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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Low-cost system for the management of hospital services, applied to hospitalized patients through the use of IoT technology</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Wilver Auccahuasi</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Christian Ovalle</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Zoila Ayvar</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Justiniano Aybar</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Rubén Quispe</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Amaury Farfan</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Angel Tongog</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Luis Romeroh</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Edwin Felixi</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Denny Loveraj</string-name>
        </contrib>
      </contrib-group>
      <fpage>89</fpage>
      <lpage>94</lpage>
      <abstract>
        <p>IoT technology is making a strong foray into all work areas, the health sector is not the exception, for this reason many applications are presented more frequently giving solutions to complex problems, thanks to technology a lot of sensitive information is being created that previous years did not It was thought that it could occur, one of them is the creation of databases of medical information, with which applications can be developed based on the exploitation of these data, another type of application is related to the location of certain devices with The intention of locating them in real time, based on this application in this work a methodology is developed to be able to monitor in real time patients admitted to health centers, knowing if they are in their room, also knowing if the patient needs any help with which the nurse on duty can approach to provide assistance. The methodology presents the use of low-cost devices that allow the implementation of IoT solutions, being able to connect 3 rooms through an application developed in LabView that allows knowing the current status of patients, their location and if you need any help, the application can be adaptable to different needs and scalable according to new requirements, it is necessary to indicate that you must have a Wi-Fi connection so that all IoT devices can share the same connection and web services.</p>
      </abstract>
      <kwd-group>
        <kwd>1 IoT</kwd>
        <kwd>healthcare facility</kwd>
        <kwd>patient</kwd>
        <kwd>web service</kwd>
        <kwd>application</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Hospital services are essentially important in a health center, one of the most important areas is the
hospitalization service, which allows monitoring patients who are hospitalized, through the use of IoT
technology, making a review of the literature We found work related to the treatment of related
inpatients in hospital centers where they carry out medical and nursing practices, where they
supervise hospitalized patients based on frequent visits, both for medical indications and for the
supply of medicine through the nurses [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>
        We also find jobs related to monitoring patients at home based on IoT technology, cloud
computing, the proposal proposes to remotely monitor, through a mobile application where the
patient's vital signs are displayed and create the medical report, the system It also has a mobile phone
to monitor the environmental status of the ward and its state of health and to be able to provide
provisions to the nurse about care, patients and relatives along with an application for relatives that
allows them to know how the hospitalization process is going, the environment Hospitalization must
be adequate, however, for home hospitalization, certain limits must be in place to minimize the risk
for the patient and can even be fatal, for which it is necessary to monitor the environment such as
temperature and humidity detection, leak detection gas, and smoke detection, both of which connect
to the unit for vital sign detection through the hardware MySignals HW V2 Platform which is a
development platform for ehealth applications [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
      </p>
      <p>
        The use of health technologies is of utmost importance and its application depends on how the
perception of how much it helps in the treatment of patients is used, it is demonstrated with the skills
for its exploitation by health personnel, for This is why studies are carried out regarding the
perception of its use and as an aid in the treatment of patients, there are studies on knowing and
understanding this perception, in this area we find works where a self-reported questionnaire was
carried out on the use of IoT technology by of nurses, a survey has been chosen, which has been
created by a multidisciplinary team composed of nurses, computer scientists, for which a prior review
of the IOT literature was made, from which 15 elements on patient safety were obtained, work
efficiency and hospital environment [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
      </p>
      <p>
        The use of information and communication technologies is greatly influencing hardware
development. For this reason, we find many solutions in the market, which depend on the application
and uses, we find jobs where a matrix of various sensors is used, which are connected on a WIFI
communication board for the transmission of data to an internet server, The solution allows
integrating many technologies thanks to the different communication ports provided by the embedded
cards, the use of these cards allows the design of low-cost solutions, one of the fundamental
characteristics of the solution is the integration of a real-time system to have direct access to the
devices, allowing the solution to be portable, the solution allows subsequent data analysis by
exporting in csv format, which can be analyzed with tools such as Matlab, Octave or Python, among
others [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ].
      </p>
      <p>
        With the information that can be obtained through the use of IoT technology, many applications
can be implemented in data processing, such as the analysis of cardiac signals related to classifying
acute myocardial infarction, which will be carried out with the data obtained. which is divided into
two groups, the first for training and the second for tests, many of the data that are needed to carry out
these applications are obtained thanks to the IoT systems that are collecting data at all times, many of
these applications are related to the health area, where the influence of artificial intelligence is gaining
importance and is constantly growing [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>In the present work, he proposes a methodology for the use of low-cost devices, to be able to
monitor patients admitted to hospitalization services, who require attention from nurses and nurses
also need to know the presence of their patients.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Materials and Methods</title>
      <p>In the approach to the methodology for monitoring the energy and consumption of servers in a
data center, it is necessary to implement certain steps to be able to implement an IoT-based solution,
the detail is described below:</p>
      <p>In Figure 1, the steps that were used to develop the methodology are presented, these steps consist
of the definition of the problem, going through a choice of hardware that can solve the problem and
finally closes with the design of a visualization mechanism of the values to be able to monitor.</p>
    </sec>
    <sec id="sec-3">
      <title>2.1. Review of Requirements</title>
      <p>To demonstrate the methodology, we resort to a hospital center, where we identify their needs,
where a decrease in direct contact with patients is required, due to the effect of the COVID-19
pandemic, in this sense it is necessary to know if the patient is In their room and even more so in their
room, it is also necessary that patients present some need, they can communicate to the nurses' station
so that they can assist them, as a requirement of this analysis, the proposal proposes to monitor 3
patient rooms.</p>
      <p>In image 2, you can see a room of the hospital center, it is necessary to know the physical location
of the patient, as well as if the patient requires attention, he can call the nurses station, in the room the
IoT device will be placed, with direct access to the patient for direct manipulation.</p>
      <p>A second very important requirement is the nursing station, one of the main areas is to attend to
patients who are admitted to their respective services, in a normal situation the nurses carry out
rounds with established frequencies, to verify the location of your patients, as well as identifying
patients when they need some help.</p>
      <p>In figure 3, the nurses' station is presented, in the image we can identify the use of personal
protection masks, due to the care with COVID-19, in this sense a maximum control with the patients
is required, with the maximum protection for the health of health personnel, in this sense IoT
technology, allows meeting these two requirements and satisfying both needs.</p>
    </sec>
    <sec id="sec-4">
      <title>3. Choice of Hardware</title>
      <p>For the choice of hardware, a low-cost device is used that has the functionality of being able to
connect to a wireless network, where the physical location of the device can be known, the hardware
also has an emergency button to send an alarm with these hardware characteristics, the final
application solution is dimensioned. The characteristics of the chosen hardware are presented below.



</p>
      <p>Conexión Wifi.</p>
      <p>Botón de emergencia.</p>
      <p>Integración IoT.</p>
      <p>Bajo costo.</p>
      <p>In figure 3, the chosen hardware is presented, it can be seen that it is shaped like a keychain, it is
small, practical, easy to use, cleaning and disinfection, appropriate for these moments of pandemic
caused by COVID-19.</p>
    </sec>
    <sec id="sec-5">
      <title>4. Display panel design</title>
      <p>In the development of the methodology, the last component is dedicated to the visualization of the
data, the IoT technology allows the connectivity between different devices and to be able to store the
data for future exploitation, in this concept the methodology proposes the development of an
application dedicated to solving the problem by viewing the required data. In the development, an
application was designed in LabView that exploits the connection data of the IoT device, in such a
way that the application connects to the same Wi-Fi network, in such a way that it can connect with
the device. The requirement is to be able to monitor 3 patients installed in their rooms, in such a way
that the nurses who are located in their station can monitor their patients, in figure 5, the developed
application is presented.</p>
    </sec>
    <sec id="sec-6">
      <title>5. Results</title>
      <p>The results of the research are presented related to the implementation diagram, where the
different components described above can be seen, for their implementation and scaling, in general it
can be indicated that the methodology is easy to install and low cost, with applications that cause
great impact and use by health personnel, taking care of COVID-19 infections, therefore one of the
requirements is to be able to minimize interaction with patients, in this sense IoT technology allows
the minimum interaction of the patient with health personnel.</p>
    </sec>
    <sec id="sec-7">
      <title>6. Conclusions</title>
      <p>Information and communication technologies are being used in most areas, the health sector is one
of the areas where technology is focused on being able to solve problems that previous years were
almost impossible to solve, one of them is connectivity and real-time monitoring of patients, where
they are at all times, if they need any help, but without the need to go to their rooms. IoT technology
is allowing to obtain a lot of clinical information, thanks to the use of electronic devices that have the
ability to capture signals and upload them to web services, through a Wi-Fi connection, it also
presents many computational tools capable of exploiting the information captured and stored in web
services, developing application to view information in real time, statistical analysis of the
information, among others. The use of the LabView software allows the personalized development of
the application, as well as the possibility of being able to scale, it is recommended for future
applications to first consider the needs or requirements, then analyze between the different hardware
options that can satisfy the needs and finally the design. of an application that can be interpreted by
users. In health care caused by COVID-19, minimal patient-doctor interaction is important and thanks
to IoT technology this goal is achieved with low-cost hardware.</p>
    </sec>
    <sec id="sec-8">
      <title>7. References</title>
    </sec>
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