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Due to the large-scale development of cloud computing, data center electricity energy costs have increased rapidly. Energy saving has become a major research direction of virtual machine placement problems. At the same time, the multi-dimensional resources on the cloud should be used in a balanced manner in order to avoid resources waste. In this context, this paper addresses a real-world virtual machine placement problem arising in a Healthcare-Cloud (H-Cloud) of hospitals chain in Saudidoi:10.3390/a15040128 fatcat:4htmei5a25dm7ljbmyfurkwxwq