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Journal articles on the topic 'Hospital architecture'
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Nielsen, Philip. "Book Review: Hospital Architecture." HERD: Health Environments Research & Design Journal 6, no. 4 (July 2013): 173–74. http://dx.doi.org/10.1177/193758671300600410.
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Harpøth, A., H. Kennedy, and L. Sørensen. "Modernized architecture may reduce coercion." European Psychiatry 64, S1 (April 2021): S127—S128. http://dx.doi.org/10.1192/j.eurpsy.2021.357.
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IntroductionPrevention and treatment of aggression in psychiatric hospitals is achieved through appropriate medical treatment, professional skills, and optimized physical environment and architecture. Coercive measures are used as a last resort. In 2018 Aarhus University Hospital Psychiatry moved from 19th-century asylum buildings to a newly built modern psychiatric hospital. Advances within psychiatric care have rendered the old psychiatric asylum hospitals inadequate for modern treatment of mental disorders.ObjectivesTo examine if relocating from a psychiatric hospital, dating from 19th century to a new, modern psychiatric hospital decreased the use of coercive measures.MethodsThis is a retrospective longitudinal study, with a follow-up from 2017 to 2019. We use two designs; 1) a pre-post analysis of the use of coercive measures at Aarhus University Hospital Psychiatry before and after the relocation and 2) a case-control analysis of Aarhus University Hospital Psychiatry and the other psychiatric hospitals in the Central Region. Data will be analyzed in STATA using an interrupted time-series analysis or similar method. Additionally case-mix and sensitivity analysis will be performed.ResultsPreliminary results show a 45% decrease in the total number of coercive measures and a 52% decrease in the use of mechanical restraint. The reduction that may reasonably be attributed to the relocation is still to be determined and will be presented at the congress.ConclusionsThe study may illuminate how future development and planning of psychiatric facilities might improve psychiatric treatment and increase the understanding of how structural changes might contribute the prevention of the use of coercive measures.DisclosureNo significant relationships.
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Ißler, L., A. Winter, K. Takabayashi, and F. Jahn. "Comparing a Japanese and a German Hospital Information System." Methods of Information in Medicine 48, no. 06 (2009): 531–39. http://dx.doi.org/10.3414/me09-01-0023.
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Summary Objectives: To examine the architectural differences and similarities of a Japanese and German hospital information system (HIS) in a case study. This cross-cultural comparison, which focuses on structural quality characteristics, offers the chance to get new insights into different HIS architectures, which possibly cannot be obtained by inner-country comparisons. Methods: A reference model for the domain layer of hospital information systems containing the typical enterprise functions of a hospital provides the basis of comparison for the two different hospital information systems. 3LGM2 models, which describe the two HISs and which are based on that reference model, are used to assess several structural quality criteria. Four of these criteria are introduced in detail. Results: The two examined HISs are different in terms of the four structural quality criteria examined. Whereas the centralized architecture of the hospital information system at Chiba University Hospital causes only few functional redundancies and leads to a low implementation of communication standards, the hospital information system at the University Hospital of Leipzig, having a decentralized architecture, exhibits more functional redundancies and a higher use of communication standards. Conclusions: Using a model-based comparison, it was possible to detect remarkable differences between the observed hospital information systems of completely different cultural areas. However, the usability of 3LGM2 models for comparisons has to be improved in order to apply key figures and to assess or benchmark the structural quality of health information systems architectures more thoroughly.
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Tri Widayanti. "Perencanaan Enterprise Architecture Pada Rumah Sakit Ibu Dan Anak Mulia Menggunakan Togaf Adm." Jikom: Jurnal Informatika dan Komputer 13, no. 2 (October 30, 2023): 26–34. http://dx.doi.org/10.55794/jikom.v13i2.110.
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Processing of patient data at the Mulia Mother and Child Hospital has so far been carried out on a paper-based basis and there has been no data integration between the registration, polyclinic, pharmacy and medical records departments. In order for better service and patient data processing to support decision making and provide fast and accurate information, enterprise architecture analysis and planning is needed. The aim of this research is enterprise architecture planning for information systems and information technology that will be applied to maternal and child hospitals in line with the vision and mission so that strategic objectives can be achieved. The research uses the Open Group Architecture Framework (TOGAF) method with the Architecture Development Method (ADM). TOGAF ADM has eight stages, this research only uses five stages, namely Preliminary, Architecture Vision, Business Architecture, Information System Architecture, and Technology Architecture. The research results are in the form of an information system and information technology blueprint that can support business processes to achieve the strategic goals expected by Mulia mother and child hospital. Apart from that, the TOGAF ADM method produces architectural designs according to the institution's vision and mission, so that it can overcome existing problems.
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ITO, AKIRA, YUICHI SAKIMURA, SYOICHI MORIMOTO, MAYUMI AMINAKA, and KEIICHI HIRAMATSU. "The hospital architecture to prevent hospital-acquired infection." Juntendo Medical Journal 53, no. 3 (2007): 379–89. http://dx.doi.org/10.14789/pjmj.53.379.
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Zukhruf, Afriza Meigi, Aris Puji Widodo, and Eko Sediyono. "Perencanaan Arsitektur Enterprise Menggunakan Framework TOGAF (The Open Group Architecture Framework)." INOVTEK Polbeng - Seri Informatika 8, no. 2 (November 17, 2023): 195. http://dx.doi.org/10.35314/isi.v8i2.3338.
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PKU Muhammadiyah Mayong Hospital is a health institution that focuses on excellent service to patients. The increasing need for service functions is a driving factor for the application of information technology at PKU Muhammadiyah Mayong Hospital. To support the alignment of the application of information systems with the needs of the hospital, a paradigm called enterprise architecture is needed. This study aims to analyze the planning of enterprise architecture using the Open Group Architecture Framework (TOGAF) framework with the Architecture Development Method (ADM) method at PKU Muhammadiyah Mayong Hospital. TOGAF is a generic architectural framework designed to be used in various types and sizes of organizations. ADM is a method that contains a set of activities used in modeling the development of enterprise architecture. This research is expected to be useful for PKU Muhammadiyah Mayong Hospital to integrate business processes with information technology. At each stage of ADM what is done is the process of identifying problems, analyzing problems and solutions to these problems. In this study the stages used only up to the information system architecture. The results of this study are proposed business architecture, data architecture and application architecture.
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Sigalingging, P., R. Ismanto, and M. M. Sudarwani. "The application of healing architecture and green architecture in hospital for children." IOP Conference Series: Earth and Environmental Science 878, no. 1 (October 1, 2021): 012013. http://dx.doi.org/10.1088/1755-1315/878/1/012013.
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Abstract Healing Architecture Approach which is generally interpreted as healing which is done through architectural elements. In its application, Healing Architecture is generally associated with giving aspects of colour and nature into buildings, considering these two aspects are proven to be able to help the patient’s recovery rate. But by definition, the application of Healing Architecture does not always have to be realized in the form of the two aspects above. The purpose of the research is providing medical health facilities for children and special services for children’s character with a healing architecture approach and based on the green building concept. The study process used in designing the Children’s Hospital with the Healing Architecture Approach and the Application of the Green Building Concept is carried out by a research method that is quantitative-correlative analysis, which is to find and determine the correlation between the research variables. In a design object, a new approach is applied in the Healing Architecture principle. This approach is applied in the design of objects by presenting a healing feel of the architecture of the building itself in hospital activities. The Healing Architecture approach is supported by the green concept, which includes the entire building.
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Adams, Annmarie. "Modernism and Medicine: The Hospitals of Stevens and Lee, 1916-1932." Journal of the Society of Architectural Historians 58, no. 1 (March 1, 1999): 42–61. http://dx.doi.org/10.2307/991436.
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This paper considers the work of Bostonand Toronto-based architects Edward Stevens and Frederick Lee during a critical period in North American hospital expansion. Without exception, their hospitals represented state-of-the-art planning wrapped in conservative exteriors. The firm's work thus offers a rich case study from which to consider the notion of historicist design as a mechanism for coping with change. This paper focuses on five Stevens-and-Lee projects: Notre Dame Hospital and two additions to the Royal Victoria Hospital in Montreal, the Kingston General Hospital, and the Ottawa Civic Hospital. Their buildings can be considered typical of the period, since Stevens and Lee designed prominent hospitals across North America. An interpretation of the hospitals is further enriched by the prospect of comparing what was built to the architects' own words. Edward Stevens's The American Hospital of the Twentieth Century (1918) is a classic in the field of hospital architecture, and he published extensively in the architectural and medical professional presses. The study of Steven's words and his hospitals illuminates the inherent danger of regarding historicist building types as antimodern or necessarily conventional. It also reveals the paucity of stylistic interpretations of all architecture. This approach has resulted in the widespread misinterpretation of interwar hospitals as reactionary, or at best antimodern. For this reason, hospitals of the 1920s are generally omitted from studies of the building type and are seen, mistakenly, as simple reverberations of the nineteenth-century model. Generic hospital architecture of the interwar years was modern in its spatial attitudes-not necessarily its look, but rather in its structure, its endorsement of aseptic medical practice, its sanctioning of expert knowledge, its appeal to new patrons, its encouragement of new ways of working, its response to urbanization, its use of zoning, its acceptance of modern social structures, its resemblance to other modern building types, its embrace of internationalism, and its endorsement of standardization.
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Silander, Katariina, Paulus Torkki, Paul Lillrank, Antti Peltokorpi, Saara A. Brax, and Minna Kaila. "Modularizing specialized hospital services." International Journal of Operations & Production Management 37, no. 6 (June 5, 2017): 791–818. http://dx.doi.org/10.1108/ijopm-06-2015-0365.
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Purpose Modularity promises to relieve problems of complexity in service systems. However, limited evidence exists of its application in specialized hospital services. The purpose of this paper is to identify enablers, constraints, and outcomes of modularization in specialized hospital services. Design/methodology/approach A qualitative comparative study of a hematology unit with modular service architecture and an oncology unit with integral service architecture in a university hospital is performed to analyze the service architectures, enablers and constraints of modularization, and outcomes. Findings A framework and five propositions combining the characteristics of specialized hospital services, enabling activities, and outcomes of modularization were developed. Modular service architecture was developed through limiting the number of treatment components, reorganizing production of standardized components into a separate service unit, and standardizing communication and scheduling in interfaces. Modularization increased service efficiency but diluted ownership of services, decreased customization, and diminished informal communication. This is explained by the specific characteristics of the services: fragmented service delivery, professional autonomy, hierarchy, information asymmetry, and requirement to treat all. Research limitations/implications Modularization can increase efficiency in specialized hospital services. However, specific characteristics of specialized care may challenge its application and limit its outcomes. Practical implications The study identifies enabling activities and constraints that hospital managers should take into account when developing modular service systems. Originality/value This is the first empirical study exploring the enablers, constraints, and outcomes of modularization in specialized hospital services. The study complements literature on service modularity with reference to specialized hospital services.
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Zubcov, Danina. "Healing architecture - A different approach of hospital design." MATEC Web of Conferences 396 (2024): 07001. http://dx.doi.org/10.1051/matecconf/202439607001.
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Every day, in hospitals around the world, thousands of people spend hours, days, months for investigations, diagnosis or treatment, in search of healing. For patients and their families, the experience of the time spent in the hospital is often a crucial episode of their lives, whether their child was born there, whether it was the place where the life of a family member or loved one has been saved or a bout of illness was cured or treated there. The hospital often represents a milestone in people’s lives, a landmark underlying society’ life. The increase in the number of patients with chronic diseases, of the percentage of aging population and the number of patients requiring treatments influence the hospital’s contemporary approach, and issues such as the above will become even more significant in the future. Future hospitals will have to meet the citizens’ requirements, expectations, but especially their increasingly higher and more diverse needs. In this context, in order to gain the citizens’ confidence, hospitals need to become a safety landmark for the community, where quality care and effective care spaces should be designed and developed so that they provide a positive contribution to the healing process. There is growing awareness that the patients’ evolution and healing are influenced directly by the environment in which the healing process is carried out, so this concept has become the key to architectural layouts when hospitals and health care establishments are being designed or constructed. The aim of this paper is to define and present those innovative features of hospital design – both spatial and aesthetic - that would positively impact on the patients’ healing process. By creating an environment with positive psychological stimuli, reflected in an efficient structure and friendly interior finishings, the architecture of hospitals would support a contemporary approach to the treatment, recovery and healing of the patients.
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Korpela, M., S. Ripatti, J. Rannanheimo, J. Sorri, and J. Mykkänen. "Local, Regional and National Interoperability in Hospital-level Systems Architecture." Methods of Information in Medicine 46, no. 04 (2007): 470–75. http://dx.doi.org/10.1160/me9051.
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Summary Objectives: Interoperability of applications in health care is faced with various needs by patients, health professionals, organizations and policy makers. A combination of existing and new applications is a necessity. Hospitals are in a position to drive many integration solutions, but need approaches which combine local, regional and national requirements and initiatives with open standards to support flexible processes and applications on a local hospital level. Methods: We discuss systems architecture of hospitals in relation to various processes and applications, and highlight current challenges and prospects using a service-oriented architecture approach. We also illustrate these aspects with examples from Finnish hospitals. Results: A set of main services and elements of service-oriented architectures for health care facilities are identified, with medium-term focus which acknowledges existing systems as a core part of service-oriented solutions. The services and elements are grouped according to functional and interoperability cohesion. Conclusions: Atransition towards service-oriented architecture in health care must acknowledge existing health information systems and promote the specification of central processes and software services locally and across organizations. Software industry best practices such as SOA must be combined with health care knowledge to respond to central challenges such as continuous change in health care. A service-oriented approach cannot entirely rely on common standards and frameworks but it must be locally adapted and complemented.
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Shukl, Vaissnavi, and Sukumar P. Desai. "Bulfinch and the Massachusetts General Hospital: History at the Intersection of Architecture and Medicine." Journal of Surgery & Transplantation Science 10, no. 1 (November 30, 2023): 1–5. http://dx.doi.org/10.47739/2379-0911.surgery.1089.
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Albeit never trained in architectural design, Charles Bulfinch (1763-1844) is widely recollected as the first native-born American to practice architecture professionally. Inspired by continental influences, Bulfinch developed the neoclassicist style reflected in major private and public structures in Boston and Washington D.C. Although we have numerous studies of Bulfinch’s fascinating and pioneering architectural career, less is known about his intimate relationship to the medical field. Bulfinch was the chief designer of Massachusetts General Hospital, America’s third-oldest general hospital and Harvard Medical School’s first teaching hospital. Drawing on a wide range of underexplored primary and secondary sources, this article offers a historical recounting of Bulfinch’s life and architectural trajectory up to the conception and design of Massachusetts General Hospital. Then, it draws attention to the structure and organization of the Hospital, its position within the historical context of the time, and its lasting impact on the history of American medicine. In so doing, this article provides a fresh perspective into Boston’s healthcare architecture, the history of its preeminent hospital, and the legendary personality that made it what it is today
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Ansari, Iman. "A Clinical Construct: Research, Experimentation, and Education at the Johns Hopkins Hospital." Building Healthy Academic Communities Journal 8, no. 2 (July 15, 2024): 28–46. http://dx.doi.org/10.18061/bhac.v8i2.9765.
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Background: The Johns Hopkins Hospital, the first U.S. institution to integrate medical education with practice, has served as a critical case study in understanding the evolution of American medical institutions in response to advancements in medical science, education, and technology. However, the role of architecture and design in informing those institutional practices has not been sufficiently explored. Aim: This study examines the intricate interplay between architecture and medicine in the late nineteenth century through a historical analysis of the design, construction, and early operation of the Johns Hopkins Hospital in Baltimore, focusing on how this interdisciplinary relationship shaped both the hospital’s physical environment and institutional practices. Methods: This paper utilizes historical analysis to investigate the design, construction, and operations of the Johns Hopkins Hospital. By examining primary archival materials, it details how architectural strategies addressed scientific, technological, and educational advancements. Results: The investigation reveals that the hospital’s architecture not only facilitated medical research, experimentation, and education but also embodied a novel blend of scientific inquiry and architectural design. Conclusions: The Johns Hopkins Hospital exemplifies the transformative potential of integrating architectural design with medical science. This case study underscores the enduring significance of interdisciplinary collaboration, offering insights into contemporary practices and the future of hospital design and medical education and practice in academic communities.
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Fedorova, Mariia. "War and Hospitals: Why Their Architecture has Changed during the Last Three Centuries." Sotsiologicheskoe Obozrenie / Russian Sociological Review 19, no. 1 (2020): 256–82. http://dx.doi.org/10.17323/1728-192x-2020-1-256-282.
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The article presents the relationships between the architecture of military hospitals and the changes that have taken place in the organization of hostilities, the attitude towards the army and the soldier, as well as the development of medical technologies. The case of military hospitals highlights the way architecture reflects many insights about the importance and value of each functional element in architectural design and facade solutions. Several of the crucial factors determining the change in the architecture of military hospitals were the shift in the ideology of war and the role of the soldier, the transformation of dominant views concerning medicine and hygiene, and the development of military equipment and weapons. A military hospital has several characteristics specific to this type, which include the closure of the system, the uneven nature of the incoming flow of casualties, and the specific community which makes a military hospital a machine for returning combatants to service. Through the changes in the architecture of military hospitals, it is possible to see the development of medicine, the change in the role of the soldier, the doctor, the division into the classes of “soldiers” and “officers,” military and civil, the attitude to discipline and the organization of treatment, and the development of military technologies. The timeline of the study covers a period of 313 years, during which the architecture of the hospitals has undergone five major changes corresponding to five temporal stages explicated by this paper. Materials for the study include field diaries and notes, historical references, archival materials, books and articles on Russian history, military history and medicine, as well as interviews with military doctors, historians, and gunsmiths.
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Amora, Ana. "The garden in the modern hospital architecture of the ‘Carioca School’ in Rio de Janeiro, Brazil." Gardens and Landscapes of Portugal 5, no. 1 (September 1, 2018): 22–38. http://dx.doi.org/10.2478/glp-2019-0003.
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Abstract The purpose of this article is to explore the role of gardens in the architecture of hospitals of the so-called “carioca school” of architecture, between the years of 1930 and 1960. In other words, to analyze gardens in the works of carioca architects who surrounded the architect Lucio Costa, or whose projects were influenced by the conceptions of this first generation of modern architects, who first graduated architecture school at the National College of Fine Arts and then, after 1945, at the National College of Architecture, in Rio de Janeiro. The importance of gardens in the architecture of hospitals was mentioned in Edward Stevens’s book “The American hospital of the twentieth century”, in 1918, a publication which can be found at the UFRJ Architecture School library, as well as in the Brazilian doctors’ book collections at the time. Stevens dedicates a chapter of this book to the landscape theme, where he states that the hospital designer and the landscape architect should work together. On the other hand, Pasteur’s discoveries and their implications in the management of hospital space did not occur without the mediation of landscaping. They resulted in changes when it came to choose the site for the hospital building within a city, as well as in its formal typology - from the Tollet model of pavilions, to the existence of green areas surrounding high buildings, and overlapping nurseries. It is also relevant to bear in mind that public nationalist buildings played an important role after the revolution of 1930 in Brazil as they represented the state, and this resulted in significant projects. We are therefore going to present four hospital buildings which were analyzed in our research on the integration of the Arts in the architecture of hospitals. Although the Lagoa Hospital, by Oscar Niemeyer, the Sanatorium Complex of Curicica, by Sérgio Bernardes, the IPPMG, by Jorge Machado Moreira, and the Souza Aguiar Hospital, by Ary Garcia Roza, all have different programs, formal typologies and links with their surrounding area, they are good examples for debating the presence of gardens in the Modern architecture of hospitals in the city of Rio de Janeiro. Three of these examples have fortunately included projects by landscape designer Roberto Burle Marx - the Lagoa Hospital, the IPPMG and the Souza Aguiar Hospital. The two former hospitals have had their buildings be surrounded by large gardens, in order to mitigate the harmful health effects related to the inclusion of hospitals within urban areas. The latter has been built in the 1960s with a complex program, in a dense historical area downtown, but adjacent to an urban park. It includes a vertical garden, which delimits, along with a panel in the hall (also by the same designer), a hallway for the user, between the urban and the healing space.
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Mackiewicz, Wojciech Kamil. "An Heterotopian Hospital: Architecture, Existence, Malady." Kultura i Wartości, no. 30 (March 25, 2021): 133. http://dx.doi.org/10.17951/kw.2020.30.133-150.
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<p>Artykuł przedstawia koncepcję heterotopii autorstwa Michela Foucaulta w jej zastosowaniu do przestrzeni szpitalnej (filozofia medycyny). Przestrzeń ta jest przesycona znaczeniami, metaforami i relacjami władzy. Wszystkie one mają wpływ na powrót do zdrowia przebywających w niej ludzi. Przestrzeń wywiera więc silny wpływ na nasz sposób myślenia w ogóle, przestrzeń "produkuje" myślenie, zatem myślenie, nawet jeśli jest aktem teoretycznym, ma charakter przestrzenny.</p>
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KANNO, Minoru, Woonggu LEE, Taiyo SAKAGUCHI, and Akihito TAKAHASHI. "INVESTIGATION ON RENEWAL OF HOSPITAL ARCHITECTURE." AIJ Journal of Technology and Design 6, no. 10 (2000): 193–98. http://dx.doi.org/10.3130/aijt.6.193.
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Zelenski, Yuri, and Dieter Eisenmann. "Data management architecture, University Hospital Haiti." Global Health Action 9, no. 1 (June 7, 2016): 32195. http://dx.doi.org/10.3402/gha.v9.32195.
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Spreckelmeyer, Kent. "Book Review: Innovations in Hospital Architecture." HERD: Health Environments Research & Design Journal 5, no. 2 (January 2012): 122–25. http://dx.doi.org/10.1177/193758671200500211.
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Joseph, Anjali, and Mahbub Rashid. "The architecture of safety: hospital design." Current Opinion in Critical Care 13, no. 6 (December 2007): 714–19. http://dx.doi.org/10.1097/mcc.0b013e3282f1be6e.
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Heathcote, E. "Rocking the foundations of hospital architecture." BMJ 342, mar16 3 (March 16, 2011): d1599. http://dx.doi.org/10.1136/bmj.d1599.
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Bulakh, Irina, Margaryta Didichenko, Olena Kozakova, Olena Chala, and Gelena Kovalska. "Is the hospital-park future of the sustainable hospital architecture?" E3S Web of Conferences 280 (2021): 04014. http://dx.doi.org/10.1051/e3sconf/202128004014.
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The article deals with important issues of the ecological approach to the health care facilities design within the general world's attention to the problem of sustainable development of the urban environment. Taking as the example the innovative foreign experience of implemented projects of medical institutions, as well as design, competitive and conceptual proposals revealed the latest idea of coexistence and harmonization of natural and man-made worlds within the medical environment that meets the challenges and needs of the XXI century. It is the concept of the hospital-park, that synthetically combines the architectural environment, natural environment, as well as man-made oasis and creates the basis for emergent results both in the medical field and in the need for a neat attitude to our planet. The article reveals the possibilities of designing a hospital-park of different stories and in different initial conditions: in a dense urban environment with a minimum size of the construction site, in suburban and peripheral areas of the city.
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Haghighathoseini, Atefehsadat, Hossein Bobarshad, Fatehmeh Saghafi, Mohammad Sadegh Rezaei, and Nader Bagherzadeh. "Hospital enterprise Architecture Framework (Study of Iranian University Hospital Organization)." International Journal of Medical Informatics 114 (June 2018): 88–100. http://dx.doi.org/10.1016/j.ijmedinf.2018.03.009.
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Aydin, Dicle. "The Change of the Hospital Architecture from the Early Part of 20th Century to Nowadays: An Example of Konya." New Trends and Issues Proceedings on Humanities and Social Sciences 4, no. 11 (December 27, 2017): 23–34. http://dx.doi.org/10.18844/prosoc.v4i11.2846.
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The hospitals that served in the name of ‘darussifa’ in Seljuk Empire period in Anatolia continued their service during Ottoman Empire period. The health institutions in different areas in Ottoman period were replaced by ‘Gureba hospitals’ in 19th century. The change in Anatolia was realised, after the declaration of the Republic and with the development of its economy, and lived in every area; hospital buildings were constructed first as ‘Gureba hospitals’ then as ‘country hospitals’ in Anatolia cities like Konya after the big cities like İstanbul, Ankara and İzmir. In this study, the change and development of the hospital architecture in Konya are discussed and the change from ‘Gureba hospital’ of early 20th century to the today’s stateaffiliated comprehensive research hospitals is illustrated. The change of hospitals is evaluated via bed capacity, building size and formal differentiations. Keywords: Hospital architecture, change of hospitals, Konya, Anatolia.
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Prasetio, Rilo Nurohman, Setia Budi Peran, and Sulaiman Bakri. "ANALISIS KESESUAIAN FUNGSI POHON DAN MODEL ARSITEKTURNYA DI RUMAH SAKIT IDAMAN BANJARBARU." Jurnal Sylva Scienteae 4, no. 1 (April 1, 2021): 138. http://dx.doi.org/10.20527/jss.v4i1.3102.
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Green open spaces are spaces in the city in the form of areas, extending in the form of lines, or are open without buildings. Planting plants by taking into account aspects of the suitability of the function and model tree architecture can maximize the existing landscape. This research was conducted to find out the types of trees that grow and find out their suitabilitybased on the tree architecture model in the area.The study was conducted at the Banjarbaru Idaman Hospital. The method used in this research is inventory, interview, evaluation, design and description. The research area is divided into 4 areas. The results of the tree inventory found 25 species of trees belonging to 16 families, and 8 architectural models. The tree architectural models found are Attim, Aubreville, Corner, Petit, Rauh, Roux, Scarrone and Troll. Based on the results of the overall evaluation of the trees that grow in the area of the Banjarbaru Idaman Hospital is considered quite appropriate.Keywords: Suitability of functions and types, tree architecture, Banjarbaru Idaman Hospital
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Akehurst, Ann-Marie. "The Hospital de la Isla del Rey, Minorca: Britain’s Island Hospital." Architectural History 53 (2010): 123–61. http://dx.doi.org/10.1017/s0066622x00003890.
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The small Spanish island of Minorca is the unexpected setting for a British naval hospital. It was constructed from 1711, during the first years of the British military occupation of the island, to provide medical care to mariners as they served in the strategically important Mediterranean. Scholars working in the fields of both medical and architectural history agree on the innovative importance of this hospital. Christine Stevenson, the foremost expert on early modern British hospital architecture, stated that: ‘the first of the purpose-built naval hospitals was at Port Mahon, Minorca […] [It] was, however, unique until the 1740s, when others were built on Jamaica and Gibraltar’. In terms of the history of hospital architecture, the Minorcan hospital’s role, as the sole purpose-built British naval hospital for over three decades, was a reflection of its exceptional setting, for it presented the British navy with an opportunity to create an infirmary that realized contemporary ideals of hospital design. The single-storey limestone edifice, which adopted the U-shaped plan already pioneered by Sir Christopher Wren (1635-1703) back in England, was located on an island in the middle of Mahon harbour, known by the name Isla del Rey. This was a highly significant location in Minorcan history, formerly called Ilia dels Conills (Rabbit Island), and was named for King Alfonso III of Aragon. It was from this island that Alfonso launched his reconquest of Minorca for Christendom from the Moors, and from this point in time Minorca was incorporated into Catalonia. No evidence has yet come to light of this important name in British usage; instead the occupiers referred to it as ‘Bloody Island’, or ‘Hospital Island’. Despite the informal and macabre renaming of the harbour island it was, however, a beautiful location, cooled by sea breezes, and was visible from all the surrounding cliffs.
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Shaabani, Yousef, Maryam Okhovati, Maryam Sarkhosh, and Leila Vali. "Green Hospital Standards in the Teaching Hospitals of Urmia University of Medical Sciences: Compliance Status and Providing Solutions." Health and Development Journal 11, no. 3 (November 15, 2023): 129–34. http://dx.doi.org/10.34172/jhad.92347.
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Background: A Green Hospital is a hospital that sees the environment as a part of its service quality processes and reduces environmental risks by applying effective measures in all dimensions, including management, water, energy, and waste. This study aimed to investigate the status of Green Hospital standards in the teaching hospitals of Urmia University of Medical Sciences (UMSU). Methods: This descriptive study was conducted cross-sectionally on eight teaching hospitals associated with UMSU in 2022. The information collection tool was the Green Hospital Checklist, which consists of seven dimensions: energy, waste management, architecture, water, chemicals, supplies, and medicine. Data were collected through field observation and interviews with hospital executives. Descriptive statistics were used in SPSS 22 software for data analysis. Results: According to the results, among the eight hospitals covered by UMSU, four hospitals in the energy consumption dimension, two hospitals in the architecture dimension, one hospital in the waste management dimension, six hospitals in the chemicals dimension, and five hospitals in the medicine consumption dimension met 50% or more of the Green Hospital standards. Regarding water conservation and purchasing supplies, no hospital met the Green Hospital standards. Only one hospital met more than 50% of the Green Hospital standards overall. Conclusion: Considering that the score obtained from the studied hospitals was lower than the desired level, identifying the challenges of achieving standards in implementing Green Hospital programs is paramount. Implementing these standards requires creating a green management team and planning for the seven studied variables.
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Микиртичан, Галина Львовна, Александр Зиновьевич Лихтшангоф, Любовь Николаевна Лисенкова, Владислава Игоревна Макеева, Полина Александровна Жикоренцева, and Владимир Николаевич Южанинов. "ARCHITECTURE OF HOSPITALS IN ST. PETERSBURG: FROM PETROVSKY BAROQUE TO HI-TECH. PART I. PETER'S BAROQUE." Medicine and health care organization 8, no. 3 (September 11, 2023): 89–101. http://dx.doi.org/10.56871/mhco.2023.87.10.009.
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Санкт- Петербург, история которого насчитывает немногим более 300 лет, воплотил в себе множество достижений человеческого духа, ума и воли. Возникший по замыслу великого Петра, он стал центром культурной и научной жизни нашей страны. Один из красивейших городов мира — Санкт-Петербург — благодаря своим архитектурным ансамблям может служить путеводителем по архитектурным стилям не только дворцов, храмов, административных и промышленных зданий, но и медицинских учреждений, в частности больниц. Эти объекты, отличающиеся разнообразной архитектурной стилистикой, составляют уникальное культурно- историческое наследие России. Планируется цикл статей, посвященных больничной архитектуре Санкт- Петербурга в историческом ракурсе: от ее истоков до современности. Разработана систематизация больничных учреждений города по архитектурным стилям: петровское барокко, классицизм, эклектика, неоклассицизм, модерн, конструктивизм, сталинский ампир, функционализм, хай-тек. Временные рамки в описании играют второстепенную роль, они могут пересекаться — это связано с параллельным существованием в разные периоды нескольких направлений архитектуры в застройке города. Построенные в одном архитектурном стиле, здания в последующие годы могли быть перестроены в другом, целый ряд лечебных заведений первоначально располагался в уже построенных зданиях, не предназначенных для больниц. Представляемая статья посвящена петровскому барокко — первому архитектурному направлению северной столицы, возникшему вначале ХVIII века и связанному с расположенностью Петра I к западноевропейской строительной стилистике. Больничная архитектура города берет свое начало со строительства первых госпиталей. Кратко рассмотрена история создания Адмиралтейского (Морского) и Военно- сухопутного госпиталей на Выборгской стороне, Кронштадтского Морского госпиталя. Затронута дискуссия, связанная с ранним этапом «военно- госпитального дела» в Санкт- Петербурге. Предпринята попытка восстановить внешний облик (экстерьер) Адмиралтейского и Военно- сухопутного госпиталей, опираясь на составленную Д. Трезини «Опись каменному и деревянному строению гошпитали, которая на Выборгской стороне». Saint Petersburg, whose history dates back to a little over 300 years, has embodied many achievements of the human spirit, mind and will. Established according to the plan of Peter the Great, it became the center of the cultural and scientific life of our country. One of the most beautiful cities in the world, thanks to its architectural ensembles, St. Petersburg can serve as a guide to the architectural styles of not only palaces, temples, administrative and industrial buildings, but also medical institutions, in particular hospitals. These objects, distinguished by their diverse architectural styles, constitute the unique cultural and historical heritage of Russia. We are planning series of articles about the hospital architecture of St. Petersburg from a historical perspective: from its construction to the present state. Systematization of the city’s hospital institutions according to architectural styles has been developed: Peter’s baroque, classicism, eclecticism, neoclassicism, modern, constructivism, Stalinist Ampir style, functionalism, high-tech. The time frame in the description plays a secondary role; they can overlap — this is due to the parallel existence in different periods of several directions of architecture in the city’s development. Built in one architectural style, the buildings could have been rebuilt in accordance with a different style in subsequent years; a number of medical institutions were initially located in already constructed buildings that were not intended for hospitals. Presented article is devoted to Peter the Great’s baroque style — the first architectural trend of the northern capital, which arose at the beginning of the 18th century, and is associated with Peter the I’s affinity for Western European building styles. The city’s hospital architecture dates back to the construction of the first hospitals. The history of the creation of the Admiralty (Naval) and Military Land Hospitals on the Vyborg region, and the Kronstadt Naval Hospital is briefly reviewed. The discussion related to the early stage of the “military hospital business” in St. Petersburg is touched upon. An attempt was made to restore the appearance (exterior) of the Admiralty and Military Land Hospitals, based on the “Inventory of the stone and wooden structure of the hospital on the Vyborg side” compiled by D. Trezzini.
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Mokhtar, Ariffin Marzuki. "The Future Hospital: A Business Architecture View." Malaysian Journal of Medical Sciences 24, no. 5 (2017): 1–6. http://dx.doi.org/10.21315/mjms2017.24.5.1.
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Collier, Roger. "Author wins award forCMAJarticle on hospital architecture." Canadian Medical Association Journal 189, no. 23 (June 11, 2017): E814—E815. http://dx.doi.org/10.1503/cmaj.1095438.
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Bulakh, Irina, and Iryna Merylova. "Sustainable Hospital Architecture - Potential of Underground Spaces." Civil Engineering and Architecture 8, no. 5 (October 2020): 1127–35. http://dx.doi.org/10.13189/cea.2020.080539.
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Tye, Joe. "Designing the Invisible Architecture of Your Hospital." Creative Nursing 17, no. 3 (2011): 126–29. http://dx.doi.org/10.1891/1078-4535.17.3.126.
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Before building or remodeling a hospital, architects develop a complete set of blueprints. That same sort of detailed attention should be given to the “invisible architecture” of core values, corporate culture, and emotional attitude because this has a much greater impact on the patient and employee experience than do the bricks and mortar.
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Adams, Annmarie. "Canadian hospital architecture: how we got here." Canadian Medical Association Journal 188, no. 5 (January 18, 2016): 370–71. http://dx.doi.org/10.1503/cmaj.151233.
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Fricke, Oliver P., Daniel Halswick, Alfred Längler, and David D. Martin. "Healing Architecture for Sick Kids." Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 47, no. 1 (January 1, 2019): 27–33. http://dx.doi.org/10.1024/1422-4917/a000635.
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Abstract. Scientific data are sparse on hospital design in child and adolescent psychiatry. The present article aims to give an overview of various concepts of hospital design and to develop concepts how architecture can consider the special needs of children and adolescents in their recovery from psychiatric diseases. Literature research is provided from PubMed and collected from architectural and anthroposophic bibliography. Access to daylight and nature, reduced level of noise and an atmosphere of privacy are general principles to support convalescence in patients. Especially in psychiatry, spatial structures and colour can strengthen appropriate social interrelations on both the patient and staff level. Authors suggest that children and adolescents benefit from architectural concepts which consider the issues: Welcome, Path, Territory, Area of Freedom, Outdoor Space, Access to Light, Motion in the Structure and Orientation of Space.
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Agrawal, Khushi. "Adaptive Architecture and Infection Prevention in Hospitals." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 04 (April 4, 2024): 1–5. http://dx.doi.org/10.55041/ijsrem30035.
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In healthcare facility design, especially in hospitals, infection control is paramount due to the vulnerability of patients to nosocomial or healthcare-associated infections (HAIs). Despite advancements in medical practices and infection control measures, HAIs remain a significant challenge to patient safety and public health, particularly within hospital settings. Integrating adaptive architecture principles into hospital design and infrastructure presents a promising approach to addressing this issue. This paper examines the intersection of adaptive architecture and infection prevention in hospitals, with a focus on designing and constructing healthcare facilities to effectively curb the spread of infections. By incorporating adaptive architecture, hospitals can create environments that are responsive to the dynamic needs of patients, staff, and infection control protocols. Design elements such as flexible room layouts, easily adaptable ventilation systems, and antimicrobial surfaces can help minimize the risk of HAIs by reducing pathogen transmission and promoting cleanliness. Additionally, strategic placement of hand hygiene stations, isolation rooms, and patient flow pathways can optimize infection control practices and enhance patient safety. Strategically locating hand hygiene stations, isolation rooms, and patient flow pathways optimizes infection control practices and improves patient safety. By combining innovative design strategies and advanced technology, hospitals can better combat HAIs, fostering safer environments for patients and healthcare staff. This paper investigates how the collaboration of adaptive architecture and infection prevention can yield more robust and efficient healthcare facilities in the fight against HAIs. Keywords - HAIs, Adaptive Architecture, Infection, adaptable ventilation, flexible layouts, antimicrobial surfaces.
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Микиртичан, Галина Львовна, Любовь Николаевна Лисенкова, Владислава Игоревна Макеева, Полина Александровна Жикоренцева, and Владимир Николаевич Южанинов. "ARCHITECTURE OF SAINT PETERSBURG HOSPITALS: FROM PETROVSKY BAROQUE TO HI-TECH. PART II. CLASSICISM." Medicine and health care organization 8, no. 4 (December 4, 2023): 118–43. http://dx.doi.org/10.56871/mhco.2023.50.60.011.
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Настоящая статья продолжает исследовательский проект, посвященный больничной архитектуре Санкт-Петербурга в историческом ракурсе: от петровского барокко до хай-тека. Вторая статья цикла рассматривает классицизм — стиль, утвердившийся в архитектуре города в 60–70-е годы ХVIII века. Центральное место в работе отведено истории возведения и архитектурно-градостроительному облику Мариинской больницы — одному из лучших примеров петербургского классицизма. Показана также история создания, художественные и архитектурно-композиционные особенности Калинкинской и Обуховской больниц, главного корпуса Военно-медицинской академии и др. Уделено внимание архитектурно-художественному решению и перестройке зданий, изначально не предназначавшихся для больничных нужд: больницы для душевнобольных св. Николая Чудотворца в Смирительном и работном доме, Морского госпиталя в доме княгини Е.Е. Шаховской у Калинкина моста на Фонтанке, зданию Повивального института в особняке князя Я.П. Долгорукова, Елизаветинской общине сестер милосердия в усадьбе Кушелева-Безбородко, больнице Святой Марии Магдалины в доме купца И.В. Кусова. Отмечена эволюция больничного строительства в рассматриваемый период: когда происходит отказ от центрально-коридорной системы, ставшей традиционным приемом строительства больниц казарменного типа, и вводится планировка больничных зданий с боковым коридором, представляющая огромные преимущества в гигиеническом отношении. Большинство построенных еще во второй половине ХVIII — первой трети ХIХ века больниц в классическом стиле не только продолжают оказывать медицинскую помощь петербуржцам, но и по-прежнему являются украшением северной столицы, придавая ей благородную сдержанность и изысканную элегантность. This article continues a research project dedicated to the hospital architecture of St. Petersburg from a historical perspective: from Peter the Great’s baroque to high-tech. The secondarticle in the series views the classicism style, which established itself in the city’s architecture in the 60–70s of XVIII century. The central place in this article is given to the history of constructionand the architectural and urban appearance of the Mariinsky Hospital — one of the best examples of St. Petersburg classicism. The history of creation, artistic and architectural compositional features of the Kalinkinskaya and Obukhovskaya hospitals, the main building of the Military Medical Academy, etc. are also viewed. Attention is paid to architectural and artistic design and reconstruction of buildings that were not originally intended for hospital needs: such as hospital for the mentally ill of St. Nicholas the Wonderworker in the Strait and Workhouse, Marine Hospitalin the house of Princess Shakhovskaya near the Kalinkin Bridge on the Fontanka river, Midwifery Institute building in the mansion of Prince Dolgorukov, Elizabethan commune of sisters of mercyin the Kushelev-Bezborodko estate, hospital of St. Mary Magdalene in the house of the merchant I.V. Kusova. Also, an evolution of hospital construction during the period under review is noted:when the central corridor system, which had become a traditional method of constructing barrackstype hospitals was abandoned, and the layout of hospital buildings with a side corridor appeared, which has enormous hygienic advantages. Most of the classical-style hospitals built in the second half of the 18th — first third of the 19th centuries not only continue to provide medical care to St. Petersburg residents, but are also still an adornment of the northern capital, giving its noble restraint and refined elegance.
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Adams, Annmarie, and Mary Anne Poutanen. "Architecture, Religion, and Tuberculosis in Sainte-Agathe-des-Monts, Quebec1." Scientia Canadensis 32, no. 1 (July 7, 2009): 1–19. http://dx.doi.org/10.7202/037627ar.
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Abstract This paper explores the architecture of the Mount Sinai Sanatorium in Sainte-Agathe-des-Monts (Qc) to disentangle the role of religion in the treatment of tuberculosis. In particular, we analyze the design of Mount Sinai, the jewel in the crown of Jewish philanthropy in Montreal, in relation to that of the nearby Laurentian Sanatorium. While Mount Sinai offered free treatment to the poor in a stunning, Art Deco building of 1930, the Protestant hospital had by then served paying patients for more than two decades in a purposefully home-like, Tudor-revival setting. Using architectural historian Bernard Herman's concept of embedded landscapes, we show how the two hospitals differed in terms of their relationship to site, access, and, most importantly, to city, knowledge, and community. Architects Scopes & Feustmann, who designed the Laurentian hospital, operated an office at Saranac Lake, New York, America's premier destination for consumptives. The qualifications of Mount Sinai architects Spence & Goodman, however, derived from their experience with Jewish institutions in Montreal. Following Herman's approach to architecture through movement and context, how did notions of medical therapy and Judaism intersect in the plans of Mount Sinai?
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Anacleto Eufrazio, Joyce. "DIRETRIZES PROJETUAIS PARA A ARQUITETURA EM SERVIÇO DA HUMANIZAÇÃO HOSPITALAR." Revista Científica Semana Acadêmica 10, no. 228 (December 9, 2022): 1–21. http://dx.doi.org/10.35265/2236-6717-228-12321.
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The approach of hospital architecture and its relationship with the principles and postures of humanization during the architectural conception of the building. In this sense, it is necessary to talk about health spaces and their technical composition, simple and formal environments, depicting some historical events that gave rise to the theme. This work is based on the multidisciplinary literature that encompasses the theme, in addition to presenting the projective guidelines based on the history of hospital architecture to its theme of humanization of health spaces. Thus, with the objective of serving as a reference for academic studies projects of researchers.
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Sarvut, Tatyana Olegovna, and Valentin Nikitovich Тkachev. "Design of outdoor recreational hospital spaces: creating architectural objects in the natural environment." MÓDULO ARQUITECTURA CUC 29 (July 30, 2022): 91–112. http://dx.doi.org/10.17981/mod.arq.cuc.29.1.2022.04.
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The purpose of the paper is to identify the features of the design of outdoor recreational hospital spaces in the framework of the design of modern healthcare facilities. The architectural practices of design reveal the need to incorporate outdoor recreational spaces in the architectural designs for modern medical facilities, A detailed analysis of such open spaces is conducted on the examples of design projects for the Shenzhen Children’s Hospital (China), Seijo Kinoshita Hospital (Japan), Narita Rehabilitation Hospital (Japan), Khoo Teck Puat Hospital (China), and the hospital complex of the Ng Teng Fong General Hospital and the Jurong Community Hospital (NTFGH, Singapore). The authors argue for the need to devote more effort to the analysis of open recreational hospital spaces because the latter are both a component of the design of modern medical institutions and an important element of the concept of “healthcare architecture”.
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Winter, Alfred, Sebastian Stäubert, Danny Ammon, Stephan Aiche, Oya Beyan, Verena Bischoff, Philipp Daumke, et al. "Smart Medical Information Technology for Healthcare (SMITH)." Methods of Information in Medicine 57, S 01 (July 2018): e92-e105. http://dx.doi.org/10.3414/me18-02-0004.
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Summary Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. “Smart Medical Information Technology for Healthcare (SMITH)” is one of four consortia funded by the German Medical Informatics Initiative (MI-I) to create an alliance of universities, university hospitals, research institutions and IT companies. SMITH’s goals are to establish Data Integration Centers (DICs) at each SMITH partner hospital and to implement use cases which demonstrate the usefulness of the approach. Objectives: To give insight into architectural design issues underlying SMITH data integration and to introduce the use cases to be implemented. Governance and Policies: SMITH implements a federated approach as well for its governance structure as for its information system architecture. SMITH has designed a generic concept for its data integration centers. They share identical services and functionalities to take best advantage of the interoperability architectures and of the data use and access process planned. The DICs provide access to the local hospitals’ Electronic Medical Records (EMR). This is based on data trustee and privacy management services. DIC staff will curate and amend EMR data in the Health Data Storage. Methodology and Architectural Framework: To share medical and research data, SMITH’s information system is based on communication and storage standards. We use the Reference Model of the Open Archival Information System and will consistently implement profiles of Integrating the Health Care Enterprise (IHE) and Health Level Seven (HL7) standards. Standard terminologies will be applied. The SMITH Market Place will be used for devising agreements on data access and distribution. 3LGM2 for enterprise architecture modeling supports a consistent development process.The DIC reference architecture determines the services, applications and the standards-based communication links needed for efficiently supporting the ingesting, data nourishing, trustee, privacy management and data transfer tasks of the SMITH DICs. The reference architecture is adopted at the local sites. Data sharing services and the market place enable interoperability. Use Cases: The methodological use case “Phenotype Pipeline” (PheP) constructs algorithms for annotations and analyses of patient-related phenotypes according to classification rules or statistical models based on structured data. Unstructured textual data will be subject to natural language processing to permit integration into the phenotyping algorithms. The clinical use case “Algorithmic Surveillance of ICU Patients” (ASIC) focusses on patients in Intensive Care Units (ICU) with the acute respiratory distress syndrome (ARDS). A model-based decision-support system will give advice for mechanical ventilation. The clinical use case HELP develops a “hospital-wide electronic medical record-based computerized decision support system to improve outcomes of patients with blood-stream infections” (HELP). ASIC and HELP use the PheP. The clinical benefit of the use cases ASIC and HELP will be demonstrated in a change of care clinical trial based on a step wedge design. Discussion: SMITH’s strength is the modular, reusable IT architecture based on interoperability standards, the integration of the hospitals’ information management departments and the public-private partnership. The project aims at sustainability beyond the first 4-year funding period.
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Mihaljinec, Ivana, and Erdal Eser. "Divriği Hospital - Medieval Healing Venue and Its Acoustic Characteristics." Randwick International of Social Science Journal 3, no. 1 (January 16, 2022): 67–83. http://dx.doi.org/10.47175/rissj.v3i1.376.
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Divriği Great Mosque and Hospital as one of the World heritage monuments on UNESCO’s list was the subject of research. More precisely, the focus was on the architecture and the acoustic characteristics of the hospital built in 1228/1229 by Mengüjeck dynasty, a branch of Anatolian Seljuks. For the analysis purposes, a 3D model of the hospital was created, and the acoustic simulation was conducted. The results of the acoustic analysis show that the architectural characteristics of the hospital fulfill the acoustic standards for the good reception of the sound for the audience, and that it can be concluded that Divriği hospital venue supports the hypothesis of being suitable for the healing purposes. Hospital was designed to support the sound realization and to support the environmental soundscape in conjunction with the sounding makams, which supports the music therapy healing effect. It can be concluded that music therapy had acoustical support in the construction of Anatolian Seljuk hospitals, which have characteristics of concert halls and were built as acoustic (music) venues.
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Yanni, Carla. "The Linear Plan for Insane Asylums in the United States before 1866." Journal of the Society of Architectural Historians 62, no. 1 (March 1, 2003): 24–49. http://dx.doi.org/10.2307/3655082.
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Nineteenth-century psychiatrists believed that 80 percent of insanity cases were curable if treated early, outside the home, in carefully planned, purpose-built structures. This essay traces the development of the architecture of insane asylums in the United States. In 1854, the Quaker Philadelphian Thomas S. Kirkbride published guidelines for 250-bed asylums; they were based in part on John Notman's state hospital in Trenton, New Jersey, and dominated asylum design for decades. While followers of Kirkbride favored large aggregate buildings, other reformers supported the cottage plan, a system that broke the monolithic hospitals into small, houselike edifices. Although the doctors disagreed on many issues, they concurred that the architecture of asylums was one of the most powerful tools for the treatment of insanity. Additionally, the paper explores a concept that architectural historians and architects sometimes take for granted: that architecture shapes behavior. In this case, it was expected to help cure a disease.
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Elola, Andoni, Elisabete Aramendi, Unai Irusta, Artzai Picón, Erik Alonso, Pamela Owens, and Ahamed Idris. "Deep Neural Networks for ECG-Based Pulse Detection during Out-of-Hospital Cardiac Arrest." Entropy 21, no. 3 (March 21, 2019): 305. http://dx.doi.org/10.3390/e21030305.
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The automatic detection of pulse during out-of-hospital cardiac arrest (OHCA) is necessary for the early recognition of the arrest and the detection of return of spontaneous circulation (end of the arrest). The only signal available in every single defibrillator and valid for the detection of pulse is the electrocardiogram (ECG). In this study we propose two deep neural network (DNN) architectures to detect pulse using short ECG segments (5 s), i.e., to classify the rhythm into pulseless electrical activity (PEA) or pulse-generating rhythm (PR). A total of 3914 5-s ECG segments, 2372 PR and 1542 PEA, were extracted from 279 OHCA episodes. Data were partitioned patient-wise into training (80%) and test (20%) sets. The first DNN architecture was a fully convolutional neural network, and the second architecture added a recurrent layer to learn temporal dependencies. Both DNN architectures were tuned using Bayesian optimization, and the results for the test set were compared to state-of-the art PR/PEA discrimination algorithms based on machine learning and hand crafted features. The PR/PEA classifiers were evaluated in terms of sensitivity (Se) for PR, specificity (Sp) for PEA, and the balanced accuracy (BAC), the average of Se and Sp. The Se/Sp/BAC of the DNN architectures were 94.1%/92.9%/93.5% for the first one, and 95.5%/91.6%/93.5% for the second one. Both architectures improved the performance of state of the art methods by more than 1.5 points in BAC.
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KATO, Akikazu, Makoto YANAGISAWA, and Gen TANIGUCHI. "A STUDY ON HOSPITAL ARCHITECTURE IN DEVELOPING AREAS." Journal of Architecture, Planning and Environmental Engineering (Transactions of AIJ) 428 (1991): 101–16. http://dx.doi.org/10.3130/aijax.428.0_101.
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Yu, Youngmin. "Change of Hospital Architecture in Korea since 1945." Journal of The Korea Institute of Healthcare Architecture 20, no. 4 (November 30, 2014): 91–100. http://dx.doi.org/10.15682/jkiha.2014.20.4.91.
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Pinciroli, Francesco, Mario Marchente, Carlo Combi, Domenico Fava, Giuseppe Brambillaschi, and Alessio Pedrazzi. "TEODOLINDA. A communication architecture for hospital information systems." Computer Methods and Programs in Biomedicine 62, no. 1 (May 2000): 59–68. http://dx.doi.org/10.1016/s0169-2607(99)00052-8.
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Navares, Ricardo, and José L. Aznarte. "Deep learning architecture to predict daily hospital admissions." Neural Computing and Applications 32, no. 20 (March 16, 2020): 16235–44. http://dx.doi.org/10.1007/s00521-020-04840-8.
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Bil, Jakub. "Psychiatric hospital architecture - selected problems of existing infrastructure." Psychiatria Polska 50, no. 4 (2016): 887–90. http://dx.doi.org/10.12740/pp/62572.
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Kisacky, Jeanne Susan. "Restructuring Isolation: Hospital Architecture, Medicine, and Disease Prevention." Bulletin of the History of Medicine 79, no. 1 (2005): 1–49. http://dx.doi.org/10.1353/bhm.2005.0029.
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Dresler, Thomas, Tim Rohe, Markus Weber, Thomas Strittmatter, and Andreas J. Fallgatter. "Effects of improved hospital architecture on coercive measures." World Psychiatry 14, no. 1 (February 2015): 105–6. http://dx.doi.org/10.1002/wps.20201.
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