INTEGRATION OF DYNAMIC INFORMATION ON ENERGY PARAMETERS IN HBIM MODELS

The conservation of cultural heritage can be affected by different changes in temperature and humidity within architectural spaces, so energy performance and interior microclimate of historic buildings require adaptation to new maintenance and prevention studies. The search for these new investigations brings cultural heritage closer to new digital technologies such as Historic Building Information Modelling (HBIM). In this work, a new interdisciplinary methodology is developed between energy operators and BIM operators, so that a new framework is created to monitor energy parameters through intelligent sensors that measure temperature and humidity in the fully interoperable and semantically enriched 3D model itself. The study's commitment involves solving the interoperability workflow between sensors and the BIM platform, taking advantage of this new interconnectivity. For the study, a methodology applied to the Church of the Sacred Heart of Jesus in Seville was carried out, where from a survey through a georeferenced terrestrial laser scanner with topographic equipment, it is modelled from the point cloud, incorporating the sensors in the HBIM Project. In the workflow, it has been shown that the integration of microclimate data inside churches can be managed directly in the environment of an HBIM-based model and transfer a reverse flow in the process

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Exterior brick walls: learning nonquality through failures and climate-pathological distribution

The object of this research was to identify the list of climatological variables involved in the appearance of construction failures in the external walls of dwellings through the analysis of over one thousand cases. The data source used consisted of the judicial records of the Justice Administration, a source to which few researchers have access, given the dispersion of the data and the permissions required to access it. Once obtained, all situations pertaining to dwellings were read and annotated, until 100% of the cases were accounted for, and percentages of recurrence were calculated for each of the nine different types of failures that were described. A study was carried out by so-called strips of climatic location according to four climatological variables (situation, latitude, climate, and annual rainfall) that were sorted from largest to smallest to obtain the ranks of pathology concentration according to the resulting preponderance. Using these results, technicians will be able to identify the most problematic climate-geographical areas by determining the ranks of normalized frequencies, allowing them to take the necessary measures during the construction process. The lessons learned can be incorporated into maintenance plans to optimize preventive maintenance frequency and actions

Analysis and precision of light detection and ranging sensors integrated in mobile phones as a framework for registration of ground control points for unmanned aerial vehicles in the scanning technique for building information modelling in archaeological sites

The protection of heritage sites is one of the keys that our civilisation presents. That is why great efforts have been invested in order to protect and preserve movable and immovable property with a certain historical value, as is the case of archaeological sites scattered throughout the territory of southern Iberia (Spain) in the form of dolmens and negative structures dug into the ground, constituting a good sample of the megalithic culture in southern Spain. To study, manage and preserve these archaeological monuments, considered a set of cultural assets, various techniques and methodologies are required to facilitate the acquisition of three-dimensional geometric information. The Scan-to-BIM approach has become one of the most up-to-date work exponents to carry out these objectives. The appearance of LiDAR techniques, and recently their incorporation into smartphones through integrated sensors, is revolutionising the world of 3D scanning. However, the precision of these techniques is an issue that has yet to be addressed in the scientific community. That is why this research proposes a framework, through experimental measurement, comparison and knowledge of the limitations of this technology, to know the precision of the use of these smartphones, specifically the iPhone 13 Pro, as a measurement element to establish points of control with the aid of photogrammetry by unmanned aerial vehicles (UAVs) in archaeological sites. The results demonstrate a residual uncertainty of ±5 mm in the capture of GCPs from the mobile phone’s LiDAR light detection and ranging sensor, and there was a deviation of the measurements in a range between 0 and 28 m of distance between the GCPs of (0.021, 0.069) m

Exterior Brick Walls: Learning Nonquality through Failures and Climate-Pathological Distribution

The object of this research was to identify the list of climatological variables involved in the appearance of construction failures in the external walls of dwellings through the analysis of over one thousand cases. The data source used consisted of the judicial records of the Justice Administration, a source to which few researchers have access, given the dispersion of the data and the permissions required to access it. Once obtained, all situations pertaining to dwellings were read and annotated, until 100% of the cases were accounted for, and percentages of recurrence were calculated for each of the nine different types of failures that were described. A study was carried out by so-called strips of climatic location according to four climatological variables (situation, latitude, climate, and annual rainfall) that were sorted from largest to smallest to obtain the ranks of pathology concentration according to the resulting preponderance. Using these results, technicians will be able to identify the most problematic climate-geographical areas by determining the ranks of normalized frequencies, allowing them to take the necessary measures during the construction process. The lessons learned can be incorporated into maintenance plans to optimize preventive maintenance frequency and actions. © 2022 American Society of Civil Engineers

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients

Timing of nasogastric tube insertion and the risk of postoperative pneumonia: an international, prospective cohort study

Aim: Aspiration is a common cause of pneumonia in patients with postoperative ileus. Insertion of a nasogastric tube (NGT) is often performed, but this can be distressing. The aim of this study was to determine whether the timing of NGT insertion after surgery (before versus after vomiting) was associated with reduced rates of pneumonia in patients undergoing elective colorectal surgery. Method: This was a preplanned secondary analysis of a multicentre, prospective cohort study. Patients undergoing elective colorectal surgery between January 2018 and April 2018 were eligible. Those receiving a NGT were divided into three groups, based on the timing of the insertion: routine NGT (inserted at the time of surgery), prophylactic NGT (inserted after surgery but before vomiting) and reactive NGT (inserted after surgery and after vomiting). The primary outcome was the development of pneumonia within 30 days of surgery, which was compared between the prophylactic and reactive NGT groups using multivariable regression analysis. Results: A total of 4715 patients were included in the analysis and 1536 (32.6%) received a NGT. These were classified as routine in 926 (60.3%), reactive in 461 (30.0%) and prophylactic in 149 (9.7%). Two hundred patients (4.2%) developed pneumonia (no NGT 2.7%; routine NGT 5.2%; reactive NGT 10.6%; prophylactic NGT 11.4%). After adjustment for confounding factors, no significant difference in pneumonia rates was detected between the prophylactic and reactive NGT groups (odds ratio 1.03, 95% CI 0.56–1.87, P = 0.932). Conclusion: In patients who required the insertion of a NGT after surgery, prophylactic insertion was not associated with fewer cases of pneumonia within 30 days of surgery compared with reactive insertion