{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:32:10Z","timestamp":1773793930319,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"vor","delay-in-days":162,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Electrical and Computer Engineering"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Smart hospitals have enormous potential to improve global standards of medical services. Integrating fifth\u2010generation (5G) and beyond 5G radio with the present healthcare framework can make hospitals smarter. High spectral access, data rate, capacity, low latency, and large data handling are requirements of innovative hospitals. The advanced waveform in the physical layer should be designed considering the requirements and its deployment in high\u2010speed applications, such as trains, vehicles, and aircraft. Orthogonal time\u2010frequency selective (OTFS) waveforms have enormous potential to satisfy the demands of intelligent hospitals and provide excellent performance in high\u2010speed environments. The deployment of OTFS in the B5G framework can boost the performance of healthcare structures. However, the high peak\u2010to\u2010average power ratio (PAPR) in OTFS is considered a severe issue that can degrade the power performance of smart hospital\u2010based advanced radio frameworks. In this study, we propose a Cuckoo search (CS) partial transmission sequence (PTS) genetic algorithm known as PTS\u2009+\u2009CS to reduce the PAPR of the OTFS waveform under the Rician and Rayleigh channels with 256 subcarriers. The CS generates an optimal phase factor for the PTS, weighted with OTFS symbols, and lowers the PAPR of the framework. Parameters such as the PAPR, bit error rate (BER), power spectral density (PSD), and power performance of the OTFS were studied and analyzed for the conventional and PTS\u2009+\u2009CS approaches. The results revealed that the proposed PTS\u2009+\u2009CS obtained significant PAPR and PSD performance while retaining the BER of the framework. The optimal PAPR, BER, PSD, and power\u2010saving performance of the advanced radio enhance the quality of the B5G\u2010based intelligent healthcare system.<\/jats:p>","DOI":"10.1155\/jece\/4053505","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T11:29:40Z","timestamp":1749727780000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Beyond 5G OTFS Waveform Radio for Smart Hospital: PAPR Reduction in OTFS Using the Cuckoo Search\u2013Based PTS Method"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7640-8975","authenticated-orcid":false,"given":"Arun","family":"Kumar","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1618-6001","authenticated-orcid":false,"given":"Aziz","family":"Nanthaamornphong","sequence":"additional","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6632599"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1109\/JIOT.2023.3246065"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addr.2021.113958"},{"key":"e_1_2_10_4_2","doi-asserted-by":"crossref","unstructured":"Altaf KhattakS. B. NasrallaM. M. andRehmanI. U. The Role of 6G Networks in Enabling Future Smart Health Services and Applications 2022 IEEE International Smart Cities Conference (ISC2) May 2022 Pafos Cyprus 1\u20137 https:\/\/doi.org\/10.1109\/ISC255366.2022.9922093.","DOI":"10.1109\/ISC255366.2022.9922093"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2020.3017625"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11036-022-01928-4"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1142\/S0218348X25400183"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11277-019-06763-7"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1687-1499-2011-126"},{"key":"e_1_2_10_10_2","doi-asserted-by":"crossref","unstructured":"YadavS. P.andBeraS. C. PAPR Reduction Using Clipping and Filtering Technique for Nonlinear Communication Systems International Conference on Computing Communication & Automation June 2015 Greater Noida India 1220\u20131225 https:\/\/doi.org\/10.1109\/CCAA.2015.7148590 2-s2.0-84939504431.","DOI":"10.1109\/CCAA.2015.7148590"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1515\/joc-2023-0088"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11277-024-11074-7"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1109\/11.536590"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00607-021-00979-x"},{"key":"e_1_2_10_15_2","doi-asserted-by":"crossref","unstructured":"AraujoJ. SilvaB. OliveiraD. andMacielP. Dependability Evaluation of a Health System Using a Mobile Cloud Infrastructure 2014 IEEE International Conference on Systems Man and Cybernetics (SMC) October 2014 San Diego CA 1348\u20131353.","DOI":"10.1109\/SMC.2014.6974102"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aej.2023.10.065"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-57641-7"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2023.105304"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csbj.2023.12.011"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13677-020-00215-5"},{"key":"e_1_2_10_21_2","doi-asserted-by":"crossref","unstructured":"RavaliS.andLakshmi PriyaR. Design and Implementation of Smart Hospital Using IoT 2021 5th International Conference on Computing Methodologies and Communication (ICCMC) May 2021 Erode India 460\u2013465 https:\/\/doi.org\/10.1109\/ICCMC51019.2021.9418296.","DOI":"10.1109\/ICCMC51019.2021.9418296"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucom.2023.127017"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.iot.2023.100721"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10101993"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s42452-019-1925-y"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2021.01.015"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43995-022-00008-8"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2021.3118960"},{"key":"e_1_2_10_29_2","doi-asserted-by":"crossref","unstructured":"RastogiR.andBansalM. Analysis of Various Smart Healthcare Technologies 2022 Seventh International Conference on Parallel Distributed and Grid Computing (PDGC) June 2022 Solan India 629\u2013634 https:\/\/doi.org\/10.1109\/PDGC56933.2022.10053093.","DOI":"10.1109\/PDGC56933.2022.10053093"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1109\/LCOMM.2019.2914042"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.4218\/etrij.2023-0142"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12046-022-02024-9"},{"key":"e_1_2_10_33_2","doi-asserted-by":"crossref","unstructured":"YogeshV. VA. MattuS. R. andChockalingamA. On the PAPR of Discrete Zak Transform Based OTFS Modulation 2024 IEEE 99th Vehicular Technology Conference (VTC2024-Spring) August 2024 Singapore 01\u201306 https:\/\/doi.org\/10.1109\/VTC2024-Spring62846.2024.10683193.","DOI":"10.1109\/VTC2024-Spring62846.2024.10683193"},{"key":"e_1_2_10_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13634-022-00968-y"},{"key":"e_1_2_10_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11082-024-06724-w"},{"key":"e_1_2_10_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.icte.2020.07.004"},{"key":"e_1_2_10_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.icte.2018.10.003"},{"key":"e_1_2_10_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.comnet.2023.109597"},{"key":"e_1_2_10_39_2","doi-asserted-by":"publisher","DOI":"10.1109\/mvt.2018.2865830"},{"key":"e_1_2_10_40_2","doi-asserted-by":"publisher","DOI":"10.1109\/tit.2004.836931"},{"key":"e_1_2_10_41_2","doi-asserted-by":"publisher","DOI":"10.1007\/s42452-024-06292-4"},{"key":"e_1_2_10_42_2","doi-asserted-by":"crossref","unstructured":"DasJ.andBansodeR. Performance Evaluation of PAPR Using PTS-PSO in MIMO-OFDM Systems for Various Higher Order Modulation Schemes International Conference & Workshop on Electronics & Telecommunication Engineering (ICWET 2016) July 2016 Stevenage UK IET 213\u2013221 https:\/\/doi.org\/10.1049\/cp.2016.1149.","DOI":"10.1049\/cp.2016.1149"},{"key":"e_1_2_10_43_2","doi-asserted-by":"publisher","DOI":"10.1109\/ICNC-FSKD59587.2023.10281178"},{"key":"e_1_2_10_44_2","doi-asserted-by":"publisher","DOI":"10.3233\/jcm-2012-0408"},{"key":"e_1_2_10_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00521-013-1367-1"}],"container-title":["Journal of Electrical and Computer Engineering"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jece\/4053505","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jece\/4053505","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jece\/4053505","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T20:39:25Z","timestamp":1773779965000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jece\/4053505"}},"subtitle":[],"editor":[{"given":"Shonak","family":"Bansal","sequence":"additional","affiliation":[]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/jece\/4053505"],"URL":"https:\/\/doi.org\/10.1155\/jece\/4053505","archive":["Portico"],"relation":{},"ISSN":["2090-0147","2090-0155"],"issn-type":[{"value":"2090-0147","type":"print"},{"value":"2090-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4053505"}}