Continuous and steady running of health status remote monitoring systems is essential not to omit episodes of acute exacerbation of chronic disease. Running time of such systems is largely determined by performance capabilities of the patient's wearable system elements. To ensure its long-term operation and efficient performance, the monitoring system must have multilayered structure with the elements realizing recording and picking off biomedical signals, signal processing and analysis, estimation of patient current condition, dynamics of the disease and its prognosis. For this purpose, it is necessary to use smart monitoring algorithms. A specific feature of such algorithms is change of the number of channels used for biomedical signal recording and processing according to the change of patient’s condition. To detect the exacerbation first symptoms by means of the patient's wearable computer, additional channels are activated for recording biomedical signals used to evaluate the expanded complex of diagnostically significant parameters of the disease and their integration when specifying the patient's condition. The system and intelligent monitoring algorithm is tested with the use of heart rate remote control and atrial fibrillation episode detection system. The testing results of the developed system and algorithm are discussed.
Introduction. An assessing of the sportsman's physiological reserve (PR) and its dynamics is important when planning and carrying out a training, forecasting sportsman's results. An importance of this problem increases in highperformance sports, and energy consumption sports. A complexity of solving of this problem is caused by the requirement of taking into account of the complex of the biomedical parameters and formation of an integral parameter. This parameter reflects functioning of various body systems which provide significant income to the sportsman’s result achievement. Objective. Development of the method and the system of PR assessing allowing complex investigation of the PR during the training process. Method and materials. For achievement of the aim the tasks were formulated and solved using methods of biomedical research and engineering, mathematical processing and analysis of the diagnostically valuable parameters. Results. The complex of the biomedical parameters reflecting sportsman’s body metabolism in condition of physical exercises is formed. They are the heart rate, the heart rate variability, the pulse frequency, the systolic and diastolic pressure, the respiratory rate, the blood saturation, and the stress index by Baevsky. It is important for PR assessing to assess parameters characterizing sportsman’s physiological reserves at the current moment and its dynamics. The circle diagram is proposed for taking into account of all mentioned parameters and its variation dynamics. The value of the integral PR parameter is an area of a polygon, which is obtained on the circle diagram using normalized values of the diagnostically significant parameters. The method of biomedical investigation of the sportsman and the method of PR assessing based on the complex of the body system parameters are developed. The scheme of assessing of sportsman's body physiological reserves before and after the training is proposed. The scheme allows to assess not only sportsman's body energy consumption during the training but also its recovery after the training. General structures of the biotechnical system and a structures of systems of picking up, registration, processing, and analysis of biomedical signals for assessing of sportsman's physiological reserves are developed. Special attention is given to the development of a wearable device for synchronous registration of the complex of biomedical parameters and algorithms of assessing of the diagnostically significant parameters of sportsman's body physiological reserves. Conclusion. The proposed method of sportsman's physiologic reserves investigation and the structure of the system with spatially distributed architecture allow sport medicine doctor and coach to assess an efficiency of sportsman's training process with respect to his potential capabilities, and efficiently control the training process.
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