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.

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: 2011-08-10 / Fundo Mackenzie de Pesquisa / This essay discusses the concept of humanization applied in hospitals, examining its connection to the healing process and well-being, plus the link between the concept and design methods that improve architecture of hospitals and health promotion. Over time, hospital architecture has undergone various transformation supported by the evolution of medical knowledge and technology, as well as the appreciation of health and patients. The hospital went from a lifeless and absent building for an instrument to promote active assistance to medical practices and needs of its users, both physical and psychological. The shaping of this so called therapeutic places, seeks to synthesize this new hospital building dynamic that approach the figure of man and its complexities, in order to make it more receptive and personal: humanized. The careful examination of the design process and hospital production of architect Rino Levi whose thoughts are representative within the illustrated scenario reveals its close relationship with the principles of humanization in hospital architecture. Specifically, the case of Manoel Tabacow Hidal building designed by Rino Levi s team, in 1958, is deepened as the object of investigation / O presente trabalho versa sobre o conceito de humanização do espaço hospitalar, analisando sua conexão com os processos de cura e bem-estar humano, ademais seus vínculos com os métodos projetuais e o aprimoramento da arquitetura de hospitais em prol da saúde. A arquitetura hospitalar, ao longo dos tempos, atravessou variadas transformações apoiada na evolução do conhecimento médico e da tecnologia, bem como na valorização da saúde e de seus pacientes. O hospital passou de lugar inanimado e ausente para instrumento promotor de assistência ativa às práticas médicas e às necessidades tanto físicas como psicológicas de seus usuários. A formação desse espaço chamado terapêutico, busca sintetizar boa parte dessa nova dinâmica hospitalar aproximando o espaço construído à figura do homem e suas complexidades, a fim de tornálo mais receptivo e pessoal: humanizado. O atento exame do processo projetual e da produção hospitalar do arquiteto Rino Levi cujas reflexões são representativas no cenário ilustrado revela sua estreita relação com princípios de humanização do espaço hospitalar. Especificamente, o caso do Edifício Manoel Tabacow Hidal projetado por sua equipe, em 1958, é aprofundado como objeto de investigação

Orientador: Andre Munhoz de Argollo Ferrão / Dissertação (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

In this diploma thesis „Static solution of hospital completion in Pisek“ I study statical solution of one new building of hospital. Statical solution includes the design and dimensioning of reinforced concrete floor structures and peripheral beams. The floor structure consists of point supported reinforced concrete slab. The floor slab is supported by columns and walls. The aim of the project is to desing and evaluate the ultimate limit state of reinforced concrete slab and beams. Also was created 3D computational model to analysis the construction, model was created in software Scia Engineer. To verify the resulting values of internal forces was used to the method of replacement frames. The thesis includes an analysis of internal forces in the structure, while based on different types of soil. Individual values are compared. Finally was made drawings of solved part of the building.