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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Architecture for edge devices for diagnostics of students' physical condition</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Tetiana M. Nikitchuk</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Tetiana A. Vakaliuk</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Oksana A. Chernysh</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Oksana L. Korenivska</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Liudmyla A. Martseva</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Viacheslav V. Osadchyi</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Bogdan Khmelnitsky Melitopol State Pedagogical University</institution>
          ,
          <addr-line>20 Hetmanska Str., Melitopol, 72300</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Institute of Information Technologies and Learning Tools of the NAES of Ukraine</institution>
          ,
          <addr-line>9 M. Berlynskoho Str., Kyiv, 04060</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Zhytomyr Polytechnic State University</institution>
          ,
          <addr-line>103 Chudnivsyka Str., Zhytomyr, 10005</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>45</fpage>
      <lpage>56</lpage>
      <abstract>
        <p>The article investigates the possibility of technical realization of hardware complex. It presupposes the use of sensors of registration of a photoplethysmographic curve, which describes a pulse wave and defines the parameters of students' cardiovascular system functional state. The method of photoplethysmography allows the use of non-contact sensors. Therefore, there is no artery compression, which eliminates circulatory disorders and allows the use of calculations to determine the saturation of oxygen by the pulse wave. It is recommended to use several optocouplers connected in series, parallel or parallel-series in a chain, with control of their mode of operation from the intensity of the received pulse wave signal depending on human body constitution. The edge device hardware is a part of the IoT system, which also includes another edge device, which instantly transmits data to the database on the edge server for the data further processing and storage.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;pulse wave</kwd>
        <kwd>saturation</kwd>
        <kwd>edge device</kwd>
        <kwd>sensor</kwd>
        <kwd>biotechnical system</kwd>
        <kwd>photoplethysmography</kwd>
        <kwd>photoplethysmograph</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        2020 is the year of the COVID-19 pandemic [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ], which forced people to change their attitude
to health. In the period of morbidity, when the number of the infected is constantly increasing
exponentially (figure 1), early detection of certain abnormalities in health is a precautionary
measure.
      </p>
      <p>One of the requirements to participate in any event as well as attend classes is a satisfactory
health condition. Therefore, in an educational institution, the problem of determining students’
state of health arises.</p>
      <p>Due to the COVID-19 outbreak, it has become impossibile to monitor the health condition
of a student body. Therefore, it is proposed to develop edge devices, the components of which
will be partially located in classrooms.</p>
      <p>The system screens and monitors the functional parameters of students’ cardiovascular
system and other organs for coronavirus symptoms, pre-existing and health condition. It displays
the result on the edge device screen, or transfers it server, or a mobile device.</p>
      <p>
        In the last decades of the last century – at the beginning of the current for the functional
diagnosis of the cardiovascular and respiratory systems and, to some extent, the functional
features of the circulatory system, pulse oximeters have become widespread. These are devices
designed to determine the relative saturation of blood hemoglobin with oxygen in the natural
conditions of human life and the dynamics of its performance of various functional tests [
        <xref ref-type="bibr" rid="ref2 ref3 ref4">2, 3,
4</xref>
        ].
      </p>
      <p>
        In the middle – the last quarter of the 20th century photooxyhemographs were widely used
to solve the problem mentioned above. Modern integrated pulse oximeters, in contrast,
allow obtaining high-quality curves of peripheral arterial pulse due to periodic heart activity –
photoplethysmograms (PPG) [
        <xref ref-type="bibr" rid="ref2 ref5">2, 5</xref>
        ].
      </p>
      <p>
        The contour and form of photoplethysmograms greatly resembles the peripheral pulse curve
(sphygmogram) obtained with mechanical pressure sensors that convert the oscillations of the
wall of the pulsating artery into an electrical signal [
        <xref ref-type="bibr" rid="ref2 ref4 ref5">2, 4, 5</xref>
        ]. Therefore, pulse oximetry can
be used as a source of primary biological information about heart rate and natural heart rate
variability [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>
        Edge devices are viewed as a complex automated system [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. It combines memory
hardware (considered in the paper), data transmission and visualization unit, and the database. The
database contains students’ medical records, medical check-up data, and the data of patients’
health condition monitoring.
1.1. Theoretical background
Prior researches proves that the introduction of ICT in the field of health care greatly
contributes to health promotion and maintenance [
        <xref ref-type="bibr" rid="ref10 ref7 ref8 ref9">7, 8, 9, 10, 11, 12, 13, 14</xref>
        ]. Moreover, it impoves
the demographic situation, upgrades the quality and eficiency of health care. Furthermore, it
ensures the human rights to health care [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. V. Avramenko, V. Kachmar and A. Khvyshchun
[
        <xref ref-type="bibr" rid="ref7">7, 15, 16</xref>
        ] have made a significant scientific and practical contribution to the introduction of
modern information technologies in the educational process as well as in health care
institutions work in Ukraine.
      </p>
      <p>
        A closer look to the literature on medical field informatization, however, reveals a number
of gaps and shortcomings. Although there are many studies, the research in the assessment
of medical information systems efectiveness remains limited. Nonetheless, there exists a
considerable body of literature on organizational and economic eficiency of industrial, corporate,
accounting and other types of information systems introduction in large enterprises,
government agencies, and in the tourism industry [
        <xref ref-type="bibr" rid="ref7">7, 17, 18, 19, 20, 21</xref>
        ].
      </p>
      <p>The study addresses several further questions on edge computing, which is a comparatively
new area of research [22]. However, it has been successfully established and described by
Najmul Hassan, Saira Gillani, Ejaz Ahmed, Ibrar Yaqoob and Muhammad Imran. The scientists
bring some information about the role of edge computing in the internet of things [23]. They
propose a layered model for the delivery of IoT services based on CloudEdge, as well as the
taxonomy of the Edge Environment based on IoT (see figure 2). Moreover, the researchers
provide a clear illustration of cloud computing complementary role in the IoT environment
(see figure 3) [23].</p>
      <p>A more comprehensive description can be found in the works of Inés Sittón-Candanedo
and Juan Manuel Corchado. The scientists consider the concept of Edge Computing, and the
possibility of Edge Computing integration. They suggest that it significantly contributes to
optimizing the processes that are usually performed in a cloud computing environment [24]. In
addition, the scientists successfully establish the relation between Edge and Cloud Computing
(figure 4) [24].</p>
      <p>Jun-Ho Huh and Yeong-Seok Seo present the framework, preconditions and discuss the
advantages and disadvantages of edge calculations. The researchers describe how they function
and provide their structure hierarchically with the concepts of artificial intelligence [25].
Moreover, the scientists draw a comparison of the cloud and edge computing paradigm; propose a
three-tier edge computing architecture, and develop the design of an edge computing
environment with AI support (see figure 5).</p>
      <p>The aim of this research is to develop the hardware of edge devices of pulse rapid
diagnostics of human body functional state. Its parameters enable to identify the early symptoms of
COVID-19 and determine the functional state of cardiovascular system. The hardware serves
as a means of determining the parameters of human body functional state and can be installed
in the places of student’ study.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Results</title>
      <p>The hardware complex is located in the classrooms and consists of 2 units:
1. the unit for determining students’ health condition according to 4 parametres:
• body temperature
• saturation (oxygen saturation) of blood
• heart rate (HR)
• rapid diagnostics of cardiovascular system functional state
2. indoor air quality monitoring unit.</p>
      <p>The article reviews the possibility of technical realization of hardware complex. It
presupposes the use of sensors of registration of a photoplethysmographic curve, which describes a
pulse wave and defines the parameters of students’ cardiovascular system functional state.</p>
      <p>
        The method of photoplethysmography is designed to study the cardiovascular system of
biological objects in which the measurement of characteristics and parameters of blood
circulation (pulse curve, blood pressure, arterial oxygen saturation level, etc.), vascular reactions and
metabolic processes are performed by recording the fluxes intensity of electromagnetic
radiation in the optical range (from visible – 0.4  m to near-infrared – 1.5  m) after their interaction
with the tissues of a living organism [
        <xref ref-type="bibr" rid="ref11">26</xref>
        ].
      </p>
      <p>There are two types of photoplethysmographic methods: transmitted-light
photoplethysmography and side-scattered photoplethysmography (figure 6).</p>
      <p>
        The on the lumen method allows to install the sensor on a finger or an earlobe, as the
radiating unit should fully X-ray the area. Moreover, the receiver, which is located perpendicularly,
captures the light quantity that has passed through the finger. The on the reflection method
presupposes that the light quantity from the radiating unit falls on a certain part of the body.
In such a case, some of the light is absorbed, and some is reflected and enters the code receiver.
This method is more universal, as it is possible to place the sensor on any part of the body, if
full contact with him is provided [
        <xref ref-type="bibr" rid="ref11 ref12 ref13">26, 27, 28</xref>
        ].
      </p>
      <p>
        The basis of photopulse oximetry method lies in the measurement of light absorption of
a certain wavelength by blood hemoglobin. Hemoglobin serves as a filter, what is more, the
“color” and “thickness” of this natural filter can vary [
        <xref ref-type="bibr" rid="ref12 ref13">27, 28</xref>
        ]. The “color” of the filter depends
on the percentage of oxyhemoglobin. That is how pulse oximetry determines the level of blood
oxygenation.
      </p>
      <p>Changes in the “thickness” of the filter are afected by the pulsation of the arterioles: each
pulse wave increases the amount of blood in the arteries and arterioles. The doctor defines this
as a pulse rate, and the pulse oximeter considers that as a “thickening” of the filter. In such a
way, the pulse rate and amplitude of the pulse wave are measured.</p>
      <p>Therefore, the use of one measurement principle allows determining three diagnostic
parameters: the levels of saturation of hemoglobin with oxygen, the pulse rate and its “volume”
amplitude. In addition, it enables further processing and analysis of pulse waves to determine
the functional state of cardiovascular system.</p>
      <p>
        The registration of photoplethysmographic signals [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] is performed using the scheme shown
in figure 7.
      </p>
      <p>The analog part of the hardware consists of an optical sensor unit, an amplifier, and
modulating equipment. The other units belong to the digital part. Amplified signals coming from
the sensor unit, via USB-input are transmitted to the PC and the program window displays a
pre-processed photoplethysmographic signal.</p>
      <p>To transfer data from the microcontroller to the PC, USB port is used.</p>
      <p>The method of photoplethysmography allows the use of non-contact sensors. Therefore,
there is no artery compression, which eliminates circulatory disorders and allows the use of
calculations to determine the saturation of oxygen by the pulse wave. Taking into
consideration that the hardware of the signal recording system is required for further transmission,
processing and analysis of pulse waves, the method of finger photoplethysmography is
insufifcient in its practical use.</p>
      <p>On the one hand, the method is suficient if the end phalanx of the finger or foot is X-rayed
on one side by ordinary incoherent light, which after side-scattering enters the photodetector;
however, on the other hand, this method is not appropriate to obtain suficiently intense signals
from radial artery. However, it should be mentioned that the signal from radial artery is the
most informative for cardiovascular system diagnosis. Nonetheless, this signal also depends
on the human body constitution, its anthropometric parameters in particular. To consider this
and to make the study of pulse waves and cardiovascular system more reliable we recommend
controlling the intensity of infrared light depending on the human body constitution. The use
of one optocoupler is not enough for this due to the low power of the light quantity and the
depth of its penetration. It is recommended to use several optocouplers connected in series,
parallel or parallel-series in a chain, with control of their mode of operation from the intensity
of the received pulse wave signal depending on human body constitution (figure 8). Small
optocouplers design allows doing it on a small plane, which the sensor itself has.</p>
      <p>In the case of photopulse oxygenation, we are interested in the absorption of light quantity
by blood running through veins, arterial blood in particular. Thus, the aim of pulse oximetry
is to measure the level of saturation of hemoglobin in arterial blood with oxygen.</p>
      <p>Hemoglobin is the common name for blood proteins found in red blood cells. Oxyhemoglobin
is fully oxygenated hemoglobin, each molecule of which contains four oxygen molecules.
Deoxyhemoglobin is hemoglobin that does not contain any oxygen.</p>
      <p>The tissues through which both light quantity pass are a non-selective filter and evenly
attenuate the radiation of both LEDs. The degree of attenuation depends on tissues thickness,
skin pigment and other obstacles in the way of light. Hemoglobin, in contrast to tissues, is a
color filter, and the color of this filter is afected by the level of oxygen saturation of hemoglobin.
Deoxyhemoglobin has a dark cherry color. It intensively absorbs red light and weakly delays
infrared. Therefore, if to put blood that does not contain any oxygen under the red and infrared
light, the first one will be almost completely held, and the second one will be only slightly
weakened. Conversely, oxyhemoglobin scatters red light (therefore, it has a red color), but
intensely absorbs infrared radiation.</p>
      <p>Thus, the ratio of two light quantities under the photodetector depends on blood oxygen
saturation level. According to these data, using a certain algorithm, the microprocessor calculates
the percentage of oxyhemoglobin in the blood.</p>
      <p>Therefore, using the unit of photoplethysmography and implying the methods of
photoplethysmographic signal digital processing, we obtain the result as shown in figure 9.</p>
      <p>
        In order to read the pulse signal, it is possible to connect the sensor directly to the laptop,
previously pre-amplifying the signal. Moreover, it is also possible to implement a small model
in the MATLAB package [
        <xref ref-type="bibr" rid="ref14 ref15">29, 30</xref>
        ] for further analysis of pulsegrams. It should be noted that the
display of the pulse graph is in real time. What is more, data can be stored in the database. It
is rather convenient for keeping the records and dealing with statistics.
      </p>
      <p>
        Non-invasive methods of registration, analysis and evaluation of amplitude-time parameters
of pulse signals [
        <xref ref-type="bibr" rid="ref16 ref17 ref18 ref19 ref20 ref21">31, 32, 33, 34, 35, 36</xref>
        ] are viewed as a set of modern technical means and
mathematical methods of processing biosignals. Nowadays, they define the current trends
in cardiovascular system as well as other systems diagnostics. Furthermore, determination
of additional values of saturation and body temperature is an important issue which is not
restricted to rapid students’ diagnostics only.
      </p>
    </sec>
    <sec id="sec-3">
      <title>3. Conclusions</title>
      <p>The paper proposes a device for recording pulse signals, which can record not only the heart
rate but also measure saturation, which significantly minimizes the design of the device.</p>
      <p>The edge device hardware is a part of the IoT system, which also includes another edge
device, which instantly transmits data to the database on the edge server for the data further
processing and storage. In addition, further detailed study of edge device data as a part of the
IoT System is needed. Furthermore, the development of a mobile application to display the
data is planned. This will allow you to monitor changes in the physiological parameters of the
student in real-time around the clock and/or record on the server and, if necessary, view them.
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