Hybrid Dynamic Programming Healthcare Cloud-Based Quality of Service Optimization

Authors

  • Nengak I. Sitlong Federal University of Education
  • Abraham E. Evwiekpaefe Nigerian Defence Academy
  • Martins E. Irhebhude Nigerian Defence Academy

DOI:

https://doi.org/10.62411/jcta.14455

Keywords:

Cloud, Dynamic Programming, Energy Optimization, Fog/Edge Computing, Healthcare, Spatiotemporal, Unsupervised LSTM, Task Scheduling

Abstract

The integration of Internet of Things (IoT) with cloud computing has revolutionized healthcare systems, offering scalable and real-time patient monitoring. However, optimizing response times and energy consumption remains crucial for efficient healthcare delivery. This research evaluates various algorithmic approaches for workload migration and resource management within IoT cloud-based healthcare systems. The performance of the implemented algorithm in this research, Hybrid Dynamic Programming and Long Short-Term Memory (Hybrid DP+LSTM), was analyzed against other six key algorithms, namely Gradient Optimization with Back Propagation to Input (GOBI), Deep Reinforcement Learning (DRL), improved GOBI (GOBI2), Predictive Offloading for Network Devices (POND), Mixed Integer Linear Programming (MILP), and Genetic Algorithm (GA) based on their average response time and energy consumption. Hybrid DP+LSTM achieves the lowest response time (82.91ms) with an energy consumption of 2,835,048 joules per container. The outcome of the analysis showed that Hybrid DP+LSTM have significant response times improvement, with percentage increases of 89.3%, 79.0%, 83.8%, 97.0%, 99.8%, and 99.94% against GOBI, GOBI2, DRL, POND, MILP, and GA, respectively. In terms of energy consumption, Hybrid DP+LSTM outperforms other approaches, with GOBI2 (3,664,337 joules) consuming 29.3% more energy, DRL (2,973,238 joules) consuming 4.9% more, GOBI (4,463,010 joules) consuming 57.4% more, POND (3,310,966 joules) consuming 16.8% more, MILP (3,005,498 joules) consuming 6.0% more, and the GA (3,959,935 joules) consuming 39.7% more. The result of ablation of the Hybrid DP+LSTM model achieves a 47.05% improvement over DP-only (156.57ms) and a 70.64% improvement over LSTM-only (282.41ms) in response time. On the energy efficiency side, Hybrid DP+LSTM shows 22.80% improvement over LSTM-only (3,671,51 joules), but 7.34% underperformance compared to DP-only (2,640,93). These research findings indicate that the Hybrid DP+LSTM technique provides the best trade-off between response time and energy efficiency. Future research should further explore hybrid approaches to optimize these metrics in IoT cloud-based healthcare systems.

Author Biographies

Nengak I. Sitlong, Federal University of Education

Faculty of Sciences, Computer Science Department, Federal University of Education (FUEP), Pankshin, Plateau State 930001, Nigeria

Abraham E. Evwiekpaefe, Nigerian Defence Academy

Faculty of Military Science and Interdisciplinary Studies, Computer Science Department, Nigerian Defence Academy (NDA), Kaduna 700001, Nigeria

Martins E. Irhebhude, Nigerian Defence Academy

Faculty of Military Science and Interdisciplinary Studies, Computer Science Department, Nigerian Defence Academy (NDA), Kaduna 700001, Nigeria

References

W. A. Cruz Castañeda and P. Bertemes Filho, “Improvement of an Edge-IoT Architecture Driven by Artificial Intelligence for Smart-Health Chronic Disease Management,” Sensors, vol. 24, no. 24, p. 7965, Dec. 2024, doi: 10.3390/s24247965.

I. Batool, “RealTime Health Monitoring Using 5G Networks: A Deep Learning-Based Architecture for Remote Patient Care,” arXiv, Jan. 2025, [Online]. Available: http://arxiv.org/abs/2501.01027

R.-H. Hwang, Y.-C. Lai, and Y.-D. Lin, “Offloading Optimization with Delay Constraint in the 3-tier Federated Cloud, Edge, and Fog Systems,” in 2021 IEEE Global Communications Conference (GLOBECOM), Dec. 2021, pp. 1–6. doi: 10.1109/GLOBECOM46510.2021.9685111.

N. Gholipour, M. D. de Assuncao, P. Agarwal, J. Gascon-Samson, and R. Buyya, “TPTO: A Transformer-PPO based Task Of-floading Solution for Edge Computing Environments,” in 2023 IEEE 29th International Conference on Parallel and Distributed Systems (ICPADS), Dec. 2023, pp. 1115–1122. doi: 10.1109/ICPADS60453.2023.00164.

U. K. Lilhore et al., “Cloud-edge hybrid deep learning framework for scalable IoT resource optimization,” J. Cloud Comput., vol. 14, no. 1, p. 5, Feb. 2025, doi: 10.1186/s13677-025-00729-w.

A. Cotorobai, J. M. Silva, and J. L. Oliveira, “A Federated Random Forest Solution for Secure Distributed Machine Learning,” in 2025 IEEE 38th International Symposium on Computer-Based Medical Systems (CBMS), Jun. 2025, pp. 769–774. doi: 10.1109/CBMS65348.2025.00159.

A. Hennebelle, Q. Dieng, L. Ismail, and R. Buyya, “SmartEdge: Smart Healthcare End-to-End Integrated Edge and Cloud Com-puting System for Diabetes Prediction Enabled by Ensemble Machine Learning,” in 2024 IEEE International Conference on Cloud Computing Technology and Science (CloudCom), Dec. 2024, pp. 127–134. doi: 10.1109/CloudCom62794.2024.00031.

T. E. Ali, F. I. Ali, P. Dakić, and A. D. Zoltan, “Trends, prospects, challenges, and security in the healthcare internet of things,” Computing, vol. 107, no. 1, p. 28, Jan. 2025, doi: 10.1007/s00607-024-01352-4.

S. Tuli, S. R. Poojara, S. N. Srirama, G. Casale, and N. R. Jennings, “COSCO: Container Orchestration Using Co-Simulation and Gradient Based Optimization for Fog Computing Environments,” IEEE Trans. Parallel Distrib. Syst., vol. 33, no. 1, pp. 101–116, Jan. 2022, doi: 10.1109/TPDS.2021.3087349.

Y. Gu et al., “Deep Reinforcement Learning for Job Scheduling and Resource Management in Cloud Computing: An Algo-rithm-Level Review,” arXiv. Jan. 02, 2025. [Online]. Available: http://arxiv.org/abs/2501.01007

J. V Guttag, Introduction to Computation and Programming Using Python: With Application to Computational Modeling and Understanding Data, 3rd ed. The MIT Press, 2021.

A. S, A. Geetha, R. K, S. S, and S. D, “Latency Reduction in Medical IoT Using Fuzzy Systems by Enabling Optimized Fog Computing,” Int. J. Electr. Electron. Eng., vol. 9, no. 12, pp. 156–166, Dec. 2022, doi: 10.14445/23488379/IJEEE-V9I12P114.

M. Kumar et al., “Healthcare Internet of Things (H-IoT): Current Trends, Future Prospects, Applications, Challenges, and Security Issues,” Electronics, vol. 12, no. 9, p. 2050, Apr. 2023, doi: 10.3390/electronics12092050.

H. A. Alharbi, B. A. Yosuf, M. Aldossary, and J. Almutairi, “Energy and Latency Optimization in Edge-Fog-Cloud Computing for the Internet of Medical Things,” Comput. Syst. Sci. Eng., vol. 47, no. 1, pp. 1299–1319, 2023, doi: 10.32604/csse.2023.039367.

N. Mishra and S. Pandya, “Internet of things applications, security challenges, attacks, intrusion detection, and future visions: A systematic review,” IEEE Access, vol. 9, pp. 59353–59377, Jul. 2021, doi: 10.1109/ACCESS.2021.3073408.

M. M. Islam, S. Nooruddin, F. Karray, and G. Muhammad, “Internet of things: Device capabilities, architectures, protocols, and smart applications in healthcare domain,” IEEE Internet Things J., vol. 10, no. 4, pp. 3611–3641, Jan. 2022, doi: 10.1109/JIOT.2022.3228795.

B. Pradhan, S. Bhattacharyya, and K. Pal, “IoT-Based Applications in Healthcare Devices,” J. Healthc. Eng., vol. 2021, pp. 1–18, Mar. 2021, doi: 10.1155/2021/6632599.

K. Bagneid, Y. Sherif, M. Soliman, and M. Hussein, “Design, Simulation, and Implementation of Connected IoT Wearable Devices in Healthcare Applications,” Proc. Pakistan Acad. Sci. A. Phys. Comput. Sci., vol. 58, no. 3, pp. 59–65, Feb. 2022, doi: 10.53560/PPASA(58-3)745.

M. Aldossary, “Multi-Layer Fog-Cloud Architecture for Optimizing the Placement of IoT Applications in Smart Cities,” Comput. Mater. Contin., vol. 75, no. 1, pp. 633–649, 2023, doi: 10.32604/cmc.2023.035414.

Y. Wang, S. Wang, B. Yang, B. Gao, and S. Wang, “An effective adaptive adjustment method for service composition exception handling in cloud manufacturing,” J. Intell. Manuf., vol. 33, no. 3, pp. 735–751, Mar. 2022, doi: 10.1007/s10845-020-01652-4.

E. Yaacoub, K. Abualsaud, T. Khattab, and A. Chehab, “Secure Transmission of IoT mHealth Patient Monitoring Data from Re-mote Areas Using DTN,” IEEE Netw., vol. 34, no. 5, pp. 226–231, Sep. 2020, doi: 10.1109/MNET.011.1900627.

A. Mukherjee, S. Ghosh, A. Behere, S. K. Ghosh, and R. Buyya, “Internet of Health Things (IoHT) for personalized health care using integrated edge-fog-cloud network,” J. Ambient Intell. Humaniz. Comput., vol. 12, no. 1, pp. 943–959, Jan. 2021, doi: 10.1007/s12652-020-02113-9.

A. Cook et al., “Internet of Cloud: Security and Privacy Issues,” in Cloud Computing for Optimization: Foundations, Applications, and Challenges, 2018, pp. 271–301. doi: 10.1007/978-3-319-73676-1_11.

J. L. Shah, H. F. Bhat, and A. I. Khan, “Integration of Cloud and IoT for smart e-healthcare,” in Healthcare Paradigms in the Internet of Things Ecosystem, Elsevier, 2021, pp. 101–136. doi: 10.1016/B978-0-12-819664-9.00006-5.

H. Y. Y. Nyein et al., “A wearable patch for continuous analysis of thermoregulatory sweat at rest,” Nat. Commun., vol. 12, no. 1, p. 1823, Mar. 2021, doi: 10.1038/s41467-021-22109-z.

S. Rahman, M. Irfan, M. Raza, K. Moyeezullah Ghori, S. Yaqoob, and M. Awais, “Performance Analysis of Boosting Classifiers in Recognizing Activities of Daily Living,” Int. J. Environ. Res. Public Health, vol. 17, no. 3, p. 1082, Feb. 2020, doi: 10.3390/ijerph17031082.

A. Zollanvari, Machine Learning with Python: Theory and Implementation. Cham: Springer International Publishing, 2023. doi: 10.1007/978-3-031-33342-2.

N. Singh, M. Raza, V. V. Paranthaman, M. Awais, M. Khalid, and E. Javed, “Internet of Things and cloud computing,” in Digital Health, Elsevier, 2021, pp. 151–162. doi: 10.1016/B978-0-12-818914-6.00013-2.

D. Bălăcian and S. Stancu, “A Performance-Driven Economic Analysis of a LSTM Neural Network Used for Predicting Building Energy Consumption,” Proc. Int. Conf. Bus. Excell., vol. 17, no. 1, pp. 29–37, Jul. 2023, doi: 10.2478/picbe-2023-0005.

S. Tuli, S. Ilager, K. Ramamohanarao, and R. Buyya, “Dynamic Scheduling for Stochastic Edge-Cloud Computing Environments Using A3C Learning and Residual Recurrent Neural Networks,” IEEE Trans. Mob. Comput., vol. 21, no. 3, pp. 940–954, Mar. 2022, doi: 10.1109/TMC.2020.3017079.

S. S. Gill et al., “Transformative effects of IoT, Blockchain and Artificial Intelligence on cloud computing: Evolution, vision, trends and open challenges,” Internet of Things, vol. 8, p. 100118, Dec. 2019, doi: 10.1016/j.iot.2019.100118.

X. Liu, B. Li, P. Shi, and L. Ying, “POND: Pessimistic-Optimistic oNline Dispatching,” arXiv. May 11, 2021. [Online]. Available: http://arxiv.org/abs/2010.09995

G. K. Shrivastava, P. Kaushik, and R. K. Pateriya, “Comprehensive Analysis of Web Page Classifier for Fsocused Crawler,” Int. J. Innov. Technol. Explor. Eng., vol. 8, no. 9, pp. 57–65, Jul. 2019, doi: 10.35940/ijitee.I7477.078919.

S. Bosmans, S. Mercelis, J. Denil, and P. Hellinckx, “Testing IoT systems using a hybrid simulation based testing approach,” Com-puting, vol. 101, no. 7, pp. 857–872, Jul. 2019, doi: 10.1007/s00607-018-0650-5.

S. Singh, A. S. Nandan, G. Sikka, A. Malik, and A. Vidyarthi, “A secure energy-efficient routing protocol for disease data transmis-sion using IoMT,” Comput. Electr. Eng., vol. 101, p. 108113, Jul. 2022, doi: 10.1016/j.compeleceng.2022.108113.

I. Ullah, N. U. Amin, M. A. Khan, H. Khattak, and S. Kumari, “An Efficient and Provable Secure Certificate-Based Combined Signature, Encryption and Signcryption Scheme for Internet of Things (IoT) in Mobile Health (M-Health) System,” J. Med. Syst., vol. 45, no. 1, p. 4, Jan. 2021, doi: 10.1007/s10916-020-01658-8.

C. Mangla, S. Rani, and N. Herencsar, “An energy-efficient and secure framework for IoMT: An application of smart cities,” Sustain. Energy Technol. Assessments, vol. 53, p. 102335, Oct. 2022, doi: 10.1016/j.seta.2022.102335.

N. Singh and A. K. Das, “Energy-efficient fuzzy data offloading for IoMT,” Comput. Networks, vol. 213, p. 109127, Aug. 2022, doi: 10.1016/j.comnet.2022.109127.

H. Zhou, Z. Zhang, Y. Wu, M. Dong, and V. C. M. Leung, “Energy Efficient Joint Computation Offloading and Service Caching for Mobile Edge Computing: A Deep Reinforcement Learning Approach,” IEEE Trans. Green Commun. Netw., vol. 7, no. 2, pp. 950–961, Jun. 2023, doi: 10.1109/TGCN.2022.3186403.

K. Alatoun, K. Matrouk, M. A. Mohammed, J. Nedoma, R. Martinek, and P. Zmij, “A Novel Low-Latency and Energy-Efficient Task Scheduling Framework for Internet of Medical Things in an Edge Fog Cloud System,” Sensors, vol. 22, no. 14, p. 5327, Jul. 2022, doi: 10.3390/s22145327.

H. U. Atiq, Z. Ahmad, S. K. uz Zaman, M. A. Khan, A. A. Shaikh, and A. Al-Rasheed, “Reliable Resource Allocation and Man-agement for IoT Transportation Using Fog Computing,” Electronics, vol. 12, no. 6, p. 1452, Mar. 2023, doi: 10.3390/electronics12061452.

S. Aiswarya, K. Ramesh, and S. Sasikumar S, “IoT based Big data Analytics in Healthcare: A Survey,” in Proceedings of the Fist Inter-national Conference on Advanced Scientific Innovation in Science, Engineering and Technology, ICASISET 2020, 16-17 May 2020, Chennai, India, 2021. doi: 10.4108/eai.16-5-2020.2304020.

B. Sirisha, K. K. C. Goud, and B. T. . S. Rohit, “A Deep Stacked Bidirectional LSTM (SBiLSTM) Model for Petroleum Production Forecasting,” Procedia Comput. Sci., vol. 218, pp. 2767–2775, 2023, doi: 10.1016/j.procs.2023.01.248.

D. Kshatriya and V. A. Lepakshi, “An Efficient Hybrid Scheduling Framework for Optimal Workload Execution in Federated Clouds to Maintain Performance SLAs,” J. Grid Comput., vol. 21, no. 3, p. 47, Sep. 2023, doi: 10.1007/s10723-023-09682-x.

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Published

2025-09-26

How to Cite

Sitlong, N. I., Evwiekpaefe, A. E. ., & Irhebhude, M. E. . (2025). Hybrid Dynamic Programming Healthcare Cloud-Based Quality of Service Optimization. Journal of Computing Theories and Applications, 3(2), 115–131. https://doi.org/10.62411/jcta.14455