<!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>Development of System for Monitoring and Forecasting of Employee Health on the Enterprise</article-title>
      </title-group>
      <contrib-group>
        <aff id="aff0">
          <label>0</label>
          <institution>Kharkiv National University of Radio Electronics</institution>
          ,
          <addr-line>Kharkiv</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>0000</fpage>
      <lpage>0001</lpage>
      <abstract>
        <p>A system for the provision of remote production services to control the health of the employee has been developed. The system is implemented based on the proposed three-layer architecture for service-oriented systems, characterized by a combination of distributed methods and means of collecting, storing, processing heterogeneous data, which allows to use the results of remote monitoring in making decisions for timely response in case of emergency. One of the key components of the system is the application of the Hammerstein model, which allowed us to quantify the change in the health of the employee while performing the professional activity of the enterprise.</p>
      </abstract>
      <kwd-group>
        <kwd>service oriented system</kwd>
        <kwd>remote monitoring and forecasting</kwd>
        <kwd>employee health condition</kwd>
        <kwd>Hammerstein model</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1 Introduction</title>
      <p>A doctor’s visit is the main component of ensuring a person’s health, not only when
he is sick, ill, but also for regular medical (dispensary or preventive) examinations.
However, a visit to a doctor can be lengthy, costly, and sometimes unpleasant. Many
diseases require regular visits to the doctor to monitor and observe health indicators,
for example, blood pressure, heart rate, etc. Today, to go to a specific doctor, a person
may have to travel a long distance, wait in line, etc., in the end, it can take most of the
day, or even the whole day.</p>
      <p>When visiting a doctor, people often complain about past conditions. However, the
doctor can only check the current state of the patient and ask him a question to find
out how the patient felt in the past. Patient records may be uninformative and
unreliable. Patients may not remember things like instant heart rate, blood pressure,
temperature, etc. Health problems may occur patients, as a result of lifestyle, or as a result of
professional or paraprofessional (work-related) diseases. Hypertension, coronary heart
disease, diseases of the musculoskeletal system are precisely diseases that are
examples of work-related diseases. neuro-mental factors for their growth are harmful
professional factors, physical or neuro-mental overload.</p>
      <p>The development of special technologies for detecting and tracking human
condition allows to carry out remote monitoring the state of enterprise workers in order to
make a decision for timely response in case of deterioration on employee's condition,
incident or emergency. The main focus is on the development and improvement
models and methods for quantitative assessment and analysis condition of a particular
employee in terms of their safety.</p>
      <p>However, the issues related to the forecasting and prevention of accidents during
the production processes at the enterprise remain practically unresolved. This
situation arose from the fact that most existing models and methods can be considered as
elements of a posteriori analysis of professional safety. A posteriori analysis is
performed only after the events have occurred, caused by the influence of harmful factors
of the production environment and have led to injury or deterioration of health. In this
regard, it is relevant to develop new and improve existing models and methods that
allow you to solve the problem of preventing accidents or eliminate the decline in
productivity of enterprise processes due to the deterioration of employees. To solve
this problem, proposed a system for remote monitoring and forecasting the state of the
employee’s health in the process of production activity (SRMF), which continuously
monitors the state of human health in his daily work environment.</p>
      <sec id="sec-1-1">
        <title>1.1 Scientific Literature Analysis and the Problem Statement</title>
        <p>In the health care system, the information stored in the database has improved over
the last ten years, leading to it being considered as big data. This industry has
historically generated a wealth of data based on patient records and treatment [1]. This vast
amount of data promises to support a wide range of medical and healthcare functions,
including support for clinical solutions, sensor-based health and monitoring of food
safety, disease surveillance, and health management and so on. [2, 3]. For example,
for the diagnosis of cancer, petabytes of data from various sources are needed to
determine the disease status and survival potential of the patient. Moreover, the use of
information technology for major health care services today is reducing the cost of
health care, improving its quality, relying on a proactive and personalized approach
based on continuous monitoring [4].</p>
        <p>However, in order to meet the above-mentioned health services, health information
should be accessible to anyone participating in the healthcare system. In this regard,
research [5] suggests that high-level data integration, interoperability, and sharing are
important for different practitioners and healthcare providers to provide high-quality
patient care. In addition, preventative work to ensure the health and occupational
safety of workers, as well as the introduction of a systematic approach to work
management, is the primary purpose of a preventive and personalized approach based on
continuous monitoring of the standard requirements. [6].</p>
        <p>Cloud computing is increasingly attracting the attention of healthcare organizations
to overcome some barriers to eHealth [7, 8]. In 2014, cloud technologies in the
context of healthcare meant that healthcare organizations would need fewer technicians
[9]. Recently, [10] identified factors that affect cloud computing adoption in Saudi
health care organizations. In addition, an intelligent cloud data model for mobile
multimedia applications was proposed [11]. The model mainly focuses on the intelligent
central cloud broker for single, mixed and multiple images of food objects, offering a
dynamic cloud distribution mechanism. In [12] the questions of application of some
modern technologies for gathering and processing of knowledge about the behavior of
workers in dynamically changing environments on the example of a construction
company are considered. In [13] the problem of optimizing harvesting efficiency
whilst minimizing the health risks to the operators is investigated, with the aim of
demonstrating that it is possible to determine an optimum harvesting time which is a
compromise between the harvesting efficiency and the operator safety. In [14] the
approach to automatic data collection, processing and subsequent biomechanical
analysis of workers' behavior is considered in order to prevent ergonomic risks in
construction enterprises. It should be noted that these problems were solved using a
minimum number of identify technologies and track the status of employees on the
enterprise. In [15] the solution of the problem of recognition and analysis of workers'
behavior with the use of methods of recognition of deep actions and Bayesian
nonparametric hidden semi-Markov model is considered.</p>
        <p>Thus, the development of new and improvement of existing mathematical models
of changes analysis in the state of the employee is the most promising trend in
development. Such models should quantify the condition and then predict dynamics of its
change for each individual employee on the enterprise before starting their daily
professional activities.</p>
      </sec>
      <sec id="sec-1-2">
        <title>1.2 The Aim and the Tasks of the Study</title>
        <p>The purpose of the work is to develop a system for monitoring human health in the
process of its production activity on the basis of readings of biosensors, measuring
instruments and video cameras, as well as predicting possible risk factors.</p>
        <p>To achieve this goal, it is necessary to solve the following problems:
 develop a generalized model of the remote monitoring and forecasting process, its
constituent components and their interaction;
 Hammerstein model for quantitative assessment of changes in health of an
employee while performing professional activity on the industrial enterprise.
2</p>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>Generalized Model of System for Monitoring and Forecasting of Employee Health on the Enterprise</title>
      <p>The actors of the proposed SRMF are employees for whom the task of quantitative
control and analysis of the condition as an indicator of occupational safety and health
is solved. The employee must be registered with a computerized healthcare facility for
inclusion, have biosensors, gauges, and a video camera that reads the most important
health indicators and connects to a mobile device that delivers the data via a cordless
device to the main server. Based on these indicators are analyzed:
 skin,
 respiratory system,
 cardiovascular system,
 digestive system,
 urinary system,
 musculoskeletal system,
 endocrine system,
 nervous system and sense organs.</p>
      <p>After registering at the Web-site of the enterprise employee receives a unique ID and
its mobile set special application.</p>
      <p>The three-tier architecture of the remote monitoring and health forecasting system
[16] is shown on Fig. 1.</p>
      <p>At the first (measuring) level of the system is placed the hardware (measuring
instruments, CCTV cameras, cameras, etc.). Here, the readings of the devices are
translated into a form suitable for further processing and sent via Bluetooth to a mobile
device, which sends the received data to a Slave server of the second level, which is
connected to the communication network and configured to:
 receive health information from your mobile device;
 register medical diagnostic information;
 pass the information to the third-level Master Cloud Server.</p>
      <p>The following tasks are solved on the Master server:
 the data obtained determines the employee's health profile, which includes one or
more projected health issues and health risks, in which each or more of the
projected problems is defined as a potential health problem that the employee will face in
the future, and in which the anticipated health problem includes the predicted
physical injury;
 health information stored in the database which is updated to display the
employee's health profile;
 body position (or individual body parts) of the employee is compared with the
previous position to evaluate the harmful deviation from the determined body
position based on the video;
 submit results into mobile device for display to employee health report containing
at least one of the characteristics, health risks and a health profile indicating one or
more of the foreseeable problems.</p>
      <p>
        Model SRMF Ξ is expressed as the conversion of input values Η into output values Υ
[17]:
  H Y ,
(
        <xref ref-type="bibr" rid="ref1">1</xref>
        )
where H (i)  H D (i) , ( i  1, M ) – matrix representation of input data: medical and
diagnostic data of measuring instruments, an image whose element brightness values
are indicated hkj – (hkj  0, 255,
of formalized properties.
      </p>
      <p>k  1, m,
j  1, n, ), Y  YD  , (Y  ) – a set
Thus, the space (universum)     includes   (H Y ) , this means, that there
is a subset H, ( H   ) and the relationships between them on which the model is
built Ξ (  ).</p>
      <p>For output values YD made a plural of tasks, the solution of which belongs to the
set D ={ DHr, DHst, DHdn, DHem }, where DHr={Par1, Par2,…, Parn} – task of
processing medical-diagnostic data of measuring devices (Par1 – the level of systolic
blood pressure, Par2 – the level of diastolic blood pressure, Par3 – heart rate, Par4 –
reaction time to the light stimulus, ...); DHst={M1, M2,…, Mst} – the task of processing
images of objects in calm state (M1 – highlight areas of interest, M2 – binarization, M3
– skeletonization, …); DHdn={D1,D2,…,Ddn} – task of image processing of objects in
the state of motion (rectilinear, rotary, translational, equilateral and other kinds); DHem
={F1, F2,…, Fem} – the task of recognizing emotions (F1 – amazement, F2 – fear, F3 –
happiness, …).</p>
      <p>Reflection T : HD  YD allows for everyone HD (i) find such Yj YD ( j  1, Q ,
Q – number of classes), which is the solution to the problem DH.</p>
      <p>Value Yj YD used to formulate decisions about a person's health with the help of
a neural network classifier and to develop further behavioral tactics.</p>
      <p>The status of k employee is defined as sost k j  SOST , j = 1, n .</p>
      <p>Any state of a SOST set is determined by a set of k-worker organism functioning
parameters</p>
      <p>T
sostk j   parj1,..., parjh ,..., parjp  ,
where parj – value, j-body parameter of the k employee, j= 1,…h,…,p.</p>
      <p>In order to describe the change in the state of an employee under the influence of
environmental factors, it is necessary to take into account the initial state of the
employee and the complex of those factors directly affecting the employee ф1, ..., фm, i =
1, m , фi – i-th factor that affect on the body</p>
      <p>sostk j  SOST  w(t0 )  w(t) ,
time t, t  0,...,t j ,...,T  .</p>
      <p>To determine the change in the state of the employee’s body under the influence of
a complex of factors, we use the Hammerstein model [18] for a system (organism)
with n internal parameters – system state vector and ф (t) – m time-dependent
external influences:
where w(t0 ) - the state of the employee's body at the initial time; w(t) - a change
in the state of the employee’s body under the influence of a complex of factors over
t2 t1
w(t)   (ф (t), t1, t2 )   w ()  f (ф (t2  )) d,</p>
      <p>0
where f (ф (t2  )) - vector function of converting the input factors of the human’s
body into a description reaction’s of a particular organism.</p>
      <p>
        This expression can be considered as a model of a change in the state of an
employee under the combined influence of a complex of production factors. Based on
the assumption that at the initial moment of the work process, the internal state of the
employee remains unchanged, model (
        <xref ref-type="bibr" rid="ref4">4</xref>
        ) will be [19]:
      </p>
      <p>
        T m  
w(t)   (ф(t), 0,T )  w(0 )      ()фik (t  )d ,
0 i1  0 
(
        <xref ref-type="bibr" rid="ref2">2</xref>
        )
(
        <xref ref-type="bibr" rid="ref3">3</xref>
        )
(
        <xref ref-type="bibr" rid="ref4">4</xref>
        )
(
        <xref ref-type="bibr" rid="ref5">5</xref>
        )
where w(0 ) – vector function that determines the internal state of the human body
at the initial time 0 , moreover, any state is determined by a set of parameters by the
expression (
        <xref ref-type="bibr" rid="ref2">2</xref>
        ); () – an impulse transition matrix-function of size m × n, which
reflects the specific and unchanging relationship between factors and a set of
parameters characterizing a person’s state at a time τ; фik - i-th production factor acting on
the k-th employee of the enterprise.
      </p>
      <p>The main method for solving the problem of finding the transition function,
establishes a specific type of dependence between the results of measuring the influence of
production factors and the reaction of the organism of the observed employee to this
effect, is to compile the Wiener-Hopf equation. There are a number of methods for
solving the Wiener-Hopf equation based on further parameterization of the problem
by expansion () according to a given system of functions, or transition to discrete
time. This function allows you to establish the dependence of the reaction of any
organism to the combined effect of production factors.</p>
      <p>
        Determining the state of an employee using a set of parameters in accordance with
expression (
        <xref ref-type="bibr" rid="ref2">2</xref>
        ) and taking into account all the proposed improvements, model (
        <xref ref-type="bibr" rid="ref5">5</xref>
        ) can
be represented as follows:
where par 1(0),..., par h(0),..., par n(0) - employee body parameters to determine the
state at the initial time;  1(),...,  h(),...,  n() - impulse transition matrix function
of describing the body's response to the effects of existing production factors; фik (t)
the harmfulness indicator of the process per employee for m values of the i-th factor
acting on the k-th employee at time t.
      </p>
      <p>
        Thus, it becomes possible to determine with the help of expressions (
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ) the state
of the employee by the measured parameters of the employee’s body immediately
before the start of his shift. Model (
        <xref ref-type="bibr" rid="ref6">6</xref>
        ) allows you to determine the change in the state
of the employee’s body under the influence of production factors during the execution
of production tasks by this employee.
      </p>
      <p>To assess the quality of the functioning process of the proposed system, a set of
criteria for evaluating the effectiveness is used K  {k1, k 2}. The most important
criterion is the response time of the system when solving a general problem D
k1 :   min(r , st , dn , em ) , where r – processing time parameters of the human
body state, st – image processing time at subject's quiescence, dn – image
processing time at object's motion, em – emotion recognition time.</p>
      <p>Another criterion is the accuracy of solving the
k2 :   min(r , st , dn , em ) , where r – the decision error of a task DHr, st – the
decision error of a task DHst, dn – the decision error of a task DHdn, em – the decision
error of a task DHem.</p>
      <p>
        The criterion for the efficiency of development is to meet the following
requirements
general
problem
K : (Di  D )[(  max ) &amp; (  max )]  ,
(
        <xref ref-type="bibr" rid="ref7">7</xref>
        )
where Di – is the subtask of the joint problem D ( i  {Hr , Hst , Hdn , Hem} ), max –
the maximum allowable time for solving the problem max the maximum permissible
error.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Imitation Simulation of a System for Monitoring and</title>
    </sec>
    <sec id="sec-4">
      <title>Forecasting of Employee Health on the Enterprise</title>
      <p>To evaluate the performance of the algorithms, an experimental Hadoop cluster was
created consisting of 9 computers (Intel Core i 3-7100, 3.9 GHz, OS Microsoft
Windows 12) with a physical “star” topology consisting of 8 Datanodes and one
Namenode. The tasks were managed by the YARN manager.</p>
      <p>Implemented a private formulation of the problem: determination of the health
status of a team of welders performing electro-gas welding of particularly complex and
responsible structures and pipelines of high carbon steel, intended for work under
dynamic and vibrational loads and high pressure. The impact of a complex of harmful
factors on a person may be critical for the cardiovascular and nervous systems of his
body.</p>
      <p>The results of measurements of the state of the body of one of the employees of the
welder brigade have the start time of the shift (8.00), day of the week (Thursday),
systolic blood pressure (125 mmHg), diastolic blood pressure (84 mmHg).</p>
      <p>The measurements result of external production factors are given in Table 1. Data
on external factors were interpolated between changes in the value of the EMR level
= 0 and the value of the air temperature = 20 ° C.</p>
      <p>
        Data on the measured state parameters of an employee interpolated by the
AitkenLagrange method. Time series were obtained for the studied parameters, which were
centered. The Wiener-Hopf equation was solved by discretizing it and reducing it to
four systems of linear equations. Numbering of environmental factors: 1 - level of
electromagnetic radiation; 2 - air temperature. Numbering: 1 - level of systolic blood
pressure; 2 - the level of di a with high blood pressure.
In order to regularize the solution, the smoothing of the results was applied. Using
graphical analysis of results for functions 11() , 21() the formula was chosen
For function 22() , the formula was chosen
()  Cea .
()  Cbea .
(
        <xref ref-type="bibr" rid="ref8">8</xref>
        )
(
        <xref ref-type="bibr" rid="ref9">9</xref>
        )
For function 12() the formula was chosen ()  C  Const .
      </p>
      <p>
        The relations (
        <xref ref-type="bibr" rid="ref8">8</xref>
        ), (
        <xref ref-type="bibr" rid="ref9">9</xref>
        ) were linearized by logarithm, the coefficients were
determined by the least squares method, as a result of which the following relations were
obtained: 11()  083e0,161 ; 21()  5, 6 103 e0,3402 ;
12()  0,00324 ;
22 ()  0, 277  1,409e0,5498 .
      </p>
      <p>
        Consider the application of model (
        <xref ref-type="bibr" rid="ref6">6</xref>
        ) using the example of a calculation made on
the basis of data measured on Thursday at the time the shift began (see Table 1 and
2). At first, we consider an example of changes assessment calculations in the state of
worker in the process of professional activity under the influence of production
factors after 2 hours from start of the shift. The response of the human body to the effects
of production factors is calculated using this formula:
      </p>
      <p>
        N N (R )11 (R )12  i1  ,
f фik (t)    (i )фik (t) (t  i )i       
i1 i1 (R )21 (R )22  i2 
(
        <xref ref-type="bibr" rid="ref10">10</xref>
        )
where () - pulsed transition matrix function of describing the body's response to the
influence of factors in size m × n; фik (t) - the indicator of the harmfulness of the
process per employee for m values of the value of the i-th factor acting on the k-th
employee at time; R - element of matrix to calculate total harmful index; N - number
of measurements of factors.
      </p>
      <p>Then</p>
      <p>
 par1 (0) T   (R )11
w    
 par2 (0)  0  0 (R )21

</p>
      <p>
         N  
(R )12    iN1 11 ()  12 ()  d   dt 
(R )22   i1 21 ()  22 () 
The results of calculations of changes in the values of the employee’s state parameters
when exposed to production factors from 2 hours after the start of the shift are given
in table. 2. According to the results in table 2, we can draw the following conclusion.
As a result of professional activity, within 2 hours after the start of the shift, the state
parameters of the employee's body changed. An increase in parameters of organism
state also indicates an increase in sostk j  SOST from the expression (
        <xref ref-type="bibr" rid="ref2">2</xref>
        ). Based on
the assumption that increase of this value corresponds to a deterioration of state, we
come to the conclusion that there is some deterioration in employee’s condition after
2 hours from start of the shift.
In the same way, an assessment of the change in the state of an employee in the
course of professional activity was carried out using a mathematical model for
assessing changes in the state of an employee under the influence of production factors
4 and 6 hours after the start of the shift. The results of these calculations are shown on
Fig. 2.
Thus, based on the assumption that it is impossible to determine changes in the state
of an employee’s body from direct measurements, the problem of assessing changes
in the body state (blood pressure) was solved by observing the factors influence of the
working environment using an improved mathematical model of changing the
employee state on the enterprise (
        <xref ref-type="bibr" rid="ref6">6</xref>
        ).
      </p>
      <p>Simulation based on employee observations based on sensor performance. The
dynamic characteristics are described using the temporal tracing language (TTL). For
expressing dynamics in TTL, important concepts are states, times, and traces. The
simulated processes were translated into a feasible subset of TTL called leadsto. The
simplified leadsto format allows us to model direct temporal relationships between
two state characteristics. Let α and β characteristics of literal conjunction (where
literal – is an atom or an atom matching), and e, f , g, h – not negative real numbers.
In language LEADSTO term</p>
      <p>α   f ,g,h means:
if the characteristic of state α is in a certain time
interval with duration g
then, after some delay (between e and f )
the characteristic of state β is in a certain time
interval of length h
Private problem statement was implemented – worker blood pressure monitoring and
measures to health maintain. For modeling and implementation is used LEADSTO
language, LEADSTO Editor, and the TTL Editor for checking the modeling
correctness modeling and building the right tracks.</p>
      <p>In a blood pressure-related task, pressure-related variables: high_stress_lvl,
normal_stress_lvl, low_stress_lvl. Also, variables to indicate what to do
with pressure indicators: home_care, call_amb, do_not_call_amb. The
time for the final simulation is set and the intervals for each of the arterial thousand
variables are added (for example, 10 units), as well as the beginning of the trail and
the end (see Fig. 3а). The end of a trace indicates the beginning of a consequence for
a given variable. Change in high_stress_lvl signals that you need to call an
ambulance and provide immediate assistance. It has been explained by all timestamps
that if an expression is true with a duration of g, then the whole expression will have a
value of duration h with a delay of 0.0.
An imitation of the employee registration process is shown in Figure 3b. A unique
identifier is issued upon successful registration.</p>
      <p>To check the correct operation of the specification, the LEADSTO Simulation Tool
is launched and, if there are no errors when entering the specification, then we will
see such a result (see Fig. 4).
The developed experimental system is in good agreement with the proposed
architecture of the remote monitoring system and the prediction of the health of the employee
[20].</p>
      <p>This system includes four types of software.
1. Personal software is installed on the patient's personal digital device, and interacts
with Hardware (sensors, measuring devices, etc.) that collect employee information
and send digital information to the Master server.
2. Maintenance software connects to the Master server and receives data according to
user requirements. This software allows you to interact with employee status data
regardless of the observer location.
3. The server software is installed on the Master server using .NET Framework
platform using the object-oriented C # programming language. It processes and stores
employee data. MS SQL Server database is selected to store user information. The
database is connected using ORM (Object-Relational Mapping).
4. Data backup and playback is a mechanism that provides data security when servers
fail.</p>
    </sec>
    <sec id="sec-5">
      <title>4 Conclusion</title>
      <p>A set of interrelated tasks is proposed, the solution of which is to develop models and
methods for organizing effective interaction between a person and a service-oriented
system at different architectural levels, both in horizontal and vertical planes.</p>
      <p>The proposed architecture of the employee’s remote monitoring and forecasting
system allows interacting with a large number of heterogeneous sources, including
digital photographs and medical diagnostic information, and timely responding to
changes in health conditions.</p>
      <p>According to the results of the implementation, it was found that the proposed
model of SRMF:
 uses and timely manages knowledge of the employee's health;
 provides interaction between the parties involved;
 sends the necessary information to users at the right time;
 provides the most rational solutions according to proper requests.</p>
      <p>Software modules based on the proposed SRMF model are developed, which are
integrated into a single complex of a service-oriented computer system, which made it
possible to increase its productivity in terms of the quality of decisions and the timing
for obtaining results.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          1.
          <string-name>
            <surname>Raghupathi</surname>
            ,
            <given-names>W.</given-names>
          </string-name>
          :
          <article-title>Data mining in health care</article-title>
          .
          <source>Healthcare Informatics: Improving Efficiency and Productivity</source>
          ,
          <volume>211</volume>
          -
          <fpage>223</fpage>
          (
          <year>2010</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          2.
          <string-name>
            <surname>Dembosky</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Data prescription for better healthcare</article-title>
          .
          <source>Financial Times</source>
          ,
          <volume>11</volume>
          (
          <issue>12</issue>
          ),
          <year>2012</year>
          (
          <year>2012</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          3.
          <string-name>
            <surname>Fernandes</surname>
            ,
            <given-names>L.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>O'Connor</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Weaver</surname>
            ,
            <given-names>V.</given-names>
          </string-name>
          :
          <article-title>Big data, bigger outcomes</article-title>
          .
          <source>J AHIMA</source>
          ,
          <volume>83</volume>
          (
          <issue>10</issue>
          ),
          <fpage>38</fpage>
          -
          <lpage>43</lpage>
          (
          <year>2012</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          4.
          <string-name>
            <surname>Yang</surname>
            ,
            <given-names>C.C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Leroy</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ananiadou</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          :
          <article-title>Smart health and wellbeing</article-title>
          .
          <source>ACM Trans. Manage. Inf. Syst</source>
          .
          <volume>4</volume>
          (
          <issue>4</issue>
          ),
          <volume>15</volume>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          5.
          <string-name>
            <surname>Alnuem</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>EL-Masri</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Youssef</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Emam</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Towards integrating national electronic care records in Saudi Arabia</article-title>
          .
          <source>In: International conference on bioinformatics and computational biology</source>
          , pp.
          <fpage>18</fpage>
          -
          <lpage>21</lpage>
          , Monte Carlo Resort, Las Vegas, Nevada, USA (
          <year>2011</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          6. ДСТУ OHSAS 18001:
          <year>2010</year>
          «
          <article-title>Systema upravlinnya hihiyenoyu ta bezpekoyu pratsi»</article-title>
          , http://iso.kiev.ua/drugoe/sert-iso-
          <volume>18001</volume>
          .html.
          <source>Last accessed 21 Nov 2019</source>
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          7.
          <string-name>
            <surname>Savova</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pestian</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Connolly</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Miller</surname>
            ,
            <given-names>T.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ni</surname>
            ,
            <given-names>Y.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Dexheimer</surname>
            ,
            <given-names>J. W.</given-names>
          </string-name>
          :
          <article-title>Natural language processing: applications in pediatric research</article-title>
          .
          <source>Pediatric Biomedical Informatics</source>
          . Springer, Singapore,
          <fpage>231</fpage>
          -
          <lpage>250</lpage>
          (
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          8.
          <string-name>
            <surname>Marjani</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Nasaruddin</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Gani</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Karim</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Hashem</surname>
            ,
            <given-names>I. A. T.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Siddiqa</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yaqoob</surname>
            ,
            <given-names>I.</given-names>
          </string-name>
          :
          <article-title>Big IoT data analytics: architecture, opportunities, and open research challenges</article-title>
          .
          <source>IEEE Access</source>
          , vol.
          <volume>5</volume>
          ,
          <fpage>5247</fpage>
          -
          <lpage>5261</lpage>
          (
          <year>2017</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          9.
          <string-name>
            <surname>Sultan</surname>
          </string-name>
          , N.:
          <article-title>Making use of cloud computing for healthcare provision: Opportunities and challenges</article-title>
          .
          <source>International Journal of Information Management</source>
          ,
          <volume>34</volume>
          (
          <issue>2</issue>
          ),
          <fpage>177</fpage>
          -
          <lpage>184</lpage>
          (
          <year>2014</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          10.
          <string-name>
            <surname>Alharbi</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          :
          <article-title>Understanding the determinants of Cloud Computing adoption in Saudi healthcare organizations</article-title>
          .
          <source>Complex &amp; Intelligent Systems</source>
          ,
          <volume>2</volume>
          (
          <issue>3</issue>
          ),
          <fpage>155</fpage>
          -
          <lpage>171</lpage>
          (
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          11.
          <string-name>
            <surname>Peddi</surname>
            ,
            <given-names>S. V. B.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kuhad</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yassine</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pouladzadeh</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Shirmohammadi</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Shirehjini</surname>
            ,
            <given-names>A. A. N.:</given-names>
          </string-name>
          <article-title>An intelligent cloud-based data processing broker for mobile e-health multimedia applications</article-title>
          .
          <source>Future Generation Computer Systems</source>
          , vol.
          <volume>66</volume>
          ,
          <fpage>71</fpage>
          -
          <lpage>86</lpage>
          (
          <year>2017</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref12">
        <mixed-citation>
          12.
          <string-name>
            <surname>Arslan</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Cruz</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ginhac</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          :
          <article-title>Semantic trajectory insights for worker safety in dynamic environments</article-title>
          .
          <source>Automation in Construction</source>
          , vol.
          <volume>106</volume>
          , №
          <volume>102854</volume>
          .doi:
          <volume>10</volume>
          .1016/j.autcon.
          <year>2019</year>
          .
          <volume>102854</volume>
          .
        </mixed-citation>
      </ref>
      <ref id="ref13">
        <mixed-citation>
          13.
          <string-name>
            <surname>Aiello</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Vallone</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Catania</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          :
          <article-title>Optimising the efficiency of olive harvesting considering operator safety</article-title>
          .
          <source>Biosystems Engineering</source>
          , vol.
          <volume>185</volume>
          ,
          <fpage>15</fpage>
          -
          <lpage>24</lpage>
          (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref14">
        <mixed-citation>
          14.
          <string-name>
            <surname>Yu</surname>
            ,
            <given-names>Y.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Li</surname>
            ,
            <given-names>H.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Umer</surname>
            ,
            <given-names>W.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Dong</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yang</surname>
            ,
            <given-names>X.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Skitmore</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Wong</surname>
            ,
            <given-names>A. Y.</given-names>
          </string-name>
          :
          <article-title>Automatic Biomechanical Workload Estimation for Construction Workers by Computer Vision and Smart Insoles</article-title>
          .
          <source>Journal of Computing in Civil Engineering</source>
          .
          <volume>33</volume>
          (
          <issue>3</issue>
          ), №
          <fpage>04019010</fpage>
          . doi:
          <volume>10</volume>
          .1061/(ASCE)CP.
          <fpage>1943</fpage>
          -
          <volume>5487</volume>
          .
          <fpage>0000827</fpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref15">
        <mixed-citation>
          15.
          <string-name>
            <surname>Luo</surname>
            ,
            <given-names>X.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Li</surname>
            ,
            <given-names>H.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yang</surname>
            ,
            <given-names>X.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yu</surname>
            ,
            <given-names>Y.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Cao</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          :
          <article-title>Capturing and Understanding Workers' Activities in Far-Field Surveillance Videos with Deep Action Recognition and Bayesian Nonparametric Learning</article-title>
          .
          <source>Computer-Aided Civil and Infrastructure Engineering</source>
          ,
          <volume>34</volume>
          (
          <issue>4</issue>
          ),
          <fpage>333</fpage>
          -
          <lpage>351</lpage>
          (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref16">
        <mixed-citation>
          16.
          <string-name>
            <surname>Axak</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Rosinskiy</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Barkovska</surname>
            ,
            <given-names>O.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Novoseltsev</surname>
            ,
            <given-names>I.</given-names>
          </string-name>
          :
          <article-title>Cloud-fog-dew Architecture for Personalized Service-oriented Systems</article-title>
          .
          <source>In: 2018 9th IEEE International Conference on Dependable Systems, Services and Technologies (DESSERT)</source>
          ,
          <fpage>80</fpage>
          -
          <lpage>84</lpage>
          (
          <year>2018</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref17">
        <mixed-citation>
          17.
          <string-name>
            <surname>Axak</surname>
          </string-name>
          , N.:
          <article-title>Development of multi-agent system of neural network diagnostics and remote monitoring of patient</article-title>
          .
          <source>Eastern-European Journal of Enterprise Technologies</source>
          ,
          <volume>4</volume>
          (
          <issue>9</issue>
          ),
          <fpage>4</fpage>
          -
          <lpage>11</lpage>
          (
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref18">
        <mixed-citation>
          18.
          <string-name>
            <surname>Serdiuk</surname>
          </string-name>
          , N.:
          <article-title>Razrabotka modeli opredeleniya i prognozirovaniya sostoyaniya cheloveka kak osnovnogo pokazatelya v sisteme monitoringa bezopasnosti truda na predpriyatii</article-title>
          .
          <source>Technological audit and production reserves</source>
          ,
          <volume>5</volume>
          (
          <issue>2</issue>
          ),
          <fpage>10</fpage>
          -
          <lpage>17</lpage>
          (
          <year>2016</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref19">
        <mixed-citation>
          19.
          <string-name>
            <surname>Serdiuk</surname>
          </string-name>
          , N.:
          <article-title>Funktsional'naya zadacha otsenki vliyaniya vrednykh proizvodstvennykh faktorov na cheloveka</article-title>
          .
          <source>Eastern-European Journal of Enterprise Technologies</source>
          .
          <volume>4</volume>
          (
          <issue>4</issue>
          ),
          <fpage>22</fpage>
          −
          <lpage>25</lpage>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref20">
        <mixed-citation>
          20.
          <string-name>
            <surname>Axak</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Korablyov</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Rosinskiy</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          :
          <article-title>MapReduce Hadoop Models for Distributed Neural Network Processing of Big Data Using Cloud Services</article-title>
          .
          <source>In: International Conference on Computer Science and Information Technology</source>
          , pp.
          <fpage>387</fpage>
          -
          <lpage>400</lpage>
          . Springer, Cham (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>