The Internet of Medical Things designates the interconnection of communication-enabled medical-grade devices and their integration to wider-scale health networks in order to improve patients’ health. However, because of the critical nature of health-related systems, the Internet of Medical Things still faces numerous challenges, more particularly in terms of reliability, safety and security. In this paper, we present a comprehensive literature review of recent contributions focused on improving the Internet of Medical Things through the use of formal methodologies provided by the cyber-physical systems community. We describe the practical application of the democratization of medical devices for both patients and health-care providers. We also identify unexplored research directions and potential trends to solve uncharted research problems.

Microsleeps, the seconds-long interruptions of wakefulness by eye closure and sleep-related brain activity, are dangerous when driving and might be too short to provide the restorative functions of sleep. If microsleeps do fulfill sleep functions, then animals faced with a continuous need for vigilance might resort to this sleep strategy. We investigated electroencephalographically defined sleep in wild chinstrap penguins, at sea and while nesting in Antarctica, constantly exposed to an egg predator and aggression from other penguins. The penguins nodded off >10,000 times per day, engaging in bouts of bihemispheric and unihemispheric slow-wave sleep lasting on average only 4 seconds, but resulting in the accumulation of >11 hours of sleep for each hemisphere. The investment in microsleeps by successfully breeding penguins suggests that the benefits of sleep can accrue incrementally.