Homœopathic treatment for sick soldiers : proposed hospital buildings in France.

Open letter addressed: "To the friends of homœopathy in Great Britain" and signed by George Wyatt Truscott, Bart. and 11 other names, and David MacNish, Secretary to the Provisional Committee.

HUD guarantee of tax-exempt hospital financing : hearing before the Subcommittee on Housing and Community Development of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-sixth Congress, first session, May 17, 1979.

"Serial no. 96-21."

Hospital wastes /

An environmental protection publication in the solid waste management series.

Solar energy for health care institutions /

Mode of access: Internet.

Engineering and design: standards and criteria for construction of permanent-type military hospitals.

Mode of access: Internet.

Color in the health care environment : proceedings of a special workshop held at the National Bureau of Standards, Gaithersburg, Maryland, November 16, 1976 /

Includes bibliographical references.

Need for immediate OSHA regulations to protect health care workers from AIDS : hearing before a subcommittee of the Committee on Government Operations, House of Representatives, One hundredth Congress, first session, July 23, 1987.

Bibliography: p. 174-175.

University Hospital (Catherine St. Buildings)

Center building included a nurses home. On verso: U. Hospital. Catherine St. [Street] Hospitals. ?Medical School Dormitories, Catherine St.

Eficiência Energética no Hospital Pedro Hispano

Os crescentes custos ligados ao consumo elétrico, não apenas de cariz financeiro mas também ambiental, despertam cada vez mais para a importância da definição de estratégias de melhor utilização de recursos e eficiência energética. Esta importância tem sido reforçada pela definição de decretos-lei que vêm colocar metas e limites relativamente às despesas energéticas. Estes diplomas são também acompanhados por programas de incentivo para um setor ligado à eficiência energética. Em Portugal as medidas ligadas ao setor tem vindo a ser redirecionadas para o consumo final de energia, com a definição de metas para as instalações de maior consumo. As instalações hospitalares são grandes centros de consumo energético devido não só ao elevado número de utentes que recebem mas também pelos diversos tipos de equipamentos elétricos usados para a prestação dos serviços médicos. Como consequência disso, os investimentos e os custos operacionais são elevados, o que reforça a necessidade de gerir os gastos e consumos energéticos com a procura constante de melhoria na recolha de informação sobre todo o sistema e na adequação de intervenções com vista a uma maior eficiência energética. O Hospital Pedro Hispano vem desde algum tempo a investir no sentido de conhecer mais e melhor toda a instalação bem como os consumos energéticos a ela associados. Algumas medidas foram tomadas nesse sentido nomeadamente a instalação de analisadores de energia, de modo a obter um retrato mais fiel e fidedigno dos principais vetores de consumo. Neste momento a gestão técnica do hospital tem em análise uma grande parte da instalação recolhendo dados do consumo elétrico real do hospital. Nesta dissertação procurou-se fazer uma análise e enquadramento dos programas e metas ligados ao setor energético com ênfase nos diplomas que visão e abrangem as instalações hospitalares. Dos vários programas de incentivo à adoção de políticas de maior eficiência energética é dado especial destaque ao programa ECO.AP que visa a celebração de contratos para implementação de medidas de poupança energética ao setor público. Em colaboração com o HPH, iniciaram-se os trabalhos pelo estudo e identificação das principais fases e ferramentas utilizadas na gestão energética do edifício tendo como objetivo a reavaliação dos vetores energéticos já identificados no HPH e a criação e contabilização de novos grupos de consumo. Através de várias medições do consumo elétrico, num total superior a 650 horas de funcionamento, foi possível a criação do mapa de desagregação de consumos para o ano de 2013. A desagregação realizada conta com 3 novos vetores energéticos e com a reavaliação do peso relativo de mais 5 grupos de consumo. Das medições efetuadas destaca-se a reavaliação do consumo da central de bombagem onde a parcela considerada até à data estava 3 vezes acima do valor real medido. Com base na desagregação feita foram apontadas e estudadas medidas de implementação com o objetivo de reduzir os consumos energético em todo o hospital, destacando-se a solução apresentada para a central de bombagem. Esta medida traria um grande impacto em toda a fatura energética, não só pela sua viabilidade, mas também porque atuaria num grande centro de consumo onde até ao momento nenhuma ação do género foi implementada.

Examination of the "all hazards" approach to disaster management as applied to field disaster management and pre-hospital care in Australia

Disasters, emergencies, incidents, and major incidents - they all come back to the same thing regardless of what they are called. The common denominator is that there is loss of life, injury to people and animals and damage and destruction of property. The management of such events relies on four phases: 1. Prevention 2. Preparation 3. Response 4. Recovery Each of these phases is managed in a different way and often by different teams. Here, concentration has been given to phases 2 and 3, with particular emphasis on phase 3, Response. The words used to describe such events are often related to legislation. The terminology is detailed later. However, whatever the description, whenever prevention is not possible, or fails, then the need is to respond. Response is always better when the responders are prepared. Training is a major part of response preparation and this book is designed to assist those in the health industry who need to be ready when something happens. One of the training packages for responders is the Major Incident Medical Management and Support (MIMMS) Course and this work was designed to supplement the manual prepared by Hodgetts and Macway-Jones(87) in the UK. Included is what the health services responder, who may be sent to an event in which the main concern is trauma, should know. Concentration is on the initial response and does not deal in any detail with hospital reaction, the public health aspects, or the mental health support that provides psychological help to victims and responders, and which are also essential parts of disaster management. People, in times of disaster, have always been quick to offer assistance. It is now well recognised however, that the 'enthusiastic amateur', whilst being a well meaning volunteer, isn't always what is needed. All too often such people have made things worse and have sometimes ended up as victims themselves. There is a place now for volunteers and there probably always will be. The big difference is that these people must be well informed, well trained and well practiced if they are to be effective. Fortunately such people and organisations do exist. Without the work of the St John Ambulance, the State Emergency Service, the Rural Fire Service the Red Cross and the Volunteer Rescue Association, to mention only a few, our response to disasters would be far less effective. There is a strong history of individuals being available to help the community in times of crisis. Mostly these people were volunteers but there has also always been the need for a core of professional support. In the recent past, professional support mechanisms have been developed from lessons learned, particularly to situations that need a rapid and well organised response. As lessons are learned from an analysis of events, philosophy and methods have changed. Our present system is not perfect and perhaps never will be. The need for an 'all-hazards approach' makes detailed planning very difficult and so there will probably always be criticisms about the way an event was handled. Hindsight is a wonderful thing, provided we learn from it. That means that this text is certainly not the 'last word' and revisions as we learn from experience will be inevitable. Because the author works primarily in New South Wales, many of the explanations and examples are specific to that state. In Australia disaster response is a State, rather than a Commonwealth, responsibility and consequently, and inevitably, there are differences in management between the states and territories within Australia. With the influence of Emergency Management Australia, these differences are being reduced. This means that across state and territory boundaries, assistance is common and interstate teams can be deployed and assimilated into the response rapidly, safely, effectively and with minimum explanation. This text sets out to increase the understanding of what is required, what is in place and how the processes of response are managed. By way of introduction and background, examples are given of those situations that have occurred, or could happen. Man Made Disasters has been divided into two distinct sections. Those which are related to structures or transport and those related directly to people. The first section, Chapter 3, includes: • Transport accidents involving land, rail, sea or air vehicles. • Collapse of buildings for reasons other than earthquakes or storms. • Industrial accidents, including the release of hazardous substances and nuclear events. A second section dealing with the consequences of the direct actions of people is separated as Chapter 4, entitled 'People Disasters'. Included are: • Crowd incidents involving sports and entertainment venues. • Terrorism From Chapter 4 on, the emphasis is on the Response phase and deals with organisation and response techniques in detail. Finally there is a section on terminology and abbreviations. An appendix details a typical disaster pack content. War, the greatest of all man made disasters is not considered in this text.

Evaluation of building performance for strategic facilities management in healthcare : a case study of a public hospital in Australia

Purpose - This paper evaluates the main elements of building performance namely building function, building impact and building quality in order to promote strategic facilities management in healthcare organisation to improve core (health) business activities. Design/methodology/approach - Based on current available toolkits, a questionnaire is issued to healthcare users (staff) in a public hospital about their level of agreement in relation to these elements. Statistical analysis is conducted to regroup the elements. These regrouped elements and their inter relationships are used to develop a framework for measuring building performance in healthcare buildings. Findings - The analysis helped to clarify the understanding and agreement of users in Australian healthcare organisation with regards to building performance. Based on the survey results, 11 new elements were regrouped into three groups. These new regrouped elements will be used to develop a reliable framework for measuring performance of Australian healthcare buildings. Originality/value - Currently there is no building performance toolkit available for Australian healthcare organisation. The framework developed in this paper will help healthcare organisations with a reliable performance tool for their buildings and this will promote strategic facilities management.

Energy performance of medium-sized healthcare buildings in Victoria, Australia- a case study

This paper investigates the energy performance of three medium-sized healthcare buildings in Victoria, Australia, that operate only during the daytime. The aim is to provide preliminary understanding of energy consumption in this particular typology in Australia in relation to the available benchmarks. This paper also identifies the differences of energy consumption between different functional areas within medium health facilities. Building features and operational characteristics contributing to the variations in healthcare energy performance are discussed. The total annual energy consumption data ranging from 167-306 kWh/m(2) or 42-72 kWh/m(3) were compared against international data from various climatic zones. Some of the drivers of energy consumption were determined and potentials for energy and water conservation were identified. Comparison with international standards shows a possibility to achieve lower energy consumption in Victorian healthcare buildings.

Evaluation of Cracks Caused by Mechanical Vibrations in Buildings

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Procesos configurativos: de la trama a la noción de campo en los "mat buildings"

La presente tesis aborda el estudio sobre los llamados mat buildings, que surgen entre los años cincuenta y sesenta del pasado siglo. Los mat buildings, también llamados “edificios esteras” o “edificios alfombras”, nacen en gran parte como consecuencia de los desacuerdos e insatisfacciones de los CIAM con el reduccionismo funcionalista y los principios de compartimentación funcional. Estos nuevos modelos remplazan el modelo de ciudad entendido como una colección de edificios individuales por una concepción de un patrón urbano. No es la suma de la longitud, la altura y el ancho sino más bien una densa alfombra bi-dimensional, con una configuración de formas que ofrece al mismo tiempo un orden repetitivo y una infinita diversidad de secuencias con infinitas posibilidades de adaptación donde el hombre vive y se desplaza. Estas características que irán apareciendo en la obras de muchos de los arquitectos que forman parte del grupo Team X son los que Alison Smithson empieza a revelar en su artículo, con la ambición de manifestar una nueva sensibilidad y una nueva forma de entender y ver la arquitectura. Los mat buildings y los cluster serán los códigos utilizados por diferentes miembros del Team X para pensar una arquitectura y un urbanismo alternativo al propuesto por los CIAM. Mediante ellos encuentran el camino para una nueva estética de la conexión con un desplazamiento desde una concepción determinista de la forma arquitectónica (una forma cerrada y en general definida a priori) hacia una actitud más libre, más abierta, fundamentada no tanto en la entereza de la forma global sino en cuanto a la intensidad de sus redes internas y de sus diferentes niveles de asociación. La tesis tiene como propósito final cuestionar si esta tipología de edificios, cuyo principio de base es siempre una matriz geométrica abierta (trama, retícula, malla), con crecimiento ilimitado, puede redefinir la frontera entre ciudad y edificio y, por tanto, entre público y privado, individual y colectivo, estructural e infraestructural, permanente y variable. Por ello, se presenta un estudio histórico y crítico en profundidad sobre los mat buildings, analizando detenidamente y por orden cronológico cinco de sus obras más paradigmáticas: el Orfanato en Ámsterdam de Aldo Van Eyck, la Universidad Libre en Berlín de Candilis, Josic y Woods, el Hospital de Venecia de Le Corbusier y Guillermo Jullián de la Fuente, el edificio administrativo de la Centraal Beheer en Apeldoorn de Herman Hertzberger, y por último el MUSAC en León, realizado por Mansilla y Tuñon. Las cuatro primeras obras pertenecen al periodo Team X y son precursoras de muchos otros proyectos que aparecerán a posteriori. La última obra analizada, el MUSAC, es estudiada conjuntamente con algunas obras del arquitecto japonés Sou Fujimoto y otros casos contemporáneos con la intención de manifestar cómo arquitectos de horizontes muy diferentes vuelven a recurrir a estos modelos de crecimientos ilimitados. Mediante el estudio de varios ejemplos contemporáneos se examinan las repercusiones, transformaciones y evoluciones que estos modelos han tenido. La exploración contrastada permite apreciar adecuadamente la pertinencia de estos modelos y los cambios de modalidades y de procesos que advienen con la aparición en el panorama contemporáneo de la noción de campo y los cambios de paradigma que conlleva. Estos nuevos modelos abren nuevos procesos y forma de abordar la arquitectura basada en las relaciones, flujos, movimientos y asociaciones que son caracterizados por diferentes patrones que vienen a alimentar todo el proceso del proyecto arquitectónico. El estudio de estos nuevos modelos nos indica las cualidades que puede ofrecer la revisión de estos métodos para empezar a tratar nuevas cuestiones que hoy en día parecen ser, permanentemente, parte de la condición urbana. XII ABSTRACT This thesis deals with the study of the so-called mat buildings which emerged between the fifties and sixties of the last century. Mat, or carpet, buildings appeared largely as a result of the CIAM’s disagreement and dissatisfaction with functionalist reductionism and the principles of functional compartmentalisation. These new models replaced the model of the city, seen as a collection of individual buildings, with the concept of an urban pattern. It is not the sum of the length, height and width but rather a dense, two- dimensional mat with a configuration of forms offering both a repetitive order and an infinite diversity of sequences with endless possibilities for adaptation, where man lives and circulates. These characteristics, which appeared in the works of many of the architects who formed part of Team X, are those that Alison Smithson started to reveal in her article with the aim of manifesting a new sensibility and a new way of understanding and seeing architecture. Mat buildings and clusters were the codes used by different members of Team X to plan an alternative architecture and urbanism to that proposed by the CIAM. With them, they found the path for a new aesthetic of connection, with a shift from a deterministic concept of the architectural form (closed and generally defined a priori) towards a more free, more open attitude based not so much on the integrity of the overall form but on the intensity of its internal networks and different levels of association. The end purpose of this thesis is to question whether this type of building, the basic principle of which is always an open geometric matrix (grid, recticle, network) with unlimited growth, can redefine the boundary between city and building and, thus, between public and private, individual and collective, structural and infrastructural, and permanent and variable. To this end, an in-depth historical and critical study of mat buildings is presented, analysing carefully and in chronological order five of the most paradigmatic works of this style: the Orphanage in Amsterdam, by Aldo Van Eyck; the Free University of Berlin, by Candilis, Josic and Woods; Venice Hospital, by Le Corbusier and Guillermo Jullián de la Fuente; the Centraal Beheer administration building in Apeldoorn, by Herman Hertzberger; and lastly, the MUSAC (Contemporary Art Museum) in León, designed by Mansilla and Tuñon. The first four works are from the Team X period and were the precursors to many other projects that would appear later. The last work analysed, the MUSAC, is studied together with some works by Japanese architect Sou Fujimoto and other contemporary cases to show how architects with very different perspectives revert to these models of limitless growth. Through the study of several contemporary examples we examine the repercussions, transformations and evolutions these models have had. The contrasted research XIII allows us to properly appreciate the importance of these models and the changes in forms and processes that came with the emergence of the idea of field in the contemporary arena and the paradigm shifts it entailed. These new models opened up new processes and a way of approaching architecture based on relationships, flows, movements and associations characterised by different patterns that feed the entire process of the architectural project. The study of these new models shows us the benefits that a review of these methods can contribute to addressing new issues that today appear to be a permanent part of the urban condition.