system safety</title>
      <p>A large number of accidents can be avoided by having a driver monitoring system.
We offer several variants of software packages containing different driver tracking
modules already built into the car. These modules are only for specific car brands and
cannot be used to upgrade an existing car fleet.</p>
      <p>When developing a local driver monitoring system that could be installed in any
vehicle. The main requirements for the system are autonomy, mobility and a
minimum number of false positives.</p>
      <p>
        The frames come into the microcomputer where the filtration devices are installed,
in particular, the Ateb-Gabor filtration device, which was published in [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ], showed
considerable efficiency during installation. In [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ], filtering is applied to biometric
images. However, the filtering hardware was developed in [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ].
      </p>
      <p>
        The system software can be divided into three parts. The first software module is
responsible for processing information received from the camera and other sensors,
recognizing the position of the eyes, tilting the head, as well as calculating the
frequency of blinking of the eyes. The algorithms for this module and image
compression were developed in [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ].
      </p>
      <p>
        The second module - the decision module, is a server part of the system in which to
make a decision about the physical condition of a person. Next, a response is formed
based on the data of the decision module. The mathematical apparatus of the
developed statistical estimates was established in [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]. The driver is alerted to the possible
deterioration of the condition by light and sound or voice commands based on studies
in [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ] (Fig. 3).
The software component of the system contains the following basic development
languages Python (basic logic), C ++ (maximum performance) and ZMQ (distributed
message library) responsible for the interaction of individual modules, DLib (library
of machine learning algorithms). The operating system the device will run on is
Linux. The system is easily expandable, allowing you to modify or add new modules
for the surveillance and alert system. The filtration hardware was based on [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ]. To
implement machine learning algorithms, it was necessary to convert image fragments
into vector objects, which was implemented in [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ]. The mathematical structure of the
driving safety system is based on the algebra of algorithms – sequences from [
        <xref ref-type="bibr" rid="ref21">21</xref>
        ],
which allowed the system to be optimized and tested quickly.
      </p>
    </sec>
    <sec id="sec-6">
      <title>Conclusions</title>
      <p>The number of road accidents caused by a poor physiological condition of the driver
behind the wheel of a vehicle is increasing every year, leading to injuries worldwide.
Most drivers are feeling tired or weakened, and they are not even aware that they are
in a condition that can lead to an accident.</p>
      <p>Leading carmakers are actively working to create different driver status systems
that are designed to, at a minimum, alert you to an unsafe condition and, at the very
least, interfere with vehicle control and prevent an event. The work is carried out in
several areas, including fatigue control, assessment of physical tension, determination
of the driver's painful condition.</p>
      <p>The physiological condition of the driver depends on many factors, including such
basic factors as fatigue, physical exertion and the painful condition of the driver. All
these factors are pro-driver behavior and manifest as follows: falling asleep and
distracting.</p>
      <p>Many different methods can be used to identify a driver's poor physiological
condition, but the driver's blink analysis is the most accessible because frequency and
duration depend on the physiological state.</p>
      <p>The analysis of traffic safety in relation to the altitude at sea level of drivers
showed that up to 1000 meters above sea level, 50 - 40 cases of painful conditions in
drivers are observed, and these must be taken into account when building a traffic
safety system.</p>
      <p>A large number of accidents can be avoided by having a driver monitoring system.
We offer several software packages containing different driver tracking modules
already built into the car. These modules are only for specific car brands and cannot be
used to upgrade an existing car fleet.</p>
      <p>When developing a local driver monitoring system that could be installed in any
vehicle. The main requirements for the system are autonomy, mobility and a
minimum number of false positives. Therefore, the proposed traffic safety system should
evaluate the physiological condition of the driver and, using an audible and light alert
system, inform the driver of his condition and a communication system for reports of
an unsafe physiological condition.</p>
    </sec>
  </body>
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