To see the other types of publications on this topic, follow the link: Hospital buildings.
Dissertations / Theses on the topic 'Hospital buildings'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Hospital buildings.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Pelloski, Brian Matthew. "New Riverview Hospital providing a "low cost" hospital for Detroit /." PDF viewer required Home page for entire collection, 2008. http://archives.udmercy.edu:8080/dspace/handle/10429/9.
Full text
2
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.
Full text
3
Choi, Ka-wing Janet. "Prioritization of planned maintenance works in public hospitals in Hong Kong." Click to view the E-thesis via HKU Scholars Hub, 2006. http://lookup.lib.hku.hk/lookup/bib/B37937637.
Full text
4
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.
Full textAbstract:
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.
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 /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.
Full textAbstract:
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.
6
Karakurt, Aysin Sevgi. "Critical Analysis And Evaluation Of Hospital Main Entrances According To Design And Performance Criteria In The Case Of Turkey." Master's thesis, METU, 2003. http://etd.lib.metu.edu.tr/upload/1078435/index.pdf.
Full textAbstract:
The entrance space of a hospital has formed an effective period of hospital life since it has reflected the scope and the image of the entire facility. Therefore it has directly influenced by the new formation of healthcare facilities on preserving and growing role of the community health instead of threatening the illnesses. Since entrance space is apart from the other spaces in the facility that has shaped by the restrictive nature of the medical technology, the space most efficiently implement these new objectives more than any space of the entire facility. However, entrance spaces of hospitals in Turkey are still bothered with many insufficiencies and displayed a problematic panorama. Therefore, this thesis has obtained the problems of main entrance space, and
has analyzed it with a consistent form of criteria to gather new solution proposals. In order to serve for this purpose, the present Turkish health care environment has explored and entrance space has been analyzed around new emerging concepts that reflect the changing ideals of the community. To present the problems and solution proposals about this specific place sufficiently, they are also evaluated through design and performance criteria. The essence of coping with the stress created by the environment with healing potential is emphasized. As a result, this thesis is expected to influence further researches, new hospital main entrance space designs as well as the renovation of older ones.
7
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.
Full textAbstract:
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.
8
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.
Full textAbstract:
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.
9
Borges, Nicolau João Gonçalves. "O Hospital Termal das Caldas da Rainha-arte e património." Master's thesis, Instituições portuguesas -- UL-Universidade de Lisboa -- -Faculdade de Letras, 1998. http://dited.bn.pt:80/30320.
Full text
10
McFarlane, Margaret R. "Glutaraldehyde hazard assessment and risk control in a hospital setting /." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998mcfarlanem.pdf.
Full text
11
Altın, Mete Gökçen Gülden. "The economic analysis of geothermal/absorption cooling of a hospital: Case study of Dokuz Eylül University research and application hospital /Mete Altın; thesis advisor Gülden Gökçen." [s.l.]: [s.n.], 2006. http://library.iyte.edu.tr/tezler/master/makinamuh/T000415.pdf.
Full text
12
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.
Full textAbstract:
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
13
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.
Full textAbstract:
Made available in DSpace on 2016-03-15T19:22:52Z (GMT). No. of bitstreams: 1
Ana Carolina Cabral dos Santos.pdf: 51538368 bytes, checksum: e322e509ccd6637a8d91e63c82edc976 (MD5)
Previous issue date: 2015-01-30With 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.
14
Wu, Jiayi, and 吴佳诣. "Slope flows and thermal comfort for hospital natural ventilation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45159105.
Full text
15
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.
Full text
16
Allen, Rebecca. "Isolation vs. interaction." This title; PDF viewer required Home page for entire collection, 2007. http://archives.udmercy.edu:8080/dspace/handle/10429/9.
Full text
17
Corbin, Robert Christopher. "Experimental evaluation of the seismic performance of hospital copper piping systems /." abstract and full text PDF (free order & download UNR users only), 2006. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1440930.
Full textAbstract:
Thesis (M.S.)--University of Nevada, Reno, 2006."December, 2006." Includes bibliographical references (leaves 77-82). Online version available on the World Wide Web. Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2006]. 1 microfilm reel ; 35 mm.
18
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.
Full textAbstract:
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.
19
Walrath, Bryan James. "A Project Planning Guide for Healthcare Facility Owners." Thesis, Georgia Institute of Technology, 2007. http://hdl.handle.net/1853/14557.
Full textAbstract:
According to a recent study, about 30 percent of U.S. real estate projects are canceled midstream, while more than half run up to 190 percent over budget and 220 percent over the initial time estimate. The reasons for this are
manifold but poor decisions during the initiation and early planning of the project can be pointed to as main causes. Most poor decisions stem from lack of information, bad judgment, and lack of communication and transparency between what the client expects and what the project team can deliver. Proper
project planning procedures and methods will lead to proper contingency planning, management of partner relationships and contracts, management of dynamic change and associated risks that can, and most probably will, occur in
the course of the project.
The role of the owner cannot be overstated in all of these targets. Historically, the owners of healthcare facilities have a once in a lifetime involvement in the planning, design and construction (or major renovation) of
their facility. The interaction with planners, public bodies, architects, engineers, and other entities is a daunting prospect for which an owner will seek help from specialized firms that represent the owner.
This guide may serve as a healthcare project planning guide for owners, and in particular CEOs, to navigate the process. It will prepare the owner to recognize the major tasks and decision steps throughout project planning,
while keeping the focus on the desired outcome. Any owner should recognize that the slogan: if you dont know what you want, you will not get what you need is as true today as it ever was. This guide will include research, best practices from industry experts, and a case study on the New Orleans public healthcare planning process post-Hurricane Katrina.
20
Goodwin, Elliott Richard. "Experimental evaluation of the seismic performance of hospital piping subassemblies." abstract and full text PDF (free order & download UNR users only), 2004. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1433293.
Full text
21
Alwani, G. M. J. "The design of hospital accident and emergency departments regarded as a problem of engineering." Thesis, University of Leeds, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377855.
Full text
22
Heckel, Marjorie J. "Spiritual gardens in a healthcare setting." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1260488.
Full textAbstract:
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
23
Kuuyuor, Titus Aabetuurpour. "An appraisal of the effectiveness of seismic protection of school and hospital buildings in southern Ghana." Thesis, Cranfield University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.429002.
Full text
24
Pear, Suzanne Marie 1948. "Nurses' self-report of universal precautions use and observed compliance." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277173.
Full textAbstract:
A descriptive correlational study was conducted to develop and test a Universal Precautions (UP) Scale designed to monitor nurses' compliance with the practice of universal precautions in the hospital setting. Subscales of the Universal Precautions Scale included barrier precautions usage, personal carefulness factors and handwashing. Nurses (n = 59) working in special care units completed the demographic survey, the UP scale, and the Marlowe-Crowne Social Desirability Scale. Concurrent validity was investigated by observing handwashing behavior of a subgroup (n = 34) of those nurses surveyed. Self-report of handwashing frequency did not correlate with observed handwashing frequency, although observed handwashing adequacy did relate with self-reported handwashing adequacy and personal carefulness factors. The UP scale, as constructed, was not related to the handwashing behavior, one behavioral indicator of use of universal precautions, but has demonstrated a potential for further refinement and testing.
25
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.
Full textAbstract:
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
26
Moeller, Michael M. Jr. "Noise environment characterization in military treatment facilities." Thesis, Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/48995.
Full textAbstract:
Hospital sound environments are complex and hard to understand. One of the most important factors in these environments is the effective communication between staff members in regards to patient care and successful communication depends in part on the hospital’s sound environment. In this study, objective sound measurements as well as occupant perceptive data were collected at three hospitals. Sound pressure levels; including maximum, peak, minimum and equivalent levels were recorded in these hospitals, in addition to active impulse response measurements. Acoustic descriptors of the sound environment such as spectral content, level distributions, energy decay and temporal patterns were examined. The perception of the hospital soundscape (sound environment) was evaluated through surveys of the staff, patients and visitors to units. It was found that noise levels in all patient rooms and work areas were significantly higher than guidelines laid out in previous literature and by professional organizations. This work contributes to the field by broadening the metrics used to quantify hospital acoustic environments. In addition, this work added to the field by providing the most rigorous acoustic field measurement set published to date. This was done to create an accurate portrayal of the hospital soundscape environment.
27
Rajagopalan, Suresh. "Evacuation of Special Facilities." Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/44063.
Full textAbstract:
In this research, the issue of evacuating people from large public facilities has been
studied. The focus has mostly been on the evacuation of hospitals.
For the hospital evacuation planner, it is necessary to know how long it would take to
evacuate the premises. To approach this problem, the entire evacuation process has been
modeled as a queuing situation using a simulation language called SLAM.
The evacuation time is affected by many variables such as the number of elevators in the
building, the number of ambulances available to transport patients, and the number of staff
available to assist in moving patients. All these variables have been incorporated in the model
as servers of the queuing process and the simulation is carried out. The model has been
applied to a case study of the evacuation of the Medical College of Virginia Hospitals in
Richmond, VA. The sensitivity of the model to different system parameters has been studied
and the relationships have been plotted.Master of Science
28
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.
Full textAbstract:
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).
29
Ladson, Lisa McNeill. "The evolution of a form." Thesis, Virginia Polytechnic Institute and State University, 1990. http://hdl.handle.net/10919/53262.
Full textAbstract:
Well designed forms and spaces can maintain their inate beauty and harmony though activities in and around them will come and go.
These spaces are timeless.
My search is not directly for a form but rather for a pattern, dictated to by the idea, governed by rules about the space and limited only by site. A form that gracefully embraces itself and the reason for its genesis.
Continually evolving.
The hospital will be my instrument. I sense what a hospital is but I do not know what it will become. A functional organism by nature, it must be understood and simplified so that Architecture can triumph. Therefore, a strong, viable plan for form and space is essential.Master of Architecture
30
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/.
Full text
31
CESARI, Silvia. "Forecasting and modeling energy consumption of hospital buildings. Relation between energy consumption, architectural features as morphology, layout and medical functions." Doctoral thesis, Università degli studi di Ferrara, 2020. http://hdl.handle.net/11392/2487961.
Full textAbstract:
Whilst accounting for about 7% of the total built area within the EU non-residential sector, hospitals present the highest energy consumption per unit floor area. They contribute 10% of the total energy use and are estimated to be responsible for roughly 5% of the EU carbon dioxide emissions.
High hospital energy consumption is mostly due to extremely high demand for space heating and cooling throughout the year, caused by the need of high air change rates and the strict requirements for microclimatic control. In addition, the fast-moving advances of the diagnostic techniques require the continuous remodelling of the spaces in existing facilities. This process, besides architectural-distributive aspects, deeply impacts hospital energy consumption, underlining the need of forecasting these new dynamics in relation to the different medical functions.
However, a review of the studies available in literature uncovers that energy analyses are still rarely based on departmental level, thus hospital energy consumption by space type remains largely unexplained. Furthermore, very few works are primarily based on measurement data as well as examine large samples of whole existing structures. This critical knowledge gap, along with a lack of studies exploring hospital energy performance by carefully considering the huge domain of the affecting factors, hinder the construction of more robust and reliable energy benchmarking.
Against this background, the aim of the work consists in the development of a simplified data-driven numerical model able to identify and quantify the dominant end uses in energy consumption costs in relation to the type of the spaces.
Six hospitals located in Northern Italy were taken as case studies and data regarding their medical functions, morphological features of the buildings and levels of insulation, air change rates, operating hours, etc. were analysed in order to build the numerical model, which was then validated with measured energy consumption data of the six facilities. The main aspect of the work is represented by the methodological framework, which has been based on the identification of the energy needs and consumption from micro (single space) to macro scale (macro-area). This method of analysis allows to have energy consumption per unit conditioned floor area and volume by type of medical functions.
Thus, the model developed enables to assess annual thermal energy consumption of hospital buildings – including the energy consumed for summer reheating, DHW and steam used for humidification and sterilisation – in relation to the different type of spaces and to forecast changes in energy consumption related to the refurbishment or modification of these spaces.
The objective of the work, omitting complex dynamic modeling, is also to develop a method as simple as possible, which allows fast obtaining of fairly reliable results, being primarily intended for engineers, architects, technical staff responsible for the maintenance of healthcare facilities and energy managers.
The simplified numerical model does not only allow to assess energy consumption, define effective energy saving measures, cut costs and invest saved resources to improve healthcare. By reducing hospital energy consumption, it represents a robust and reliable instrument to cut healthcare-related carbon emissions.Pur rappresentando circa il 7% della superficie degli edifici appartenenti al settore non residenziale in Europa, gli ospedali sono caratterizzati dal più alto consumo di energia. Essi contribuiscono per il 10% al consumo energetico totale e sono responsabili di circa il 5% delle emissioni di biossido di carbonio a livello europeo. L'elevato consumo di energia negli edifici ospedalieri è dovuto principalmente ai fabbisogni per riscaldamento e raffrescamento, che sono estremamente alti durante tutto l'anno a causa della necessità di garantire elevati tassi di ventilazione e rispettare i requisiti relativi al controllo microclimatico degli ambienti. Inoltre, i rapidi progressi delle tecniche diagnostiche richiedono la continua riorganizzazione degli spazi nelle strutture sanitarie. Tale processo, oltre a coinvolgere aspetti architettonici e distributivi, incide profondamente sui consumi energetici, sottolineando la necessità di prevedere queste nuove dinamiche in relazione alle diverse funzioni mediche. Tuttavia, l’esame degli studi disponibili in letteratura rivela che le analisi energetiche sono raramente svolte a livello di reparti ospedalieri. Inoltre, pochissime ricerche sono basate principalmente su dati di misurazione, così come pochissimi lavori esaminano campioni significativi di tipologie di spazi in strutture esistenti. Tale lacuna nell’ambito dell’analisi e previsione dei consumi, insieme alla mancanza di studi che esaminano le prestazioni energetiche degli ospedali considerando attentamente l'enorme dominio dei fattori che su di esse incidono, ostacola lo sviluppo di benchmarking energetici solidi e affidabili. In questo contesto, l'obiettivo del lavoro è lo sviluppo di un modello numerico semplificato, costruito a partire da dati reali, in grado di identificare e quantificare le voci di costo dell’energia negli edifici ospedalieri in relazione alle tipologie di spazi. Sei ospedali situati nel nord Italia sono stati selezionati come casi di studio e ne sono stati analizzati i dati relativi ai diversi reparti, le caratteristiche morfologiche degli edifici e i livelli di isolamento, i tassi di ventilazione, le ore di funzionamento degli impianti, ecc. per la costruzione del modello numerico, il quale è stato validato con i dati reali dei consumi energetici degli ospedali considerati. L'aspetto principale del lavoro è rappresentato dall’approccio metodologico, il quale è basato sull'identificazione dei fabbisogni energetici e dei consumi da micro (singolo spazio) a macro-scala (macro-area). Questo metodo di analisi consente di ottenere i consumi energetici per unità di superficie e per unità di volume in funzione della destinazione d'uso degli spazi. Pertanto, il modello consente di valutare il consumo annuale di energia termica degli edifici ospedalieri – compresi i consumi per il post-riscaldamento estivo, l'acqua calda sanitaria e la produzione di vapore per l’umidificazione e la sterilizzazione – in relazione ai diversi spazi, e di prevedere le variazioni dei consumi legate alla ristrutturazione o modifica degli spazi stessi. Scopo del lavoro, omettendo complesse simulazioni energetiche dinamiche, è anche quello di sviluppare un metodo estremamente semplice che consenta di ottenere rapidamente risultati affidabili, essendo principalmente destinato a ingegneri, architetti, al personale tecnico responsabile della gestione delle strutture sanitarie e agli energy managers. Tale modello non permette solo di valutare i consumi, definire interventi di risparmio energetico efficaci, diminuire i costi relativi e investire le risorse risparmiate per migliorare l'assistenza sanitaria. Riducendo il consumo di energia degli ospedali, il modello sviluppato rappresenta uno strumento robusto per ridurre le emissioni di carbonio che derivano dalle strutture sanitarie.
32
Venezia, Adriana Portella Prado Galhano. "Avaliação de risco de incêndio para edificações hospitalares de grande porte: uma proposta de método qualitativo para análise de projeto." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/16/16132/tde-29052012-111152/.
Full textAbstract:
Este trabalho tem como objetivo desenvolver um método de análise de risco qualitativo que propicie um nível de segurança contra incêndio adequado ao risco esperado em uma edificação hospitalar de grande porte, visto que o estrito atendimento às exigências de códigos e regulamentações prescritivas podem não garantir um adequado nível de segurança contra incêndio. O método baseou-se na metodologia de análise de risco qualitativa e em técnicas de gestão de risco corporativo. O trabalho resultou no Método de Avaliação de Risco Incêndio Hospitalar (MARIH). O MARIH foi idealizado com o intuito de demonstrar que, a partir da identificação e da análise dos principais riscos de incêndio em edifícios hospitalares, é possível tomar medidas adequadas para minimizar tais riscos, ainda na fase de projeto, e implementar medidas de controle (tratamento), tornando a edificação mais segura em relação à ocorrência de incêndios, sem necessariamente onerar sua construção. O método MARIH foi concebido para atuar como uma ferramenta para o desenvolvimento do projeto, com vistas a elevar o nível de segurança contra incêndio nas edificações hospitalares. Além disso, pretende-se, com o uso dessa ferramenta, demonstrar aos projetistas e empreendedores a importância da inserção adequada e da integração da segurança contra incêndio no processo de projeto de edificações de grande porte e complexas.In view of the fact that requirements of prescriptive codes are not always enough to guarantee fire safety to hospital buildings, this study proposes and develops a qualitative method of risk analysis aiming to provide an adequate level of fire safety for such a type of building. The method named Fire Risk Assessment Method for Hospital Buildings (Método de Avaliação de Risco Incêndio Hospitalar - MARIH) is based on qualitative risk analysis methodology and on corporate risk management techniques. The method was developed in order to prove that, by the identification and the analysis of the main fire risks in hospitals, countermeasures may be taken to reduce such risks, still during the design process, without increasing construction costs. The MARIH method is proposed as a design tool so as to improve the fire safety level in hospital buildings, emphasizing how important fire safety is along the design process as well.
33
POCHETTINO, TERESA. "La valutazione energetico-ambientale dell’ospedale per acuti in fase d’uso. Criteri, indicatori, metodologie di verifica.Energetic and environmental operational hospital buildings assessment. Criteria, indicators and verification methods." Doctoral thesis, Politecnico di Torino, 2012. http://hdl.handle.net/11583/2497148.
Full textAbstract:
ENERGETIC AND ENVIRONMENTAL OPERATIONAL HOSPITAL BUILDINGS ASSESSMENT.
CRITERIA, INDICATORS AND VERIFICATION METHODS.
Author: Teresa Pochettino.
Tutor: Prof. Ing. C. Caldera,
Co-Tutor: Prof. Ing. S. Corgnati, Prof. Arch. S. Belforte,
Lighting External supervisor: Prof. Arch. C. Aghemo, Arch. V. Lo Verso.
RESEARCH THEME INTRODUCTION:
The acute hospital constitutes a complex organizational and functional system that it is not possible to standardize according to the typology, the architectural solutions and the plant characteristics.
The functional areas the hospital consists of represent both a working place for the staff people (medical, administrative and technical employees), and a living environment, for the patients. Sometimes the different categories overlay, which results in conflicting requirements.
The Italian national scene is characterized by very old health care buildings (more than 60% achieved before 1970) subject to, during the course of the years, numerous interventions (on buildings systems, components and plants) characterized by partial visions (mainly focused on the aim of "humanization") and by a sector-based planning, in which medical requirements and demands have being prevailing.
Economic resources absorbed by hospital settlements represent an average of 50% of the economic expenses allocated by the different European Countries for the health care costs. The energy consumption costs, despite their amount, have in this panorama an average of 2 -2.5% of the total management expenses, which are mainly absorbed by the staff salaries.
The hospital resources consumption and emissions footprints have found, over the last years, great interest in many international and national research projects which showed the opportunity of producing significant energy savings and economic and environmental benefits.
The reasons for this attention are mainly due to the awareness that the huge consumptions and the significant environment impact may offer a great potential for intervention and improvement, and to the need to cope with the basic contradiction inherent the effect that the hospital produces with its energy demand and related emissions on people health.
The great building-plants system complexity and the situations variability, make it difficult to operate hospital presidia evaluation that can be generalized, and requires: the definition of targeted instruments to apply for the existing buildings analysis, definition of critical aspects, evaluation of the proposed measures effectiveness and definition of action priorities, especially facing the lack of financial resources availability, within the national and regional health planning.
A strategy to deal with this complexity is offered by energetic and environmental assessment methodologies which integrate energetic aspects with environmental, comfort and operational ones, whose balance and synergy are needed conditions in health care buildings.
The main energetic and environmental methodologies, (BREEAM, LEED, HQE), have developed specific assessment protocols for the hospital buildings designing phase, while SBMethod proposes a reference grid, which can be used to develop criteria and indicators coherent with the relevant building practices in the various nations, for both the design and the operative phases.
RESEARCH OBJECTIVES:
The research had the goal to define a set of criteria and indicators to assess operative acute hospitals’ environmental performances, identify the most critical situations and define the intervention/financing priorities, on the basis of their potential environmental and energetic effectiveness.
METHODOLOGICAL ACTIONS:
To define a list of specific criteria as well as to process them, the systemic approach proposed by the buildings environmental and energetic assessment methodologies, mainly available for the design phase, adapted for the operational phase, was chosen to be used as reference through the following path:
- identification of the macro-themes shared by the investigated methodologies (BREEAM, LEED, SBMethod, HQE);
- comparison between the criteria classification adopted by the investigated methodologies and the alignment according to the identified macro-themes;
- integration of the criteria that were missing into the SBMethod evaluation grid for the operational phase;
- extrapolation of a criteria set for the acute hospital operational evaluation phase;
- Identification of assessment indicators and methods for each one of the selected criteria in the operational phase and definition of the benchmark levels;
- field monitoring, evaluations and measurements, to support the validation of the alternative assessment methods and proposed benchmark;
- definition of assessment criteria and procedure evaluation ;
Because of the specificity and the complexity of some of the addressed topics, it was necessary to cooperate with experts related to different disciplinary areas such as:
- architectural technology
- building physics and services (for the energetic and lighting aspects);
- working places hygiene (with the Turin University, and C. T. O. Hospital, Industrial toxicology and epidemiology Technical Service)
Moreover, in the context of the developed research, confronting with the responsible management operators (internal and external to the cribs) played a crucial role, both for the competence and for the support needed to the in-the-field monitoring and investigations activities.
RESULTS:
Forty-five criteria, each with the relative evaluation cards, were processed in the research path, divided into the five SBMethod reference macro areas (site quality, resource consumption, environmental emission, environmental indoor quality, service quality).
For each of the identified criteria indicators, testing methods and benchmark levels were defined and developed, based on laws and technical standards and then supported by a process to verify their applicability to the assessment of the operational acute hospital (or to its specific areas).
For 21 of these criteria it has been possible to carry out field monitoring, instrumental measurements, and in some cases even dynamic simulations, which have supported the definition of the operability of the verification process and the identified performance levels reliability.
INNOVATION ASPECTS:
The definition of a specific set of criteria, indicators, verification methodologies, appropriately calibrated to evaluate the hospitals during its operational phase, represents, in itself, an innovative aspect. It is considered of particular interest, moreover, the definition of certain criteria which were not provided within the framework of the investigated instruments, such as: the indoor air quality as a function of the VOC presence; the energy demand for electric lighting, in addition to the in-depth, adaptations, and integrations of a large number of available criteria (radon, asbestos, etc.).
As for the lighting comfort aspects it has been possible to integrate the parameters of environmental physics with considerations related to the healing design concepts (on the basis of contextual subjective and objective evaluations), which lead to considerations that are particularly significant in the people healthcare contexts.
As for the energy aspects, it is necessary to underline the selection of an assessment proposal based on the different functional/energetic hospital areas, and the adoption of benchmark related to the individual case study. This approach allowed to overcome the limitations of the parameterization referred at the hospital bedside or at the surface unit.
FUTURE DEVELOPMENT:
It is possible to identify the following possible research developments, for the short and the long-term period:
- the extension of the evaluation to further hospital functional areas and to other case studies;
- the weighting process of the selected criteria based on a comparison shared with the stakeholders (technicians, specialists, medical staff);
On the basis of the research process product of the assessments development on the existing assets it will, then, be possible, to define:
- guidelines and performance levels for the acute hospitals design phase with an high energetic and environmental quality;
- an assessment protocol to evaluate the hospital design phase.
34
Munir, Muhammad Tanveer. "Wood and hospital hygiene : Investigating the hygienic safety and antimicrobial properties of wood materials." Thesis, Ecole centrale de Nantes, 2021. http://www.theses.fr/2021ECDN0008.
Full textAbstract:
Le matériau bois est un composant bien connu des thèmes de construction basés sur la nature en raison de son aspect naturel, de sa nature écologique et de ses effets biophiles chez l'homme. L'utilisation de ce matériau dans des endroits sensibles sur le plan de l'hygiène est toutefois remise en question en raison de sa nature organique et poreuse. Des études antérieures ont montré que le bois possède des propriétés antimicrobiennes contre de nombreux microorganismes importants du point de vue de l'hygiène. Les travaux sont encore nécessaires pour démontrer cette action antimicrobienne et sa relation avec le bois et les variables microbiologiques. Cette recherche visait à rassembler et à générer des informations pour guider les acteurs de l'hygiène hospitalière en ce qui concerne la sécurité hygiénique du matériau bois. Les méthodes ont été développées pour étudier l'action antimicrobienne du bois et identifier les variables qui influencent ce comportement. La première méthode développée dans ce contexte a été une méthode de diffusion directe sur gélose (appelée antiboisgram) qui a donné de bons résultats en ce qui concerne le - - dépistage de plusieurs espèces de bois pour leur action antibactérienne et antifongique. Elle a également permis d'identifier le rôle du bois et des variables microbiennes dans la détermination des propriétés antimicrobiennes du matériau en bois. En outre, une méthode de récupération bactérienne basée sur l'élution a été étudiée, qui a montré que la plupart des bactéries nosocomiales courantes survivent moins bien sur le bois que sur les surfaces lisses. Parallèlement, un outil innovant a été mis au point, impliquant l'utilisation de sondes fluorescentes pour étudier la distribution des bactéries sur et à l'intérieur des matériaux en bois à l'aide de la microscopie laser spectrale confocale. Ces expériences ont permis d'obtenir des informations fructueuses qui pourraient améliorer la compréhension du rôle du bois dans la sécurité hygiénique des bâtiments de soins de santé. En outre, les futures recherches et les directives d'application ont été fournies concernant la prévalence des pathogènes dans les bâtiments de soins de santé en bois et la perception des occupants des hôpitaux vis-à-vis de l'environnement intérieur en boisThe wood material provides a nature-based theme to construction because of its natural appearance, ecofriendly nature and biophilic effects on humans. However, its organic and porous nature is questioned when using it in hygienically important places such as hospitals. Studies have shown that wood has antimicrobial properties against some pathogens; work is still needed, however, to demonstrate this antimicrobial action and its relation to wood and microbiological variables. This research gathers and generates information to guide stakeholders of hospital hygiene on the hygienic safety of wood materials. First, a simple and direct method was developed to study the antibacterial and antifungal activity of solid wood, which also identified the role of wood and microbial variables on antimicrobial behavior. Further, an elution based bacterial recovery method was investigated which showed that the most common nosocomial bacteria did not survive as well on wood as compared to smooth surfaces such as aluminum, steel and polycarbonate. Meanwhile, an innovative tool was developed, involving the use of fluorescent probes to study the bacterial distribution on and inside wood using confocal spectral laser microscopy. These experiments produced the information that will help the decision makers regarding the choice of wood material in the healthcare buildings. It not only enhances our understanding of hygienic safety of wood in healthcare buildings but also provides the basis for future research on the prevalence of pathogens in the wooden healthcare institutes and the perception of the occupants those buildings
35
Cortez, Gonçalves Rato Sofia Teresa. "Estar no hospital. Projectos, ideias, considerações e práticas para um bom acolhimento." Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/305232.
Full textAbstract:
No interior de uma instituição hospitalar com uma estrutura determinada e diversos intervenientes, encontramos uma sucessão de utilizadores em que o Doente é o ponto de convergência de um conjunto de relações. A urgência de tratamento transforma o doente num utente assíduo do que chamamos “espaço público/espaço colectivo” hospitalar, onde vai cumprir uma série de acções que necessitam ser realizadas com facilidade e a funcionalidade espacial não pode constituir um obstáculo, mas antes acolhê-lo e prepará-lo para o tratamento. Em simultâneo o hospital tem vários tipos de utilizadores que necessitam de uma constituição específica do espaço, para consumar as suas actividades, que naturalmente não tem as mesmas particularidades do espaço ocupado ou utilizado pelo doente.
Tal como acontece em outros espaços públicos, uma boa correspondência entre a forma e a função é o elemento base para o bom exercício da relação entre o utente e a instituição.
O presente trabalho centra-se no espaço hospitalar, especificamente nas zonas de circulação e áreas de espera e tem como objectivos interiorizar, reflectir e apreender a relação existente entre o espaço, o seu funcionamento, os seus utilizadores e os referentes comunicacionais, procurando melhorar a habitabilidade destes lugares, através de intervenções de design e arte pública.
Fundamenta-se em quatro projectos – Instituto Português de Oncologia do Porto, Hospital Joaquim Urbano, Hospital Santa Maria - Porto e Grupo Trofa Saúde – que surgiram no desenvolvimento da investigação, a teoria e a prática acompanharam todo o processo de trabalho.
O desenvolvimento dos quatros projectos consistiu no estudo de cada espaço hospitalar de modo a definir os problemas de comunicação do espaço e, para isso, foi realizado um diagnóstico, construído e implementado um projecto, em conjunto com os profissionais, possibilitando uma análise dos resultados. Cada projecto seguiu uma metodologia própria e teve um percurso particular fruto das diferentes necessidades, interlocutores e instituições.
A tese é composta por três capítulos. O primeiro capítulo apresenta diversas formas de olhar e pensar o espaço hospitalar, assim como aprofunda o conhecimento de alguns conceitos, que surgiram durante a nossa prática, considerados importantes para o progresso dos projectos e que permitiram um pensamento do espaço hospitalar direccionado para a procura de soluções. O segundo capítulo apresenta os projectos que realizamos em quatro instituições. O terceiro capítulo apresenta uma reflexão baseada na experiência pessoal que permitiu desenvolver conceitos e ideias que estruturem o pensamento sobre o espaço hospitalar, impulsionando mudanças que contrariem a desvalorização, a despreocupação e os comportamentos estereotipados que descobrimos nos espaços de circulação e espera.
A investigação permitiu dimensionar as potencialidades dos projectos de design de comunicação e arte pública no espaço hospitalar, apreender a origem deste tema, a necessidade presente de actuações preocupadas com os espaços comuns do hospital e, consequentemente com o bemestar dos utentes, proporcionando uma reflexão que contribuiu para os raciocínios, ideias, considerações e práticas que necessitavam de ser estruturadas e registadas para concluir o processo de trabalho.
Consideramos que ficou definida uma rede que pode ser o ponto de partida de muitos projectos, a certeza de que se trata de uma área emergente motivanos para continuar a investigar e procurar soluções para os problemas do espaço hospitalar.Inside a hospital institution with a specific structure and several actors, we find a succession of users in which the Patient is the convergence point of a set of relationships. The urgency of treatment transforms the patient into a frequent user of what we call the hospital’s “public space/collective space”, where he goes to fulfill a series of actions that need to be completed easily and space functionality can’t become an obstacle, but welcome and prepare the patient for treatment. Simultaneously, the hospital has several types of users that need a specific space structure, to complete their activities, and that naturally doesn’t have the same particularities of the space occupied or used by the patient. As happens in other public spaces, a good correspondence between form and function is the fundamental element for a good use of the relationship between user and institution. This thesis is focused on the hospital space, specifically the circulation and waiting areas and its goal is to internalize, reflect and apprehend the relationship that exists between space, how it works, its users and communication references, trying to improve these spaces’ habitability through design and public art. It is based on four projects – Instituto Português de Oncologia do Porto, Hospital Joaquim Urbano, Hospital Santa Maria - Porto e Grupo Trofa Saúde – that emerged with the research’s development, theory and practice that followed the entire work process. The development of the four projects consisted on studying each hospital environment in order to define the space’s communication problems and for that, a diagnosis was made, a project was built and implemented alongside the professionals, making an analysis of the results possible. Each project followed its own methodology and had a unique path due to the different needs, interlocutors and institutions. This thesis has three chapters. The first chapter presents the different ways of looking and thinking about the hospital environment. It also deepens the knowledge of some concepts that came up during our practice and that we consider important for the projects’ progress and that allowed for a reflection of the hospital space directed towards finding solutions. The second chapter presents the projects we executed in four institutions. The third chapter presents a reflection based on personal experience that allowed us to develop concepts and ideas that can structure the thinking on hospital environment, driving changes that contradict the depreciation, the abandonment and the stereotypical behaviors that we can find in circulation and waiting areas. Our research allowed us to size the potential of communication design and public art projects in the hospital environment, to learn the origin of this subject, the present need for actions concerned with the hospital’s common spaces and, consequently the users’ well-being, providing a reflection that contributed to thoughts, ideas, considerations and practices that needed to be structured and registered to conclude the work process. We consider that a web has been defined, that can be the starting point for many projects. The certainty that this is an emergent area motivates us to continue our research and to look for solutions for the problems of hospital environment.
Dentro de un hospital con una estructura determinada y distintos actores, nos encontramos con una sucesión de usuarios en que el paciente es el punto de convergencia de un conjunto de relaciones. La urgencia del tratamiento, convierte al paciente en un usuario frecuente de lo que llamamos el “espacio público/espacio colectivo” del hospital, donde va a cumplir una serie de acciones que deben llevarse a cabo con facilidad y la funcionalidad espacial no puede ser un obstáculo, sino darle la bienvenida al paciente y prepararlo para el tratamiento. Al mismo tiempo, el hospital cuenta con diferentes tipos de usuarios que necesitan una constitución específica del espacio, para consumar sus actividades, que, naturalmente, no tiene las mismas particularidades del espacio ocupado o utilizado por el paciente. Al igual que en otras zonas públicas, una buena correspondencia entre forma y función es el elemento básico para el adecuado ejercicio de la relación entre el usuario y la institución. Esta investigación se centra en el espacio hospitalario, específicamente en las zonas de circulación y áreas de espera y tiene como objetivo interiorizar, reflexionar y comprender la relación entre el espacio, su funcionamiento, sus usuarios y los referentes de comunicación, buscando mejorar la habitabilidad de estos lugares a través de intervenciones del diseño y del arte público. Se fundamenta en cuatro proyectos - Instituto Portugués de Oncología de Oporto, Hospital Joaquim Urbano, Hospital Santa María - Oporto y Grupo Trofa Salud - que han surgido en el desarrollo de la investigación, la teoría y la práctica han seguido todo el proceso de trabajo. El desarrollo de los cuatro proyectos consistió en el estudio de cada espacio hospitalario de forma a definir los problemas de comunicación del espacio y, para eso, fue realizado un diagnóstico, construido e implementado un proyecto, junto con los profesionales, permitiendo un análisis de los resultados. Cada proyecto siguió una metodología propia y tuve un recorrido particular resultado de las diferentes necesidades, los interlocutores y las instituciones. La tesis se divide en tres capítulos. El primer capítulo presenta diferentes formas de ver y de pensar en el espacio hospitalario, así como se profundiza el conocimiento de algunos conceptos que surgieron durante nuestra práctica, considerados importantes para el avance de los proyectos y que permitieron un pensamiento de la zona hospitalaria direccionada a la búsqueda de soluciones. El segundo capítulo presenta los proyectos llevados a cabo en cuatro instituciones. El tercer capítulo presenta una reflexión basada en la experiencia personal que permitió el desarrollo de conceptos e ideas que estructuran el pensamiento sobre el espacio hospitalario, impulsando un cambio que va a contrariar la devaluación, la indiferencia y los comportamientos estereotipados que se encuentran en los espacios de circulación y de espera. La investigación permitió dimensionar el potencial de los proyectos de diseño de comunicación y arte público en el espacio hospitalario, percibir el origen de este tema, la presente necesidad de actuaciones preocupadas con las áreas comunes del hospital y en consecuencia, con el bienestar de los usuarios, proporcionando una reflexión que contribuyó a los raciocinios, ideas, consideraciones y prácticas que precisaban ser estructuradas y registradas para completar el proceso de trabajo. Consideramos que se ha definido una red que puede ser el punto de partida para muchos proyectos, la certitud de que esta es un área emergente nos motiva a investigar más a fondo y a buscar soluciones a los problemas del espacio hospitalario.
36
Oliveira, Edgar Peixoto de. "Diretrizes para o processo de projeto de edifícios hospitalares." Universidade Federal de São Carlos, 2010. https://repositorio.ufscar.br/handle/ufscar/4651.
Full textAbstract:
Made available in DSpace on 2016-06-02T20:09:12Z (GMT). No. of bitstreams: 1
3152.pdf: 1091086 bytes, checksum: 449d433a11946823c37ec5ada9876e61 (MD5)
Previous issue date: 2010-08-12Financiadora de Estudos e Projetos
This paper aims to propose guidelines for the design process of hospital buildings. To achieve this objective, literature review and case studies were conducted in three architectural firms specializing in projects for hospital buildings. It was possible to see how management is performed in the design process in each of these companies and what are the difficulties and differences between the design process of hospital buildings and design process of other built environments. The Company 1 has been operating for 11 years developing architectural plans for the hospital and residential segments, which contributed to identifying the differences between the design processes of these two segments. The Company 2 has been operating for 3 years coordinating the design process of residential, hospital, shopping and hotels, bringing a vision of the management process. The Company 3 has extensive experience in developing architectural plans for the hospital segment, serving for 32 years exclusively in this segment. The observation of the work of these companies, together with the literature review served as a subsidy for the drafting of guidelines for the design process of hospital buildings, as a contribution to the quality of it.
Este trabalho tem como objetivo propor diretrizes para o processo de projeto de edifícios hospitalares. Para alcançar este objetivo, foram realizados revisão bibliográfica e estudos de caso em três escritórios de arquitetura, especializados em projetos para edifícios hospitalares. Foi possível verificar como é realizada a gestão do processo de projeto em cada uma dessas empresas e quais as dificuldades e diferenças encontradas entre o processo de projeto de edifícios hospitalares e o processo de projeto de outros ambientes construídos. A Empresa 1 atua há 11 anos desenvolvendo projetos arquitetônicos para os segmentos hospitalar e residencial, o que contribuiu para verificar as diferenças entre o processo de projeto desses dois segmentos. A Empresa 2 atua há 3 anos coordenando o processo de projeto de obras residenciais, hospitalares, comerciais e de hotelaria, trazendo uma visão gerencial do processo. A Empresa 3 possui uma vasta experiência no desenvolvimento de projetos arquitetônicos para o segmento hospitalar, atuando há 32 anos exclusivamente neste segmento. A observação do trabalho destas empresas, juntamente com a revisão da literatura, serviu de subsídio para a elaboração das diretrizes para o processo de projeto de edifícios hospitalares, como forma de contribuir com a qualidade do mesmo.
37
Vermeulen, Marilu. "Zest for life : a student health and wellness centre." Diss., Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11242008-160154.
Full text
38
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.
Full textAbstract:
Orientador: Andre Munhoz de Argollo FerrãoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Civil
Made available in DSpace on 2018-08-04T00:26:18Z (GMT). No. of bitstreams: 1 Fernandes_AdhemarDizioli_M.pdf: 5897291 bytes, checksum: 53dd194d71c80c76c31e185fba8a5632 (MD5) Previous issue date: 2003
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
39
Fowler, Smith Juliet. "Inhabiting space and place : from installation to the clinical setting /." View thesis View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030506.102256/index.html.
Full text
40
Yiu, Yee-ming. "Design and build as an alternative method of procuring major publicly funded hospital projects in Hong Kong : a case study /." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25948751.
Full text
41
Matarazzo, Anne Ketherine Zanetti. "Composições cromáticas no ambiente hospitalar: estudo de novas abordagens." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/16/16132/tde-09112010-111907/.
Full textAbstract:
Este trabalho objetiva analisar as composições cromáticas aplicadas, no ambiente hospitalar, buscando uma correlação entre as cores usadas, nas composições e no bem-estar físico, psicológico, emocional e social de pacientes hospitalares, tendo em vista possíveis influências ao tratamento terapêutico de cura. Partiu-se do princípio que o ambiente construído influencia ações, sentimentos e emoções humanas. A cor, sendo um dos principais elementos da arquitetura, participa ativamente às respostas humanas decorrentes de sua interação com o ambiente. O estudo compreendeu as questões relativas às cores em todos os seus aspectos e as inúmeras possibilidades de suas aplicações na arquitetura. Focou-se o estudo, no ambiente hospitalar, que vem passando por reformulações, guiadas por pesquisas, nas áreas da psicologia ambiental, neurociência e psicofísica. Levantando-se as recentes conceituações e diretrizes projetuais para o design do ambiente hospitalar, foi possível verificar a ocorrência das composições cromáticas como elementos transformadores. Por fim, para demonstrar as relações que se estabeleceram entre as composições cromáticas, o design do ambiente hospitalar e a promoção à saúde, constituindo projetos denominados de Hospitais do Futuro, foram apresentados três casos, cujos projetos ilustram representativamente as questões debatidas neste trabalho. Ao se realçar o papel das composições cromáticas e do design hospitalar, no processo de recuperação da saúde e no bem-estar dos usuários, evidenciou-se o papel do arquiteto como agente central, possibilitando e criando condições ideais para o tratamento terapêutico e para o desenvolvimento das atividades. Foi identificado, como resultado da pesquisa, que o design, capaz dessas transformações, deve, acima de tudo, considerar a variedade de estímulos, e voltando-se às composições cromáticas, representa as variedades de matizes, a contraposição de brilho das superfícies e o uso de contrastes.This paper aims to analyze the chromatic compositions applied in the hospital environment, looking for a correlation between the colors used in the compositions and the physical, psychological, emotional and social well-being of the hospital patients, with a view to its possible influence in therapeutic healing. It started from the assumption that the built environment influences in actions, feelings and human emotions. The color, one of the main elements of architecture, participates actively in the responses resulting from human interaction with the environment. The study included questions relating to color in all its aspects and the many possibilities of its applications in architecture. It was also focused in the hospital environment, subject that has been under reformulations guided by researches in the fields of environmental psychology, neuroscience and psychophysics. Raising the recent conceptualizations and projective guidelines for the hospital environment design, it was possible to detect the chromatic compositions as elements capable to transform. Finally, to demonstrate the relationships established between the chromatic compositions, the design of hospitals environment and health promotion, composing projects named as \"Hospitals of the Future\", three cases were presented, whose projects representatively illustrate the issues discussed in this paper. By highlighting the function of chromatic compositions of the hospital environment design in the process of regaining the users health and well-being, the role of the architect as a central agent was demonstrated, enabling and creating ideal conditions for the therapeutic treatment and for the activities development. As a result of the research, it was identified that the design capable of these transformations must above all consider the variety of stimuli, and turning to the chromatic compositions, it represents the variety of hues, the contraposition of the surface brightness and the use of contrasts.
42
Fifield, Louis-James. "Monitoring UK hospital building type performance." Thesis, Loughborough University, 2017. https://dspace.lboro.ac.uk/2134/24623.
Full textAbstract:
The British National Health Service (NHS) is one of the largest public services in the world and consequentially in 2004 it produced 25% of the total public sector carbon emissions for England. To meet national carbon targets the NHS must reduce its emissions; 26% by 2020, 64% by 2030, 80% by 2050 and is therefore interested in the development of strategies for reducing carbon dioxide emissions from buildings. The NHS building stock consists of a range of building archetypes constructed over the past 100 years. The energy used for heating and cooling hospital premises is the source of 22% of all NHS carbon emissions. The individual buildings are distributed across hospital sites that often have centralised energy plants, which make it difficult to monitor energy consumption on an individual building level. This thesis develops a method for monitoring the energy consumption of individual hospital buildings. The method was implemented on three case study buildings at Bradford Royal infirmary (BRI); a 1920s Nightingale, a nucleus and a modern modular building. Lessons were gathered from these studies to advance the knowledge on monitoring in UK hospitals. One of the key findings was that empirical models based on measured data are useful for estimating individual buildings annual heating energy consumption. The results show that the mechanically ventilated nucleus building had the highest energy consumption (808.7kWh/m2), followed by the naturally ventilated Nightingale building (420.7kWh/m2) and then the mixed-mode modular building (289.0kWh/m2). The internal environment was optimal in the nucleus building, but the Nightingale and modular buildings underperformed, with the modular overheating in summer and both buildings failing to meet air quality recommendations. Taking energy consumption and summer thermal resilience into consideration the Nightingale building had the best performance, demonstrating the longevity of the traditional design. The work identified a number of useful hospital design features; well-insulated heavyweight building fabric, well-controlled space heating, use of heat recovery ventilation and installation of localised monitoring equipment. Further useful research into this area could involve: using dynamic thermal simulation to test recommended building design features, investigating the monitoring method on a wider sample of sites and investigating air quality monitoring in hospitals.
43
Fowler, Smith Juliet. "Inhabiting space and place : from installation to the clinical setting." Thesis, View thesis View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/25608.
Full textAbstract:
This paper explores the relationship between place in installation art and its relevance to the practice of placemaking in a hospital setting. The discussion draws on phenomenology, psychodynamic theory and contemporary art, in particular the author's art experience of places, their formal qualities and potential meanings, along with, an examination of what creates an embodied sense of being contained at home ( emotionally and physically). Some of the questions posed for discussion include; what is it about places that becomes inherent to memory and shapes its form? How do places impact on what we do there and who we are? Is place more significant in memory for a young child or someone in a vulnerable state of being (as in the hospital setting)? Process issues, along with physical outcomes, in installations and in the hospital projects are discussed.
44
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.
Full textAbstract:
Made available in DSpace on 2016-03-15T19:21:37Z (GMT). No. of bitstreams: 1
Carolina Nunes Melendres.pdf: 22718552 bytes, checksum: 153685d063d28a72cdd62a2cad1e7b10 (MD5)
Previous issue date: 2011-08-10Fundo 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
45
Kaye, Lorien. "Towards social and political change : building on the writings of Janette Turner Hospital /." Title page and introduction only, 1993. http://web4.library.adelaide.edu.au/theses/09AR/09ark237.pdf.
Full text
46
Gibbs, Vance Scott. "State building energy efficiency determination using energy audits." Birmingham, Ala. : University of Alabama at Birmingham, 2009. https://www.mhsl.uab.edu/dt/2009m/gibbs.pdf.
Full text
47
Caceres-Perez, Gladys, Natali Pichihua-Alata, and Guillermo Huaco-Cardenas. "Seismic Retrofit in Hospitals using Fluid Viscous Dampers." Institute of Electrical and Electronics Engineers Inc, 2020. http://hdl.handle.net/10757/656409.
Full textAbstract:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.The addition of fluid viscous dampers to structures increases damping and reduce the lateral displacements due large earthquake loads, being an effective technique for seismic control of responses specially by severe earthquakes events and structures at high seismic hazard zone, safeguarding them from possible collapse. The objective of this research is to compare the structural performance of essential structures of confined masonry older than 50 years, asbuilt and retrofitted with viscous dampers. Additionally, the structure is analyzed with a traditional reinforcement technique such as reinforced concrete walls, in order to evaluate the feasibility of the first proposal. It was found that including dampers the drifts are reduced from 0.6% to its half, better performance that implementing concrete walls with 0.45% drift response. Besides stresses levels at masonry walls have been reduced better than retrofit building new concrete walls. It is shown the feasibility of the proposal in structural responses using fluid viscous dampers,
48
Machado, Eduardo Filipe Calado e. "Primary and hospitalar health care: Building a happy marriage." Master's thesis, NSBE - UNL, 2010. http://hdl.handle.net/10362/9862.
Full textAbstract:
A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and EconomicsWe address the potential integration of the Hospital Dr. Fernando Fonseca E.P.E. with the Primary Care Units in its geographical coverage area in a Local Health Unit. We apply semi-structured interviews in order to understand how to best implement this model of local organization in the referred case. We classify the interviews of each unit according to pre-determined criteria and suggest measures to be implemented. Results demonstrate that the hospital is more able to promptly assume a change process towards the new organizational model when compared to the primary care units. Moreover, we reached the conclusion that the achievement of the expected benefits to the whole depends heavily on local characteristics and implementation process. There is the need to invest in key elements such as the maintenance and renewal of infrastructures and in a common information system. Albeit these investments do not assure the achievement of the benefits of an integrated management system per se, they are essential in the process of constructing an unique entity.
49
Akehurst, Ann-Marie. "Architecture and philanthropy : building hospitals in eighteenth-century York." Thesis, University of York, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.550491.
Full textAbstract:
This thesis considers the founding of four charitable projects, all designated 'Hospitals': Wandesford Hospital (1739-41), an almshouse for twelve genteel ladies; The York County Hospital (1738-1745), the first voluntary hospital north of the river Trent; York Lunatic Asylum (1772-1777), and The Retreat (1792- 1812), an independent Quaker hospital for the mentally ill. This work locates the four charities for the first time in their national, regional and local, social, economic, political and ideological contexts. It traces the way in which they contributed to the construction a new civic identity for York as a modern urban environment, where luxury consumption was tempered by prudent benevolence. The thesis traces the establishment of these foundations, revealing the changes in funding of philanthropic projects from individual benefactor to public subscription. In examining the creation of new social spaces the thesis recovers changes in the reception of classical architectural style and in moral attitudes towards philanthropic building. The research explores the interaction between politics, religion and charity in the development of the four hospitals, and reveals how their interrelationships could express political tensions reflective of wider forces acting on society. Political corruption, the threat of rebellion, accusations of tainted money and moral expediency in the period are all revealed through a close reading of this suite of projects and as such the thesis offers a hew perspective not only on the relationship between architecture and philanthropy, but also on the urban development of eighteenth-century York.
50
Cruickshank, Gillian M. "Building the frameworks to implement the continuous quality improvement philosophy related to pharmaceutical care." Thesis, Robert Gordon University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325402.
Full text