Architectural and space-planning solutions

 The designed building of the polyclinic for adults for 600 visits per shift is one-four-five-story, with a basement and an upper technical floor, with a built-in closed parking lot from the western facade and a therapeutic pool from the northern facade. The building is located on a site, the eastern side of which borders on the street, the other sides - on the adjoining territories of multi-apartment residential and public buildings. The main facade is oriented to the street. The main entrance for visitors is provided from the side of the main facade. The service entrance for the staff is provided through the basement, which provides wardrobes for work and street clothes. For the relative mark of 0,000, the level of the finished floor of the first floor, corresponding to the absolute mark of 5,75, was taken. The building is designed from three blocks separated by expansion joints. The building is of irregular shape in plan, with maximum dimensions in the extreme axes of 42,0 x 85,0 m. The maximum height of the building from the ground level to the parapet above the stairwell is 23,650 m. The foundations are piled. External and internal load-bearing walls - brick, central - a block with an incomplete reinforced concrete frame. On the first and second floors, the outer walls are insulated with mineral wool slabs 150 mm thick, which are part of the ventilated facade with porcelain stoneware cladding. The height of the basement floor is 3,0 m, from floors 1-5 - 3,3 m, the technical one - 2,6 m. assistance, utility rooms, built-in parking for 6 cars. In the basement, technical rooms, service rooms for personnel, rooms for temporary storage and processing of waste, a room for preparing water for the pool were designed. As part of the common premises in the central part of the building on the ground floor, it is planned to place a lobby group with a wardrobe and security, rooms for reception, registration, referral of patients for examination and treatment, a pharmacy kiosk, and sanitary facilities for visitors. On the ground floor there are also offices and rooms for preventive care, a medical swimming pool with a 12 x 5 m bowl for the physiotherapy department and a clinical diagnostic laboratory. On the second floor, a surgical department was designed in an isolated impassable part of the building and a therapeutic department. On the third floor there is a therapeutic department and a day hospital with 12 beds. Doctors' offices are designed on the second, third and fourth floors. On the fourth floor there is an X-ray department, a department of functional diagnostics, a physiotherapy department and a conference hall for 90 people. The physiotherapy department includes a health-improving pool room on the ground floor, an exercise therapy room for 10 people and a mechanotherapy room on the second floor, on the fourth floor there are rooms for inhalation treatment, a halochamber, phototarium, heat treatment rooms, electric light therapy rooms. On the fifth floor of the polyclinic building there is a central sterilization department, administrative and office premises. Technical rooms are designed on the upper technical floor. In accordance with the design assignment, as part of a polyclinic in the southern wing of the building from l-ro to the 3rd floor, allocated as a separate block, an ambulance department for 6 teams was designed to provide round-the-clock medical care. The ambulance department includes a dispatcher service, an outpatient reception room, ancillary facilities for personnel and a closed one-story car park for six parking spaces built-in and attached to the west side. For the staff of the clinic there are dressing rooms, rest rooms, sanitary facilities. Storage rooms for cleaning equipment are designed on each floor. Evacuation from the building of the polyclinic and communication between the floors is provided for by stairwells of type L1. Five elevators with a carrying capacity have been designed: two of them are 1000 kg each and three are 630 kg each. Filling window openings - metal-plastic window blocks filled with double-glazed windows. In the pool room - stained-glass windows with double-glazed windows with energy-saving glass. External doors at the main entrance to the building are aluminum stained-glass doors filled with single-chamber energy-saving double-glazed windows, the rest are metal insulated. Internal doors: to doctors' offices - from PVC profile, glazed with frosted glass, in technical rooms - deaf metal. In administrative premises, doctors' offices, halls and corridors, false ceilings of the "Armstrong" KM1 type are designed. The interior decoration of the premises is provided in accordance with their functional purpose from materials that have hygienic and fire certificates of conformity for use. Partitions - brick, from tongue-and-groove slabs and plasterboard on a metal frame filled with mineral wool, depending on the purpose of the premises. The roof is flat low-slope, combined with an internal drain. Roofing - from rolled materials with an upper protective layer of gravel. Access to the roof is provided from the staircase through the superstructure. A fence is provided along the perimeter of the roof. Finishing of facades: basement part of the building - facing with ceramic granite; facade wall decoration - ventilated facade with insulation and cladding with porcelain stoneware slabs. Canopies are provided above the entrances to the building. The project documentation provides for measures to ensure the accessibility of the building for people with limited mobility: parking spaces for disabled people are provided on the territory of the clinic, and ramps are designed at external entrances. Elevators with cabin dimensions of at least 1,0 x 2,1 m are provided. Sanitary facilities are designed on each floor with plan dimensions of at least 1,8 x 1,65 m. Entrance doors, vestibules and on escape routes are designed with a width of at least 0,90 .XNUMX m

 Structural and space-planning solutions

 The building is divided by expansion (temperature) seams into 3 blocks. The building was designed according to the wall structural scheme with load-bearing longitudinal and transverse brick walls. In axes 6-14 / E-K on 1, 2 and in the basement - an incomplete reinforced concrete frame. The outer walls of the basement floor are made of monolithic reinforced concrete 350 mm thick, the inner walls are 250 mm thick made of concrete class B25, W6, F100. External and internal load-bearing walls - brick, 380 mm thick, made of ceramic brick KORPO 1nf / 150 / 2.0 / 100 on mortar M100. The walls are designed with floor-by-floor support on floor slabs. From the outside, the walls are insulated as part of a ventilated facade. The columns are monolithic reinforced concrete, with a section of 400 x 400 mm and a diameter of 400 mm. Column pitch 4,5 x 3 and 4,5 x 6 m. Concrete B25. Ceilings - monolithic reinforced concrete slab 200 mm thick. Concrete floor slabs B25. The coating is a monolithic reinforced concrete slab 200 mm thick and hollow-core slabs of formless molding 400 mm thick (manufactured by OAO PO Barrikada). Concrete of monolithic slabs of B25 coating. Partitions - brick, 120 mm thick, made of Ml00 brand brick on Ml00 mortar. The spatial rigidity and stability of the building is provided by a system of longitudinal and transverse walls, united by floor disks. The calculation of load-bearing structures and foundations was carried out on a computer using the Lira 9.6 program and manually using the SNiP formulas. The bowl of the pool is made of monolithic reinforced concrete. Pool walls - 300 mm thick. Pool bottom slab - 200 mm thick, supported on columns through reinforced concrete beams. Beams - section 400 x 400 mm. Concrete B25, W8, F100. Stairs - prefabricated reinforced concrete steps on metal stringers. Foundations - pile. Piles - bored with a diameter of 450 mm, length ~ 20 m and ~ 16 m. Grillage - columnar under the frame columns and tape under the walls. The grillages are designed from monolithic reinforced concrete. Concrete B25, W6, F100. The connection between piles and grillage is rigid. Concrete preparation 100 mm thick is provided under the grillages. The relative mark of 0,000 corresponds to the absolute mark of 5.75. In accordance with the report on engineering and geological surveys, the foundation of the piles is sandy plastic sandy loam with IL= 0,45, cp=27°, E = 105 kg/cm, light silty loamy solid with IL= -0,04, cp = 27 °, Е = 145 kg/cm2, light silty solid loams with IL= -0,02, av=21°, Е = 140 kg/cm2. The allowable design load on the pile is assumed to be 100 tf (and 73 tf) based on the results of static sounding. Forces in piles do not exceed 105 tf (76 tf). Before mass pile driving, the bearing capacity of the piles will be checked by static tests. After driving the piles, control tests of the piles will be carried out. The maximum groundwater level is near the daylight surface. Groundwater is non-aggressive to concrete of normal permeability. In order to protect the concrete of underground structures, concrete grade W6 was used. The project provides for the installation of glued waterproofing. The expected average settlement of the building is not more than 1,6 cm.