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1

Helminski, Laura A. "[Hospital]ityHospitable Hospitals: The Place of Healing." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1396524136.

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2

Chaturvedi, Surabhi. "Environmental technologies and reshaping of healthcare architecture." Connect to thesis, 2009. http://repository.unimelb.edu.au/10187/5768.

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This research investigates adoption and integration of a range of building environmental systems in healthcare facilities in India. Based on detailed case studies of eight selected healthcare facilities developed at different times in India, this research traces the evolution of hospital designs in a specific geographic context through the lens of adoption of building environmental systems over the internal shell and external skins of healthcare buildings in India. By documenting and analyzing changes in building designs over time, the research develops a comparative understanding of trends of adoption of environmental technologies and their impacts on building form and performance.
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3

Fernández, Mérida María Dolores. "Los hospitales malagueños en los siglos XV - XIX : historia y arquitectura /." Málaga : Servicio de Publ., Dip. Provincial de Málaga, 2004. http://www.gbv.de/dms/sub-hamburg/489074103.pdf.

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4

Berwald, Sarah Moch. "The architecture of well-being creating effective design for the care and treatment of the mentally ill /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2008/berwald/BerwaldS1208.pdf.

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5

Bishop, Katherine G. "From their perspectives: Children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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6

Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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Doctor of Philosophy (PhD)
This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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7

Burke, Angela. "Towards a new hospital architecture : an exploration of the relationship between hospital space and technology." Thesis, University of East London, 2014. http://roar.uel.ac.uk/3895/.

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Present urban acute NHS hospitals are rigid architectural structures composed of spatial and medical planning requirements that are underpinned by complex inter-related relationships. One assumed relationship is medical technology’s affect upon hospital space. There’s limited research exploring the relationship between NHS hospital space and medical technologies. Furthermore, little is known about the implications of emerging technologies (ETs) on future urban acute NHS hospital space. This study investigates the link between hospital space and medical technology to visualise the spatial consequences of incorporating anticipated medical ETs into future urban acute NHS hospitals. A unique single futures prospective methodology is adopted with a mixed methods approach. This includes historical research, a quantitative investigation of four London case studies and a literature exploration of three medical ETs (biotechnology, robotics and cyborgization). Primary data generated from this study forms the basis for creating scenarios of future urban acute hospital environments. Findings reveal that medical technologies impact directly on hospital space, thus, confirming the existence of a link between hospital space and medical technologies. Results also reveal that even without nanotechnology progression, medical technologies decrease in equipment size during the course of their development. This trend contradicts recent medical planning practice which ‘super-sizes’ high-spec hospital rooms (see Chapter 3). Additionally, a campus-styled hospital typology is determined as the preferred flexible design solution for creating sustainable 21st century urban acute NHS hospitals. Findings lead to recommendations that guide medical planners with the future-proofing of acute hospital space by providing insight and alternative medical planning solutions that incorporate medical ETs into future urban acute NHS hospitals.
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8

El-Atriby, A. A. A. "The social dimension in hospital design." Thesis, University of Strathclyde, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381284.

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9

Pizzolato, Pier Paolo Bertuzzi. "O espaço arquitetônico como elemento terapêutico: a função da ambiência na recuperação e na qualidade de vida do paciente internado." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/16/16137/tde-24062015-164849/.

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O estudo da ambiência hospitalar pode contribuir para a qualidade de vida de um paciente internado em longa duração? A pesquisa trata desse assunto, verificando e testando vários elementos arquitetônicos que podem contribuir para uma melhora no espaço de um serviço de saúde. Através do estudo das tipologias arquitetônicas voltadas à saúde ao longo do tempo, traçamos uma evolução dos ambientes hospitalares até o nosso tempo e delineamos quais seriam as qualidades de um espaço tido como terapêutico. Verificamos também as teorias mais recentes que tratam sobre o tema, suas características e elencamos quais podem ser mais pertinentes para com o objeto da Tese. Retomando a questão do objeto, escolhemos o Complexo Hospitalar do Juquery para desenvolvermos o projeto de um Hospital de Retaguarda e Reabilitação Física que apresente todos os elementos e qualidades de um espaço voltado para a melhora dos pacientes crônicos internados. A proposta desse tipo de hospital no Juquery vem ao encontro da necessidade de melhorias nas condições de internação do serviço, além de atendermos às determinações da atual política de tratamento psiquiátrico. Por fim, dessa pesquisa produziremos um programa de necessidades que seja universal para com o tema do hospital de retaguarda e que contribua para a formatação de uma tipologia mais entrosada com a ambiência mais confortável e integrada à natureza.
The study of hospital environment may contribute to the life\'s quality of a patient in long term? The research addresses this issue by checking and testing various architectural elements that can contribute to an improvement within a health service. By studying the architectural typologies focused on health over time, we trace the evolution of hospital environments to our time and outline what are the qualities of an area considered therapeutic. I also noticed the latest theories that deal with the theme, we list their characteristics and which may be more relevant to the object with the Thesis. Returning to the issue of the object, we chose the Hospital Complex of Juquery to develop the design of a Hospital for Physical Rehabilitation and Rear presenting all the elements and qualities of a space dedicated to the improvement of chronically hospitalized patients. The purpose of this type of hospital in Juquery meets the need for improvements in the conditions of admission of the service, and heed the determinations of the current policy of psychiatric treatment. Finally , this research will produce a program that needs to be universal with the theme of the hospital and back to contribute to the shaping of a more meshed bedrooms with the most comfortable ambience and integrated with nature.
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10

Baldwin, Gómez Karen Beatriz. "Hospital especializado en oncología pediátrica." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/656622.

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El cáncer es una dura enfermedad que aqueja sin discriminar edad, sin embargo, se ha comprobado la superación de esta enfermedad se da con mejores probabilidades en niños. El proyecto busca desde la perspectiva arquitectónica otorgar a los usuarios una mejor calidad de servicio durante el proceso de su enfermedad, el tiempo en que la persona se encuentra en atención ambulatoria u hospitalizado. El diseño, los espacios y su integración visual otorgará una mejor calidad en el proceso de su enfermedad. Diseño de espacios que permitan la orientación al desarrollo cotidiano del paciente y el acompañamiento familiar, creando y fortaleciendo el vínculo familiar muy importante para la superación de este proceso. Todo esto teniendo como base la correcta y eficaz funcionalidad que requiere un Hospital. Otorgando espacios necesarios para que los usuarios puedan desarrollar actividades cotidianas, jugar, estudiar y relacionarse con otros niños, esto con el fin de lograr que el ciclo de vida cotidiano en un niño no se detenga y así tener una mejor recuperación en un espacio de confort al que puedan llamar Hogar.
Cancer is a long-lasting disease that affects regardless of age that afflicts without discriminate age, however it has been proven that overcoming this disease is more likely in children. This project seeks from an architectural perspective provide users with a better service’s quality during the process of the illness, the range of time the person is in outpatient or inpatient care. The design, the spaces and their visual integration will provide a better quality in the process of the illness. Design of spaces that obtain orientation to the daily development of the patient and family support, creating and strengthening the very important family bond for overcoming this process. All of this based on the correct and effective functionality that a Hospital requires. Giving necessary spaces for users can develop daily activities like play, study and interact with other children, this in order to ensure that the daily life cycle in a child does not stop and they can have a better recovery in a space of comfort that they can call home.
Tesis
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11

Theodore, David Michael. "Towards a New Hospital: Architecture, Medicine, and Computation, 1960-75." Thesis, Harvard University, 2014. http://dissertations.umi.com/gsas.harvard:11658.

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This dissertation provides an account of how computing left behind its origins in academic and military research to become part of the hospital's equipmental setting. I examine the efforts of reformers, including administrators, planners, architects, and computer consultants, to provide appropriate accommodation for modern biomedicine. I explore three stories in order to untangle the admixture of architecture, medicine, and computation as they intertwined through a mutual engagement with automation, operations research, cybernetics, and biomedical research in the postwar hospital. In Boston, pioneering research consultants Bolt Beranek and Newman collaborated with the Massachusetts General Hospital on an experimental total information system known as the Hospital Computer Project. In London, architects Llewelyn Davies Weeks used computer algorithms to help design Northwick Park Hospital. And in Canada, the Montreal Neurological Institute adopted computing to transform its expertise in clinical brain imaging research. When possible, I emphasize specific computers, arguing that attention to the presence of the machine itself contributes to our understanding of hospital life.
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12

Medeiros, Maria Alice Lopes. "Da col?nia ao shopping: um estudo da evolu??o tipol?gica da arquitetura hospitalar em Natal." Universidade Federal do Rio Grande do Norte, 2005. http://repositorio.ufrn.br:8080/jspui/handle/123456789/12429.

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A conceptual discussion on architectural type and its role in theory and practice supports the construction of an analytical tool used for recognizing the typological evolution of hospital architecture in Western societies. The same tool is applied to analyze the typological evolution of hospital architecture in Natal, Brazil, through a sample of eighteen hospitals built in the city since the beginnings of 20th century. The conclusion is that typological evolution in Natal is almost the same as occidental one, except for a few singularities that can be explained by local social and economic development
Com base em uma discuss?o em torno do conceito de tipo e de seu papel na pr?tica e na teoria da arquitetura, elabora-se um instrumental anal?tico com vistas a reconhecer a evolu??o tipol?gica da arquitetura hospitalar ocidental. Verifica-se ent?o como essa evolu??o tipol?gica se reflete nos edif?cios hospitalares em Natal, Rio Grande do Norte, usando-se para tanto um conjunto de 18 dos 29 hospitais implantados na cidade ao longo do s?culo XX. Conclui-se que o itiner?rio tipol?gico da arquitetura hospitalar de Natal repete o ocidental, a menos de singularidades explicadas pelas caracter?sticas do desenvolvimento social e econ?mico da cidade
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13

Lindskog, Ellen. "Danvikens Hospital - A speculative investigation." Thesis, KTH, Arkitektur, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-298799.

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This thesis project is an investigation of time and endurance. Temporality and change. It is an intuitive journey through the past. By collecting, redrawing and speculating I have explored the past and present of a site and a building. The hospital institution Danvikens Hospital dates back to the 16th century, and the current building from 1719 can be seen as the first monumental hospital building in Sweden. The site went through irreversible infrastructural changes at the beginning of the 20th century, with the excavation of Hammarby canal. Following this, the building has had short identities as an archive, workshop and hotel. This project work with findings from the past, using textile to create a new identity and life for the building.
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Philpott, Chandler G. "The Labyrinth of Experience: Liminality Between Architecture and Mind." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1617107106368479.

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15

McMurrin, Sterling James. "A plan for Metropolitan State Hospital : imagery as a therapy for an institution." Thesis, Massachusetts Institute of Technology, 1988. http://hdl.handle.net/1721.1/79163.

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Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1988.
Includes bibliographical references (p. 166-167).
This thesis is both text and illustration to describe the process of transforming a state mental institution from an outdated, outmoded, conventional hospital into a living community. The goal of the project is to develop an institution not restricted by rigid forms or designs - a flexible, responsive environment of the type required by rehabilitation therapies and medical practices that are constantly evolving. Emphasis is placed on environmental factors that impact the personal daily life on campus, including facilities for work, communication, learning, recreation, and enjoyment of the wider landscape environment The project is to transform Metropolitan State Hospital in Belmont, a Boston suburb, into a therapeutic transitional and educational community. This work is a diary from a journey of discovery through moral, political, and economic territory. It is a guidebook to help in the process of architectural form making. The images are suggestions and questions.
by Sterling James McMurrin.
M.Arch.
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16

Santos, Ana Carolina Cabral dos. "A verticalização hospitalar : estudo de caso com análises comparativas." Universidade Presbiteriana Mackenzie, 2015. http://tede.mackenzie.br/jspui/handle/tede/388.

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With the density of large cities and the shortage of urban space, the right-rise buildings has become the rule rather than the exception; and this rule applies in hospitals increasingly frequent way. Considering the complexity of flows and the variety of processes that are routinely developed in a hospital, in what ways skyscraper buildings began to affect both the architectural design and the use management of these buildings? This dissertation aims to contribute to better understanding this issue through a referenced and comparative study on three significant cases of vertical hospitals, two in São Paulo and one in London. The cases were select from a large list of works studied, and given a set of objective criteria, defined by the survey.
Com o adensamento das grandes metrópoles e a escassez de espaço urbano, a verticalização edilícia passou a ser uma regra e não mais a exceção; esta regra aplica-se nos hospitais de maneira cada vez mais frequente. Considerando-se a complexidade dos fluxos e a variedade de processos que são cotidianamente desenvolvidos em um Hospital, de que maneiras essa verticalização passou a afetar tanto o projeto arquitetônico como a gestão de uso desses edifícios? Esta dissertação de mestrado se propõe a colaborar para melhor compreender essa questão por meio de um estudo referenciado e comparativo sobre três casos significativos de hospitais verticais, sendo dois em São Paulo e um em Londres. Os casos foram selecionados a partir de uma ampla listagem de obras estudadas, e atendendo um conjunto de critérios objetivos, definidos pela pesquisa.
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Karnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.

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Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow transplant and hematology/oncology patients, one can create a healing environment more conducive to a rapid recovery.
Department of Architecture
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18

Gray, Zara. "Rituals of health : new healing spaces for Khayelitsha district hospital." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/17127.

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The intention of this thesis was to challenge how we, as architects are appropriating new formations of space within the city. The research began as an exploration into how a contemporary African city space could be envisioned, a future trajectory of design thinking that challenges normative systems of design. The diverse nature of South African cities should have an architecture that responds to its lived reality and one that reflects cultural difference. This exploration was narrowed down to view a need that ran across cultural lines. I chose to do this through looking at various health systems that prevail in our current society. The challenge was to critically seek out new ways that one could accommodate for various cultural beliefs while viewing these various health practices. These explorations were carried out in two sections - the first section looks at our current condition and what the prevailing health systems are in our society, as well as the challenges these various views on health pose. The second section focuses on a spatial understanding of how these systems are carried out in our city and seeks to analyse the various spatiality's of healing practices. The idea is to search for how new spaces of healthcare could be realised that reflect cultural difference, rituals and practices and which respond to a South African condition.
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Tian, Fang. "Security Architecture and Its Implementation in a Multi Mobile Agent E-Hospital." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28815.

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This thesis describes the design and the implementation of a security architecture for an e-hospital. The e-hospital uses mobile agent technologies in its function implementation. The mobile agent technology has notable advantages over the traditional client/server technology. However, its advantages make it more vulnerable to threats. We use ISO17799, an international standard for Information security management, as our guide to approach the security problems in this e-hospital. We reach the security objectives for this e-hospital by risk assessments of the current system, compliance with the patients' privacy protection regulations and the consideration of end users' requirements. We divide the whole e-hospital into different domains according to their security levels and propose protections for each domain. We use identity-based two party key agreement protocols to address the network security in this e-hospital. Finally, we extend Bagga and Molva's policy-based cryptographic scheme to address the end user's access control and non-repudiation. Our proposed cryptographic scheme is based on the hardness of the Generalized Bilinear Diffie-Hellman Problem (GBDH problem) in groups. We implement our proposed cryptographic scheme in Java. The test results show that the performance of our proposed cryptographic scheme is acceptable using the elliptic curve defined over large prime fields.
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Karassava-Tsilingiri, Fotini. "The architecture of the fifteenth century hospital of Rhodes : a historical approach." Thesis, Courtauld Institute of Art (University of London), 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.244689.

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21

Amoah-Nyako, Joseph. "The relationship between hospital reception and waiting area design and their appropriateness in use." Thesis, Oxford Brookes University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.290907.

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22

Chalfant, Cheryl Lynn. "Design guidelines for therapeutic gardens serving cancer patients." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1231344.

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A growing body of research suggests that certain environmental conditions may positively contribute to the healing process. Consequently, the medical and design professions are now exploring how the medical environment - both indoors and out - can better support the health and well being of its patients and their caregivers. Landscape architects and environmental psychologists are contributing to the growing interest in healing environments by exploring the relationship between nature, therapeutic gardens, and patient healing.One result of this interest has been the formulation of design recommendations for therapeutic gardens serving specific populations such as those with Alzheimer's Disease, AIDS or psychiatric illnesses. However, little attention has been given to therapeutic gardens designed to meet the needs of cancer patients even though a number of such gardens already exist. The purpose of this project is to identify design guidelines for therapeutic gardens that support the health and well being of cancer patients and to use these guidelines to design a model garden.The research for this project focused on two areas. First, literature review and interviews with employees of Ball Memorial Hospital were used to establish a base knowledge of cancer, including the emotional, physical and psychological characteristics associated with it. Next, characteristics of healing environments for cancer patients were determined through literature review, review of case studies and interviews with Ball Memorial Hospital employees. Based upon this research, design guidelines were established for therapeutic gardens serving cancer patients and applied in a design for Ball Memorial Hospital's soon to be completed CancerCenter.
Department of Landscape Architecture
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Fernandes, Adhemar Dizioli. "As transformações arquitetonicas e tecnico-construtivas do edificio publico de saude na cidade de São Paulo." [s.n.], 2003. http://repositorio.unicamp.br/jspui/handle/REPOSIP/257951.

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Orientador: Andre Munhoz de Argollo Ferrão
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Civil
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Resumo: O hospital converteu-se em instituição social através dos séculos, transformouse em um edifício complexo, abrigando especialidades e equipamentos médicos múltiplos que refletiram na sua concepção e projeto. Neste trabalho descrevem-se as transformações arquitetônicas e construtivas do edifício público de saúde na cidade de São Paulo, principalmente, a partir da segunda metade do século XIX, com o desenvolvimento da cultura cafeeira, o advento da República e a estruturação do Serviço de Saúde Pública. Especificamente, identificam-se as intervenções físicofuncionais e técnico-construtivas ocorridas no período de 1998 a 2002, em uma série de hospitais públicos, construídos a partir de uma mesma tipologia, na Região Metropolitana da Grande São Paulo. Os resultados mostram que esses hospitais, concebidos em 1986, continuam atuais diante das alterações e reestruturações implementadas no seu espaço físico, visando abrigar novas unidades funcionais e equipamentos, possibilitando a execução de novos procedimentos médico-hospitalares
Abstract: Throughout the centuries the hospital has turned into a social institution, becoming a complex building, sheltering specialties and multiple medical equipment that is reflected in its conception and design. In this paper the architectural and constructive transformations of the public health building are described in the city of São Paulo, mainly, from the second half of the XIX century, with the development of the coffee culture, the coming of the Republic and the structuring of the Public Health Service. Specifically identified are the physical-functional and technical-constructive nterventions that happened from 1998 to 2002, in a series of public hospitals all built from the same typology in the Metropolitan Area of Great São Paulo. The results show that those hospital buildings, conceived in 1986, continue to be updated due to the alterations and restructuring implemented in the spitals, seeking to shelter new functional units and equipment, making possible the execution of new medical/hospital procedures
Mestrado
Edificações
Mestre em Engenharia Civil
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24

Hughes, Jonathan Frederick Allan. "The brutal hospital : efficiency, form and identity in the National Health Service." Thesis, Courtauld Institute of Art (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.244536.

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Dias, Carolina Vicente. "Campus de vida: reconversão do antigo Hospital Pediátrico de Coimbra." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/25735.

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A investigação procura primeiramente analisar a envolvente e o edifício do Antigo Hospital Pediátrico de Coimbra, qual o seu papel na cidade e o contributo de uma nova programática adaptada a novas circunstâncias. Visa compreender a importância do edificado para a cidade, de que forma pode contribuir para a mesma, compreendendo as alterações realizadas ao longo dos tempos, acima de tudo espaciais e que consequências tiveram. É fundamental um levantamento arquitectónico do conjunto originalmente projectado e das alterações realizadas de forma a compreender a identidade do edificado e qual a sua relação com o lugar. O segundo momento da investigação passa por uma análise de casos de estudo, casos que se assemelhem ao objecto de estudo – O Antigo Hospital Pediátrico de Coimbra. Desenvolver um estudo de alterações/remodelações de edifícios existentes e de edifícios com o mesmo propósito proposto para o objecto de estudo analisando variedade de novos usos concedidos aos mesmos, analisando comparativamente as diferentes abordagens e apropriações do espaço. Por último, através das análises efetuadas nos pontos anteriores, o trabalho procura repensar o espaço/estrutura actual, que foi pensado para crianças, compreender a morfologia dos novos espaços e como poderá influenciar o novo uso pensado para o objecto de estudo, através de lógicas e linhas de pensamento apoiadas em projecto, a componente prática do trabalho propõe uma intervenção no objecto de estudo, um novo programa a ser inserido no Antigo Hospital Pediátrico de Coimbra; ABSTRACT: The research seeks first to analyze the surroundings and the building of the Old Pediatric Hospital of Coimbra, what its role in the city is and the contribution of a new program adapted to new circumstances. It aims to understand the importance of the built to the city, in what way can contribute to it, understanding the changes made over time, above all spatial and what consequences had. It is fundamental an architectural survey of the set originally designed and the changes made in order to understand the identity of the building and its relation with the place. The second moment of the investigation involves an analysis of case studies, cases that resemble the object of study - The Old Pediatric Hospital of Coimbra. To develop a study of alterations / remodeling of existing buildings and buildings with the same purpose proposed for the object of study by analyzing the variety of new uses granted to them, analyzing comparatively the different approaches and appropriations of the space. Finally, through the analyzes made in the previous points, the work seeks to rethink the current space / structure, which was intended for children, to understand the morphology of the new spaces and how it may influence the new use intended for the object of study, through logics And lines of thought supported by the project, the practical component of the work proposes an intervention in the object of study, a new program to be inserted in the Old Pediatric Hospital of Coimbra
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Loli, Castañeda Beatriz Maria del Pilar. "Hospital Oncológico Pediátrico en Lima Norte." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2021. http://hdl.handle.net/10757/656175.

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El proyecto consiste en la elaboración de un establecimiento de salud de categoría (II-E), es decir un hospital de atención especializada, el cual tiene como funciones la promoción, prevención, recuperación y rehabilitación de pacientes que padezcan de cáncer. Debido a un análisis y mapeo de las unidades oncológicas ubicadas en la capital se dio a conocer el déficit existente y sobre todo el déficit de unidades pediátricas, las cuales no abastecen a Lima y mucho menos a Lima Norte. Este tiene como objetivo crear un hospital oncológico diseñado desde su concepción en los niños, por lo cual se desea generar un hospital amigable y cálido el cual genere una sensación de confort. Se desea contar con espacios que causen un efecto positivo mediante la integración de áreas verdes, salas de espera acogedoras que promuevan el juego, la incorporación de colores en los recorridos e incorporación de la luz natural en las áreas públicas.
The project consists of the elaboration of a health establishment of category (II-E), meaning specialized care hospital, whose functions are promoting, preventing, recovering and rehabilitating patients that suffer from cancer. Due to an analysis and search of oncological units located in the capital, we can notice the deficit of oncological units and specially the deficit of pediatric oncological units, which aren't enough for Lima and much less for North Lima. It has as purpose an oncological hospital designed from its conception for children, which wants to create a warm and friendly hospital that generates a feeling of comfort. It needs to have spaces that cause a positive effect through the integration of green areas, cozy waiting rooms for playing, the incorporation of colors and the incorporation of natural light in public areas.
Tesis
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Leung, Hiu-sum, and 梁曉心. "Healing environment in hospitals: improving and redesigning the outdoor areas in the Haven of Hope Hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45009648.

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Keyvanian, Carla L. (Carla Lucia) 1962. "Charity, architecture and urban development in post-Tridentine Rome : the hospital of the SS.ma Trinità dei Pellegrini e Convalescenti (1548-1680)." Thesis, Massachusetts Institute of Technology, 2000. http://hdl.handle.net/1721.1/8830.

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Thesis (Ph.D.)--Massachusetts Institute of Technology, Dept. of Architecture, 2000.
Includes bibliographical references (p. 233-237).
This dissertation analyzes the institutional, architectural and urban history of charitable institutions in Rome from the fifteenth to the seventeenth century. It highlights the previously ignored central role that these institutions played in the consolidation of papal power and the political administration of the city. The study focuses on the SS.ma Trinita dei Pellegrini at Ponte Sisto, a shelter of pilgrims and convalescents, and one of the four large public hospitals in the city. The building history of the Trinita is analyzed from the middle of the sixteenth century to the end of the seventeenth. The impact of the Trinita on the neighborhood is also examined. This reveals an instance of collaboration among three institutions -- the Trinita, the Monte di Pieta, and a Hospice for Beggars built by Sixtus V -- and a papal family, the Barberini, in the transformation of their quarter. These institutions were also an integral portion of papal urban plans. Their large complexes were part of an urban system that included a bridge, the main supply route of the city, and an urban barrier that separated the poorer quarters of the city, and the Jewish Ghetto, from those where wealthy families were building their palaces. Finally, the analysis of the economic context of the Trinita and similar institutions emphasizes the connection between their sources of wealth and the ways they displayed their identity.
by Carla L. Keyvanian.
Ph.D.
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Hammond, Bonny Marguerite. "The Indiana State Hospital project : the research and documentation of twenty-eight Indiana State Hospital structures." Virtual Press, 1986. http://liblink.bsu.edu/uhtbin/catkey/460294.

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The retention of historic structures and the information which they contain, the basic goals of historic preservation, has occurred with increasing frequency in the twenty-year period following the passage of the National Historic Preservation Act of 1966. Admittedly, the ideal scenario involves the retention and reuse of architecturally or historically important structures. However, occasionally notable buildings are found which are located upon sites earmarked for new construction or which have deteriorated to a condition which makes restoration or adaptive reuse not economically feasible. Adequate documentation prior to the destruction of such buildings not only preserves the information therein contained, but also may encourage reuse of some structures by making the owner aware of their contribution to the streetscape, to local history or to the architectural history of a community or region.Although parameters for adequate documentation exist at the national level for national landmarks, state and local standards are vague at best, leaving both the professional and the non-professional preservationist to determine the level of documentation and the amount of research required. Difficult at best for the professional, documentation in the absence of guidelines frequently proves disastrous for the non-professional.This thesis is the product of a documentation project conducted between September 1984 and October 1985 to provide "adequate documentation" for a client of the College of Architecture and Planning at Ball State University, Muncie, Indiana. Having no established guidelines or precedent to follow, and instructed to produce "adequate documentation" for 28 structures at six Indiana State Hospitals, the documentation team learned much during the fourteen-month process of producing both written and graphic documentation.The author presents this descriptive analysis of one component of the documentation process - the preparation of the 331-page written text which accompanied photographs and H.A.B.S. drawings. While each project differs, the Indiana State Hospital Project established a precedent which may be referred to By the C.A.P. when faced with similar projects in the future.
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Freire, Sheila Azevedo. "Inter-relações entre a qualidade do ar externo e interno em espaços hospitalares : o complexo de doenças infecto-contagiosas Dr. Clementino Fraga em João Pessoa-Paraíba." Universidade Federal da Paraí­ba, 2005. http://tede.biblioteca.ufpb.br:8080/handle/tede/5555.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
This work has evaluated the quality of indoor air, from both biological and physicochemical points of view, in the Complexo de Doenças Infectocontagiosas Dr. Clementino Fraga , João Pessoa - Paraíba, using the Square Sampling technique, the air-exposing method by impactation with a linear accelerator, and a series of temperature, air humidity and speed and direction of internal and external winds data, collected in loco, and whose results, once compared with the indicators recommended by the Agência Nacional de Vigilância Sanitária ANVISA (Portuguese for Sanitary Vigilance National Agency), have shown unacceptable levels of air contamination Indoor air quality; Hospital infection; hospital architecture; natural ventilation.
Este trabalho avaliou a qualidade do ar interior, do ponto de vista biológico e físico-químico do edifício hospitalar Complexo de Doenças Infectocontagiosas Dr Clementino Fraga , localizado em João Pessoa Paraíba, utilizando-se da técnica Square Sampling , do método de amostragem de ar por impactação com acelerador linear e com séries de dados de temperatura, umidade do ar, velocidades e direção dos ventos interno e externo à edificação, coletados in loco, cujos resultados, comparados com os indicadores recomendados pela Agência Nacional de Vigilância Sanitária ANVISA, apresentaram níveis inaceitáveis de contaminação do ar Qualidade do ar interior; Infecção hospitalar; arquitetura hospitalar; ventilação natural.
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Heckel, Marjorie J. "Spiritual gardens in a healthcare setting." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1260488.

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Healthcare facility designers are acknowledging the connection between environment and well-being. They, along with environmental psychologists and landscape architects, are trying to define how environment can influence health status. Research on therapeutic outcomes has helped define specific design guidelines for a garden intended to help hospital patients and staff. One aspect that has not been fully investigated, however, is the spirituality of these spaces. Often in hospital settings prayer goes hand in hand with medicine, especially in faith-based health ministries like St. Vincent Randolph Hospital (SVR). To overlook the importance and value of the spiritual aspect in a healthcare setting would be to miss the core of what SVR stands for. The purpose of this project is to identify guidelines for therapeutic gardens that support the physical, spiritual and mental health and well being of patients at St. Vincent Randolph Hospital and to apply these guidelines to the design of a garden for the patients, families, associates, visitors and the surrounding community.
Department of Landscape Architecture
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Melendres, Carolina Nunes. "O homem e o espaço hospitalar : o Edifício Manoel Tabacow Hidal Hospital Albert Einstein (1958)." Universidade Presbiteriana Mackenzie, 2011. http://tede.mackenzie.br/jspui/handle/tede/286.

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Fundo Mackenzie de Pesquisa
This essay discusses the concept of humanization applied in hospitals, examining its connection to the healing process and well-being, plus the link between the concept and design methods that improve architecture of hospitals and health promotion. Over time, hospital architecture has undergone various transformation supported by the evolution of medical knowledge and technology, as well as the appreciation of health and patients. The hospital went from a lifeless and absent building for an instrument to promote active assistance to medical practices and needs of its users, both physical and psychological. The shaping of this so called therapeutic places, seeks to synthesize this new hospital building dynamic that approach the figure of man and its complexities, in order to make it more receptive and personal: humanized. The careful examination of the design process and hospital production of architect Rino Levi whose thoughts are representative within the illustrated scenario reveals its close relationship with the principles of humanization in hospital architecture. Specifically, the case of Manoel Tabacow Hidal building designed by Rino Levi s team, in 1958, is deepened as the object of investigation
O presente trabalho versa sobre o conceito de humanização do espaço hospitalar, analisando sua conexão com os processos de cura e bem-estar humano, ademais seus vínculos com os métodos projetuais e o aprimoramento da arquitetura de hospitais em prol da saúde. A arquitetura hospitalar, ao longo dos tempos, atravessou variadas transformações apoiada na evolução do conhecimento médico e da tecnologia, bem como na valorização da saúde e de seus pacientes. O hospital passou de lugar inanimado e ausente para instrumento promotor de assistência ativa às práticas médicas e às necessidades tanto físicas como psicológicas de seus usuários. A formação desse espaço chamado terapêutico, busca sintetizar boa parte dessa nova dinâmica hospitalar aproximando o espaço construído à figura do homem e suas complexidades, a fim de tornálo mais receptivo e pessoal: humanizado. O atento exame do processo projetual e da produção hospitalar do arquiteto Rino Levi cujas reflexões são representativas no cenário ilustrado revela sua estreita relação com princípios de humanização do espaço hospitalar. Especificamente, o caso do Edifício Manoel Tabacow Hidal projetado por sua equipe, em 1958, é aprofundado como objeto de investigação
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Tobias, Cynthia Lee 1945. "HUMAN FACTORS ASPECTS OF A GRAPH THEORETIC MODEL FOR HOSPITAL FACILITY LAYOUT." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275549.

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34

Valeková, Ivana. "Psychiatrická léčebna Újlak." Master's thesis, Vysoké učení technické v Brně. Fakulta architektury, 2014. http://www.nusl.cz/ntk/nusl-216100.

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The aim was to design a new conception for both new building of psychiatric hospital and psychiatric cure on the other hand. Site is based in Velke Zaluzie, villacee in the southwestern Slovakia. Placed in site of historically protected park with a dominant building of the Old Esterhazy Mansion uses principles from moder psychiatry and space modularity to ideal inter-building connections. With high sustainability aspect a new organisation of the site was created on the whole area of the park with new functions for existing buildinge and less dominant based structure od psychiatric hospital.
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Carvalho, Renata Moura de. "A humanização de ambientes hospitalares oncológicos pediátricos vozes e discursos." Pontifícia Universidade Católica de Goiás, 2016. http://localhost:8080/tede/handle/tede/3022.

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Over the years hospitals were turning into places with high technology and infrastructure to serve more efficiently a greater share of the population. This process generated depersonalization due to the technicistic nature that these environments became to have. Many environments have become cold, frightening and ruthless reflecting on the quality of life within these spaces. When health care is focused on a child or teenager the patient centered care s issues should be raised as key points to their well-being during hospital stay being important to understand the perception that users and professionals have about the environment they are in. This study aims to explore the perspectives of users and professionals at a Pediatric Oncology Hospital in Goiânia and of regional architects about the contribution of the architectural physical environment for the process of patient centered care. It had as methodology the qualitative research with the theoretical support in Grounded Theory in Constructivist Data by Kathy Charmaz (2009) where the data was obtained from shared experiences and the relationships with participants. It was used as data collection instrument, semi-structured interviews with ten companions, seven patients, six healthcare professionals and three architects. The results highlight six categories: Attempts to adapt; Wear in the hospital; Quality of the functional structure of the hospital; Failures in quality of the hospital s operation; Quality of hospital s physical structure and failures in the quality of the hospital s physical structure.
Com o passar dos anos os hospitais foram se transformando em espaços com alta tecnologia e infraestruturas para atender com mais eficiência uma maior parcela da população. Esse processo gerou a despersonalização devido ao caráter tecnicista que esses ambientes passaram a ter. Muitos ambientes se tornaram frios, assustadores e desumanos repercutindo na qualidade de vida dentro desses espaços. Quando a atenção em saúde é focada na criança ou no adolescente as questões de humanização devem ser levantadas como pontos-chave para o bem-estar durante a hospitalização sendo importante entender a percepção que os usuários e profissionais têm quanto ao ambiente em que estão. Este trabalho tem como objetivo explorar as perspectivas dos usuários e profissionais de um hospital oncológico pediátrico em Goiânia e de arquitetos regionais quanto à contribuição do ambiente físico arquitetônico para o processo de humanização. Teve como metodologia a pesquisa qualitativa com o suporte teórico na Teoria Fundamentada em Dados Construtivista de Kathy Charmaz (2009), onde os dados foram obtidos a partir de experiências compartilhadas e das relações com os participantes. Foi utilizado como instrumento de coleta de dados, entrevistas semiestruturadas com dez acompanhantes, sete pacientes, seis profissionais da saúde e três arquitetos. Dos resultados emergiram seis categorias: Tentativas de adaptação; Desgaste no hospital; Qualidade da estrutura funcional do hospital; Falhas na qualidade do funcionamento do hospital; Qualidade da estrutura física do hospital e Falhas na qualidade da estrutura física do hospital.
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Li, Haorui. "Efficiency of hospitals : Evaluation of Cambio COSMIC system." Thesis, Växjö University, School of Mathematics and Systems Engineering, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-1625.

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In this modern world, healthcare has becoming a popular word in human life. People pay their attention on their health protection and treatment, but at the same time, they need to bear the high expenditure for their healthcare processing.

It is a serious problem that the government income can not afford the large expense in healthcare industry. Especially in some developing countries, healthcare problem has become the problem for the nation development.

We would like to choose this basic way to solve this problem directly, to provide the channel to improve the efficiency of healthcare system, Cambio COSMIC.

The aim to analysis COSMIC for my case study is to find out the conclusion that how does the architect design the system from the stakeholders requirement to achieve the success of improving the efficiency of healthcare system. And how to measure the success for the system achieving to improve the efficiency of healthcare system is still required to indicate.

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Comiran, Sheila. "CONFORTO E DESEMPENHO TÉRMICO EM HOSPITAIS: ESTUDO DE CASO NA ÁREA DE INTERNAÇÃO DO HOSPITAL UNIVERSITÁRIO DE SANTA MARIA/RS." Universidade Federal de Santa Maria, 2014. http://repositorio.ufsm.br/handle/1/7856.

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The hospital is room for reestablishment of health and therefore its environments should be comfortable and fit to this function, including thermal comfort. In this context, this paper presents a review of the conditions for thermal comfort and thermal performance in the inpatients bedrooms of the University Hospital of Santa Maria (HUSM) city using measurements, site survey and computer simulation (DesignBuilder software). To analyze the thermal comfort, human and environmental variables were raised during the summer and winter of 2012, in four hospital bedrooms with east and west exposure, following the recommendations of ASHRAE 55 (2010). From the collected data, we calculated the PMV and PPD through Analysis 1.5 software. Analysis of degree-hours of discomfort with the data obtained from computational simulation was also performed. To evaluate the thermal performance tests were carried out by observing the damping and thermal flows, still analysis was performed closures and opaque areas of the ventilation parameters considering the simplified method proposed by NBR 15,575 (2013 ) The data found in measurements show that there is large temperature range in Santa Maria. As for thermal comfort, the results showed that the analyzed environments are comfortable for the winter period and uncomfortable for the summer period, showing that the air velocity improves comfort levels for internal temperatures up to 28° C. Another aspect found is that the thermal damping obtained demonstrates that the building has great thermal inertia, contributing to thermal comfort, especially in winter. As for thermal performance, the results of the simplified method demonstrate that the building meets the minimum performance criteria of ISO 15.575 (2013). In the simulation to analyze environments performance, through heat fluxes, the results showed that the greatest gains are achieved through occupation and the solar gains, while the largest losses occur by air infiltration. These data confirm the results obtained from analysis of thermal comfort. It is noted that solar gains are positive for the winter period and the infiltration is negative. However a minimal infiltration must be preserved to hygienic ventilation for the rooms. During summer time, the use of shading devices is crucial to reduce solar gain. It was also found that the solar orientation influences the thermal performance and comfort. Finally, in the case of HUSM, the window frames should be retrofitted to ensure hygienic ventilation in winter and for summer days, it is necessary to use artificial cooling, the need for which can be reduced by the implementation of a ventilation system with control of temperature and improvement in sun protection systems.
O hospital é espaço para reestabelecimento da saúde e, portanto, seus ambientes devem ser confortáveis e adequar-se, inclusive termicamente, a esta função. Neste contexto, este trabalho apresenta uma avaliação das condições de conforto térmico e do desempenho térmico da área de internação do Hospital Universitário de Santa Maria, utilizando-se medições, levantamento no local e simulação computacional (programa DesignBuilder). Para a análise do conforto térmico foram levantadas as variáveis humanas e ambientais, no período de verão e inverno de 2012, em quatro quartos de internação com orientação leste e oeste, seguindo as recomendações da ASHRAE 55 (2010). A partir dos dados levantados calculou-se o PMV e o PPD, através do programa Analysis 1.5. Também realizou-se análise do número de graus-hora de desconforto com os dados obtidos da simulação computacional. Para avaliação do desempenho térmico as análises foram desenvolvidas observando o amortecimento e os fluxos térmicos, ainda realizou-se análise dos fechamentos opacos e áreas de ventilação considerando os parâmetros do método simplificado proposto pela NBR 15.575 (2013). Os dados encontrados nas medições mostraram que há grande amplitude térmica no município de Santa Maria. Quanto ao conforto térmico, os resultados demonstraram que os ambientes analisados são confortáveis para o período de inverno e desconfortáveis para o período de verão, mostrando que a velocidade do ar melhora os índices de conforto para temperaturas internas até 28 °C. Outro aspecto verificado foi que o amortecimento térmico obtido demonstrou que a edificação possui grande inércia térmica, colaborando para o conforto térmico, principalmente, no inverno. Quanto ao desempenho térmico, os resultados do método simplificado demonstraram que a edificação atende os critérios mínimos de desempenho térmico da NBR 15.575 (2013). Na simulação para avaliar desempenho dos ambientes, através dos fluxos térmicos, os resultados demonstraram que os maiores ganhos acontecem através da ocupação e pelos ganhos solares, enquanto que as maiores perdas ocorrem por infiltração. Estes dados corroboram os resultados obtidos na análise do conforto térmico. Salienta-se que os ganhos solares são positivos para o período de inverno e a infiltração negativa, entretanto deve-se garantir uma ventilação higiênica para os ambientes. No verão, o uso de proteções solares é fundamental para reduzir os ganhos solares. Enfim, no caso do HUSM, as esquadrias devem ser readequadas para garantir ventilação higiênica no inverno e, para o verão, é necessário utilizar-se climatização artificial em alguns horários do dia, cuja necessidade pode ser reduzida pela implantação de um sistema de ventilação com controle de temperatura e melhoria nos sistemas de proteção solar.
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Darragh, Alison. "Prison or palace? Haven or hell? : an architectural and social study of the development of public lunatic asylums in Scotland, 1781-1930." Thesis, University of St Andrews, 2011. http://hdl.handle.net/10023/1715.

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In 1897 John Sibbald, Commissioner in Lunacy for Scotland, stated that ‘the construction of an asylum is a more interesting subject of study for the general reader than might be supposed.’ This thesis traces the development of the public asylum in Scotland from 1781 to 1930. By placing the institution in its wider social context it provides more than a historical account, exploring how the buildings functioned as well as giving an architectural analysis based on date, plan and style. Here the architecture represents more, and provides a physical expression of successive stages of public philanthropy and legislative changes during what was arguably one of the most rapidly evolving stages of history. At a time when few medical treatments were available, public asylum buildings created truly therapeutic environments, which allowed the mentally ill to live in relative peace and security. The thesis explores how public asylums in Scotland introduced the segregation or ‘classification’ of patients into separate needs-based groups under a system known as Moral Treatment. It focuses particularly on the evolving plan forms of these institutions from the earliest radial, prison-like structures to their development into self-sustaining village-style colonies and shows how the plan reflects new attitudes to treatment. While many have disappeared, the surviving Victorian and Edwardian mega-structures lie as haunting reminders of a largely forgotten era in Scottish psychiatry. Only a few of the original buildings are still in use today as specialist units, out-patient centres, and administrative offices for Scotland’s Health Boards. Others have been redeveloped as universities or luxury housing schemes, making use of the good-quality buildings and landscaping. Whatever their current use, public asylums stand today as an outward sign of the awakening of the Scottish people to the plight of the mentally ill in the nineteenth and early twentieth centuries.
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39

Zampiva, Paula Mesquita. "Hospitais mais sustentáveis: relações entre o ambiente construído, a assistência aos pacientes e os preceitos de sustentabilidade." Universidade do Vale do Rio dos Sinos, 2016. http://www.repositorio.jesuita.org.br/handle/UNISINOS/6028.

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Uma nova abordagem do espaço arquitetônico vem ganhando destaque nos processos de planejamento em saúde, através da relação do espaço construído como propiciador do bem-estar físico e emocional das pessoas. Essa abordagem reforça a necessidade de diretrizes de projeto inovadoras, que contribuam para a geração de ambientes que cumpram seu papel de prestação de cuidados, além de contribuir para a promoção da saúde. Essa maneira de pensar os projetos de saúde já vem reunindo um expressivo número de pesquisas, que estão mudando o olhar sobre a arquitetura e sobre o edifício hospitalar, ajudando a construir um novo paradigma de hospitais mais sustentáveis. Entretanto não existe, até o momento, um consenso sobre quais caraterísticas os edifícios hospitalares devem ter para serem considerados sustentáveis. Dessa forma, entende-se que a criação de um instrumento para análise e elaboração de projetos de Estabelecimentos Assistenciais de Saúde - EAS que busque uma interação mais eficiente e sustentável entre edifício e ambiente faz-se necessária. Para tanto, duas importantes questões foram consideradas: como os edifícios hospitalares podem se adequar ao meio ambiente? Como os edifícios hospitalares podem influenciar a assistência aos pacientes, atendendo os preceitos da sustentabilidade? Esta pesquisa tem como objetivo propor um instrumento com diretrizes para elaboração de projetos de EAS, baseados nos princípios de sustentabilidade e integrados aos conceitos de Humanização e Design Baseado em Evidências, através de uma metodologia que se insere na filosofia das ciências do design, alinhado à estratégia de pesquisa construtiva devido à relevância do tema. Entende-se que este instrumento poderá servir como base para o desenvolvimento de projetos na área da saúde, auxiliando projetistas e equipe técnica, além de possibilitar a revisão e adequações de normas. Nesse momento, um pensamento crítico é necessário para desenvolver boas soluções que atendam aos requisitos do projeto, com a arquitetura como meio terapêutico, ampliando o bem-estar dos pacientes e profissionais e buscando alternativas e instrumentos para aprimorar a atividade de atenção aos pacientes, numa relação equilibrada entre o ambiente construído e os preceitos de sustentabilidade.
A new approach to architectural space is gaining increasing importance in planning processes in the area of health with regard to the constructed space and in terms of providing the physical and emotional well being of people. This reinforces the necessity of new project guidelines, which can help in the creation of spaces which fulfill their role in providing care, besides contributing towards the promotion of health. This way of approaching health projects is backed by a significant quantity of research, which is changing the vision of architecture and hospital buildings, assisting, thereby, in constructing a new paradigm of more sustainable hospitals. However, until now there is no consensus about which characteristics hospital buildings should have to be considered sustainable. For this reason it is important to have guidance and to create an instrument for evaluation and elaboration of EAS (Health Assistance Establishment) projects, which should aim towards more efficient and sustainable interaction between buildings and the environment. As the main focus of the study, the following questions are addressed: How can hospital buildings be adapted to the environment? How can hospital buildings influence patient care while meeting the precepts of sustainability? This research aims to propose an INSTRUMENT with guidelines for the elaboration of EAS projects based on sustainability principals and linked with the concepts of Humanization and Design based on Evidence, through a methodology which falls within the philosophy of science and design. This will include aligned with constructive research strategy in accordance with the relevance of the theme. The instrument can serve as a base for the development of projects in the area of health, linking up with project and technical teams, besides the possibility of revising and updating norms. At this moment critical thought is necessary to develop good solutions which meet the project demands; architecture with a therapeutic vein, increasing the well being of the patients and professionals, looking towards alternatives and instruments for improving the approach to patient care in a balanced relationship between the built environment and the precepts of sustainability.
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40

Cai, Hui. "Making “invisible architecture” visible: a comparative study of nursing unit typologies in the United States and China." Diss., Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/48972.

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China is engaged in the largest healthcare construction program in history, expecting to build more than 2,000 hospitals and a large number of healthcare facilities at all scale over the next few years. This once-in-a-lifetime construction boom provides a valuable opportunity to rethink Chinese hospital design, and especially to consider how to design modern hospitals that are effective and efficient in delivering care, and are responsive to the cultural needs of the Chinese people as well. This dissertation seeks to rigorously define these issues and develop metrics that link design to key healthcare processes. This study uses a range of concepts and analysis tools drawn from cross-culture organizational communications, evidence-based design, space syntax and other research traditions. This thesis develops and refines metrics for four main drivers of nursing unit design: space economy, staff efficiency, natural light and cultural preferences for communication. Communication among Chinese healthcare workers is strongly influenced by cultural preferences for patterns of authority and decision-making reflected in organizational culture and rooted in Confucian principles of hierarchical social structure (Dengji), social network (Guanxi) and face (Mianzi). While the dissertation builds on a longstanding tradition of research focusing on healthcare space economy and staff efficiency, new measures for cultural preferences are proposed and tested. Based on emerging theories of cross-cultural organizational communication by Hofstede and other scholars, and space syntax, this study particularly explores how cultural preferences for face-to-face communication are reflected in the design of Chinese nursing units. Based on the proposed metrics, the dissertation analyzes six pairs of Chinese and US nursing units, matched on layout type. While the Chinese nursing units appear Western, deeper quantitative analysis of their layouts reveals significant national differences in the application of unit typologies in China when compared to those in the U.S. It shows that Chinese hospital design is rooted in cultural preferences such as for positive energy (qi) based on Fengshui theory, and in Confucian principles of hierarchy, social networking and face.
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41

Lepola, Lenny Crain. "The Indiana State Hospital Document Project : developing a graphic package for an architectural thematic study." Virtual Press, 1986. http://liblink.bsu.edu/uhtbin/catkey/454591.

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This proposed thesis is essentially a methodology for producing and assembling the graphic photo/documentation package of a large group of structures distributed over a broad geographic area. During the 1984/85 Indiana State Hospital Documentation Project, Department of Architecture, College of Architecture and Planning, it became evident that neither standards nor precedent existed within the State of Indiana for establishing appropriate levels of documentation for individuals, firms and/or agencies applying to the State Review Board/Division of Historic Preservation and Archaeology for Certificates of Approval for demolition of historic structures.This thesis will begin with brief discussions of: 1) various levels of documentation, including identifying one (or several) levels appropriate for this project; 2) preliminary field survey of the sites and structures, including photography, field notes and the acquisition of historic architectural drawings; and, 3) planning and contract development stages.Following this introduction the thesis will treat, in detail, the development of graphic materials (photo and line) utilized i n both the printed text and its accompanying photo/data package. Of note will be sections pertaining to: 1) the development of a sequential format, treating the project as both a written document and a graphic product; 2) field photographic techniques; 3) acquiring/developing/utilizing maps/site plans; 4) obtaining historic architectural drawings; 5) producing H.A.B.S. drawings; 6) reducing for reproduction and subsequent archiving of historic and H.A.B.S. drawings; 7) completing approved survey cards; and, 8) developing a comprehensive indexing system for all graphic materials.A summary will include, but not be limited to: 1) an assessment of the project's immediate ability to satisfy contractual requirements; 2) the project's long term value as both a written and graphic thematic study; 3) suggestions for the establishment of a hierarchy of levels of documentation for structures of recognized or potential historic significance facing certain demolition; and, 4) recommendations for the establishment of minimum state standards of graphic documentation for each specific level identified in 3).
Department of Architecture
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42

Cinar, Sinem. "Reading/unfolding Architectural Form: An Inquiry Into The Venice Hospital Project By Le Corbusier." Phd thesis, METU, 2005. http://etd.lib.metu.edu.tr/upload/12606708/index.pdf.

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This study aims to discuss the generative possibilities of reading architectural form by focusing on selected interpretations of the Venice Hospital project by Le Corbusier. By presenting complementary and competing readings of the project, it examines different design strategies in the formal organization of the Venice Hospital. It shows that the Venice Hospital project, displaying the characteristics of both a &ldquo
field&rdquo
organization and a well-articulated object, demands a reconsideration of the occasionally overstated distinction between them. First, it introduces interpretations of the Venice Hospital as a field and/or mat-building phenomenon, which emphasize its relevance as a precedent for contemporary formal explorations. The complexity of the Venice Hospital project requires appealing to other reading strategies as well. Based on the discussion initiated by Colin Rowe and Fred Koetter in &ldquo
The Crisis of the Object: The Predicament of Texture,&rdquo
and owing to Alan Colquhoun&rsquo
s analysis of the project&rsquo
s geometrical system in &ldquo
Formal and Functional Interactions,&rdquo
this study proceeds by exploring the way the Venice Hospital becomes &ldquo
an object performing like a texture.&rdquo
It attempts to decipher Colquhoun&rsquo
s remarks and his diagrams concerning the geometrical system through the technique of the &ldquo
plan analysis&rdquo
introduced by Klaus-Peter Gast. The Venice Hospital project is also studied as an example of transparent spatial organization, in light of the conceptual framework developed by Colin Rowe and Robert Slutzky in their &ldquo
Transparency&rdquo
articles. Starting from these interpretations of the Venice Hospital project, this study aims at bringing into discussion the nature of the devices or techniques of formal organization that can mediate between architecture and urbanism. These devices are examined in light of the framework constituted by the concepts of &ldquo
device&rdquo
and &ldquo
material,&rdquo
elucidated by the Russian Formalists. The &ldquo
device and material relationship&rdquo
that was invoked in the formalist tradition of literary criticism, is reformulated for the field of architecture, and it is discussed with its capacity to initiate generative and inclusive interpretations of works of architecture as precedents.
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43

Lu, Yi. "Directed visibility analysis: three case studies on the relationship between building layout, perception and behavior." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/39569.

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This is a study of the spatial affordances of buildings that allow them to organize and transmit cultural ideas and to support the performance of organizational roles. The particular affordances under consideration are those that arise from the manner in which buildings structure the visual fields that are potentially available to a situated observer. In studying directed visibility patterns, supported by the development of appropriate analytical tools, we focus on a previously specified set of visual targets and ask how many become visible from each occupiable location. Parametric restrictions concerning the direction into which a subject faces and the viewing angle sustained by the target object are also taken into consideration. The aim is to demonstrate how such refinements of visibility analysis, lead to more precise and penetrating insights as to how building users tune their behavior to the spatial affordances of environment, and how the environment impacts their understanding in turn. Three different studies were presented. The fist used directed visibility measures to evaluate the affordances of different nursing-unit designs relative to how well nurses are able to survey patients in different rooms as they go about their duties. The second study focuses on the manner in which nurses and physicians position themselves in a Neuro Intensive Care Unit (ICU), particularly when interacting. The third study investigates how aware exhibition visitors become of the visual structure of environment and how the visibility structure of exhibitions affects the ability of visitors to conceptually group paintings according to their thematic content. The case studies support the following conclusions. 1) The way in which people position themselves in an environment as they perform their assigned tasks is tuned to the way in which visual fields are structured. 2) The visual structure of environment is contingent upon the interaction between the underlying structure of visual fields and paths of movement. 3) Directed visibility analysis leads to stronger correlations with behavior and performance than generic visibility analysis. This implies that environments are layered. Their underlying spatial structure is charged by the distribution of the contents that are programmatically primary.
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44

Meyerhoff, Marc Bradley. "Therapeutic Parking: A study of how the language of therapeutic design informs the redesign of the Georgetown University Hospital main parking garage." Thesis, Virginia Tech, 2002. http://hdl.handle.net/10919/42692.

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A successful landscape is one that allows people to feel comfortable within that landscape. Many people who live in an urban environment use gardens and parks as a way to balance their lives from the hard edge of what the world requires of them. That balance adds to the level of comfort and a decrease in stress. My thesis is to create a parking garage with that balance. A balance of hardscape with softscape, of practical uses with amenities, and of current methodology with progressive ideology. It will integrate parking and gardens, the static with the transitional. The proposal will create a balance between parking spaces where time is measured in hours with garden areas where time is measured in seasons. Thomas Jefferson said, â It takes time to persuade man to do even what is for his own good.â This thesis is an example of that. Something that will take time for people, companies, municipalities and governing bodies to aspire to but that will, ultimately, be to the benefit of everyone.
Master of Landscape Architecture
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45

Choi, Young-Seon. "The physical environment and patient safety: an investigation of physical environmental factors associated with patient falls." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/45974.

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Patient falls are the most commonly reported "adverse events" in hospitals, according to studies conducted in the U.S. and elsewhere. The rate of falls is not high (2.3 to 7 falls per 1,000 patient days), but about a third of falls result in injuries or even death, and these preventable events drive up the cost of healthcare and, clearly, are harmful outcomes for the patients involved. This study of a private hospital, Dublin Methodist Hospital, in Dublin, Ohio analyzes data about patient falls and the facility's floor plans and design features and makes direct connections between hospital design and patient falls. This particular hospital, which was relatively recently constructed, offered particular advantages in investigating unit-layout-related environmental factors because of the very uniform configuration of its rooms, which greatly narrowed down the variables under study. This thesis investigated data about patients who had suffered falls as well as patients with similar characteristics (e.g., age, gender, and diagnosis) who did not suffer falls. This case-control study design helps limit differences between patients. Then patient data was correlated to the location of the fall and environmental characteristics of the locations, analyzed in terms of their layout and floor plan. A key part of this analysis was the development of tools to measure the visibility of the patient's head and body to nurses, the relative accessibility of the patient, the distance from the patient's room to the medication area, and the location of the bathroom in patient rooms (many falls apparently occur during travel to and from these areas). From the analysis of all this data there emerged a snapshot of the specific rooms in the hospital being analyzed where there was an elevated risk of a patient falling. While this finding is useful for the administrators of that particular facility, the study also developed a number of generally applicable conclusions. The most striking conclusion was that, for a number of reasons, patients whose heads were not visible from caregivers working from their seats in nurses' stations and/or from corridors had a higher risk of falling, in part because staff were unable to intervene in situations where a fall appeared likely to occur. This was also the case with accessibility; patients less accessible within a unit had a higher risk of falling. The implications for hospital design are clear: design inpatient floors to maximize a visible access to patients (especially their heads) from seats in nurses' stations and corridors.
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46

Filipe, Ana Julia Ganço. "Habitar os limites. Os espaços limiares num edifício de usos mistos - uma intervenção no Hospital do Desterro." Master's thesis, Universidade de Lisboa. Faculdade de Arquitetura, 2013. http://hdl.handle.net/10400.5/6667.

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47

Sherman, Sandra Anne. "Healing effects of the built environment." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2008. http://wwwlib.umi.com/cr/ucsd/fullcit?p3321036.

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Thesis (Ph. D.)--University of California, San Diego and San Diego State University, 2008.
Title from first page of PDF file (viewed Aug. 1, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 120-127).
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48

Copeland, Alexa. "The Impact of Patient Room Design on Airborne Hospital-Acquired Infections (HAI)." Kent State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=kent1462362700.

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49

Campos, Clarissa Cordeiro de. "Eficiência energética em edifícios hospitalares obtida por meio de estratégias passivas: estudo da redução do consumo com climatização para arrefecimento do ar em salas de cirurgia." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/16/16132/tde-04072013-142901/.

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A pesquisa propõe avaliar quantitativamente a eficácia do emprego de estratégias passivas em um bloco cirúrgico hospitalar para a redução do consumo de energia elétrica com fins de arrefecimento do ar. A partir do estudo da conformação histórica do edifício hospitalar e da identificação das unidades funcionais em que é obrigatório o uso de ar condicionado; das características de geração e consumo de energia elétrica no Brasil e potenciais de economia energética em edificações, com foco em hospitais; seguidos do estabelecimento de conceitos básicos de térmica de edificações, estabeleceu-se o embasamento teórico para a realização de estudos de caso na cidade de Belo Horizonte, Minas Gerais. A análise comparativa dos dados de área física, sistemas de iluminação artificial, climatização e equipamentos coletados em seis blocos cirúrgicos possibilitou a seleção de uma unidade para construção de modelo computacional e realização de simulações em software de análise de desempenho térmico e energético de edificações. Os resultados alcançados demonstraram a importância de se considerar as condições bioclimáticas locais, em especial o controle da insolação direta, bem como reforçaram a concepção de que o projeto arquitetônico pode contribuir para a eficiência energética da edificação, mesmo quando é obrigatório o uso de ar condicionado. A realização de simulações computacionais se mostrou vantajosa, visto que possibilita a comparação de diversas opções de projeto com objetividade, antes de sua efetiva implementação.
The research quantitatively evaluate the effectiveness of the use of passive strategies in a surgical ward for reducing energy consumption for the purpose of air-cooling. The study of the historic conformation of the hospital building and the identification of the functional units in which it is mandatory the use of air conditioning; the characteristics of generation and consumption of electricity in Brazil and potential energy savings in buildings, focusing on hospitals; followed by the review of basic concepts of building heat transfer, established the theoretical basis for conducting case studies in the city of Belo Horizonte, Minas Gerais. A comparative analysis of physical area, artificial lighting, air conditioning systems and equipment data collected in six surgical wards enabled the selection of one unit to build a computational model and run simulations with the use of a software for thermal and energy performance of buildings. The results demonstrated the importance of considering local bioclimatic conditions, in particular the control of direct sunlight, as well as reinforced the concept that architectural design can contribute to the energy efficiency of the built environment, even when the use of air conditioning is mandatory. Performing computer simulations proved advantageous, since it enables objective comparison of different design options before its effective implementation.
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50

Dooley, Anthony Jason. "Redefining the Community Hospital: a Small Town Approach to Medical Planning and Design." Thesis, Available online, Georgia Institute of Technology, 2007, 2007. http://etd.gatech.edu/theses/available/etd-04012007-181350/.

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