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INTRODUCTION
1.1 BACKGROUND
Heart beat rate means
the number of heartbeats per unit time, usually expressed as beats per
minute (bpm). The human heart pounds to pump oxygen rich blood to the
muscles and carry cell waste products away from the tissues. Heartbeat
rate can vary according to the demand of the muscles to absorb oxygen
and excrete carbon dioxide changes such as during exercise or sleep. It
also varies significantly between individuals based on age, fitness and
genetics. This means that the heart must beat faster to deliver more
oxygen rich blood. During exercise routines, the heartbeat rate gives a
strong indication of how effective the exercise is to the body.
The
patient monitoring systems is one of the major improvements in the
global health care program because of its advanced technology. A patient
monitoring system measures the heartbeat and body temperature by using
embedded technology. This advancement in technology is highly needed
because many sick patients at the hospitals die because of high fever
and heart attacks. The trend of cardiovascular disease has shown that
heart beat rate plays a key role in determining the possibility of a
heart attack while an increase in the body temperature can induce fever
on a patient. Heart diseases
such as heart attack, coronary heart
disease, congestive heart failure, and congenital heart disease are the
leading causes of death for men and women in many countries. Most of the
time, the aged people of the society are more prone to heart disease
problems than the younger ones. For people who live alone with no one to
monitor their health condition, this device offers an opportunity to
them for a constant monitoring of their health status, it is developed
to monitor and alert the doctors about the heartbeat and temperature
condition of a patient. It is developed to give patients a timely and
proper heath care.
These days it is not easy for doctors and the
nurses to remain close to a patients bed side to monitor their heath
condition. In the past, a huge and fixed monitoring device was used
(only in the hospitals) to know the health status of a patient when on a
bed. These monitoring devices are only available in the hospitals and
are constantly on the patient’s body. Many of them are not user friendly
so it is important that the doctors and family members will have a
handy device that can always monitor their patients when they are not
around. One of the vital things to monitor on a patient is the body
temperature. This has to do with the measurement of the body's ability
to generate and get rid of heat. Temperature monitoring is one of chief
indicators of the normal functioning of health. The nature of the human
body
is to keep its temperature within a narrow, safe range in spite
of large variations in temperatures outside the body. Normal human body
temperature depends upon the place in the body, from which the
measurement is made, and the time and level of activity of the person.
The typical body temperature is 37.0 °C ± 0.4°C (98.6 ° F ± 0.7°F). When
the body temperature is high, the blood vessels within the skin expand
(dilate) to carry the excess heat to the patients skin surface. One may
begin to sweat, and as the sweat evaporates, it helps to cool his/her
body. When one is too cold, the blood vessels narrows (contracts) so
that blood flow to the skin is reduced to conserve body heat. This may
cause an involuntary shivering in some people due to cold which is a
rapid contraction of the muscles. This extra muscle activity helps to
generate more heat. Under normal condition, thus keeping one's body
temperature within a narrow, safe range. Body temperature is regulated
by neural feedback mechanism which operate primarily through the
hypothalamus. The hypothalamus contains not only the control mechanisms,
but also the key temperature sensors. Under control of these
mechanisms, sweating begins almost precisely at a skin temperature of
37°C and increases rapidly as the skin temperature rises above this
value. The heat production of the body under these conditions remains
almost constant as the skin temperature rises. If the skin temperature
drops below 37°C a variety of
responses are initiated to conserve the
heat in the body and to increase heat production. These includes:
Vasoconstriction to decrease the flow of heat to the skin, Cessation of
sweating, shivering to increase heat production in the muscles,
Secretion of nor epinephrine, epinephrine, and thyroxin to increase heat
production.
Another vital thing to monitor in a patient is the
heartbeat rate. It is very important that the heartbeat is to be normal.
That is 72 BPM. If there is any abnormality, then the patient is in
distress. Heartbeat rate means the number of heartbeats per unit of
time. The normal heartbeat rate of a resting person is about 70 bpm for
adult males and 75 bpm for adult females. The average heartbeat per
minute for 25-year old ranges between 140-170 beats per minute while for
a 60-year old it is typically between 115-140 beats per minute and body
temperature is 37 degree Celsius or 98.6 Fahrenheit. . Normally it is
difficult to keep track of the abnormalities in the heartbeat count of
by manual means. Patients are not well versed with the manual
treatments, which the doctors normally use for tracking the count of the
heartbeat. Thus, there must be some kind of device which would help
patients and their family member to keep track of their health by
themselves. This sole reason is why this project presents a heartbeat
and temperature
monitoring device using radio frequency (RF.). The
concept of developing an RF. based patient monitoring device is to have a
simple home and hospital based pulse and body temperature monitoring
device for sick person’s that are in critical condition and needs to be
constantly or periodically monitored by clinician or family.
1.2 WHAT IS A PATIENT HEARTBEAT AND TEMPERATURE MONITOR USING RF.?
A
patient heartbeat and temperature monitor using RF. is a radio
frequency based pulse wave and body temperature monitoring system, which
allows the control of a sick person’s condition in real time. The
system monitors the heart beat and temperature of a patient
simultaneously and if the patients heartbeat rate or body temperature is
abnormal, the system alerts sends an alert to the doctor or patient’s
family members to quickly examine or diagnose the patient’s condition
and take early precaution to save the patient’s life. The alerts sound
can be triggered at any time as long as there is a deviation in the
health condition of the patient from the normal, such that the status of
the patient can be known on time. The system consists of a sensor,
which monitors the patient and sends a signal to a microcontroller,
which processes it to determine the temperature and heartbeat rate of
the
patient before sending an alert to a receiver using radio
frequency. The receiver has to be in the possession of the patient’s
doctor or family members. This project can also be used by athletes who
engage in physical exercise and by medical professionals. Individuals,
such as athletes, cyclists or those who are interested in monitoring
their heartbeat rate and body temperature to gain maximum efficiency
from their training can also use this project. It can be used during
physical exercise and healthcare.
1.3 PROBLEM DEFINITION
The human health
is one of the most important concerns in the world today.
Anything/everything becomes meaningless when one becomes sick and dies
due to improper Medicare. For health reasons, people, governments and
several voluntary bodies spend a lot of money to ensure a better health
condition for themselves and the entire populace. Scientists and
Engineers are always at work to device a means of supporting/sustaining a
sound health condition for all through the invention of numerous
technologies both Electrical/Mechanical gadgets that are in use for
health care delivery today. The heart is a very delicate organ in the
human body (once it stops beating, nothing else matters). Thus, If early
actions are taken (and on time) the heart condition can be managed
effectively and many patients can be cured and
saved. The problem of
patients slumping and dying is associated with cardiovascular arrests
and can be checkmated this sensitive and highly effective device (the
patient heartbeat and temperature monitor). This device has an
outstanding advantage that it is easy to handle and access. Heartbeat
rate and body temperature monitors are part of the most vital tools
needed in first aid kit for saving lives. Unlike the x-ray, the
heartbeat and temperature monitor does not impose any hazard to the
human health. There devices in the market which can provide raw
measurement data of the patients to the doctors, but the patients may
not be able to interpret the medical measurement into a meaningful
diagnosis due to their limited medical background. On the other hand, if
raw medical data is delivered to the doctor, time is wasted and may
pose a problem, but in emergencies waste of time can never be tolerated.
It is tough to share data over large area within a short period. Most
of the products available in the market have this drawback of limitation
in flexibility and portability. If the heat that is produced from
metabolism cannot be checkmated on time, it will cause a turbulent body
temperature, which could be worse than 40°C and lead to headache,
vertigo, low blood pressure, high energy consumption, unconsciousness
and crocking up of body temperature regulation function. On the other
hand, when the produced heat is less than
the dissipating heat, the body temperature cannot hold on and it will result to a decrease in metabolism.
1.4 AIMS AND OBJECTIVES
The major aim
and objective of this design [of a patient heartbeat and temperature
monitor using RF.] is to help the doctors and family members to keep
track of the heartbeat condition of their loved ones [as well as their
body temperature] in the case of an abnormality in the health condition
(for those with heartbeat defects and those that run excessive high
temperature beyond normal). If any varied change takes place, it is
notified. This notification through RF. Channel would to take an
appropriate action at an instance of time, thereby alerting the
appropriate persons..
1.5 SIGNIFICANCE OF THE PROJECT
There
are various instruments available in the hospitals to keep track of the
internal body changes, but many of them have limitations regarding to
maintenance, cost, size of instruments, and mobility. This project is so
significant because it is mobile, small in size, cost effective, very
easy to use, highly efficient performance, portable and light in weight
etc. It uses RF. to help both the patient and the concerned doctor to
take an appropriate action.
It is beneficial in terms of cost. It
saves time and is very helpful to patients who lives alone. It offers a
freedom of movement to patients. It has a low power consumption though
the stability of its wireless data communication is still to be
enhanced. To some degree, the wireless data communication via RF has
anti-jamming ability.
1.6 SCOPE OF THE PROJECT
This project
operates at a 30 feet’s distance on open space. It is designed to
operate with an alkaline battery of a minimum of 9 volts to a maximum of
12v consumes 50mA. It uses a buffer, temperature sensor, AT89c51
Microcontroller and a led display with buzzer for the alert. The
hardware and soft ware of the system is oriented towards the AT89c51
single chip microcontroller. Hence, reducing the size of the device. A
regulated 3.7v RF. operates in the frequency range of 415 MHZ per second
used for data transmission, which can easily penetrate over three
floors of a building and go over 30 feet’s in open space.
1.7 PROJECT REPORT ORGANIZATION
The
organization of the project report is well detailed and vast in its
coverage. It covers all the activities encountered during the research
work as shown in the block diagram below.
Fig 1.1: PROJECT ORGANIZATION BLOCK DIAGRAM
The
first chapter is the introductory chapter, which covers the background,
project objectives, scope of the project, constraints and block diagram
overview of the states. Chapter 2 presents the literature review.
Chapter 3 covers the system analysis and design including the design
methodology in block diagram form. Chapter 4 presents the system
implementation, which shows the component layout, the wiring schedule,
the wiring diagram and the complete schematic diagram. Chapter 5 covers
the testing and integration of the project design. The system testing
was first carried out in a laboratory. Chapter 6 is the summary and
Abstract
Introduction
Literature
Review
System implementation & testing
System design
Methodology and system analysis
Summary and conclusion
conclusion,
which includes the summary of achievements, problems encountered during
project design, recommendation and suggestion for further improvement.
BLOCK DIAGRAM OF THE TRANSMISSION BETWEEN THE TRANSMITTER AND THE RECEIVER
Fig.1.2. Basic idea of a transmitter and receiver transmission using RF.
With
the aid of a simple, low cost microcontroller based heartbeat rate and
temperature measuring device with LCD output. The heartbeat rate of a
patient is
12
measured from the index finger or the wrist or neck
using IRD (infrared device) sensors and the rate is then averaged and
displayed on a text board LCD.
The device sounds an alarm when the
heartbeat and body temperature exceed the safe threshold value. The
programmer stipulates this threshold value at the time of programming of
the microcontroller. The threshold value given for the device is
between 20 to 120 pulses per minute for heart beat indication and 18
degrees Celsius to 38 degrees Celsius for temperature.
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