scholarly journals THE INFLUENCE OF THE ARCHITECTURE OF MEDICAL INSTITUTIONS ON THE PSYCHOLOGICAL AND PHYSICAL CONDITION OF A PERSON

Author(s):  
Kateryna Romashko ◽  
Yulia Haraborskaya

This article analyzes the factors of the influence of architecture of buildings of medical institutions on the state of human health. The main problems faced by the architect in the design of hospitals and the possibility of solving them are considered. One of the most important problems an architect faces when designing medical facilities is to create a free and open atmosphere. To restore health,not only the quality of medical services is of importance, but also the beauty and convenience of the rooms in which the treatment takes place. To achieve the effect of a healing architecture, designers must, first of all, establish a constructive dialogue with medical workers and patients. Ideas, models and sketches of the architect should be critically evaluated and discussed. The article identifies the main architectural factors contributing to the recovery of patients and creating a trustworthy, psychologically healthy environment. The term “healing architecture” and the relations of famous architects to it are considered. The emergence of a new term indicates the general need in our technogenic world to create an environment that would positively affect the health and psyche of visitors and patients of medical institutions. The purpose of healing architecture is defined. Experts agree that the future lies with clinics whose appearance will more likely resemble residential premises than a hospital in our traditional view. The functional planning structure is changing, because with the advent of the latest technologies, the requirements for certain rooms, their location in the building volume, dimensions, insolation, etc. have also changed. In addition, work is underway to improve the territories of medical institutions as nature also has a rehabilitative effect on people. The worldwide examples of the architecture of medical facilities that have a positive impact on human health are considered.

2020 ◽  
Vol 6 (1) ◽  
pp. 24-32
Author(s):  
A. A. Bogdanov ◽  
A. V. Chernykh

The modern strategy for the development of health care includes as one of the priorities maximum approach of medical services to the consumer. To solve this problem in the conditions of the Navy, it is advisable to create mobile medical complexes placed on specially equipped vessels. For the full and operational medical support of the fleet forces in specified areas of the world’s ocean at different distances from the main base sites, a system of marine mobile medical complexes should be created. In peacetime the system should include hospital ships, multipurpose vessels with a hospital on board, mobile polyclinic mobile complexes and high-speed ambulance boats. During the period of danger, the possibility should be provided for the rapid re-equipment of hospital and multifunctional vessels, as well as polyclinic complexes with an increase in evacuation capacity and an increase in the volume of medical care. For medical support of an amphibious assault operation on universal amphibious ships, a quick re-equipment of the premises specially allocated during the design process to medical facilities for emergency medical assistance and evacuation of the wounded to coastal medical institutions should be provided. In wartime, for the provision of medical care and evacuation of the wounded, vessels of various purposes must be used, the projects of which contain the capabilities and algorithms for their quick conversion into sanitary transports. Variants of the main tactical and technical characteristics of vessels of various classes intended for medical support of the fleet forces are proposed. A significant problem in the operation of medical vessels is their low patient load in the inter-transit period, which leads to the disqualification of full-time medical staff and reduces the quality of the maintenance of the vessel. When forming the operational-tactical model of operation of medical vessels, special attention should be paid to the staffing algorithms and ensuring that the courts are always ready to perform their tasks.


2020 ◽  
Vol 15 (3) ◽  
pp. 176-203
Author(s):  
Sergey Shishkin ◽  
Aleksandr Temnitsky

The paper presents the results of a study of changes in the salary schemes and working conditions of medical staff, their labor motivation and the compliance of these changes with the objectives of the so-called “effective”, performance-based, contract being introduced. The data from a set of surveys of employees at public medical facilities in 2009–2018 served as the empirical base of the study. It is shown that the introduction of the effective contract had changed the role of factors determining the salary of medical workers. Whereas earlier qualification had been the leading factor, afterwards it was the volume and quality of the work performed as well as the outcomes of a given medical institution or unit. Most doctors had increased the amount of work they do, and the secondary employment of medical staff had slightly been reduced. Survey data indicate quite a stable hierarchy of labor motives among medical workers, the leading ones being earning money, professional interest in work, and altruism. In 2018, the role of the guaranteed employment motive was elevated. Among the positive changes are an increase in the satisfaction of medical workers with the salary, conditions for advanced training, and rules of remuneration. The identified outcomes are generally consistent with the objectives of introducing the effective contract, and they allow one to argue that the new salary scheme has had a positive impact on the labor motivation of medical staff. However, the conclusion of an effective contract was noted by only half of respondents. For the rest, it all boiled down to an increase in salary. These results indicate serious failures in the administration of this reform.


Author(s):  
Manana Maghradze ◽  
◽  
Ketevan Kutateladze ◽  
Ketevan Burduladze ◽  
◽  
...  

The reduction of state subsidies, the control of expenditures by insurance companies, the introduction of ethical standards in medicine by health care institutions have increased the demand for additional investment. One of the important factors for increasing the competitiveness of private medical institutions and the sustainability of its activities is the formation of a marketing complex. In order to popularize the services of medical institutions, the main tools of the marketing communication system are used: advertising, public relations and so-called Synthetic means. Medical marketing cannot be considered as just developing good services and delivering it to customers. Medical facilities should also establish close links with existing and future clients. Marketing activities should ensure the creation of new medical services and the development of existing medical services. It is important to increase the role of the state in regulating the medical market in order to promote healthy competition among suppliers and the unwavering improvement of the quality of medical services.


2020 ◽  
Vol 8 (3) ◽  
pp. 47-49
Author(s):  
Hiroshi Fujita ◽  
Katsuhiro Tsuno ◽  
Asashi Tanaka

Objective: In small medical institutions in Japan, red blood cell (RBC) solutions are commonly stored in household refrigerators because of the high cost of blood-only refrigerators. Therefore, we assessed and compared the methods used for preserving the RBC solutions in an active transport refrigerator (ATR), a blood-only refrigerator, and a household refrigerator. Materials and Methods: Irradiated RBC solution samples (280 mL) supplied by the Japanese Red Cross Society (experiments 1–8) and in-house whole blood waste (experiments 9–10) were each divided into two bags. The quality of blood stored in an active transport refrigerator was compared with that of blood stored in a blood-only refrigerator or a household refrigerator. We tested the hemolytic effects of storage and filtration through a transfusion set on the lactate dehydrogenase ratio (LDR) of the RBC solutions. Results: Although the LDR of the RBC solutions stored in the ATR was similar to that of the RBC solutions stored in the blood-only refrigerator, the LDR of the RBC solutions stored in the household refrigerator was significantly higher than that of the RBC solutions stored in the ATR. Conclusion: Temperature management using an ATR is critical for the maintenance of the quality of the RBC solution, which is not achieved by a household refrigerator.


1970 ◽  
Vol 14 (2) ◽  
pp. 38-42
Author(s):  
Oleg Krasylnykov ◽  
Viktor Proskuryakov ◽  
Hayane Akopyan

The article emphasizes the role of architecture in creating an atmosphere of mental comfort and its positive impact on human health. Futurological tendencies of the organization of the medical space in the medical facilities of the future are analyzed taking into account the views of students.


Author(s):  
V.V. Bezruk ◽  
T.P. Andriychuk ◽  
O.I. Pervozvanska

First identify the incidence of kidney disease and urinary tract, and, accordingly, the disability are important indicators of the health status of the child population in Ukraine. The objective. Analysis of the effectiveness of the implementation of local protocols Nephrology medical care to children in Chernivtsi region. Materials and methods. The material for this study is reporting documentation about the condition of the nephrological service care for children’s population of the Chernivtsi region in 2013 - 2014 and the data of The Center of medical statistics of Ministry of Health of Ukraine. Results and discussion. Analyzes the main indicators of child nephrology service in Chernivtsi region. The introduction of local protocols and clinical trials of patients with nephrological diseases in medical institutions of Chernivtsi region had a positive impact on reducing prevalence and first identified in the incidence of diseases of the urinary system in children’s Chernivtsi region for 2014, which for the first time in recent years do not exceed national statistics.   Conclusion. The introduction of local protocols and clinical trails pediatric patients Nephrology pathology in medical institutions ofChernivtsi region have improved the quality of care at all stages, respecting the standards for the provision of specialized medical care.


2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.


2012 ◽  
Vol 9 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Gina G Mentzer ◽  
Alex J Auseon

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.


2020 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Oliver Hoon Leh Ling ◽  
Siti Nur Afiqah Mohamed Musthafa ◽  
Muhammad Solahuddin Hamzah ◽  
Marlyana Azyyati Marzukhi ◽  
Nurul Ashikin Mabahwi

Environmental health is referring to the health of people in relation to environmental quality. Due to rapid urbanisation, more people are living in urban neighbourhoods. Urban planning and design aspects including the neighbourhood environment are potentially affecting the human healthy lifestyle and health condition. Thus, the relationship between Malaysian neighbourhood environmental aspects and human health has become the concern of this research. One of the neighbourhood units in Shah Alam city had been chosen as the study area for this purpose. Questionnaire survey had been carried out to examine the health condition and physical activeness of residents. Besides, the perception of residents on the quality of neighbourhood environmental aspects also had been collected in the questionnaire survey. The health condition of residents was measured by non-communicable diseases (NCD) and the physical activeness was measured in duration as well as the frequency of physical exercise activities. The study found that the quality of neighbourhood environmental aspects significantly increased the physical activeness of respondents. The physical activeness was positively associated with human health as measured in NCD (heart diseases and high blood pressure, HBP). It shows that neighbourhood environmental (physical and social) aspects are potentially affecting the healthy life of people living in the neighbourhood.Keywords: Healthy life, Neighbourhood environment, Non-communicable diseases (NCD), Physical activeness, Quality.


2020 ◽  
pp. 136-153
Author(s):  
Elizaveta E. Polianskaia ◽  

This article deals with the problem of recruiting sisters of mercy by the Russian Red Cross Society (also RRCS, Red Cross) in 1908-1914s. In case of war, Red Cross had to send sisters of mercy to its own institutions and to medical institutions of the military Department. The war ministry was developing a mobilization plan, which included a plan for the deployment of medical facilities. The ministry sent this plan to the administration of the Red Cross. In accordance with the request of the ministry, the RRCS strengthened its efforts to attract new staff of sisters of mercy. This activity led to certain results. On the eve of the war, there was a number of sisters of mercy that were required to replenish the medical institutions of the Red Cross and the military Department. That means that according to the pre-war plan, in the matter of creating a cadre of sisters of mercy, the RRCS was ready for the war. However, the Great War took on a wide scale, a situation which the army, the industry, and the medical service were not prepared for. The Russian Red Cross Society was forced to quickly open new medical institutions and to urgently train new personnel. Sometimes the duties of nurses were performed by those who did not have the necessary education.


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