U.S. flag

An official website of the United States government

The .gov means it's official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

  • Publications
  • Account settings
  • Browse Titles

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

Cover of StatPearls

StatPearls [Internet].

Case study: 33-year-old female presents with chronic sob and cough.

Sandeep Sharma ; Muhammad F. Hashmi ; Deepa Rawat .

Affiliations

Last Update: February 20, 2023 .

  • Case Presentation

History of Present Illness:  A 33-year-old white female presents after admission to the general medical/surgical hospital ward with a chief complaint of shortness of breath on exertion. She reports that she was seen for similar symptoms previously at her primary care physician’s office six months ago. At that time, she was diagnosed with acute bronchitis and treated with bronchodilators, empiric antibiotics, and a short course oral steroid taper. This management did not improve her symptoms, and she has gradually worsened over six months. She reports a 20-pound (9 kg) intentional weight loss over the past year. She denies camping, spelunking, or hunting activities. She denies any sick contacts. A brief review of systems is negative for fever, night sweats, palpitations, chest pain, nausea, vomiting, diarrhea, constipation, abdominal pain, neural sensation changes, muscular changes, and increased bruising or bleeding. She admits a cough, shortness of breath, and shortness of breath on exertion.

Social History: Her tobacco use is 33 pack-years; however, she quit smoking shortly prior to the onset of symptoms, six months ago. She denies alcohol and illicit drug use. She is in a married, monogamous relationship and has three children aged 15 months to 5 years. She is employed in a cookie bakery. She has two pet doves. She traveled to Mexico for a one-week vacation one year ago.

Allergies:  No known medicine, food, or environmental allergies.

Past Medical History: Hypertension

Past Surgical History: Cholecystectomy

Medications: Lisinopril 10 mg by mouth every day

Physical Exam:

Vitals: Temperature, 97.8 F; heart rate 88; respiratory rate, 22; blood pressure 130/86; body mass index, 28

General: She is well appearing but anxious, a pleasant female lying on a hospital stretcher. She is conversing freely, with respiratory distress causing her to stop mid-sentence.

Respiratory: She has diffuse rales and mild wheezing; tachypneic.

Cardiovascular: She has a regular rate and rhythm with no murmurs, rubs, or gallops.

Gastrointestinal: Bowel sounds X4. No bruits or pulsatile mass.

  • Initial Evaluation

Laboratory Studies:  Initial work-up from the emergency department revealed pancytopenia with a platelet count of 74,000 per mm3; hemoglobin, 8.3 g per and mild transaminase elevation, AST 90 and ALT 112. Blood cultures were drawn and currently negative for bacterial growth or Gram staining.

Chest X-ray

Impression:  Mild interstitial pneumonitis

  • Differential Diagnosis
  • Aspiration pneumonitis and pneumonia
  • Bacterial pneumonia
  • Immunodeficiency state and Pneumocystis jiroveci pneumonia
  • Carcinoid lung tumors
  • Tuberculosis
  • Viral pneumonia
  • Chlamydial pneumonia
  • Coccidioidomycosis and valley fever
  • Recurrent Legionella pneumonia
  • Mediastinal cysts
  • Mediastinal lymphoma
  • Recurrent mycoplasma infection
  • Pancoast syndrome
  • Pneumococcal infection
  • Sarcoidosis
  • Small cell lung cancer
  • Aspergillosis
  • Blastomycosis
  • Histoplasmosis
  • Actinomycosis
  • Confirmatory Evaluation

CT of the chest was performed to further the pulmonary diagnosis; it showed a diffuse centrilobular micronodular pattern without focal consolidation.

On finding pulmonary consolidation on the CT of the chest, a pulmonary consultation was obtained. Further history was taken, which revealed that she has two pet doves. As this was her third day of broad-spectrum antibiotics for a bacterial infection and she was not getting better, it was decided to perform diagnostic bronchoscopy of the lungs with bronchoalveolar lavage to look for any atypical or rare infections and to rule out malignancy (Image 1).

Bronchoalveolar lavage returned with a fluid that was cloudy and muddy in appearance. There was no bleeding. Cytology showed Histoplasma capsulatum .

Based on the bronchoscopic findings, a diagnosis of acute pulmonary histoplasmosis in an immunocompetent patient was made.

Pulmonary histoplasmosis in asymptomatic patients is self-resolving and requires no treatment. However, once symptoms develop, such as in our above patient, a decision to treat needs to be made. In mild, tolerable cases, no treatment other than close monitoring is necessary. However, once symptoms progress to moderate or severe, or if they are prolonged for greater than four weeks, treatment with itraconazole is indicated. The anticipated duration is 6 to 12 weeks total. The response should be monitored with a chest x-ray. Furthermore, observation for recurrence is necessary for several years following the diagnosis. If the illness is determined to be severe or does not respond to itraconazole, amphotericin B should be initiated for a minimum of 2 weeks, but up to 1 year. Cotreatment with methylprednisolone is indicated to improve pulmonary compliance and reduce inflammation, thus improving work of respiration. [1] [2] [3]

Histoplasmosis, also known as Darling disease, Ohio valley disease, reticuloendotheliosis, caver's disease, and spelunker's lung, is a disease caused by the dimorphic fungi  Histoplasma capsulatum native to the Ohio, Missouri, and Mississippi River valleys of the United States. The two phases of Histoplasma are the mycelial phase and the yeast phase.

Etiology/Pathophysiology 

Histoplasmosis is caused by inhaling the microconidia of  Histoplasma  spp. fungus into the lungs. The mycelial phase is present at ambient temperature in the environment, and upon exposure to 37 C, such as in a host’s lungs, it changes into budding yeast cells. This transition is an important determinant in the establishment of infection. Inhalation from soil is a major route of transmission leading to infection. Human-to-human transmission has not been reported. Infected individuals may harbor many yeast-forming colonies chronically, which remain viable for years after initial inoculation. The finding that individuals who have moved or traveled from endemic to non-endemic areas may exhibit a reactivated infection after many months to years supports this long-term viability. However, the precise mechanism of reactivation in chronic carriers remains unknown.

Infection ranges from an asymptomatic illness to a life-threatening disease, depending on the host’s immunological status, fungal inoculum size, and other factors. Histoplasma  spp. have grown particularly well in organic matter enriched with bird or bat excrement, leading to the association that spelunking in bat-feces-rich caves increases the risk of infection. Likewise, ownership of pet birds increases the rate of inoculation. In our case, the patient did travel outside of Nebraska within the last year and owned two birds; these are her primary increased risk factors. [4]

Non-immunocompromised patients present with a self-limited respiratory infection. However, the infection in immunocompromised hosts disseminated histoplasmosis progresses very aggressively. Within a few days, histoplasmosis can reach a fatality rate of 100% if not treated aggressively and appropriately. Pulmonary histoplasmosis may progress to a systemic infection. Like its pulmonary counterpart, the disseminated infection is related to exposure to soil containing infectious yeast. The disseminated disease progresses more slowly in immunocompetent hosts compared to immunocompromised hosts. However, if the infection is not treated, fatality rates are similar. The pathophysiology for disseminated disease is that once inhaled, Histoplasma yeast are ingested by macrophages. The macrophages travel into the lymphatic system where the disease, if not contained, spreads to different organs in a linear fashion following the lymphatic system and ultimately into the systemic circulation. Once this occurs, a full spectrum of disease is possible. Inside the macrophage, this fungus is contained in a phagosome. It requires thiamine for continued development and growth and will consume systemic thiamine. In immunocompetent hosts, strong cellular immunity, including macrophages, epithelial, and lymphocytes, surround the yeast buds to keep infection localized. Eventually, it will become calcified as granulomatous tissue. In immunocompromised hosts, the organisms disseminate to the reticuloendothelial system, leading to progressive disseminated histoplasmosis. [5] [6]

Symptoms of infection typically begin to show within three to17 days. Immunocompetent individuals often have clinically silent manifestations with no apparent ill effects. The acute phase of infection presents as nonspecific respiratory symptoms, including cough and flu. A chest x-ray is read as normal in 40% to 70% of cases. Chronic infection can resemble tuberculosis with granulomatous changes or cavitation. The disseminated illness can lead to hepatosplenomegaly, adrenal enlargement, and lymphadenopathy. The infected sites usually calcify as they heal. Histoplasmosis is one of the most common causes of mediastinitis. Presentation of the disease may vary as any other organ in the body may be affected by the disseminated infection. [7]

The clinical presentation of the disease has a wide-spectrum presentation which makes diagnosis difficult. The mild pulmonary illness may appear as a flu-like illness. The severe form includes chronic pulmonary manifestation, which may occur in the presence of underlying lung disease. The disseminated form is characterized by the spread of the organism to extrapulmonary sites with proportional findings on imaging or laboratory studies. The Gold standard for establishing the diagnosis of histoplasmosis is through culturing the organism. However, diagnosis can be established by histological analysis of samples containing the organism taken from infected organs. It can be diagnosed by antigen detection in blood or urine, PCR, or enzyme-linked immunosorbent assay. The diagnosis also can be made by testing for antibodies again the fungus. [8]

Pulmonary histoplasmosis in asymptomatic patients is self-resolving and requires no treatment. However, once symptoms develop, such as in our above patient, a decision to treat needs to be made. In mild, tolerable cases, no treatment other than close monitoring is necessary. However, once symptoms progress to moderate or severe or if they are prolonged for greater than four weeks, treatment with itraconazole is indicated. The anticipated duration is 6 to 12 weeks. The patient's response should be monitored with a chest x-ray. Furthermore, observation for recurrence is necessary for several years following the diagnosis. If the illness is determined to be severe or does not respond to itraconazole, amphotericin B should be initiated for a minimum of 2 weeks, but up to 1 year. Cotreatment with methylprednisolone is indicated to improve pulmonary compliance and reduce inflammation, thus improving the work of respiration.

The disseminated disease requires similar systemic antifungal therapy to pulmonary infection. Additionally, procedural intervention may be necessary, depending on the site of dissemination, to include thoracentesis, pericardiocentesis, or abdominocentesis. Ocular involvement requires steroid treatment additions and necessitates ophthalmology consultation. In pericarditis patients, antifungals are contraindicated because the subsequent inflammatory reaction from therapy would worsen pericarditis.

Patients may necessitate intensive care unit placement dependent on their respiratory status, as they may pose a risk for rapid decompensation. Should this occur, respiratory support is necessary, including non-invasive BiPAP or invasive mechanical intubation. Surgical interventions are rarely warranted; however, bronchoscopy is useful as both a diagnostic measure to collect sputum samples from the lung and therapeutic to clear excess secretions from the alveoli. Patients are at risk for developing a coexistent bacterial infection, and appropriate antibiotics should be considered after 2 to 4 months of known infection if symptoms are still present. [9]

Prognosis 

If not treated appropriately and in a timely fashion, the disease can be fatal, and complications will arise, such as recurrent pneumonia leading to respiratory failure, superior vena cava syndrome, fibrosing mediastinitis, pulmonary vessel obstruction leading to pulmonary hypertension and right-sided heart failure, and progressive fibrosis of lymph nodes. Acute pulmonary histoplasmosis usually has a good outcome on symptomatic therapy alone, with 90% of patients being asymptomatic. Disseminated histoplasmosis, if untreated, results in death within 2 to 24 months. Overall, there is a relapse rate of 50% in acute disseminated histoplasmosis. In chronic treatment, however, this relapse rate decreases to 10% to 20%. Death is imminent without treatment.

  • Pearls of Wisdom

While illnesses such as pneumonia are more prevalent, it is important to keep in mind that more rare diseases are always possible. Keeping in mind that every infiltrates on a chest X-ray or chest CT is not guaranteed to be simple pneumonia. Key information to remember is that if the patient is not improving under optimal therapy for a condition, the working diagnosis is either wrong or the treatment modality chosen by the physician is wrong and should be adjusted. When this occurs, it is essential to collect a more detailed history and refer the patient for appropriate consultation with a pulmonologist or infectious disease specialist. Doing so, in this case, yielded workup with bronchoalveolar lavage and microscopic evaluation. Microscopy is invaluable for definitively diagnosing a pulmonary consolidation as exemplified here where the results showed small, budding, intracellular yeast in tissue sized 2 to 5 microns that were readily apparent on hematoxylin and eosin staining and minimal, normal flora bacterial growth. 

  • Enhancing Healthcare Team Outcomes

This case demonstrates how all interprofessional healthcare team members need to be involved in arriving at a correct diagnosis. Clinicians, specialists, nurses, pharmacists, laboratory technicians all bear responsibility for carrying out the duties pertaining to their particular discipline and sharing any findings with all team members. An incorrect diagnosis will almost inevitably lead to incorrect treatment, so coordinated activity, open communication, and empowerment to voice concerns are all part of the dynamic that needs to drive such cases so patients will attain the best possible outcomes.

  • Review Questions
  • Access free multiple choice questions on this topic.
  • Comment on this article.

Histoplasma Contributed by Sandeep Sharma, MD

Disclosure: Sandeep Sharma declares no relevant financial relationships with ineligible companies.

Disclosure: Muhammad Hashmi declares no relevant financial relationships with ineligible companies.

Disclosure: Deepa Rawat declares no relevant financial relationships with ineligible companies.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

  • Cite this Page Sharma S, Hashmi MF, Rawat D. Case Study: 33-Year-Old Female Presents with Chronic SOB and Cough. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

In this Page

Bulk download.

  • Bulk download StatPearls data from FTP

Related information

  • PMC PubMed Central citations
  • PubMed Links to PubMed

Similar articles in PubMed

  • Review Palliative Chemotherapy: Does It Only Provide False Hope? The Role of Palliative Care in a Young Patient With Newly Diagnosed Metastatic Adenocarcinoma. [J Adv Pract Oncol. 2017] Review Palliative Chemotherapy: Does It Only Provide False Hope? The Role of Palliative Care in a Young Patient With Newly Diagnosed Metastatic Adenocarcinoma. Doverspike L, Kurtz S, Selvaggi K. J Adv Pract Oncol. 2017 May-Jun; 8(4):382-386. Epub 2017 May 1.
  • Review Breathlessness with pulmonary metastases: a multimodal approach. [J Adv Pract Oncol. 2013] Review Breathlessness with pulmonary metastases: a multimodal approach. Brant JM. J Adv Pract Oncol. 2013 Nov; 4(6):415-22.
  • A 50-Year Old Woman With Recurrent Right-Sided Chest Pain. [Chest. 2022] A 50-Year Old Woman With Recurrent Right-Sided Chest Pain. Saha BK, Bonnier A, Chong WH, Chenna P. Chest. 2022 Feb; 161(2):e85-e89.
  • Suicidal Ideation. [StatPearls. 2024] Suicidal Ideation. Harmer B, Lee S, Duong TVH, Saadabadi A. StatPearls. 2024 Jan
  • [Clinical analysis of the first patient with imported Middle East respiratory syndrome in China]. [Zhonghua Wei Zhong Bing Ji Jiu...] [Clinical analysis of the first patient with imported Middle East respiratory syndrome in China]. Ling Y, Qu R, Luo Y. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015 Aug; 27(8):630-4.

Recent Activity

  • Case Study: 33-Year-Old Female Presents with Chronic SOB and Cough - StatPearls Case Study: 33-Year-Old Female Presents with Chronic SOB and Cough - StatPearls

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

Connect with NLM

National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894

Web Policies FOIA HHS Vulnerability Disclosure

Help Accessibility Careers

statistics

general hospital case study pdf

Health System Responsiveness: A Case Study of General Hospitals in Iran

Document Type : Original Article

  • Hossein Ebrahimipour 1
  • Ali Vafaei Najjar 1
  • Ahmad Khanijahani 2
  • Arefeh Pourtaleb 3
  • Marzieh Javadi 4
  • Alireza Rezazadeh 5
  • Marjan Vejdani 3
  • Arash Shirdel 3

1 Health Sciences Research Center, Department of Health and Management, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

2 School of Health and Paramedical, Zanjan University of Medical Sciences, Zanjan, Iran

3 Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

4 Student Research Committee, Health Management and Economic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

5 Department of Health Services Management, Tehran University of Medical Sciences, Tehran, Iran

  • Responsiveness
  • General Hospital
  • Non-Clinical Aspect of Care
  • Health System

Main Subjects

  • Healthcare Quality

International Journal of Health Policy and Management

Volume 1, Issue 1 - Serial Number 1 2013 Pages 85-90

  • PDF 834.62 K
  • Receive Date: 20 April 2013
  • Revise Date: 23 May 2013
  • Accept Date: 12 June 2013
  • First Publish Date: 13 June 2013

How to cite

  • Article View: 17,471
  • PDF Download: 6,675

Ebrahimipour, H., Vafaei Najjar, A., Khanijahani, A., Pourtaleb, A., Javadi, M., Rezazadeh, A., Vejdani, M., & Shirdel, A. (2013). Health System Responsiveness: A Case Study of General Hospitals in Iran. International Journal of Health Policy and Management , 1 (1), 85-90. doi: 10.15171/ijhpm.2013.13

Hossein Ebrahimipour; Ali Vafaei Najjar; Ahmad Khanijahani; Arefeh Pourtaleb; Marzieh Javadi; Alireza Rezazadeh; Marjan Vejdani; Arash Shirdel. "Health System Responsiveness: A Case Study of General Hospitals in Iran". International Journal of Health Policy and Management , 1, 1, 2013, 85-90. doi: 10.15171/ijhpm.2013.13

Ebrahimipour, H., Vafaei Najjar, A., Khanijahani, A., Pourtaleb, A., Javadi, M., Rezazadeh, A., Vejdani, M., Shirdel, A. (2013). 'Health System Responsiveness: A Case Study of General Hospitals in Iran', International Journal of Health Policy and Management , 1(1), pp. 85-90. doi: 10.15171/ijhpm.2013.13

Ebrahimipour, H., Vafaei Najjar, A., Khanijahani, A., Pourtaleb, A., Javadi, M., Rezazadeh, A., Vejdani, M., Shirdel, A. Health System Responsiveness: A Case Study of General Hospitals in Iran. International Journal of Health Policy and Management , 2013; 1(1): 85-90. doi: 10.15171/ijhpm.2013.13

Academia.edu no longer supports Internet Explorer.

To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to  upgrade your browser .

Enter the email address you signed up with and we'll email you a reset link.

  • We're Hiring!
  • Help Center

paper cover thumbnail

CASE STUDY OF HOSPITAL FORTIS HOSPITAL INTRODUCTION OF FORTIS HOSPITAL , GURGAON

Profile image of dev nayyer

Related Papers

InTech eBooks

Gökçen Firdevs Yücel Caymaz

general hospital case study pdf

francesca giofrè

The book titled “Health spaces. Hospital Outdoor Environments”, involves different Italian and Serbian experts in the healthcare design and landscape, aware of the need for interdisciplinary approaches and of the significant importance that landscape design gains in these last years. The book discusses and shows design solutions aimed at creating the right balance as much between the city and the hospital’s outdoors, that much between hospital open spaces and indoor environments, in accordance with users’ needs and behaviors. The book develops the topic starting from a general approach to go on in the real case study’s analysis. According to that, it is divided in two parts: the first part collects essays on planning and design approach and the second part shows significant case studies located in Serbia and in Italy. The first part of the book collected six papers, written by Z. Ðukanović, F. Terranova, N. Beretić, F. Quici, F. Giofrè, R., R. Božović Stamenović. They explore theoretically the main topic from different points of view, from different disciplines of the architecture. The second part of the book collected seven papers written by R. D’Onofrio and E. Trusiani, A.M. Giovenale; F. Giofrè, I. Miletić, V. Napoli and G. Primiceri, V. Mandić and T. Stanisavljević , R. Belibani and M. Ciardi. The papers analyze several case study as the Piacenza Hospital complex, Policlinico Umberto I of Rome (Italy); the Clinical Center in Belgrade, Clinical Centre of Niš and Clinical Centre of Vojvodina in Novi Sad (Serbia) and more. The book is edited by Francesca Giofrè and Zoran Ðukanović and it contains a forwards by Romano Del Nord, director of Inter-University Research Centre “Systems and Technologies for Healthcare Buildings”, University of Florence and Vladan Đokić, dean of the Faculty of Architecture of Belgrade. The book is on publishing by Inter-University Research Centre “Systems and Technologies for Healthcare Buildings”, Tesis, in which is part Sapienza University of Rome, Department Planning, Design, Technology of Architecture, with Faculty of Architecture University of Belgrade, Serbia, in which is part the educational program Public Art & Public Space (PaPs). The book “Health spaces. Hospital Outdoor Environments” is the first of series that we are planning to write on this topic, according to our mutual ongoing research.

Procedia - Social and Behavioral Sciences

norhati ibrahim

Manzar Journal , Arash Zahedan

| The new approaches to solve the problems in treatment sector, have led to the introduction of other complementary sciences, especially landscape architecture. Today, in the great majority of developed countries, hospital areas are considered as part of the treatment process and rather than the past, they are not recognized as a remaining and negative space among other buildings. By inspiring a therapeutic rule to the areas, set of the buildings and hospital areas as a complementary space, serves the purpose of providing therapeutic goals. By examining the problems of some existing hospitals and their sites some questions are asked. For example, what are the aspects of the landscape design of curative spaces? What are the approaches for the designing of hospital areas in developed countries? Researches show that being involved in nature and engaging with it improves the health of patients greatly. It also provides a suitable space for employees to relax and interact which can reduce medical errors. In this study, the functional characteristics of the healing and medical areas are studied and Imam Khomeini hospital has investigated as case study and also Sydney and Lois eskenazi hospital in the United States as external cases. lastly this conclusion is drawn from the article that consideration of the hospital facilities and their design as an important area in the treatment process should be placed on the agenda of the authorities by applying healing aspects of the therapeutic areas to maximize the functional utility.

Architecture and Urban Planning

This study aims to evaluate hospital outdoor design landscaping requirements. In addition to taking into account user groups such as adult and child patients, hospital staff and visitors, also such elements as hospital entrances and exits, parking areas, hospital roads, children’s playgrounds, rest areas, water elements, art elements, field furniture, planting and maintenance subjects were determined to be important in a successful hospital garden design. A checklist has been prepared that includes these identified issues. The checklist was tested on five selected hospitals in Baku, Azerbaijan. According to a comparative analysis of hospital outdoor designs, it was determined that the Liv Bona Dea Hospital topped the list, followed by the National Oncology Hospital as having the most successful open space hospital designs.

Asian Journal of Behavioural Studies

Josmin Yahya

Civil Engineering and Architecture

Horizon Research Publishing(HRPUB) Kevin Nelson

The article is a part of the study devoted to the urban planning of healthcare system spatial development, hospitals in particular. The research is based on systemic and integrated analysis. A number of case studies are provided. The article addresses topical issues of possible ways to improve environmental friendliness, energy efficiency and harmonization with the natural and artificial environment of health care facilities, which will contribute together to a sustainable vector of architectural development. One of the newest and most promising ways of architectural development of medical institutions is associated with the active integration of the potential use of underground space into the design of hospitals. The article considers the best experience of designing hospital buildings in which the underground space performs various functions, as well as a number of practical techniques aimed at balancing the uncomfortable feeling of "underground" of the premises located in the basement. The following progressive directions of using underground spaces in the design of modern hospitals have been identified, described and analyzed: underground location of rooms for patients, staff and technical purposes. The proposed approach allows: reduction of the perimeter of a building, which interacts with changing climatic conditions; natural stable temperature; potential use of different types of heat pumps as a "green" means of increasing heat energy (soil, ambient air and groundwater); noise reduction from the environment; using the area of the entire land plot with a significant underground extension.

Olena Kozakova

The article deals with important issues of the ecological approach to the health care facilities design within the general world's attention to the problem of sustainable development of the urban environment. Taking as the example the innovative foreign experience of implemented projects of medical institutions, as well as design, competitive and conceptual proposals revealed the latest idea of coexistence and harmonization of natural and man-made worlds within the medical environment that meets the challenges and needs of the XXI century. It is the concept of the hospital-park, that synthetically combines the architectural environment, natural environment, as well as man-made oasis and creates the basis for emergent results both in the medical field and in the need for a neat attitude to our planet. The article reveals the possibilities of designing a hospital-park of different stories and in different initial conditions: in a dense urban environment with a minimum size of the ...

IJSRD - International Journal for Scientific Research and Development

IJSRD - International Journal for Scientific Research and Development , V. Kumaran

— The aim of the project " Planning, Analysis and Design of Multi-Speciality Hospital Building " is to develop a multi-speciality hospital building with economical design using manual design techniques and computer aided design. The project summary report emphasizes the structural analysis and design finding of hospital building. The main scope of this project is to apply class room knowledge in the real world designing of a hospital building there building require large and clear area unobstructed by columns. Here the hospital building is of four story RCC structure with 300 no. of beds and capacity of 22500sq.m which is planned using AUTOCAD for floor plan and STAAD PRO for analysis. The multi-speciality hospital building is located in Avadi. The basic requirements of hospital building is taken from): IS 12433 (part3-2001) and the member are designed using IS 456:2000.

Giuseppe Pellitteri

Since the second half of the twentieth century to today, the architectural design of the hospital building has undergone great changes. These are related to the role that it plays within the city and the community, but also to the recovery of values that are different from those of quantity and function, characterizing modern hospitals in the first half of the twentieth century. These ‘new values’, really recovering from the past and agreeing to a humane and humanistic vision of reality, together with the recent technological discoveries and new ways of treatment and care, influence the design choices in hospitals contemporaries. The proposed research Architectural of hospital space: Changes and Design Methods seeks to define the characteristics and the architectonic qualities of the contemporary hospital. It is care centre and hub of scientific and medical knowledge and it is also the important place for observations on the relationship between the man and the built environment. Th...

RELATED PAPERS

José Borrego

European Journal of Vascular and Endovascular Surgery

Eleni Arnaoutoglou

Andini gusnia

Educação e Realidade

Sandra Regina Ramalho e Oliveira

alois hynek

perbaikanshockbreaker mobiltasikmalaya

Journal of Blood Transfusion

Tadele Melak

Community Empowerment

desi rachmawati

ChemMedChem

Virginija Dudutienė

Universidade do Minho. Gávea - Laboratório de Estudo e Desenvolvimento da Sociedade da Informação

Luis Amaral

Journal of Nanoparticle Research

Prashant Kesharwani

Louise Dobbie

IOSR Journal of Mathematics

Vijayakumar Patil

Karen Le Rossignol

Excavaciones arqueológicas en Asturias 2013-2016

Juan R Muñiz Álvarez

2009 First International Communication Systems and Networks and Workshops

Abhishek Tiwari

Cancer research

Elizabeth Travis

Journal of Mathematical Physics

Prince Osei

Journal of Loss Prevention in the Process Industries

Jennifer Alejandra Castro Rodriguez

SCIAS - Educação, Comunicação e Tecnologia

Jean Carlos da Silva Monteiro

Trends in Genetics

Yacine Graba

Seyed Jazayeri

Ali aytunç Tuncay

Journal of Police and Criminal Psychology

Ashley Dennis

Procedia Computer Science

  •   We're Hiring!
  •   Help Center
  • Find new research papers in:
  • Health Sciences
  • Earth Sciences
  • Cognitive Science
  • Mathematics
  • Computer Science
  • Academia ©2024

IMAGES

  1. Download North York General Hospital Case Study PDF

    general hospital case study pdf

  2. Hospital Case Study

    general hospital case study pdf

  3. North York General Hospital Case Study On Wireless Ecare Project

    general hospital case study pdf

  4. The Hospital Case Study.pdf

    general hospital case study pdf

  5. (PDF) The role of a psychiatric consultation liaison nurse in a general

    general hospital case study pdf

  6. Massachusetts General Hospital

    general hospital case study pdf

VIDEO

  1. Keesha, AJ, Justus, and Edward #GeneralHospital

  2. General Hospital 1-19-24 Review

  3. SeeFactor CT3

  4. Hospital Case Study: Option 3

  5. General Hospital 5-6-24 Preview GH 6th May 2024

  6. HCE Ashford Hospital Case Study Final under 500mb

COMMENTS

  1. PDF A CASE STUDY: PATIENT-CENTERED HOSPITAL DESIGN

    multi-hospital health system, is currently building a 160-bed hospital in Wexford, Pennsylvania to provide patient-centered care to their communities. The patient-centered design of Wexford Hospital includes a variety of unique facility and technology features such as the rooftop garden, smart television, mobile app, and patient room control.

  2. PDF A Case Study of Massachusetts General Hospital

    Massachusetts General Hospital (MGH) is a large, academic medical center in Boston, MA. Through clinical practices, outreach, research, recruitment, and training/education at its main campus and five community-based health centers, MGH is pursuing consumer/patient-centered care (PCC) for underserved populations in a variety of ways.

  3. Case 24-2020: A 44-Year-Old Woman with Chest Pain, Dyspnea, and Shock

    Oliguria developed. Additional laboratory studies were obtained ... (nejmcpc2004975_disclosures.pdf) Download; ... Case Records of the Massachusetts General Hospital (Case 8-2018).

  4. PDF Tampa General Hospital Case Study

    After comparing its Pressure Ulcer Rate (PSI 03) to that of peer facilities in other parts of the country, Tampa General Hospital committed to substantially reducing its rate of pressure ulcers. The hospital's research identified poor nutrition as a significant contributor to the incidence of pressure ulcers. As a result of this finding ...

  5. PDF CASE STUDY Massachusetts General Hospital

    Financial and Operational Impact. Patient Retention (at community hospitals): Routine or Urgent Cases: Between 2018 and 2020, the percentage of routine teleneurology patients who remained in the spoke hospital as a result of consultation ranged from 89% to 95%. Emergency Cases: For emergency teleneurology and telestroke patients, between 71% ...

  6. PDF Massachusetts General Hospital

    For 200 years, Massachusetts General Hospital has been at the forefront of patient care, medical innovation and education. In July 2011, Mass General opened the doors to the new Lunder Building. The Lunder Building, a 530,000-square-foot, 14-floor medical facility located at the heart of MGH's main campus in Boston, reflects this progressive ...

  7. Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and

    On arrival at the emergency department of the other hospital, 4.5 hours before this admission, the patient reported diffuse myalgias that he rated at 8 on a scale of 0 to 10, with 10 indicating ...

  8. (PDF) CASE STUDY Technology in healthcare: A case study of healthcare

    This paper develops a case study using data from the Greenville Memorial Hospital (GMH) in South Carolina, USA. The case study is focused on the delivery of surgical cases to operating rooms at ...

  9. Case Studies

    Case Studies. This page provides information on how organizations, including hospitals and health systems, use the AHRQ QIs to improve the quality of care. ... View Case Study (PDF File, 113 KB) Johns Hopkins Health System. Organization At a Glance: The Johns Hopkins Health ... Tampa General Hospital. Organization At a Glance: Tampa General is ...

  10. PDF Tampa General Hospital Case Study (English)

    Tampa General Hospital Case Study (English) Author: Tripp Lite Subject: Tampa General Hospital Case Study Keywords: Tampa General Hospital Case Study, hospital, IS250HG, healthcare, medical, P005006BL, P004-006-13A, P004002, UPSWM Created Date: 1/2/2020 10:58:38 AM

  11. (PDF) Health System Responsiveness: A Case Study of General Hospitals

    Br J Nurs 2008; 17: 381-5. 21. Lin YP, Tsai YF, Chen HF. Dignity in care in the hospital setting from patients' perspectives in Taiwan: a descriptive qualitative study. J Clin Citation: Ebrahimipour H, Vafaei Najjar A, Khanijahani A, Pourtaleb A, Javadi M, Rezazadeh A, et al. Health system responsiveness: A case study of general hospitals in ...

  12. PDF Case Study: The SMART Hospital Project

    Case Study: The SMART Hospital Project 1 Project start date Project end date March 2012 March 2014 MAR. APR MAY: JUN JUL: AUG SEP: OCT NOV: DEC JAN: FEB MAR: APR MAY: JUN JUL: AUG SEP: OCT NOV: ... and General Services Authority (BRAGSA). Staff at the facilities inspected were also con-sulted. The BAT was applied to both facilities

  13. Case Study: 33-Year-Old Female Presents with Chronic SOB and Cough

    Case Presentation. History of Present Illness: A 33-year-old white female presents after admission to the general medical/surgical hospital ward with a chief complaint of shortness of breath on exertion.She reports that she was seen for similar symptoms previously at her primary care physician's office six months ago.

  14. PDF AdvocateLutheranGeneralHospital

    Advocate Lutheran General Hospital CASE STUDY MARCH 1, 2011 nursingstationtodecreasenoiselevelsandtraveldistances, withacolumn-freeinteriortoallowbettersightlinesofcare

  15. Health System Responsiveness: A Case Study of General Hospitals ...

    This study aimed to investigate the responsiveness of general public and private hospitals in Mashhad, Iran. In this cross-sectional and explanatory study, hospitalized patients (with at least 2 days of stay) in general private and public hospitals in Mashhad were investigated. In total 425 patients (259 from private and 166 from public ...

  16. (PDF) Understand The Design of General Hospital

    Conclusion: This research presents understand the design of. general hospital generating and evaluating. hos pital designs from a holistic perspective. The present study aims to solve the ...

  17. Sustainable and Green Hospital: An Innovative Approach

    31st May 2021. We certify that the Thesis titled A Sustainable and Green Hospital : An Innovative Approach by Abhishek Anand roll no A/2896/2016 was guided by us in January - June 2021 and ...

  18. Hospital Design Case Study

    Hospital Design Case Study. Jan 17, 2022 • Download as PPTX, PDF •. 10 likes • 17,074 views. Gargi Bhatele. Follow. case studies on various hospital designs, explaining their built form, design, and functionality. Case studies discussed include Midpark hospital Scotland and Pars hospital Iran.

  19. Massachusetts General Hospital

    Massachusetts General Hospital - Case study foreign.docx - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. Scribd is the world's largest social reading and publishing site.

  20. Case Study PDF

    case study.pdf - Free download as PDF File (.pdf), Text File (.txt) or read online for free. - Mid Coast Hospital is a 93-bed independent hospital in Bath and Brunswick, Maine that serves over 24,000 emergency room patients and performs over 6,000 surgeries annually. - The hospital has various specialties including primary care, cardiology ...

  21. (PDF) An Online Outpatient Database System: A Case Study of General

    An online outpatient database system was designed to keep the outpatients records and improve medical service delivery. Keywords Outpatient, Hospital, Medical, Records, Diagnosis, Database How to cite this paper: Abisoye, O.A., Abisoye, B.O. and Ojonuba, B.E. (2016) An Online Outpatient Database System: A Case Study of General Hospital, Minna.

  22. (Pdf) Case Study of Hospital Fortis Hospital Introduction of Fortis

    OF BEDS- 430 TUMMY LUCK General care beds: 250 ICU beds : 100 OPD chamber- 80 A multi-cuisine food court CRECHE FACILITIES- Rajinder Kumar Associates, New Delhi Fortis Memorial Research Institute, Gurgaon (FMRI) is a flagship hospital of the Fortis Healthcare Limited. FMRI is a multi super-speciality, hospital. FMRI is a set on an 11 -acre ...

  23. PDF Tampa General Hospital Case Study

    CASE STUDY. Tampa General Hospital Increases . Patient Safety & Ensures Code Compliance with Tripp Lite. Patient safety is the first priority of any hospital. UL 60601-1 is a patient-safety . standard that is designed to eliminate the potential shock hazard to patients within patient care areas (defined as a 6-ft. perimeter around every patient).