Genetic and Swarm Algorithms for Optimizing the Control of Building HVAC Systems Using Real Data: A Comparative Study.

Buildings consume a considerable amount of electrical energy, the Heating, Ventilation, and Air Conditioning (HVAC) system being the most demanding. Saving energy and maintaining comfort still challenge scientists as they conflict. The control of HVAC systems can be improved by modeling their behavior, which is nonlinear, complex, and dynamic and works in uncertain contexts. Scientific literature shows that Soft Computing techniques require fewer computing resources but at the expense of some controlled accuracy loss. Metaheuristics-search-based algorithms show positive results, although further research will be necessary to resolve new challenging multi-objective optimization problems. This article compares the performance of selected genetic and swarmintelligence- based algorithms with the aim of discerning their capabilities in the field of smart buildings. MOGA, NSGA-II/III, OMOPSO, SMPSO, and Random Search, as benchmarking, are compared in hypervolume, generational distance, ε-indicator, and execution time. Real data from the Building Management System of Teatro Real de Madrid have been used to train a data model used for the multiple objective calculations. The novelty brought by the analysis of the different proposed dynamic optimization algorithms in the transient time of an HVAC system also includes the addition, to the conventional optimization objectives of comfort and energy efficiency, of the coefficient of performance, and of the rate of change in ambient temperature, aiming to extend the equipment lifecycle and minimize the overshooting effect when passing to the steady state. The optimization works impressively well in energy savings, although the results must be balanced with other real considerations, such as realistic constraints on chillers’ operational capacity. The intuitive visualization of the performance of the two families of algorithms in a real multi-HVAC system increases the novelty of this proposal.post-print888 K

Exploring students’ emotional state during a test-related task using wearable electroencephalogram

Using wireless sensors for brain activity, brain signals associated with the mood states of engineering students have been captured before and during the taking of a mathematics exam. The characterization of brain lobule activity related to arousal/valence states was analyzed from reports on the literature of the horizontal dimensions of pleasure-displeasure and vertical dimensions representing arousal-sleep. The results showed a direct relationship of the level of students’ arousal with the event of taking an exam as well as feelings of negative emotions during the exam presentation. The development of this research can lead to the implementation of controlled spaces for the presentation of students’ exams in which arousal/valence states can be controlled so that they do not affect their performance and the fulfillment of the goals, achievements or objectives established in a program or subject

Genetic and Swarm Algorithms for Optimizing the Control of Building HVAC Systems Using Real Data: A Comparative Study

Buildings consume a considerable amount of electrical energy, the Heating, Ventilation, and Air Conditioning (HVAC) system being the most demanding. Saving energy and maintaining comfort still challenge scientists as they conflict. The control of HVAC systems can be improved by modeling their behavior, which is nonlinear, complex, and dynamic and works in uncertain contexts. Scientific literature shows that Soft Computing techniques require fewer computing resources but at the expense of some controlled accuracy loss. Metaheuristics-search-based algorithms show positive results, although further research will be necessary to resolve new challenging multi-objective optimization problems. This article compares the performance of selected genetic and swarm-intelligence-based algorithms with the aim of discerning their capabilities in the field of smart buildings. MOGA, NSGA-II/III, OMOPSO, SMPSO, and Random Search, as benchmarking, are compared in hypervolume, generational distance, ε-indicator, and execution time. Real data from the Building Management System of Teatro Real de Madrid have been used to train a data model used for the multiple objective calculations. The novelty brought by the analysis of the different proposed dynamic optimization algorithms in the transient time of an HVAC system also includes the addition, to the conventional optimization objectives of comfort and energy efficiency, of the coefficient of performance, and of the rate of change in ambient temperature, aiming to extend the equipment lifecycle and minimize the overshooting effect when passing to the steady state. The optimization works impressively well in energy savings, although the results must be balanced with other real considerations, such as realistic constraints on chillers’ operational capacity. The intuitive visualization of the performance of the two families of algorithms in a real multi-HVAC system increases the novelty of this proposal

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research