Abstract
The continuous expansion of connected medical devices in the Intensive Care Unit (ICU) environment has led to the emergence of certain classes of computational problems which cannot be addressed effectively using classical scheduling mechanisms on servers. The static allocation schemes do not work well with the heterogeneity and burstiness of modern IoT ICU environments. This paper introduces the Dynamic Dedicated Server Scheduling (DDSS) framework a microservice-oriented resource orchestration architecture that unifies Fog Computing and Federated Learning (FL) to deliver low-latency, privacy-preserving, and adaptive scheduling for ICU-grade IoT environments. Within the DDSS model, patient monitoring workloads are decomposed into five independently deployable microservice categories and mapped dynamically onto a tiered fog infrastructure using a context-aware, multi-objective scheduling engine. A federated learning layer enables the eight edge nodes to collaboratively update the scheduling model while keeping the underlying patient data at the local nodes. This design supports the low-latency requirements of ICU operations while also addressing healthcare data governance constraints. To evaluate the proposed DDSS framework, a 72-hour ICU workload simulation was performed and compared with three conventional scheduling approaches: First-Come-First-Served (FCFS), Round-Robin (RR), and Priority Queue (PQ). Under heavy-load conditions, DDSS recorded a mean completion latency of 61.3 ms for Priority-Critical microservices, which was 69.1% lower than that of the best-performing baseline scheduler. Resource utilization improved to 82.4% with a deadline satisfaction rate of 97.3% for life-critical tasks, and scheduling throughput reached 5,460 tasks per hour a 40.4% gain over the PQ baseline. The federated gradient overhead was always below 38.7 KB per round per node, validating that the privacy-enabled intelligence layer does not pose any excessive network costs. This research offers an interesting perspective into achieving computationally intelligent, clinically adaptive, and regulatory compliant IoT healthcare architecture.References
- Islam, M. A., S. Olariu, and J. L. Pierson. “Communication Latency Challenges in Cloud-Centric Medical IoT Systems: An Empirical Review.” IEEE Access 9 (2021): 14812–14831.
- Al-Fuqaha, A., M. Guizani, M. Mohammadi, M. Aledhari, and M. Ayyash. “Internet of Things: A Survey on Enabling Technologies, Protocols, and Applications.” IEEE Communications Surveys & Tutorials 17, no. 4 (2015): 2347–2376.
- RahimiZadeh, K., A. Beheshti, B. Javadi, and A. Yazdani. “An Integrated Queuing and Certainty Factor Theory Model for Efficient Edge Computing in Remote Patient Monitoring Systems.” Scientific Reports 15 (2025): 44973. https://doi.org/10.1038/s41598-025-28703-1
- Tao, F., Y. Cheng, L. Da Xu, L. Zhang, and B. H. Li. “CCIoT-CMfg: Cloud Computing and Internet of Things-Based Cloud Manufacturing Service System.” IEEE Transactions on Industrial Informatics 10, no. 2 (2014): 1435–1442.
- Ullah, S., M. Abutaleb, M. A. Khan, and A. H. Sodhro. “Towards Security and Privacy in IoT-Enabled Healthcare: A Comprehensive Survey.” Sensors 22, no. 2 (2022): 480.
- Li, T., A. K. Sahu, A. Talwalkar, and V. Smith. “Federated Learning: Challenges, Methods, and Future Directions.” IEEE Signal Processing Magazine 37, no. 3 (2020): 50–60.
- Mahmood, K., S. Khan, M. Abdelhaq, M. Ul Hassan, M. Uddin, R. Alsaqour, K. A. Awan, and M. A. Alsoufi. “Adaptive Resource Aware and Privacy Preserving Federated Edge Learning Framework for Real Time Internet of Medical Things Applications.” Scientific Reports 15 (2025): 36468. https://doi.org/10.1038/s41598-025-23398-w
- Al-Sharo, Y. M., M. Tawfik, A. M. Almadani, A. H. Abdelhaliem, I. S. Fathi, and G. Hassan. “FedMamba-IoMT: Federated State Space Models with Differential Privacy and Byzantine Resilience for Privacy-Preserving Intrusion Detection in Internet of Medical Things.” PLOS ONE 21, no. 8 (2026): e0355601. https://doi.org/10.1371/journal.pone.0355601
- Patel, S., H. Park, P. Bonato, L. Chan, and M. Rodgers. “A Review of Wearable Sensors and Systems with Application in Rehabilitation.” Journal of NeuroEngineering and Rehabilitation 9, no. 1 (2012): 21.
- Wan, S., R. Gu, and Q. Ni. “Cognitive Computing and Wireless Communications on the Edge for Healthcare Service Robots.” Future Generation Computer Systems 104 (2020): 219–227.
- Al-rawashdeh, M., P. Keikhosrokiani, B. Belaton, M. Alawida, and A. Zwiri. “IoT Adoption and Application for Smart Healthcare: A Systematic Review.” Sensors 22, no. 14 (2022): 5377. https://doi.org/10.3390/s22145377
- Heinrich, R., A. van Hoorn, H. Knoche, F. Li, L. E. Lwakatare, C. Pahl, S. Schulte, and J. Wettinger. “Performance Engineering for Microservices: Research Challenges and Directions.” In Proceedings of the 8th International Workshop on Conducting Empirical Studies in Industry (CESI ’17), IEEE, 2017, 36–39.
- Chen, Y., M. Yan, D. Yang, X. Zhang, and Z. Wang. “Deep Attentive Anomaly Detection for Microservice Systems with Multimodal Time-Series Data.” IEEE International Conference on Web Services (ICWS), IEEE, 2022, 373–378.https://doi.org/10.1109/ICWS55610.2022 .00062
- Li, X., K. Huang, W. Yang, S. Wang, and Z. Zhang. “On the Convergence of FedProx: Local Dissimilarity Invariant Bounds and Robust Aggregation.” arXiv preprint arXiv:1907.04232 (2019).
- Jothi Soruba Thaya, A., and N. Karthikeyan. “FED-LIFE: Ghost LinkNet Enabled Federated Learning for Anomaly Detection in Smart Intensive Care Unit Based on IoMT.” Cluster Computing 29, no. 3 (2026): 1425–1440.
- Agarwal, S., S. Yadav, and A. K. Yadav. “An Efficient Architecture and Algorithm for Resource Provisioning in Fog Computing.” International Journal of Information Engineering and Electronic Business (IJIEEB) 8, no. 1 (2016): 48–56.
- Du, J., F. R. Yu, X. Chu, J. Feng, and G. Lu. “Computation Offloading and Resource Allocation in Vehicular Networks Based on Dual-Side Cost Minimization.” IEEE Transactions on Vehicular Technology 68, no. 2 (2019): 1079–1092.
- Yedurkar, D. P., S. P. Metkar, T. Stephan, V. Mohan, and S. Agarwal. “SPA-IoT with MCSV-CNN: A Novel IoT-Enabled Method for Robust Pre-Ictal Seizure Prediction.” BMC Medical Informatics and Decision Making 25 (2025). https://doi.org/10.1186/s12911-025-03191-5
- Kapoor, B., and B. Nagpal. “Hybrid Cuckoo Finch Optimisation Based Machine Learning Classifier for Seizure Prediction Using EEG Signals in IoT Network.” Cluster Computing 27, no. 2 (2024): 2239–2260. https://doi.org/10.1007/s10586-023-04059-x

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