The Building Information Model and the IFC standard: analysis of the characteristics necessary for the acoustic and energy simulation of buildings

The new European Directive 2014/24 / EU requires for all member States the use of BIM procedures in the construction of public buildings. The countries belonging to the European Union shall be obliged to transpose the Directive and adapt their procedures to that effect. The paper analyzes the IFC format, the only recognized by the European Directive Standards for BIM procedures, in order to assess its use for simulations of buildings. IFC, described by the ISO 16739 (2013), is today a standard that describes the topology of the constructive elements of the building and what belongs to it overall. The format includes geometrical information on the room and on all building components, including details of the type for performance (transmittance, fire resistance, sound insulation), in other words it is an independent object file for the software producers to which, according to the European Directive, it will be compulsory to refer in the near future, during the different stages of the life of a building from the design phase, to management and possible demolition at the end of life. The IFC initiative began in 1994, when an industry consortium invested in the development of a set of C ++ classes that can support the development of integrated applications. Twelve US companies joined the consortium: these companies that were included initially are called the consortium "Industry Alliance for Interoperability". In September 1995 the Alliance opened up membership to all interested parties, and in 1997 changed its name to "International Alliance for Interoperability". The new alliance was reconstituted as a non-profit organization, with the aim of developing and promoting the '' Industry Foundation Class "(IFC) as a neutral data model for the building product that were useful to gather information throughout the life cycle of a building facility. Since 2005 the Alliance has been carrying out its activities through its national chapters called SMART building. The present study aims at evaluating the IFC, comparing the information and data contained in it, with other formats already used for energy simulations of buildings such as the gbXML (Green Building XML), highlighting the missing required information and proposing the inclusion of new ones to issue the energy and acoustic simulation. More generally the attention is focused to building physics simulation software devoted to exploit the BIM model potential enabling interoperability

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

BIM application in design and evaluation acoustic performances of buildings

Building Information Modeling (BIM) is a process with an increasing diffusion in the construc-tion market that leads to considerable savings in realization times and building management costs. The BIM also allows interchange of data for interoperability between various computer applications for the most varied purposes and uses (management, monitoring, performance cal-culation). Consequently, application of Building Performance Modeling (BPM), that is the use of BIM models for calculating the performance of the building, is becoming an important aspect of building design. The purpose of this paper is to analyze the information contained in BIM da-ta structure that can be used to design or to evaluate, through field measurements, compliance with acoustic classes or, in general, the acoustic performances of a building. Nevertheless, the analysis of IFC (Industrial Foundation Classes) data format, developed by BuildingSMART and associated with BIM as open standard for sharing data, highlights some benefits and some shortcomings for application in building acoustic field. In this work the BIM process for the de-sign and performance evaluation of a building made according to the CLT construction system is shown, pointing out thepotential and the limitations of this method. Finally, field measure-ments were carried out to verify the calculated acoustic performances and to evaluate the relia-bility of these tools for supporting acoustic design of buildings

The Building Information Model and the IFC standard: analysis the characteristics for the acoustic and energy simulation of buildings

The new European Directive 2014/24 / EU requires for all member States the use of BIM procedures in the construction of public buildings. The countries belonging to the European Union shall be obliged to transpose the Directive and adapt their procedures to that effect. The paper analyzes the IFC format, the only recognized by the European Directive Standards for BIM procedures, in order to assess its use for simulations of buildings. IFC, described by the ISO 16739 (2013), is today a standard that describes the topology of the constructive elements of the building and what belongs to it overall. The format includes geometrical information on the room and on all building components, including details of the type for performance (transmittance, fire resistance, sound insulation), in other words it is an independent object file for the software producers to which, according to the European Directive, it will be compulsory to refer in the near future, during the different stages of the life of a building from the design phase, to management and possible demolition at the end of life. The present study aims at carrying out a first analysis on the IFC data format, which will be further deepened in successive phases. The study will compare the information and data contained in it, with those in other formats already used for energy simulations of buildings such the gbXML (Green Building XML), highlighting the missing required information and proposing the inclusion of new data for energetic and acoustic simulation. More generally the attention is focused on the building physics simulation software which is implemented to exploit the BIM model potential enabling interoperability