A Review on Provisioning Quality of Service of Wireless Telemedicine for E-Health Services

In general, on-line medical consultation reduces time required for medical consultation induces improvement in the quality and efficiency of healthcare services. All major types of current e-health applications such as ECG, X-ray, video, diagnosis images and other common applications have been included in the scope of the study. In addition, the provision of Quality of Service (QoS) for the application of specific healthcare services in e-health, the scheme of priority for e-health services and the support of QoS in wireless networks and techniques or methods for IEEE 802.11 to guarantee the provision of QoS has also been assessed. In e-health, medical services in remote locations such as rural healthcare centers, ambulances, ships as well as home healthcare services can be supported through the applications of e-health services such as medical databases, electronic health records and the routing of text, audio, video and images. Given this, an adaptive resource allocation for a wireless network with multiple service types and multiple priorities have been proposed. For the provision of an acceptable QoS level to users of e-health services, prioritization is an important criterion in a multi-traffic network. The requirement for QoS provisioning in wireless broadband medical networks have paved the pathway for bandwidth requirements and the real-time or live transmission of medical applications. From the study, good performance of the proposed scheme has been validated by the results obtained. The proposed wireless network is capable of handling medical applications for both normal and life-threatening conditions as characterized by the level of emergencies. In addition, the bandwidth allocation and admission control algorithm for IEEE 802.16- based design specifically for wireless telemedicine/e-health services have also been presented in the study. It has been concluded that under busy traffic conditions, the proposed architecture can used as a feasible and reliable infrastructure network for telemedicine

On the Merits of Deploying TDM-based Next-Generation PON Solutions in the Access Arena As Multiservice, All Packet-Based 4G Mobile Backhaul RAN Architecture

The phenomenal growth of mobile backhaul capacity required to support the emerging fourth-generation (4G) traffic including mobile WiMAX, cellular Long-Term Evolution (LTE), and LTE-Advanced (LTE-A) requires rapid migration from today\u27s legacy circuit switched T1/E1 wireline and microwave backhaul technologies to a new fiber-supported, all-packet-based mobile backhaul infrastructure. Clearly, a cost effective fiber supported all-packet-based mobile backhaul radio access network (RAN) architecture that is compatible with these inherently distributed 4G RAN architectures is needed to efficiently scale current mobile backhaul networks. However, deploying a green fiber-based mobile backhaul infrastructure is a costly proposition mainly due to the significant cost associated with digging the trenches in which the fiber is to be laid. These, along with the inevitable trend towards all-IP/Ethernet transport protocols and packet switched networks, have prompted many carriers around the world to consider the potential of utilizing the existing fiber-based Passive Optical Network (PON) access infrastructure as an all-packet-based converged fixed-mobile optical access networking transport architecture to backhaul both mobile and typical wireline traffic. Passive Optical Network (PON)-based fiber-to-the-curb/home (FTTC/FTTH) access networks are being deployed around the globe based on two Time-Division Multiplexed (TDM) standards: ITU G.984 Gigabit PON (GPON) and IEEE 802.ah Ethernet PON (EPON). A PON connects a group of Optical Network Units (ONUs) located at the subscriber premises to an Optical Line Terminal (OLT) located at the service provider\u27s facility. It is the purpose of this thesis to examine the technological requirements and assess the performance analysis and feasibility for deploying TDM-based next-generation (NG) PON solutions in the access arena as multiservice, all packet-based 4G mobile backhaul RAN and/or converged fixed-mobile optical networking architecture. Specifically, this work proposes and devises a simple and cost-effective 10G-EPON-based 4G mobile backhaul RAN architecture that efficiently transports and supports a wide range of existing and emerging fixed-mobile advanced multimedia applications and services along with the diverse quality of service (QoS), rate, and reliability requirements set by these services. The techno-economics merits of utilizing PON-based 4G RAN architecture versus that of traditional 4G (mobile WiMAX and LTE) RAN will be thoroughly examine and quantified. To achieve our objective, we utilize the existing fiber-based PON access infrastructure with novel ring-based distribution access network and wireless-enabled OLT and ONUs as the multiservice packet-based 4G mobile backhaul RAN infrastructure. Specifically, to simplify the implementation of such a complex undertaking, this work is divided into two sequential phases. In the first phase, we examine and quantify the overall performance of the standalone ring-based 10G-EPON architecture (just the wireline part without overlaying/incorporating the wireless part (4G RAN)) via modeling and simulations. We then assemble the basic building blocks, components, and sub-systems required to build up a proof-of-concept prototype testbed for the standalone ring-based EPON architecture. The testbed will be used to verify and demonstrate the performance of the standalone architecture, specifically, in terms of power budget, scalability, and reach. In the second phase, we develop an integrated framework for the efficient interworking between the two wireline PON and 4G mobile access technologies, particularly, in terms of unified network control and management (NCM) operations. Specifically, we address the key technical challenges associated with tailoring a typically centralized PON-based access architecture to interwork with and support a distributed 4G RAN architecture and associated radio NCM operations. This is achieved via introducing and developing several salient-networking innovations that collectively enable the standalone EPON architecture to support a fully distributed 4G mobile backhaul RAN and/or a truly unified NG-PON-4G access networking architecture. These include a fully distributed control plane that enables intercommunication among the access nodes (ONUs/BSs) as well as signaling, scheduling algorithms, and handoff procedures that operate in a distributed manner. Overall, the proposed NG-PON architecture constitutes a complete networking paradigm shift from the typically centralized PON\u27s architecture and OLT-based NCM operations to a new disruptive fully distributed PON\u27s architecture and NCM operations in which all the typically centralized OLT-based PON\u27s NCM operations are migrated to and independently implemented by the access nodes (ONUs) in a distributed manner. This requires migrating most of the typically centralized wireline and radio control and user-plane functionalities such as dynamic bandwidth allocation (DBA), queue management and packet scheduling, handover control, radio resource management, admission control, etc., typically implemented in today\u27s OLT/RNC, to the access nodes (ONUs/4G BSs). It is shown that the overall performance of the proposed EPON-based 4G backhaul including both the RAN and Mobile Packet Core (MPC) {Evolved Packet Core (EPC) per 3GPP LTE\u27s standard} is significantly augmented compared to that of the typical 4G RAN, specifically, in terms of handoff capability, signaling overhead, overall network throughput and latency, and QoS support. Furthermore, the proposed architecture enables redistributing some of the intelligence and NCM operations currently centralized in the MPC platform out into the access nodes of the mobile RAN. Specifically, as this work will show, it enables offloading sizable fraction of the mobile signaling as well as actual local upstream traffic transport and processing (LTE bearers switch/set-up, retain, and tear-down and associated signaling commands from the BSs to the EPC and vice-versa) from the EPC to the access nodes (ONUs/BSs). This has a significant impact on the performance of the EPC. First, it frees up a sizable fraction of the badly needed network resources as well as processing on the overloaded centralized serving nodes (AGW) in the MPC. Second, it frees up capacity and sessions on the typically congested mobile backhaul from the BSs to the EPC and vice-versa

Provisioning Quality of Service of Wireless Telemedicine for E-Health Services: A Review

In general, on-line medical consultation reduces time required for medical consultation and induces improvement in the quality and efficiency of healthcare services. The scope of study includes several key features of present day e-health applications such as X-ray, ECG, video, diagnosis images and other common applications. Moreover, the provision of Quality of Service (QoS) in terms of specific medical care services in e-health, the priority set for e-health services and the support of QoS in wireless networks and techniques or methods aimed at IEEE 802.11 to secure the provision of QoS has been assessed as well. In e-health, medical services in remote places which include rustic healthcare centres, ships, ambulances and home healthcare services can be supported through the applications of e-health services such as medical databases, electronic health data and the transferring of text, video, sound and images. Given this, a proposal has been made for a multiple service wireless networking with multiple sets of priorities. In relation to the terms of an acceptable QoS level by the customers of e-health services, prioritization is an important criterion in a multi-traffic network. The requirement for QoS in medical networking of wireless broadband has paved the way for bandwidth prerequisites and the live transmission or real-time medical applications. The proposed wireless network is capable of handling medical applications for both normal and life-threatening conditions as characterized by the level of emergencies. In addition, the allocation of bandwidth and the system that controls admittance designed based on IEEE 802.16 especially for e-health services or wireless telemedicine will be discussed in this study. It has been concluded that under busy traffic conditions, the proposed architecture can used as a feasible and reliable infrastructure network for telemedicine

A Priority-based Fair Queuing (PFQ) Model for Wireless Healthcare System

Healthcare is a very active research area, primarily due to the increase in the elderly population that leads to increasing number of emergency situations that require urgent actions. In recent years some of wireless networked medical devices were equipped with different sensors to measure and report on vital signs of patient remotely. The most important sensors are Heart Beat Rate (ECG), Pressure and Glucose sensors. However, the strict requirements and real-time nature of medical applications dictate the extreme importance and need for appropriate Quality of Service (QoS), fast and accurate delivery of a patient’s measurements in reliable e-Health ecosystem. As the elderly age and older adult population is increasing (65 years and above) due to the advancement in medicine and medical care in the last two decades; high QoS and reliable e-health ecosystem has become a major challenge in Healthcare especially for patients who require continuous monitoring and attention. Nevertheless, predictions have indicated that elderly population will be approximately 2 billion in developing countries by 2050 where availability of medical staff shall be unable to cope with this growth and emergency cases that need immediate intervention. On the other side, limitations in communication networks capacity, congestions and the humongous increase of devices, applications and IOT using the available communication networks add extra layer of challenges on E-health ecosystem such as time constraints, quality of measurements and signals reaching healthcare centres. Hence this research has tackled the delay and jitter parameters in E-health M2M wireless communication and succeeded in reducing them in comparison to current available models. The novelty of this research has succeeded in developing a new Priority Queuing model ‘’Priority Based-Fair Queuing’’ (PFQ) where a new priority level and concept of ‘’Patient’s Health Record’’ (PHR) has been developed and integrated with the Priority Parameters (PP) values of each sensor to add a second level of priority. The results and data analysis performed on the PFQ model under different scenarios simulating real M2M E-health environment have revealed that the PFQ has outperformed the results obtained from simulating the widely used current models such as First in First Out (FIFO) and Weight Fair Queuing (WFQ). PFQ model has improved transmission of ECG sensor data by decreasing delay and jitter in emergency cases by 83.32% and 75.88% respectively in comparison to FIFO and 46.65% and 60.13% with respect to WFQ model. Similarly, in pressure sensor the improvements were 82.41% and 71.5% and 68.43% and 73.36% in comparison to FIFO and WFQ respectively. Data transmission were also improved in the Glucose sensor by 80.85% and 64.7% and 92.1% and 83.17% in comparison to FIFO and WFQ respectively. However, non-emergency cases data transmission using PFQ model was negatively impacted and scored higher rates than FIFO and WFQ since PFQ tends to give higher priority to emergency cases. Thus, a derivative from the PFQ model has been developed to create a new version namely “Priority Based-Fair Queuing-Tolerated Delay” (PFQ-TD) to balance the data transmission between emergency and non-emergency cases where tolerated delay in emergency cases has been considered. PFQ-TD has succeeded in balancing fairly this issue and reducing the total average delay and jitter of emergency and non-emergency cases in all sensors and keep them within the acceptable allowable standards. PFQ-TD has improved the overall average delay and jitter in emergency and non-emergency cases among all sensors by 41% and 84% respectively in comparison to PFQ model

Application priority framework for fixed mobile converged communication networks

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.The current prospects in wired and wireless access networks, it is becoming increasingly important to address potential convergence in order to offer integrated broadband services. These systems will need to offer higher data transmission capacities and long battery life, which is the catalyst for an everincreasing variety of air interface technologies targeting local area to wide area connectivity. Current integrated industrial networks do not offer application aware context delivery and enhanced services for optimised networks. Application aware services provide value-added functionality to business applications by capturing, integrating, and consolidating intelligence about users and their endpoint devices from various points in the network. This thesis mainly intends to resolve the issues related to ubiquitous application aware service, fair allocation of radio access, reduced energy consumption and improved capacity. A technique that measures and evaluates the data rate demand to reduce application response time and queuing delay for multi radio interfaces is proposed. The technique overcomes the challenges of network integration, requiring no user intervention, saving battery life and selecting the radio access connection for the application requested by the end user. This study is split in two parts. The first contribution identifies some constraints of the services towards the application layer in terms of e.g. data rate and signal strength. The objectives are achieved by application controlled handover (ACH) mechanism in order to maintain acceptable data rate for real-time application services. It also looks into the impact of the radio link on the application and identifies elements and parameters like wireless link quality and handover that will influence the application type. It also identifies some enhanced traditional mechanisms such as distance controlled multihop and mesh topology required in order to support energy efficient multimedia applications. The second contribution unfolds an intelligent application priority assignment mechanism (IAPAM) for medical applications using wireless sensor networks. IAPAM proposes and evaluates a technique based on prioritising multiple virtual queues for the critical nature of medical data to improve instant transmission. Various mobility patterns (directed, controlled and random waypoint) has been investigated and compared by simulating IAPAM enabled mobile BWSN. The following topics have been studied, modelled, simulated and discussed in this thesis: 1. Application Controlled Handover (ACH) for multi radios over fibre 2. Power Controlled Scheme for mesh multi radios over fibre using ACH 3. IAPAM for Biomedical Wireless Sensor Networks (BWSN) and impact of mobility over IAPAM enabled BWSN. Extensive simulation studies are performed to analyze and to evaluate the proposed techniques. Simulation results demonstrate significant improvements in multi radios over fibre performance in terms of application response delay and power consumption by upto 75% and 15 % respectively, reduction in traffic loss by upto 53% and reduction in delay for real time application by more than 25% in some cases

Mobile Networks

The growth in the use of mobile networks has come mainly with the third generation systems and voice traffic. With the current third generation and the arrival of the 4G, the number of mobile users in the world will exceed the number of landlines users. Audio and video streaming have had a significant increase, parallel to the requirements of bandwidth and quality of service demanded by those applications. Mobile networks require that the applications and protocols that have worked successfully in fixed networks can be used with the same level of quality in mobile scenarios. Until the third generation of mobile networks, the need to ensure reliable handovers was still an important issue. On the eve of a new generation of access networks (4G) and increased connectivity between networks of different characteristics commonly called hybrid (satellite, ad-hoc, sensors, wired, WIMAX, LAN, etc.), it is necessary to transfer mechanisms of mobility to future generations of networks. In order to achieve this, it is essential to carry out a comprehensive evaluation of the performance of current protocols and the diverse topologies to suit the new mobility conditions