PMCAR: proactive mobility and congestion aware route prediction mechanism in IoMT for delay sensitive medical applications to ensure reliability in COVID-19 pandemic situation
Authors: Pandi Suganya , Ch. Pradeep Reddy 
Published: August 2020

Purpose
Inclusion of mobile nodes (MNs) in Internet of Things (IoT) further increases the challenges such as frequent network disconnection and intermittent connectivity because of high mobility rate of nodes. This paper aims to propose a proactive mobility and congestion aware route prediction mechanism (PMCAR) to find the congestion free route from leaf to destination oriented directed acyclic graph root (DODAG-ROOT) which considers number of MNs connected to a static node. This paper compares the proposed technique (PMCAR) with RPL (OF0) which considers the HOP-COUNT to determine the path from leaf to DODAG-ROOT. The authors performed a simulation with the proposed technique in MATLAB to present the benefits in terms of packet loss and energy consumption.

Design/methodology/approach
In this pandemic situation, mobile and IoT play major role in predicting and preventing the CoronaVirus Disease of 2019 (COVID-19). Huge amount of computations is happening with the data generated in this pandemic with the help of mobile devices. To route the data to remote locations through the network, it is necessary to have proper routing mechanism without congestion. In this paper, PMCAR mechanism is introduced to achieve the same. Internet of mobile Things (IoMT) is an extension of IoT that consists of static embedded devices and sensors. IoMT includes MNs which sense data and transfer it to the DODAG-ROOT. The nodes in the IoMT are characterised by low power, low memory, low computing power and low bandwidth support. Several challenges are encountered by routing protocols defined for IPV6 over low power wireless personal area networks to ensure reduced packet loss, less delay, less energy consumption and guaranteed quality of service.

Findings
The results obtained shows a significant improvement compared to the existing approach such as RPL (OF0). The proposed route prediction mechanism can be applied largely to medical applications which are delay sensitive, particularly in pandemic situations where the number of patients involved and the data gathered from them flows towards a central root for analysis. Support of data transmission from the patients to the doctors without much delay and packet loss will make the response or decisions available more quickly which is a vital part of medical applications.

Originality/value
The computational technologies in this COVID-19 pandemic situation needs timely data for computation without delay. IoMT is enabled with various devices such as mobile, sensors and wearable devices. These devices are dedicated for collecting the data from the patients or any objects from different geographical location based on the predetermined time intervals. Timely delivery of data is essential for accurate computation. So, it is necessary to have a routing mechanism without delay and congestion to handle this pandemic situation. The proposed PMCAR mechanism ensures the reliable delivery of data for immediate computation which can be used to make decisions in preventing and prediction.