15 research outputs found

    Data Driven Chiller Plant Energy Optimization with Domain Knowledge

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    Refrigeration and chiller optimization is an important and well studied topic in mechanical engineering, mostly taking advantage of physical models, designed on top of over-simplified assumptions, over the equipments. Conventional optimization techniques using physical models make decisions of online parameter tuning, based on very limited information of hardware specifications and external conditions, e.g., outdoor weather. In recent years, new generation of sensors is becoming essential part of new chiller plants, for the first time allowing the system administrators to continuously monitor the running status of all equipments in a timely and accurate way. The explosive growth of data flowing to databases, driven by the increasing analytical power by machine learning and data mining, unveils new possibilities of data-driven approaches for real-time chiller plant optimization. This paper presents our research and industrial experience on the adoption of data models and optimizations on chiller plant and discusses the lessons learnt from our practice on real world plants. Instead of employing complex machine learning models, we emphasize the incorporation of appropriate domain knowledge into data analysis tools, which turns out to be the key performance improver over state-of-the-art deep learning techniques by a significant margin. Our empirical evaluation on a real world chiller plant achieves savings by more than 7% on daily power consumption.Comment: CIKM2017. Proceedings of the 26th ACM International Conference on Information and Knowledge Management. 201

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

    A concurrent methodology for parallel robot-based cooperative systems

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    EThOS - Electronic Theses Online ServiceGBUnited Kingdo

    Energy Optimization of an In-Service Commercial Building Chiller Plant via Extremum Seeking Control

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    In the last 30 years, research into energy optimization via supervisory control of building chiller plants has yielded promising approaches ranging from detailed physics model based optimization to data based or model free optimization. In general, while physics based models tend to require domain expertise and significant calibration effort for implementation, data based and model free approaches require less calibration effort but may be risky to implement due to concerns about robustness to normal variations in environmental conditions and changes to the number of chillers in operation. This paper focuses on rigorous experimental evaluation and verification of model free extremum seeking control, a real-time gradient descent optimization tool. There have been several publications illustrating the effectiveness of extremum seeking control applied to a variety of heating, ventilation, and air conditioning plants in simulation and on mini-split ductless air conditioning system test beds. However, possibly due to inaccessibility of commercially operational chiller plants for experimentation, an evaluation of extremum seeking has not been documented for a large scale in-service building chiller plant. In this paper, a hybrid extremum seeking and model based supervisory control approach is applied to a 2000RT commercial building chiller plant at Chinatown Point mall in Singapore. The extremum seeking control algorithm selects a set point for the condenser water pump flow rate in order to find the value that minimizes the chiller plant\u27s energy consumption. Meanwhile, a model of pump power consumption is used to select the number of operational pumps in response to the ESC\u27s commanded flow rate in order to minimize pumping power. The extremum seeking controller is initialized using settling time and curvature parameters obtained from a several hour long field identification experiment, while data from a longer multi-day experiment provides a control performance verification model. Evaluation and verification of the controller took place over a testing period lasting 1 week and cycling through morning, daytime, evening, and night modes of operation. Comparing the experimental results against the data based control verification model’s predictions confirms that the extremum seeking approach is able to find the globally minimizing condenser water pump flow rate over a normal range of environmental conditions and chiller plant configurations. The paper concludes with recommendations for how the approach can be applied to plants of similar size but different architecture and how inputs can be added to the extremum seeking control algorithm to get the plant closer to its optimal settings
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