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Optimal surgical scheduling necessitates a strategic balance between elective efficiency and responsiveness to stochastic emergency arrivals. This study evaluates a Genetic Algorithm alongside discretized variants of Particle Swarm Optimization, the Secretary Bird Optimization Algorithm, and the Mantis Shrimp Optimization Algorithm. These algorithms are assessed within a dynamic three-stage flexible flow shop model under no-buffer blocking constraints. Findings from 300 Monte Carlo replications demonstrate that while the Genetic Algorithm achieves peak global efficiency, discretized bio-inspired algorithms reach a comparable statistical efficiency frontier. Notably, the discretized Secretary Bird Optimization Algorithm facilitates superior emergency integration by maintaining natural capacity buffers, whereas the aggressive local optimization characteristic of alternative methods often triggers resource saturation in recovery units. These results indicate a potential recovery of 90 annual operating hours per theater.These results indicate a potential recovery of 90 annual operating hours per theater, representing a 6.7% increase in resource utilization efficiency. This improvement provides a critical data-driven capacity margin to mitigate the non-prioritized (Non-GES) surgical backlog in Chilean public hospitals.

Street lighting has a big impact on the energy consumption of Spanish municipalities. To decrease this consumption, the Spanish government has developed two different regulations to improve energy savings and efficiency, and consequently, reduce greenhouse-effect gas emissions. However, after these efforts, they have not obtained the expected results. To improve the effectiveness of these regulations and therefore to optimize energy consumption, a study has been done to analyze the different devices which influence energy consumption with the intention of better understanding their behavior and performance. The devices analyzed were lamps, ballasts, street lamp globes, control systems and dimmable lighting systems. To improve their performance, they have been analyzed from three points of view: changes in technology, use patterns and standards. Thanks to this study, some aspects have been found that could be taken into account if we really wanted to use energy efficiently.

Energy consumption rose about 28% over the 2001 to 2011 period in the Spanish residential sector. In this environment, domestic hot water (DHW) represents the second highest energy demand. There are several methodologies to estimate DHW consumption, but each methodology uses different inputs and some of them are based on obsolete data. DHW energy consumption estimation is a key tool to plan modifications that could enhance this consumption and we decided to update the methodologies. We studied DHW consumption with data from 10 apartments in the same building during 18 months. As a result of the study, we updated one chosen methodology, adapting it to the current situation. One of the challenges to improve efficiency of DHW use is that most of people are not aware of how it is consumed in their homes. To help this information to reach consumers, we developed a website to allow users to estimate the final electrical energy needed for DHW. The site uses three estimation methodologies and chooses the best fit based on information given by the users. Finally, the application provides users with recommendations and tips to reduce their DHW consumption while still maintaining the desired comfort level.

In this study, we introduce an innovative policy in the field of reinforcement learning, specifically designed as an action selection mechanism, and applied herein as a selector for binarization schemes. These schemes enable continuous metaheuristics to be applied to binary problems, thereby paving new paths in combinatorial optimization. To evaluate its efficacy, we implemented this policy within our BSS framework, which integrates a variety of reinforcement learning and metaheuristic techniques. Upon resolving 45 instances of the Set Covering Problem, our results demonstrate that reinforcement learning can play a crucial role in enhancing the binarization techniques employed. This policy not only significantly outperformed traditional methods in terms of precision and efficiency, but also proved to be extensible and adaptable to other techniques and similar problems. The approach proposed in this article is capable of significantly surpassing traditional methods in precision and efficiency, which could have important implications for a wide range of real-world applications. This study underscores the philosophy behind our approach: utilizing reinforcement learning not as an end in itself, but as a powerful tool for solving binary combinatorial problems, emphasizing its practical applicability and potential to transform the way we address complex challenges across various fields.

The objective of this paper is to describe a developed model and its corresponding application, known as System to Evaluate the Water Consumption at Home (SEWAT). The aim is to create a new model to evaluate the efficiency of water consumption. Thanks to the input of the water bills by users, the model allows them to check if water consumption is efficient, in order to give them an opportunity to evaluate their water usage. To succeed in it, several researches were tracked in order to establish consumer trends and to identify the most efficient value for this magnitude. Furthermore, a survey was conducted to obtain updated values to validate information from previous studies. However, the main aim of this model is to use the resources efficiently, so it has to be useful accordingly. Therefore, after the evaluation, the application has a section with recommendations for the users to reduce their water consumption through a range of different indications. This section is divided into four: bathroom, kitchen, new appliance and reusing water. Each section shows the expected benefits if the users follow the recommended options. The main result is a unique application in Spain, which includes a system of evaluation, comparison and a section of recommendations for the users. Eventually, the model will have a promising outcome, because it surely will change the awareness of citizens about this subject.

A significant decrease in water consumption has been achieved in recent years thanks to different campaigns run by different institutions in Spain. However, most citizens do not have a very clear idea about whether or not they are efficiently using water. To solve this situation, this paper aims is to develop two water labels in order to improve the current water billing. These water labels evaluate the total water consumption and the domestic hot water consumption. To make the tags, several research studies were tackled for establishing consumer trends and behavior patterns. Furthermore, a survey and data collection were conducted to obtain updated values to validate information obtained from previous studies. The result are two water labels that establish six different levels to graphically show the efficiency, and they also include a comparison with the average consumption by customers of the same province. To ensure that the benefits of this evaluation are available to citizens, its inclusion on the water bill is proposed.

A patient suffering from advanced chronic renal disease undergoes several dialysis sessions on different dates. Several clinical parameters are monitored during the different hours of any of these sessions. These parameters, together with the information provided by other parameters of analytical nature, can be very useful to determine the probability that a patient may suffer from hypotension during the session, which should be specially watched since it represents a proven factor of possible mortality. However, the analytical information is not always available to the healthcare personnel, or it is far in time, so the clinical parameters monitored during the session become key to the prevention of hypotension. This article presents an investigation to predict the appearance of hypotension during a dialysis session, using predictive models trained from a large dialysis database, which contains the clinical information of 98,015 sessions corresponding to 758 patients. The prediction model takes into account up to 22 clinical parameters measured five times during the session, as well as the gender and age of the patient. This model was trained by means of machine learning classifiers, providing a success in the prediction higher than 80%.

There are very few countries that have provisions addressing the energy efficiency of the whole street lighting system, such as Spain or the Netherlands. Nevertheless, there is not an agreement about how energy efficiency must be assessed. The Spanish Government contemplates it in the Royal Decree 1890/2008 with the goal of improving energy savings and efficiency. However, this has not obtained the expected results. Nowadays, energy efficiency of this kind of systems is assessed using a label. In the case of Spain, this label only assesses one magnitude. The contributions of this paper are two evaluation systems (kiviat diagram and pie chart) which assess five magnitudes: lamps, energy efficiency index, light pollution, renewable energy contribution, and harness of the luminous flux using dimming. After that, a survey was done to study several subjects: (1) if citizens are aware about the efficiency of street lighting systems, (2) whether the sample of colors used in the label is adequate, and (3) if our proposed systems could replace the current evaluation system. Finally, the paper finishes with the conclusions of the survey.

Background: treating infectious diseases in elderly individuals is difficult; patient referral to emergency services often occurs, since the elderly tend to arrive at consultations with advanced, serious symptoms. Aim: it was hypothesized that anticipating an infectious disease diagnosis by a few days could significantly improve a patient’s well-being and reduce the burden on emergency health system services. Methods: vital signs from residents were taken daily and transferred to a database in the cloud. Classifiers were used to recognize patterns in the spatial domain process of the collected data. Doctors reported their diagnoses when any disease presented. A flexible microservice architecture provided access and functionality to the system. Results: combining two different domains, health and technology, is not easy, but the results are encouraging. The classifiers reported good results; the system has been well accepted by medical personnel and is proving to be cost-effective and a good solution to service disadvantaged areas. In this context, this research found the importance of certain clinical variables in the identification of infectious diseases. Conclusions: this work explores how to apply mobile communications, cloud services, and machine learning technology, in order to provide efficient tools for medical staff in nursing homes. The scalable architecture can be extended to big data applications that may extract valuable knowledge patterns for medical research.

Human healthcare is one of the most important topics for society. It tries to find the correct effective and robust disease detection as soon as possible to patients receipt the appropriate cares. Because this detection is often a difficult task, it becomes necessary medicine field searches support from other fields such as statistics and computer science. These disciplines are facing the challenge of exploring new techniques, going beyond the traditional ones. The large number of techniques that are emerging makes it necessary to provide a comprehensive overview that avoids very particular aspects. To this end, we propose a systematic review dealing with the Machine Learning applied to the diagnosis of human diseases. This review focuses on modern techniques related to the development of Machine Learning applied to diagnosis of human diseases in the medical field, in order to discover interesting patterns, making non-trivial predictions and useful in decision-making. In this way, this work can help researchers to discover and, if necessary, determine the applicability of the machine learning techniques in their particular specialties. We provide some examples of the algorithms used in medicine, analysing some trends that are focused on the goal searched, the algorithm used, and the area of applications. We detail the advantages and disadvantages of each technique to help choose the most appropriate in each real-life situation, as several authors have reported. The authors searched Scopus, Journal Citation Reports (JCR), Google Scholar, and MedLine databases from the last decades (from 1980s approximately) up to the present, with English language restrictions, for studies according to the objectives mentioned above. Based on a protocol for data extraction defined and evaluated by all authors using PRISMA methodology, 141 papers were included in this advanced review.