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57 A new concept of operating room stratification This article examines the theoretical effects of stratification to

shorten the walking lines of operative nurses to improve the efficiency of the operating rooms at the Niigata University Medical and Dental Hospital. Tetsuo Hotta

60 Clearing up the confusion on Legionellaguidance A look at the recent changes to the Legionella risk management

guidance and an explanation of what they mean for healthcare estates and facilities managers. Paul Sear

63 Designing to meet cultural needs The new Cañete Hospital is the first intercultural hospital to be

built in Chile. It was designed in harmony with the beliefs of the Mapuche culture and the need for better health care assistance for the inhabitants of the province of Arauco. Ivan Hildebrandt, Heriberto Hildbrandt

67 Contamination control: can cGMP help? This article looks at how the application of cGMP methodology

in the hospital environment can improve infection control. Alberto L. Gómez Copello

70 Designing care on a human scale In this article the author discusses several projects that reflect

good design for those who do not have the resources or ability to choose their own living environment. Reimar von Meding

72 Healing garden project for cancer centre Personal testimonials from cancer survivors have supported the

proposition that green space has the potential to profoundly benefit patients and those who provide for their care and comfort. Bernard Tong, Eugene Malo

87 Surgeons get help from micro surgical robot Threading a needle can be a difficult task for many. It is a

manoeuvre that requires a good eye and a steady hand. Help is now available with microsurgery robots, developed at Eindhoven University (TU/e) and commissioned by Maastricht UMC+. Floor Scholten

89 Human comfort in external spaces Comfort in urban areas is one of the key ingredients in a

successful and sustainable masterplan. This article focuses on the use of microclimate analysis to improve external environments for master planning. Bernardo Vazquez


YASUSHI NAGASAWA Dr Eng Dip HFP, JIA Past President of International Federation of Hospital Engineering (IFHE). He is also a past president of the Japan Institute of Healthcare Architecture (JIHA).

ANDY WAVELL IEng FIHEEM Following a 40 year career in Healthcare and Estate Management Andy is retired. He is involved with both IHEEM and IFHE and is currently IHEEM representative to IFHE, and Ex Officio member of the IFHE Executive Committee with special responsibility for the IFHE Digest. Commissioning Editor for the IFHE Digest. Chair of the International Technical Platform (IHEEM); Member of the Technical Platform Committee; Member of the Membership and Registration Committee; Member of the Professional Development Committee with responsibilities for International issues Health Estates Journal.

DOUWE H. KIESTRA First Vice President of the IFHE. President of the Dutch (NVTG), The Dutch Federation of Technical Facility Managers in Healthcare; Observer of the (IFHE), International Federation of Hospital Engineering; Member of several Branch Committees. CEO of the national All-round Installation


company Pranger-Rosier. He has 25 years experience working in the building industry and hospitals.

DARRYL PITCHER Second Vice President of the IFHE. CEO for Bethsalem Care and GreenBriars Village, Australia. He has 21 years experience in hospital engineering in the public and private sectors. He is a past president, Institute of Hospital Engineering, Australia. (IHEA). Previously he oversaw a ‘revamp’ of the IHEA website and The Australian Hospital Engineer journal.

PHIL NEDIN BEng CEng MIMechE MCIBSE FIHEEM MEI DipMgmt Past president, Institute of Healthcare Engineering and Estate Management (IHEEM) UK; Global Healthcare Business Leader, Arup. Phil has now retired.

KEVIN DANE POGGENPOEL Kevin Poggenpoel qualified as Shipbuilder in the South African Navy in 1981. He completed the Higher National Diploma in Mechanical engineering in 1985 before joining Mediclinic as the Technical Manager of Mitchells Plain Medical Centre in 1990. He served the company as a Regional Engineer in three regions with South Africa before being promoted to General Manager of the Technical Operations Department in 2008. He is currently responsible for maintenance 57 facilities within the companies Southern African portfolio. He is a past President of the South

African Federation of Hospital Engineering and currently serves on both the Southern and National Councils.

JOHN KNOTT CET, HMT, CEM Director of Plant Operations for Norfolk General Hospital, Simcoe, since 1991. Certified Engineering Technologist (Civil), and holds certification as a Building Environmental Systems Operator (Class 1 with High Honours) and a Hospital Maintenance Technician. He has also achieved the designation of Certified Energy Manager. Currently he is serving a term as President of the Canadian Healthcare Engineering Society (CHES). He is also a member of the American Society for Healthcare Engineering (ASHE and has been active in the Canadian Coalition for Green Health Care (CCGHC) for many years.

ALFREDO JULIO SARTORIO Founder partner of AFS ARQUITECTOS S.C. (Alvarado-Font- Sartorio), architectural office practicing in Buenos Aires, Argentina, since 1966. Architect with experience in design and building supervision of healthcare facilities, pharmaceutical plants and industrial buildings since 1977. Specialised in strategic planning, programming and rational use of financial, physical and human resources. IFHE Council member in representation of AADAIH (Argentine Association of Hospital Architecture and Engineering).


75 High-tech medicine and humaneness: no contradiction Patients often feel that high-tech medicine is cold and impersonal.

However, when combined with gentler methods, it can be applied with compassion and can be of great benefit to patients. Eduard Frosch

78 Critical care for healthcare power systems A UPS system is the central building block of a power continuity

plan in medical facilities. Careful maintenance is required to continue its role in delivering power resilience and avoid downtime. Steve Mason

81 An architectural history of community hospitals in Argentina This article is a summary of a book that depicts the healthcare

architecture in the city of Buenos Aires, Argentina, looking at the close relationship between the historical, physical and social context, the medical paradigms and the architectonical response. Angélica Bonnahon, Laura Tonelli

85 Coping with the data explosion Having direct access to accurate information in the hospital

environment is often a matter of life and death. Data should always be available, accessible and retrievable, on demand. This requires a solid IT infrastructure and proper data management. Floor Scholten

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