Русский Русский

Balakina A.E.

National Research University Moscow State University of Civil Engineering, Head of Architecture Department, Moscow State University of Civil Engineering, Professor, Candidate Architect, Member of the Union of Architects of Russia, Honorary Worker of Higher Professional Education, Honorary Architect of Russia, Honorary Builder of Russia

Factors of territorial resource use in the reconstruction of multi-purpose healthcare facilities

https://doi.org/10.58224/2618-7183-2025-8-1-8
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Аннотация
Medicine is one of the most important directions for the country development and has a fundamental position in the socio-economic policy of the state, ensuring the human health and well-being. With the development of medical technologies, the standards of medical care are also growing, and the requirements to healthcare facilities are becoming more stringent. In the conditions of dense urban development, the construction of a multi-purpose medical center that fully meets the standards may be problematic, and therefore the possibility of reconstruction of existing healthcare facilities to meet up-to-date requirements is being considered. The purpose of this article is to determine the possibility of reconstruction of multi-purpose healthcare facilities through densification of development; to analyze the methods of densification in relation to the territories of multi-purpose healthcare facilities; and to detect the architectural principles in the densification of development of multi-purpose healthcare facilities. The article authors also show the architectural techniques used in reconstruction with an increase in the technical and economic indices of the facility. The methodology of this research represents the analysis of academic papers, as well as the analysis and generalization of practical experience in the architectural design and reconstruction of multi-purpose healthcare facilities, including the personal experience of the article authors. The result of the research is the determination of the basic principles of the reconstruction of multi-purpose healthcare facilities, which make it possible to create the up-to-date typology of a healthcare facility, and have an impact on the formation of the architecture of multi-purpose healthcare facilities. The research is aimed at forming the up-to-date typology and architecture of multi-purpose healthcare facilities during reconstruction.
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Principles of the organization of space-planning solutions for nuclear medicine facilities

https://doi.org/10.58224/2618-7183-2025-8-1-10
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Аннотация
It is nearly impossible to imagine modern medicine without the use of nuclear technologies, the introduction of which has led to the emergence of new methods of prevention, diagnosis and treatment of various diseases, as well as reduced mortality rates among patients and improved the quality of life of patients with diseases in the field of oncology, cardiology, neurology and others. The purpose of this article is to systematize the principles of the organization of architectural space-planning solutions based on the studied experience of the constructed nuclear medicine facilities. The methodology of this research constitutes an analysis of statistical data and academic papers, in which the authors examine the core process equipment used at nuclear medicine facilities, the main architectural typological zones of nuclear medicine facilities, and highlight the requirements to the premises in which the source of ionizing radiation is located. In addition to the analysis of academic papers, the methodology of this research includes the analysis of practical experience in the architectural design and construction of nuclear medicine facilities, as a result of which the authors analyzed space-planning and architectural solutions used in the design and construction of nuclear medicine facilities. As part of this article, the authors present, in particular, an analysis of the experience of personal design of a number of Russian nuclear medicine facilities. Furthermore, special attention in the article is paid to the principles of architectural and planning solutions for children’s medical institutions (in particular, with oncological specialization). The result of the research is to build up a sketch model of the space-planning solution of the nuclear medicine facility as a multi-purpose facility, to determine the principles that affect the formation of space-planning solutions. The research is aimed at forming a space-planning solution for a multi-purpose nuclear medicine facility, taking into account the possibility of increasing its capacity during operation.
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