Feasibility Studies
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Feasibility Studies
Specialized Teaching and Training Oncology

Slide Show


The Iraqi Commission for Medical Specialties which works under the auspice of the Ministry of Higher Education and Scientific Research identified the need to provide new facilities to tackle the problem of spreading cases of malignant diseases and tumours in Iraq. These new facilities are to be housed under the same roof, i.e. centre building. Due of the fast increasing of cancer occurred in Iraq during the last years the development of new state of the art cancer diagnostics and treatment is essential.

The new ONCOLOGY TEACHING CENTRE (OTC) is a new developed specific clinic on the site in Baghdad.

The Main assignment of this new centre are the:

  • Diagnostic of cancer

  • Treatment of cancer and evaluation of new treatments

  • Education of doctors and scientific personnel

  • Education centre of nursing personnel

  • Palliative care and pain treatment for cancer patient

  • Relative care and advice

  • Consulting of cancer patient (diet plan, complementary medicine etc.)

  • Screening and documentation

  • Maintain the cancer data base

  • Development of cancer future programs

  • Research and scientific approach

  • Development of new treatment approach

  • Documentation of pathologic samples

  • Maintain and operate mobile CT trucks for screening and Scientific

      interaction and knowledge transfer


The important lesson that any doctor had learned since medicine was established by Hippocrates is that, medicine is a profession of "care and diagnosis". Healing or being good still stays within the specialty of the Great Creator.
In this project this meaning had been depicted and materialized,

  1. An open hand palm resembles will-giving, care, help and praying to God to give heal.
  2. An eye as a symbol for diagnosis where sight is the most important sense that a doctor uses to diagnose even though utilization of the most advanced technology.

It is for the beneficiary of the human being or patient who is by cancer to have diagnosis,care and praying for healing.
They are three words and phrases that the whole concept of the project was established on to achieve the link and relationship between meaning and concept in one hand, and reality and building on the other.
So the architectural design was crystallized in on big mass (The Hand) and tower block of six stories which encompasses the eye.
The philosophy of the architectural stems from the possibility of combining the nature of the project and building's shape /form. The nature of the project is crystallized in the provision of medical care in this case cancer and tumours diagnosis of the diseases. These two aspects care and diagnosis comprise the crux of medicine in its actual objectives from early days till now and future. Healing, may one argue is a main objective too, but unluckily in these types of diseases is far fetched. This is a submission to enhance the relationship between the nature of the project and its building shape form from the architectural design philosophy, ideology and concepts point of view. If this argument is pushed in a creative strand one can argue that since the human being hand or palm ( doctor's hand) when it is stretched represents the good will of giving care; i.e. ; medical care. This is the hand tool/power/fist/ muscle of medicine. In relevance to diagnosis, the human eye (Doctor's eye) proved to be a unique and possibly the only trustworthy tool of diagnosis. This eye sees in order to diagnose. It sees images, scanning, x-ray slides…etc of human body; organs; tissues, cells to diagnose tumour or cancer diseases.
So, the architectural design philosophy, ideology and concepts is composed of a human-being hand (The care giving willingly) and a human-being eye (The unique diagnosis tool).
Healing, though far fetched in many types of this health malfunction, is left to nature to play its role but the human –being hand being upward is actually asking GOD for heal too. This is the case in cancer medicine. The architect does resemble the case intentionally in the design of this oncology teaching centre.

Construction and Structural Engineering:

Any of the followed standards shall be adopted:-

  • American codes of practice.
  • German codes of practice.
  • European codes of practice.

Special Design Limitations
Flooring should be smooth, hard, easily cleaned and appropriately wear-resistance.
There should be coving between the floor and the wall to prevent accumulation of dust and dirt in corners and crevices.
Avoid wood, tiles and unsealed joints as they may produce a reservoir for infectious agents.

Structural Provisions and Design Considerations
The x-ray, accelerator and cyclotron procedure rooms, which are usually called as “the controlled areas", shall be fully protected against radiation ionization.
The choice of the construction materials for floors ceilings and walls shall be made in accordance with common radiation protection regulations.

Super-Structure Design Philosophy:
The structural systems assumed here shall produce an open flexible floor plates for better occupation.
Preliminary findings favouring the cast-in-situ concrete system, with a module.
Specialized structural systems will be designed for unique conditions in the entrance lobby, the circular core and the skylights between wings.
In some zones, very heavy reinforced concrete walls, ceilings and floors shall be constructed for safety provisions. Very dense concrete coated and covered with barium and /or lead, shall be adapted for these parts of the building.

Foundation Design Philosophy
The high rise parts of the building shall have a piled foundation The basement shall be designed and constructed as a water tight box. Low rise parts of the building shall have simpler foundation.

Construction of Walls and Radiation Protection
There are two types of wall construction in radiation rooms:-

  • The first type is the solid construction.
  • The second type is the hollow-core partitioning.

The latter provide flexibility in the use of rooms and enables services to be installed within them.
Both types of walls must provide radiation protection according to the standards, in order to insure that adjacent spaces are protected from ionizing radiation.

Construction of Floors and Ceilings
The majority of the general x-ray diagnostic rooms contain ceiling –mounted x-ray tubes. In order to support the overhead equipment and services, it is recommended that a load-bearing modular steel grid should be hung from the structural floor slab of the story above. This will provide built-in flexibility for the choice and location of equipment, both initially and in the subsequent life of the building.

For this building, which shall be of public use and which must have a longer time life, the following materials were thought to be used:-

  • For all columns and R.C. walls, and floors and ceilings surrounding radiation zones high strength, good quality concrete having a cube crushing strength of at least 40 N/mm2, is recommended. While for all other members of the skeleton, ordinary quality concrete having a cube crushing strength of at least 25 N/mm2 is recommended.
  • Wherever required, special cement and additives shall be implemented during construction to achieve better quality concrete and finishes.
  • Special paints (like barium) and metal covering (like lead) shall be provided and used according to standard procedure in addition to R.C. layers in order to facilitate safety for people working in radiation areas.

For such type of construction and for the case of better hydro-insulation and low cost and easy maintenance, we suggest the traditional type of roofing which is applied very widely in Iraq. This type of roofing consists of the following layers starting from bottom to top:-

  • Bituminous layers.

  • Thin layer of sand (10-20 mm).

  • Heat and sound insulation.

  • Layer of clean sand or earth.

  • Concrete slabs, jointed by good quality rubberiodal membrane.

Many types of partitions were suggested to be employed in this building, these types are:-

  • Hollow concrete blocks.

  • Clay bricks.

  • Lime stone bricks.

When choosing partitions' material, the following shall be kept in mind:

  • Decreasing the dead load

  • Giving the best durability

  • Allowing for easy maintenance

  • Giving the flexibility of altering activity.


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