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Health 400 | OB-GYN
National Center for Health Statistics: Birth Data Files
From Cheerleader & Footballer To Pregnant at 15
Jordan Peterson: Accidental Childlessness, The Epidemic That Dare Not Speak Its Name
REDDIT: An estimated 1/3 of all GenZ were aborted
Today we break down the stack of regulations, codes, standards and open-source literature governing the safety and sustainability of university-affiliated medical research and healthcare delivery facilities. Because of the complexity of the topic we break down our coverage:
Health 200. Survey of all relevant codes, standards, guidelines and recommended practices for healthcare settings.
Health 400. All of the above with special consideration needed for obstetrics, gynecological and neonatal clinical practice and research.
We limit our interest to systems — water, power, telecommunication and security; for example — that are unique to campus-configured, city-within-city risk aggregations. Electrotechnologies (voltage stability, static electricity control, radio-interference, etc.) in these enterprises are subtle, complex and high risk. Sample titles from legacy best practice literature in this domain are listed below:
American College of Obstetricians and Gynecologists: Levels of Maternal Care
Provision of Care, Treatment, and Services standards for maternal safety
Since our interest lies in the habitable spaces for these enterprises we usually start with a scan of the following titles:
International Building Code Section 407 (Institutional Group I-2) identifies requirements specific to healthcare settings, covering aspects such as fire safety, means of egress, and smoke compartments. Maternity and obstetric facilities within hospitals fall under this classification.
K-TAG Matrix for Healthcare Facilities
NFPA 70 National Electrical Code Article 517
NFPA 99 Healthcare Facilities Code
NFPA 101 Life Safety Code Chapters 18 & 19
ASHRAE 170 Ventilation of Healthcare Facilities
Relevant Institute of Electrical and Electronic Engineers research
Towards Deeper Neural Networks for Neonatal Seizure Detection
A System to Provide Primary Maternity Healthcare Services in Developing Countries
Deep Learning for Continuous Electronic Fetal Monitoring in Labor
Reorganizing of University Hospital of Oran’s operating theatre: Simulation approach
Finally, we collaborate with the IEEE E&H Committee on the following IEC committee projects from IEC/TC 62 Electrical equipment in medical practice:
– Common aspects of electrical equipment used in diagnostic imaging equipment
– Equipment for radiotherapy, nuclear medicine and radiation dosimetry
– Electromedical equipment for neonatal care
More
A relatively new publisher of related standards is the Facility Guidelines Institute. We are monitoring its catalog and its processes. The healthcare facility industry is likely large enough for another non-profit but we have yet to see meaningful leading practice discovery and promulgation that is unrelated to the literature that is already out there.
Health Insurance Portability and Accountability Act (HIPAA)
Health care cost as percentage of Gross Domestic Product for six representative nations.
Association of Academic Health Centers
International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.
Animal Welfare Act and the Institutional Animal Care and Use Committee
Good Laboratory Practice: GLP is a set of principles that ensure the quality and integrity of non-clinical laboratory studies. It ensures that data generated from non-clinical laboratory studies are reliable, valid, and accurate.
International Code Council Representation of Interests
University of Chicago
In the early to mid-1900s, some US colleges used orphaned babies in home economics programs to teach child-rearing skills
These children were referred to as "practice babies" pic.twitter.com/FZCkeu0p2m
— UberFacts (@UberFacts) August 17, 2023
👩⚕️👩🎓 Warmest congratulations to UCD School of Nursing, Midwifery and Health Systems’ Higher Diploma in Midwifery group (2022-2024), who have officially completed their 18-month programme to become registered midwives 👏👏👏 pic.twitter.com/hixD1gT1no
— University College Dublin (@ucddublin) March 7, 2024
Healthcare Occupancies
DECEMBER 2025 ICC COMMITTEE ON HEALTHCARE Minutes
2025 REPORT OF THE COMMITTEE ACTION HEARINGS
Safety and sustainability for any facility, not just university-affiliated healthcare facilities, usually begin with an understanding of who, and how, shall occupy the built environment. University settings, with mixed-use occupancy arising spontaneously and temporarily, often present challenges and they are generally well managed.
First principles regarding occupancy classifications for healthcare facilities appear in Section 308 of the International Building Code, Institutional Group I; linked below:
2021 International Building Code Section 308 Institutional Group I
There are thousands of healthcare code compliance functionaries and instructors; most of them supported by trade associations and most of them authoritative. Hewing to our market discipline to track only the concepts that will affect university-affiliated healthcare enterprises only. There are a few noteworthy differences between corporate healthcare businesses and university affiliated healthcare enterprises (usually combined with teaching and research activity) that we identify on this collaboration platform.
We collaborate closely with the IEEE Education & Healthcare Facilities Committee which takes a far more global view of the healthcare industry. That committee meets online 4 times monthly in European and American time zones.
Finally, we encourage our colleagues to participate directly in the ICC Code Development process. Contact Kimberly Paarlberg (kpaarlberg@iccsafe.org) for more information about its healthcare committees and how to participate in the ICC code development process generally. Tranches of ICC titles are developed according to the schedule below:
2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE
Issue: [18-166]
Category: Architectural, Healthcare Facilities, Facility Asset Management
Colleagues: Mike Anthony, Jim Harvey, Richard Robben
More
The ICC Code Development Process
Design & Operation of Health Care Facilities
The pandemic provides background for the importance of ventilation systems in healthcare settings and reminder that there is plenty of work to do. The scope of ASHRAE 189.3 – Design, Construction and Operation of Sustainable High Performance Health Care Facilities — lies in this domain:
Purpose. The purpose of this standard is to prescribe the procedures, methods and documentation requirements for the design, construction and operation of high-performance sustainable health care facilities.
Scope.This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site. It applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard. It provides procedures for the integration of sustainable principles into the health care facility design, construction and operation process including:
-
- integrated design
- conservation of water
- conservation of energy
- indoor environmental quality
- construction practices
- commissioning
- operations and maintenance
Noteworthy: Related title ASHRAE/ASHE Standard 170 Ventilation of Healthcare Facilities
Public consultation on Addendum m regarding definition of “room units” and the heating and cooling of such units closes January 27th
Public consultation on Standard 189.3-2021, Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities closes November 11.
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
October 9 Update
As of the date of this post, two redlines have been released for public consultation
Proposed Addendum L to Standard 170-2021, Ventilation of Health Care Facilities
Proposed Addendum i to Standard 170-2021, Ventilation of Health Care Facilities
The consultation closes October 29th.
Other redlines are released and posted at the link below:
Public Review Draft Standards / Online Comment Database
Because this title is administered on ASHRAE’s continuous maintenance platform, public consultations run 30 to 45 days. You may also submit an original idea to the ASHRAE standards development enterprise. CLICK HERE to get started.
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
Issue: [Various]
Category: Mechanical, Electrical, Energy, Facility Asset Management
Colleagues: David Conrad, Richard Robben, Larry Spielvogel
Children’s Hospital Neonatal Intensive Care
Some of the common electro-technologies used in a neonatal care unit include:
- Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
- Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
- Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
- Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
- Intravenous Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
- Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
- Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
- Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
- CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
- Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.
It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.
Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:
- Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
- Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
- Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
- Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
- Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.
These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.
IEEE Education & Healthcare Facility Electrotechnology
Lingua Franca
White House: Designating English as the Official Language of The United States
2026 National Electrical Code Article 100 Definitions Public Input Transcript (Definitions)
2026 National Electrical Code Article 100 Definitions Public Comment Transcript (Definitions)
“The English genius is essentially eclectic;
it borrows from everywhere and from every time.”
— Peter Ackroyd | 2004 Albion: the origins of the English imagination
“The Tower of Babel” 1563 | Pieter Bruegel the Elder
“Wer von Fremdsprachen nichts versteht, kennt seine eigenen nichts.”
– Johann Wolfgang von Goethe
Disagree with someone and cannot persuade them? Do you need to hide your intransigence or ulterior motive? Then change the basis of discussion by changing the subject with a different definition.
This happens routinely in political discourse and rather frequently in best practice discovery and promulgation in building construction and settlement infrastructure standards[1]. Assuming all parties are negotiating in good faith resolution may lie in agreement on a common understanding of what a satisfying agreement might look like.
Admittedly, a subtle and challenging topic outside our wheelhouse[2] hence the need to improve our organization of this topic starting with today’s colloquium; with follow on sessions every month.
Starting 2025 we will organize our approach to this topic, thus:
Language 100. Survey of linguistic basics for developing codes, standards and regulations. Many vertical incumbents have developed their own style manuals
Language 200. Electrotechnical vocabulary
Language 300. Architectural and Allied trade vocabulary
Language 400. The language of government regulations; the euphemisms of politicians with influence over the built environment
Language 500. Advanced topics such as large language models or spoken dialects such as “High Michigan” — arguably, the standard American dialect where it applies to the standards listed above.
These deep differences still exist. pic.twitter.com/doxytw9Hps
— Jon Harris 🌲 (@jonharris1989) October 14, 2025
It may not be obvious how profound the choice of words and phrases have on leading practice discovery and promulgation. For example, “What is Gender” determines the number, placement and functionality of sanitary technologies in housing, hospitals and sporting. The United States has a Supreme Court justice that cannot define “woman”
As always, we will respond to public consultation opportunities wherever we can find them. Some organizations are better than this than others.
Large Language Models
Examples of Variations in Translations of Homer’s Odyssey
The Surprising Factor That Determines English Fluency
Today we limit our discussion to language changes in the catalogs of ANSI-accredited standards developers whose titles have the most influence over the interoperability of safety and sustainability technologies that create and sustain the built environment of educational settlements.
American Institute of Architects: Definitions for Building Performance
Institute of Electrical and Electronic Engineers
National Fire Protection Association
Every building construction discipline has its own parlance and terms of art.
This is enough for a one-hour session and, depending upon interest, we will schedule a breakout session outside of our normal “daily” office hours. Use the login credentials at the upper right of our home page.
ΒΙΒΛΙΟΘΗΚΕΣ
Starting 2024 and running into 2025 we will break down this topic further, starting with construction contract language — Lingua Franca 300:
Asset management applies to any organization. As such, understanding its terminology, principles, and outcomes is key to an organization’s success. ISO 55000:2024 provides an overview of #AssetManagement and its expected benefits. @isostandards https://t.co/XZsWvJJ8r4
— ANSI (@ansidotorg) September 22, 2024
Large Language Models
Electropedia: The World’s Online Electrotechnical Vocabulary
Footnotes:
(1) The United States government defines a “Green Building” as a building that has been designed, constructed, and operated in a way that reduces or eliminates negative impacts on the environment and occupants. The government has established various standards and certifications that buildings can achieve to be considered “green.”
The most widely recognized green building certification in the United States is the Leadership in Energy and Environmental Design (LEED) certification, which is administered by the U.S. Green Building Council (USGBC). To achieve LEED certification, a building must meet certain standards related to sustainable site development, water efficiency, energy efficiency, materials selection, and indoor environmental quality.
In addition to the LEED certification, there are other programs and standards that can be used to measure and certify the sustainability of buildings, such as the Green Globes rating system and the Living Building Challenge.
Overall, the goal of green building is to create buildings that are not only environmentally sustainable but also healthier, more comfortable, and more efficient for occupants, while reducing energy consumption and greenhouse gas emissions. By promoting green building practices, the U.S. government aims to reduce the environmental impact of the built environment and move towards a more sustainable future.
(2) The U.S. Green Building Council is a conformance organization. See the discussion our ABOUT for background on incumbent stakeholders.
Language Family Tree pic.twitter.com/RREloueklh
— English Grammar (@GrammarUpdates) September 21, 2024
Banished Words 2025 (And words that refuse to be banished)
“He who does not know foreign languages knows nothing of his own.”
– Johann Wolfgang von Goethe
In 26, it’s time for “6-7” to be 86’ed
Superior State University Announces Annual Banished Words List https://t.co/LFJkc4qKCQ
— Shane Ross (@RossDynamicsLab) January 1, 2026
Lake Superior State University Michigan
The moment we’ve all been waiting for is here! 🎉
Lake Superior State University just dropped their 2024 Banished Words List! 🚫🗣️
Check out the list by clicking the link below and be sure to nominate your banished words for 2025. 🗳️
https://t.co/CFLTpFk9p5 pic.twitter.com/4q1HDvNGsF
— LSSU (@LifeatLSSU) December 31, 2023
We must spread our accent further pic.twitter.com/qEc3Cqd2cH
— Midwest vs. Everybody (@midwestern_ope) April 3, 2025
Birth Tourism
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The Year Ahead 2026
“Chance favors the prepared mind.”
— Louis Pasteur
Agenda
Technical:
Respond to client queries and retainers
Prepare new proposals for the NFPA 2029 National Electrical Code
Prepare comments on the IEEE 2028 National Electrical Safety Code
Recap of activity in the ISO and IEC catalogs. We are members of Healthcare Management. We coordinate our responses to IEC CDV’s with IEEE Education & Healthcare Facilities Committee.
2025 “Wins” and “Losses”
“Wins”: All of the references to IEEE research and recommended practices that appear in electrical related titles in the NFPA catalog are the result of Standards Michigan advocacy in collaboration with the IEEE
“Losses”: Persist in getting Article 210 (Soon to be in Chapter 1) 180 VA per outlet requirement down to 150 VA instead of 120 VA in the ASHRAE suite from an energy conservation perspective. This will be the most meaningful and transformative code “win” since our 2014 code “win” in 2014 NEC Section 220.12.
Expansion of user-interest advocacy for the 2028 IEEE National Electrical Safety Code.
Follow up driving electrical safety concepts into the ASHRAE and ICC catalog that cannot, or will not, be incorporated into the NFPA catalog
Continue driving IEEE best practice literature into the NFPA, ASHRAE and IEEE catalog
Electric service reliability data gathering for point of common coupling of merchant utilities and schools, colleges, universities with emphasis on large health care systems. (Bob Arno’s IEEE 493 Gold Book update)
Break out coverage of ASHRAE 90.1 in its entirety in a dedicated content management system now that its scope includes outside/between buildings.
Break out coverage of Chapter 27 (Electrical) of the International Building Code as a “pivot” or “anchor” post for other relevant titles in the ICC catalog.
10-year retrospective on the IEEE Education & Healthcare Facilities Committee at the May Technical Conference in Montreal
Administrative:
Expansion of our unaccredited for-profit educational mission to Michigan school districts, colleges, universities, trade schools. In the normal course of business we present educational opportunities to faculty and students administered by ANSI, ASME, AWS, ACI, ICC, IEC, IEEE, IEEE, NIST, SAE and others. List of Faculty & Student Standards Education Resources
New signage at our State Street office
Rollout the platform to at least two more states — we have only one now.
Re-organize web pages to track IEEE, NFPA, ASHRAE, ICC, CSA Group and TIA catalog action more effectively. ASTM and UL catalogs remain “problematic” because their titles are so deeply embedded in products and less so in systems.
List of ANSI Accredited Standards Developers
Other:
Our thanks for the collegiality and wisdom of Larry Spielvogel as he enters retirement
Continued mentorship of electrical engineering students in the IEEE Southeastern Michigan Section. Introduction to mentorship partner Nathan from private industry.
Social Page Rollout: Engagements, Weddings & Births
A few of the University’s Electrical Engineers
New update alert! The 2022 update to the Trademark Assignment Dataset is now available online. Find 1.29 million trademark assignments, involving 2.28 million unique trademark properties issued by the USPTO between March 1952 and January 2023: https://t.co/njrDAbSpwB pic.twitter.com/GkAXrHoQ9T
— USPTO (@uspto) July 13, 2023
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