{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T07:25:08Z","timestamp":1772263508586,"version":"3.50.1"},"reference-count":37,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T00:00:00Z","timestamp":1410825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Technological innovations in the field of disease prevention and maintenance of patient health have enabled the evolution of fields such as monitoring systems. One of the main advances is the development of real-time monitors that use intelligent and wireless communication technology. In this paper, a system is presented for the remote monitoring of the body temperature and heart rate of a patient by means of a wireless sensor network (WSN) and mobile augmented reality (MAR). The combination of a WSN and MAR provides a novel alternative to remotely measure body temperature and heart rate in real time during patient care. The system is composed of (1) hardware such as Arduino microcontrollers (in the patient nodes), personal computers (for the nurse server), smartphones (for the mobile nurse monitor and the virtual patient file) and sensors (to measure body temperature and heart rate), (2) a network layer using WiFly technology, and (3) software such as LabView, Android SDK, and DroidAR. The results obtained from tests show that the system can perform effectively within a range of 20 m and requires ten minutes to stabilize the temperature sensor to detect hyperthermia, hypothermia or normal body temperature conditions. Additionally, the heart rate sensor can detect conditions of tachycardia and bradycardia.<\/jats:p>","DOI":"10.3390\/s140917212","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T11:38:13Z","timestamp":1410867493000},"page":"17212-17234","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Smart Multi-Level Tool for Remote Patient Monitoring Based on a Wireless Sensor Network and Mobile Augmented Reality"],"prefix":"10.3390","volume":"14","author":[{"given":"Fernando","family":"Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Departamento de Ingenier\u00eda, Universidad Tecnol\u00f3gica de Ciudad Ju\u00e1rez, Av. Universidad Tecnol\u00f3gica 3051, Ciudad Ju\u00e1rez, Chihuahua, Mexico"},{"name":"Instituto de Ingenier\u00eda y Tecnolog\u00eda, Universidad Aut\u00f3noma de Ciudad Ju\u00e1rez, Av. del Charro, 450 norte, Ciudad Ju\u00e1rez, Chihuahua, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osslan","family":"Villegas","sequence":"additional","affiliation":[{"name":"Instituto de Ingenier\u00eda y Tecnolog\u00eda, Universidad Aut\u00f3noma de Ciudad Ju\u00e1rez, Av. del Charro, 450 norte, Ciudad Ju\u00e1rez, Chihuahua, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dulce","family":"Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Departamento de Ingenier\u00eda, Universidad Tecnol\u00f3gica de Ciudad Ju\u00e1rez, Av. 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World Health Statistics 2010, WHO Press."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ijmedinf.2012.11.009","article-title":"Can Technology Change the Work of Nurses? Evaluation of a Drug Monitoring System for Ambulatory Chronic Disease Patients","volume":"82","author":"Callen","year":"2013","journal-title":"Int. J. Med. Inf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1197\/jamia.M2016","article-title":"SMART\u2014An Integrated Wireless System for Monitoring Unattended Patients","volume":"15","author":"Curtis","year":"2008","journal-title":"J. Am. Med. Inf. Assoc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.adhoc.2014.03.003","article-title":"Understanding Security Failures of Two-Factor Authentication Schemes for Real-Time Applications in Hierarchical Wireless Sensor Networks","volume":"20","author":"Wang","year":"2014","journal-title":"Ad Hoc Netw."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.ins.2014.05.056","article-title":"Energy-Efficient Wireless Hospital Sensor Networking for Remote Patient Monitoring","volume":"282","author":"Kim","year":"2014","journal-title":"Inf. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.repc.2013.06.009","article-title":"Remote Monitoring Versus Conventional Follow-up for Implantable Cardiac Devices: Rationale and Design of the PORTLink (PORTuguese Research on Telemonitoring with CareLink) trial","volume":"32","author":"Oliveira","year":"2013","journal-title":"Port. J. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"He, Z., Xu, W., and Liu, G. (2011, January 19\u201321). Design of a Wireless Medical Monitoring System. Wuhan, China.","DOI":"10.1109\/CAMAN.2011.5778746"},{"key":"ref_8","first-page":"697","article-title":"Clinical Evaluation of a Wireless ECG Sensor System for Arrhythmia Diagnostic Purposes","volume":"35","author":"Fensli","year":"2013","journal-title":"J. Biomed. Eng."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Misra, S., and Chatterjee, S. (2014). Social Choice Considerations in Cloud-Assisted WBAN Architecture for Post-Disaster Healthcare: Data Aggregation and Channelization. Inf. Sci., In Press.","DOI":"10.1016\/j.ins.2014.05.010"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Dagtas, S., Pekhteryev, G., and Sahinoglu, Z. (2007, January 21\u201323). Multi-Stage Real Time Health Monitoring via ZigBee in Smart Homes. Niagara Falls, Canada.","DOI":"10.1109\/AINAW.2007.263"},{"key":"ref_11","unstructured":"Abbate, S., Avvenuti, M., Corsini, P., Light, J., and Vecchio, A. (2010). Wireless Sensor Networks: Application\u2014Centric Design, InTech."},{"key":"ref_12","first-page":"1","article-title":"FPGA Implementation of a ZigBee Wireless Network Control Interface to Transmit Biomedical Signals","volume":"332","author":"Goy","year":"2011","journal-title":"J. Phys. Conf. Series"},{"key":"ref_13","unstructured":"Cancela, J., Pastorino, M., Arredondo, M., Pansera, M., Pastor-Sanz, L., Villagra, F., Pastor, M., and Gonzalez, A. (September, January 30). Gait Assessment in Parkinsons Disease Patients through a Network of Wearable Accelerometers in Unsupervised Environments. Boston, MA, USA."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Vijayalakshmi, B., and Ram Kumar, C. (2012, January 26\u201328). Patient Monitoring System Using Wireless Sensor based Mesh Network. Coimbatore, India.","DOI":"10.1109\/ICCCNT.2012.6396102"},{"key":"ref_15","first-page":"10","article-title":"Measurement of Power and Energy Using Arduino","volume":"2","author":"Srividyadevi","year":"2013","journal-title":"Res. J. Eng. Sci."},{"key":"ref_16","first-page":"47","article-title":"Effects of Hypothermia and Shivering on Standard PACU Monitoring of Patients","volume":"73","author":"Panagiotis","year":"2005","journal-title":"J. Am. Assoc. Nurse Anesth."},{"key":"ref_17","first-page":"15","article-title":"Modelling of NTC Thermistor Using an Artificial Neural Network for Non- Linearity Compensation","volume":"1","author":"Dongale","year":"2013","journal-title":"Inf. Eng. Int. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.bspc.2014.03.004","article-title":"Non-Contact Heart Rate and Heart Rate Variability Measurements: A Review","volume":"13","author":"Kranjec","year":"2014","journal-title":"J. Biomed. Signal Process. Control"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"350","DOI":"10.12659\/MSM.890249","article-title":"Impaired Heart Rate Recovery Indices in Psoriasis Patients","volume":"20","author":"Pancar","year":"2014","journal-title":"J. Med. Sci. Monit."},{"key":"ref_20","first-page":"779","article-title":"A Novel Approach for Designing of Pulse Transit Time Measurement Device for Physiological Applications","volume":"2","author":"Jadav","year":"2013","journal-title":"J. Inf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jjcc.2012.11.008","article-title":"The Supraventricular Tachycardias: Proposal of a Diagnostic Algorithm for the Narrow Complex Tachycardias","volume":"61","author":"Tuttolomondo","year":"2013","journal-title":"J. Cardiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/S0034-7094(11)70068-X","article-title":"Retrospective Analysis of Risk Factors and Predictors of Intraoperative Complications in Neuraxial Blocks at Faculdade de Medicina de Botucatu-UNESP","volume":"61","author":"Dias","year":"2011","journal-title":"Braz. J. Anesthesiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"5383","DOI":"10.3390\/s110505383","article-title":"FRCA: A Fuzzy Relevance-Based Cluster Head Selection Algorithm for Wireless Mobile Ad Hoc Sensor Networks","volume":"11","author":"Lee","year":"2011","journal-title":"Sensors"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.procs.2012.06.013","article-title":"GFDA: Route Discovery Algorithms for On-Demand Mobile Ad Hoc Routing Protocols","volume":"10","author":"Alhosban","year":"2012","journal-title":"J. Procedia Comput. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1007\/s00607-012-0239-3","article-title":"Process Interoperability in Healthcare Systems with Dinamyc Semantic Web Services","volume":"95","author":"Wajahat","year":"2013","journal-title":"Computing"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.pmcj.2012.09.007","article-title":"Exploring Multi-User Interactions with Dynamic NFC-Displays","volume":"2","author":"Brolla","year":"2013","journal-title":"Pervasive Mob. Comput."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.hlpt.2012.07.001","article-title":"Electronic Data Capture in Healthcare-NFC as Easy Way for Self-Reported Health Status Information","volume":"3","author":"Prinz","year":"2012","journal-title":"Health Policy Technol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.chb.2012.03.004","article-title":"The psychology behind QR codes: User experience perspective","volume":"4","author":"Shin","year":"2012","journal-title":"Comput. Hum. Behav."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2842","DOI":"10.1109\/TIP.2014.2321501","article-title":"QR Images: Optimized Image Embedding in QR Codes","volume":"7","author":"Garateguy","year":"2014","journal-title":"IEEE Trans. Image Process."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10055-011-0203-0","article-title":"Reducing the Gap between Augmented Reality and 3D Modeling with Real-Time Depth Imaging","volume":"2","author":"Kahn","year":"2013","journal-title":"Virtual Real."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1109\/MPRV.2014.19","article-title":"Using Augmented Reality to Help Children with Autism Stay Focused","volume":"1","author":"Escobedo","year":"2014","journal-title":"IEEE Pervasive Comput."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5772\/51644","article-title":"Enhancing the Tourism Experience through Mobile Augmented Reality: Challenges and Prospects","volume":"4","author":"Kounavis","year":"2012","journal-title":"Int. J. Eng. Bus. Manag."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1007\/s11528-013-0717-2","article-title":"Design Principles for Augmented Reality Learning","volume":"58","author":"Dunleavy","year":"2014","journal-title":"Techtrends"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.chb.2014.04.018","article-title":"A Case Study of Augmented Reality Simulation System Application in a Chemistry Course","volume":"37","author":"Caia","year":"2014","journal-title":"Comput. Hum. Behav."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1016\/j.patcog.2014.01.005","article-title":"Automatic Generation and Detection of Highly Reliable Fiducial Markers Under Oclusion","volume":"47","author":"Garrido","year":"2014","journal-title":"Pattern Recognit."},{"key":"ref_36","first-page":"1","article-title":"Augmented Reality Implementation Methods in Mainstream Applications","volume":"59","author":"Prochazka","year":"2011","journal-title":"Acta Univ. Agric. Silvic. Mendel. Bronensis"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1016\/j.amjcard.2009.12.022","article-title":"Relation of High Heart Rate Variability to Healthy Longevity","volume":"105","author":"Zulfiqar","year":"2010","journal-title":"Am. J. Cardiol."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/14\/9\/17212\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:15:58Z","timestamp":1760217358000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/14\/9\/17212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,16]]},"references-count":37,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2014,9]]}},"alternative-id":["s140917212"],"URL":"https:\/\/doi.org\/10.3390\/s140917212","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,16]]}}}