Abstract:
The need for establishing smart hospitals is becoming increasingly evident due to a
 number of reasons driven by modern healthcare and technological breakthroughs.
 Internet of Things (IoT), Medical Sensors, Low Power Wide Area Network Technol
ogy (LPWAN), Artificial intelligence (AI), Digital technologies, and Reliable Data
 Transmission Techniques are used by smart hospitals to improve patient care, opti
mize resource management and streamline hospital operations. In order to handle
 the increasing complexity of healthcare delivery, smart hospitals are essential for
 various purposes. They improve automation in patient demand, increase oper
ational effectiveness, lower the costs, and increase accessibility to healthcare by
 leveraging advanced technologies.
 In this dissertation, a suitable licensed LPWAN technology, namely Narrow
band Internet of Things (NB-IoT) is chosen as a promising technology for health
care applications since it reduces end to end latency. Due to the interference,
 limited bandwidth, and heterogeneity of generated data packets, developing a data
 transmission framework that offers differentiated Quality of Services (QoS) to the
 critical and non-critical data packets is challenging. The existing literature studies
 suffer from insufficient access scheduling considering heterogeneous data packets
 and relationship among them in healthcare applications. The first contribution of
 i
Abstract
 ii
 this thesis is to develop an optimal resource allocation framework for NB-IoT that
 maximizes a user’s utility through event prioritization, rate enhancement, and in
terference mitigation. The proposed Priority Aware Utility Maximization (PAUM)
 system ensures weighted fair access to resources.
 In second contribution, the utilization of Device-to-Device (D2D) communi
cation among Narrowband Internet of Things (NB-IoT) devices offers significant
 potential for advancing intelligent healthcare systems by extending its superior
 data rates, low power consumption. In D2D communication, strategies to miti
gate interference and ensure coexistence with cellular networks are crucial. These
 strategies are aimed at enhancing user data rates by optimally allocating spectrum
 and managing the transmission power of D2D devices, presenting a complex engi
neering challenge. Existing studies are limited either by the inadequate integration
 of NB-IoT D2D communication methods for healthcare, lacking intelligent, dis
tributed, and autonomous decision-making for reliable data transmission, or by in
sufficient healthcare event management policies during resource allocation in smart
 healthcare systems. In this work, we introduce an Intelligent Resource Allocation
 for Smart Healthcare (iRASH) system, designed to optimize D2D communication
 within NB-IoT environments. The iRASH innovatively integrates the Density
based Spatial Clustering of Applications with Noise (DBSCAN) and Ant Colony
 Optimization (ACO) algorithms to effectively address the unique requirements
 of healthcare applications. The proposed system utilizes Belief-Desire-Intention
 (BDI) agents for dynamic and intelligent clustering of D2D devices, facilitating
 autonomous decision-making and efficient resource allocation. This approach not
 only enhances data transmission rates but also reduces power consumption, and
 is formulated as a Multi-objective Integer Linear Programming (MILP) problem.
Abstract
 iii
 Given the NP-hard nature of this problem, iRASH incorporates a polynomial-time
 meta-heuristic-based ACO algorithm, which provides a suboptimal solution. This
 algorithm adheres to the principles of distributed D2D communication, promoting
 equitable resource distribution and substantial improvements in utility, energy effi
ciency, and scalability. Finally, its performances are validated through simulations
 on the Network Simulator version 3 (NS-3) platform, demonstrating significant ad
vancements over state-of-the-art solutions in terms of utility, delay, fair resource
 distribution, data rate, power efficiency,and system adaptability. As high as im
provements of 65% in utility, 45% in fair sharing of resources, 25% in delay, 15% in
 packet delivery ratio observed by PAUM system and 35% in utility cost and 50% in
 energy cost are demonstrated by the iRASH system compared to the benchmark,
 proving their effectiveness