HA users in Singapore were elderly and presented with advanced HL. Bilateral HA adoption and average daily use were low compared to other developed countries. Future research on understanding the suboptimal HA usage should explore patients' motivation, hearing disability, and HA effectiveness.

Age, ethnicity and type of HL were important determinants for more severe HL at first HA fitting. Older patients and those with better hearing were less likely to use their HAs regularly.

Modular building is becoming a common sight due to government policies promoting greater automation and productivity. When moving towards modularity, indoor comfort within volumetric modules, such as levels of humidity and temperature, natural ventilation, and air pollutant transport, have a major effect on human health and well-being. Computational fluid dynamics simulations (CFD) are used to evaluate the efficiency of natural ventilation. However, designers usually find it difficult to visualize the CFD simulation results, which can deepen users’ understanding of the wind environment and help optimize the design of modular buildings. To overcome this challenge, this paper presents an integrated approach based on building information modeling (BIM) and virtual reality (VR), with the aim of analyzing the aerodynamic design and wind comfort for modular buildings. The framework consists of four salient components. First, a new method, combining OpenStreetMap and Dynamo, is proposed to achieve rapid urban modeling of modular buildings. The second step involves the use of CFD to simulate the outdoor wind environment surrounding modular buildings. The third step emphasizes the integration of CFD-computed data with VR applications to create an immersive virtual environment for designers to analyze the wind environment of design alternates. Finally, the visual experience of non-professional users is used to improve the ventilation of the building and support more informed decision marking at the early stage of building design. The proposed framework is illustrated via a case study that focuses on a group of modular housings in the urban area of Singapore. The results indicate that visualization of CFD simulations in VR provides designers with more details regarding the actual space, and it is expected to help optimize the architectural design.

Residential building construction is resource-intensive and significantly impacts the environment by embodied and operational carbon emissions. This study has adopted a parametric building information modelling (BIM)-based approach for a residential building to analyse its lifecycle carbon performance and to evaluate the optimisation potential through alternative material use and design. The study looks at a residential development project, applying an automatic calculation and analysis tool of upfront embodied carbon and BIM-based lifecycle energy simulation to predict carbon emissions from operating the built spaces. A parametric BIM model has been established to aid energy simulation and operational carbon assessment across a 50-year building lifetime, considering 1.5 °C Net-Zero World and 3 °C Hot House World climate scenarios. Various improvement opportunities for future residential development projects, from material selection to operational efficiencies, are explored. This includes quantitative analysis on architectural-structure design, low-carbon construction materials (e.g., cement substitutes, steel scraps, and green hydrogen steel), and novel design for construction approaches (such as modular integrated construction), with discussion around their impacts on optimising the building lifecycle carbon performance. This study provides a deeper understanding and insights into the lifecycle performance of residential buildings to facilitate further exploration of achieving a more sustainable and low-carbon built environment.

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