Design of the new structure and capabilities of LADM edition II including 3D aspects

The decision to refine the existing content and to extend the scope of Edition I of the ISO 19152:2012 Land Administration Domain Model (LADM) is a response to requests from the international Land Administration (LA) community. This response has to be formally organised in accordance with ISO guidelines. This begins with gathering feedback from ISO/TC 211 Member States on the need for updated and enhanced capabilities of the LADM. In addition, several proposals have been made to extend the scope of the LADM Edition I. After analysing the feedback received, it was proposed to develop the LADM Edition II as a multi-part standard: Part 1 — Generic conceptual model, Part 2 — Land registration, Part 3 — Marine georegulation, Part 4 — Valuation information, Part 5 — Spatial plan information and Part 6 — Implementation aspects. In other words, Edition I focuses on land tenure, while the design and development of Edition II is based on the inclusion of rights, restrictions and responsibilities (RRRs) concerning marine georegulation, valuation information, spatial plan information as well as LADM implementation. 3D representations are relevant for all parts.This paper focuses on the design of the new structure of the second edition of the LADM and on the (operational) capabilities of this new edition in relation to the LA issues in Parts (standards addressing a specific part of the scope) and Packages (groups of conceptually close classes), with a particular attention to the requirements and design related decisions taken in the revision process. The parts 1, 2, 4 and 5 are the parts in which the authors are currently involved. Part 1 will be a high-level umbrella standard; Part 2 is largely based on LADM Edition I and focuses on land registration, with an enhanced support on the surveying functionality, including new subclasses of spatial unit, and extended 3D spatial profiles. Part 3 harmonises the description of RRRs and aligns land concepts with marine aspects from the marine domain based on the International Hydrographic Organisation (IHO) S121 Maritime Limits and Boundaries Product Specification. Part 4 deals with valuation information used and produced in the context of land administration, while Part 5 deals with spatial planning information and includes the planned use of the land (zoning), resulting in RRRs. Lastly, Part 6 is planned to be about implementation of the LADM and will be developed in close collaboration with the Open Geospatial Consortium (OGC)

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

HOUSE UNIONISM IN SINGAPORE

Bachelor'sBACHELOR OF SOCIAL SCIENCES (HONOURS

Initial Country Profile of the Kingdom of Saudi Arabia based on LADM

This paper proposes an initial LADM country profile of Saudi Arabia. The model aims to build a better communication system between all the stockholders to secure the land registration. The initial development of the spatial and non-spatial classes are have been based on the regulation of Saudi Arabia. For the development of the LADM profile for Saudi Arabia, several steps have been completed: 1- Interviews have been conducted with the stakeholders to collect information about the regulations of the land/building ownership. 2- Analysis of the current system of the land registration and its requirement for both spatial and non-spatial data has been performed. 3- Local regulations have been utilized to develop the initial LADM country profile

Deriving the Technical Model for the Indoor Navigation Prototype based on the Integration of IndoorGML and LADM Conceptual Model

This paper shows the conversion of LADM-IndoorGML conceptual model to technical model. The aim of this research is assessing the conceptual model and discovering the possibilities and the shortcomings of the conceptual model via the conversion to technical model. There are three steps to convert the conceptual model: Prepare the LADM-IndoorGML UML model; Transform the class diagram to table diagram; Generate SQL DDL code from the table diagram. During the work from step to step several issues did appear and they are addressed in this paper to enable more automated transformation possibilities from the conceptual model to technical mode. Most of the issues are quite generic and also applicable when converting other conceptual models into technical models. There are a few issues related to our specific conceptual models (IndoorGML and LADM packages) and the Enterprise Architect software (which is the used tool in our case), but most issues are generic: the primary keys that have been created to all tables by the software even if there an ID attributes, foreign keys, the association multiplicity, the attributes multiplicity, data type, spatial data type, index, spatial index, constraints, and inheritance. The research shows that there is a need to develop a complete UML diagram for IndoorGML that contain all the attributes and their datatypes. The current class structure of the code list in LADM standard has been developed for better semantic meaning during the implementation by creating an intermediate conceptual model class to support the transformation. Many critical decisions have been taken during the derivation of the technical model to solve these issues