Texas A&M Architecture For Health
Salutogenic Design for Health and Promotion - Theory and Application: Dr. Alan Dilani
Season 2024 Episode 12 | 53m 2sVideo has Closed Captions
Salutogenic Design for Health and Promotion - Theory and Application by Dr. Alan Dilani
Salutogenic Design for Health and Promotion - Theory and Application by Dr. Alan Dilani
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Texas A&M Architecture For Health is a local public television program presented by KAMU
Texas A&M Architecture For Health
Salutogenic Design for Health and Promotion - Theory and Application: Dr. Alan Dilani
Season 2024 Episode 12 | 53m 2sVideo has Closed Captions
Salutogenic Design for Health and Promotion - Theory and Application by Dr. Alan Dilani
Problems playing video? | Closed Captioning Feedback
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Howdy, howdy, howdy.
How's everyone doing?
Awesome.
So today we have Doctor Alan Dilani, who's joining us from Sweden.
Doctor Dilani, as you all know, of course, is the founder of the International Academy for Design and Health and also the Journal of World Health Design.
We know that you, Dr. Dilani, most of us based on his work on the salutogenic design for health promotion.
He has been actively engaged worldwide in developing some of the salutogenic design programs in universities.
And, well, we have also implemented, its principles in some of the salutogenic design principles in our design work and our research work.
And as faculty, we're also actively, engaging students in learning about the theory and implementing the principles in their work.
So please help me welcome Doctor Alan Dilani.
Thank you very much, Roxana, for inviting me.
And, I am so pleased and proud to come back.
Texas A&M University.
First time I visited.
It was very long time ago.
Many of you were, You were.
you were not born 19, 1994.
Yeah.
So that was invitation of, that, Kirk Hamilton and, Texas A&M is.
So I visited Dallas, then I visited the Houston.
Houston.
I met with, Hamilton, and then they sent me here to meet George.
Matt.
And these people inspired me entire my life, entire my career.
And time to time, I came back here.
We in, I invite them.
They came to Stockholm, with George.
They said, look, my president is coming now, Ray.
Pentagon's missing you.
So I said, Ray, we are waiting for you.
But then you come right now.
I am so proud to see you, Ray.
Ray is my president and my inspiration.
When a person that supports me entire my career, that I am here now, and I am so proud to see you.
Welcome, Ray.
So, And we discussed many times with, Roger Ulrich and Martin Supply together.
And later on, even in other university, we continue this work together.
This is my career, my success of my work.
I am deeply grateful for you guys.
You are here.
I am your student.
You must know all this.
George and George.
We we gave two years ago.
Lifetime leadership award.
So, Chris, I think one time in 98.
Yeah, in the public health, but in our academy, we give you also a lifetime leadership award.
So, that's, you deserve much more.
So that's, we are very proud of you.
Thank you so much.
So I am, as I say, I am now here.
Really, I, I brought two books as well with me.
While I love my life journey so far and the other book that we produced during the pandemic.
I try to combine these together and, present, today, for you.
And the first part is dealing with, theoretical background of Salutogenesis.
What is the Genesis?
And, what is sold to Salutogenesis Design and how we can link to architecture.
And then I have some, a specific design to specification for certain to salutogenic design.
to specification for certain to salutogenic design.
And later on application of Salutogenic design, in different sector hospital, elderly office, etcetera.
Finalized with the house that I recently designed in South France.
So I said, I work with the academy and research center with many Ph.D. student.
And few years ago, before pandemic, I said, I am done.
So I leave the academy everywhere, every where.
I told, that people must take care of academy and our network.
But unfortunately, the Covid came, and, my successor couldn't succeed.
And they asked me again to come back for a few years, so I promised to come back.
But then I ask them also, doctor Ray must come back as our president and other people from Texas A&M and Texas Tech, and you, us must take over this activity.
So that is what I promise that I will have two years more and then I live forever, in this field.
So, I am here in United States and Canada simply to present to, our Congress in Singapore that next year, we have, together with, top university in the world, and, yeah.
And give the latest knowledge that we have developed in design and health.
This is the network that we are working worldwide together with.
Ray, we have been in Africa, in Australia, in Canada, and everywhere around the world and, promote design and health.
This is our Congress that we had in, in Malaysia with Ray, again, 1400 delegates, one of the largest activity we had.
And later on in Boston, Malaysia, in Singapore, together with American Institute of Architects in, Boston and late, late this hour, we had in, Vienna.
So, now next year, we have in Singapore and I invite you, we support student that wants to participate.
We ask our sponsors to help us to bring the students, and we have the most iconic, building in the world, in this place, as we have our Congress.
Where is, ecological design?
And also, this is entire is panel, solar panel.
So, in this building and the Congress will be here, right in 18 floor.
It's, with daylight.
This is, yeah, we had with, Ministry of Health.
We have, Singapore Historic Architect.
We have, National University of Singapore is number one in Asia, top university in the world, and number eight actually in the works in US, a national university.
And, Professor Che is the founder of sustainability in Singapore.
We have him as chairman of the Congress together with, very, qualified, scientists, practitioner, architect, together with HK is as chair of organizing committee.
Angela Lee as responsible for the Congress that we organize and the same time parallel we work with the city healthy city on, Singapore in Malaysia.
So the after the Congress of Singapore, we go to Sarawak, Kuching.
Kuching is number 11 in the world in terms of sustainability city.
So it's very exciting.
This island together with Indonesia, Brunei and Malaysia and Singapore, we bring this knowledge there and discuss.
This is very exciting environment.
I invite you again.
I will be there is responsible for these two, Congress and then leave to other people to take care of, academies activity.
As I mentioned, during the pandemic, I discuss with, Ken Yang what we can do during the pandemic.
So we invite 25 people, worldwide, from United States again, from educators from Texas Tech, from Cornell, from all other universities, Africa, discussed the issue of solution Genesis and, ecological design.
The world is currently witnessing an exceptional speed of scientific technological discovery with huge potential.
That is very important to say.
And how to reshape our perception of ourself as human beings, to redefine our social interaction and transform our approach to how we care, our environment.
This was the key issue that discussed in this book.
And of course, we are now in artificial intelligence, society.
That's much more than Google.
My student, I have several student right now.
I tell them always, you can use it, but you can put very, intelligent question, but also later on you must read the fine, review again and with your own word, change it.
So it should be a tool, but not should be, otherwise, it's not.
Correct.
So we go back to World Health Organization related to our health.
This statement is very important for architect that say to reduce non modifiable risk factor for non-communicable diseases or lifestyle related diseases underlying, the underlying the societal determinants through the creation of health promotion environment.
If we have healthy built environment we can reduce lifestyle related diseases.
This is the task of architect engineer to work that.
But we work also with the government.
Many minister around the world how to reach to be among 50 healthiest country in the world.
And that is the main task for the government to provide health, society how to be healthy.
And 50 countries in the world.
We can see now, this is the least, European Italy and all is top in the world.
We can see us is number 34.
And that is a dilemma.
Because the US is spending more than 20% of GDP for health care, while Singapore is number four, spending only 4%, and they are number four in the world.
So this means a lot gap between science for health and the outcome and the society.
What make that us despite of all technology hospitals scientists all about we have but we spend so much money, but we are not in good health.
And that's what we can learn from other countries, other scientists, how to reduce this gap.
So this means, Italy is, Italy's struggling economy.
Has the world health.
Yes.
People, despite of the economy, despite of couse, that you can see in Italy, but they are healthiest in the world.
And you can see here exactly why these people in good health.
Because they sitting here, they are no stress in this environment without traffic with, they, interact together and they eat probably very healthy food as well.
So this is the what the environment is the main factor for their health.
So this is the definition of World Health Organization related to health.
That means that say that health is state of complete physical, psychological and social well-being, not only the absence of illness.
This is only definition, but health.
I did my research and I was very lucky and few in the world that from School of Architecture went to School of Medicine, Public Health at Karolinska Institute.
I did my PhD to develop, how the built environment could promote health.
And by the that, approach, we had several of my colleagues, psychologists we could find out health is a process and composed of psychosocial factors lifestyle, emotion and experience which lead to health and life and equally, disease is the same, like, health is the approaches, but between them is biological factor that, can reduce, or improve our health.
The state of the health of each of us in this room is the matter of balance between these two approaches.
So, it's always pending between sickness and health is depend.
If you exposure for risk factor, you are here in the other side.
If you exposure for wellness factor you are in the health side.
This is the best place to be.
I came this week, I did, I fly at least ten fly from Los Angeles.
I went to Canada, from Canada to Lubeck and Lubeck.
Come here.
These four days, at least ten flight.
And, I feel actually, I am here now in this side because I sleep also not so good.
I hadn't time to exercise regularly, so I feel more in this here, but, since, my friend, Professor Ibrahim Ibrahim, he came from San Antonio.
He bring me to next week to San Antonio for relax.
So hopefully I come back here.
So this is the way that it's work, actually.
And, what I can say, health is highly related to these factors lifestyle, emotion and experience and psychosocial factor.
I am 67 years old.
I have never hospitalized in my life because I do every day, every two days.
I. I go 12 kilometer and I swim three kilometer.
And the best climate in the world in South France, 319 days.
Sunny.
So the condition environment.
And I never eat McDonald's.
And I eat very healthy food and never drink Coca Cola.
Definitely.
So then bring me in this and I exposure always with with very nice people, intellectual people like yourself here and this party.
But here is dilemma the medical science focus here they develop 8000 well 8000 diagnosis that causes of illness.
If medical science, they could equally focus in that side.
They could develop 8000 wellness factor.
What make people healthy then the health of the society could be different.
So we can apply this for small community.
And look the outcome is completely different.
So that we call here solute agenesis and that we call pathogenesis.
But the architecture and design has tremendous impact on our emotional experience and lifestyle.
These that was my contribution to the team at Karolinska Institute.
I we find that link between design and health.
And later on I established my own research center and develop all this fog.
And we can look this theory of stress again developed at Karolinska Institute, is point of departure is physical environment, urban design building that create social organization structure and function in our society which lead to psychosocial social stimuli together with psycho biological program, interaction with people, tension in our body, blood pressure, heart rhythm together lead to a mechanism that we call a stress.
And later on, precursors of diseases and diseases itself.
So you see, even stress is a process is not happened in one second.
It's happened with interaction with the society, with people you meet, etc.
but depend also earlier on environmental influences, genetic all factor.
The things that are stressful for me is not for you and vice versa.
So the theory of solutions is came first time by I don't.
He was in concentration camp and he said he saw that many people during the concentration they survive, some of them not, but some of them develop very strong health.
And that was a big question for him when he came to Berkeley.
Some Francisco University, he studied this why these people could develop their own power to be strong despite the same, environmental condition.
So, that was his study, and he come to tell you how he says that means solutio means health and genius means origin to Genesis is an approach focusing on factors that support human health and well-being.
So the theory of solutio genesis of, I don't know, ontology, is contrast in contrast to pathogenic orientation of health care suggest that we shall look for wellness factor instead of risk factor.
And he was the first scientist in the world.
He critically reviewed the medical science, and he mentioned that medical science has been focused on four factor that cooled diseases and factor that lead to diseases.
So this subtle touch theory focuses on guide to health promotion through healthy lifestyle by focusing on how to reduce stress.
So the point of departure is stress, as well as coping with factor that causes stress and how to manage stress.
So study of salutation is his primary address now in the field of health psychology, behavioral medicine and sociology of health.
But we have been adapted also to medical field for preventative health care services and delivery of health care architecture.
So, each of us in this room, we have the capacity to deal with stress, to manage stress and depend of each of us.
We have our own sense of coherence.
So the sense of coherence is characteristics and condition that determine person's ability to cope with stress and managing stress.
These depend on whatever we do.
We must understand first.
That means comprehensibility, what is understandable and second component manageability, that we have enough resources to do the task to meet the situation.
But also it must be meaningfulness.
Life makes sense.
We must fight for our vision because we believe that and this must be rewarding for our brain and that is meaningful.
So these three components, each of us in this room, we can measure it, we can measure it, each of us.
And so we have applied these for elderly, staff, for, working people under ground.
Another we use this method and apply this actually many organization they look how to find out what we did at Karolinska Institute and with our colleague, we defined that how these sense of coherence, these three components could be related to architecture that facilitate for us to deal with stress, to manage stress.
And that's why we can say this Salutogenic design support people, ability to deal with stressful, situation.
So comprehensibility means simply when you go to the building, you must find your way without any stress, without any signage, actually.
And where we have designed 100 stairs like this nicely, people can go without feeling tired and because mind take over and this is manageability.
And finally we can have nice building like this with art, music, many others.
So this is meaningful for our brain.
So this, how we quantify this?
And we have applied for now many, our PhD student, they applied for many sectors.
So comprehensibility means wayfinding columns, nature perception and manageability, static natural light, green environment and meaningfulness, positive distraction, music, art, culture, pet, etc..
So every project must find these three component and find out which one could be applied.
So we have published many article worldwide.
And recently we, Ken Yang, we work, six months intensively to identify all those factors that are related to lifestyle, that related to emotion, that are related to experiences that promote health and all related to many, comprehensibility, manageability, meaningfulness.
This design matrix has been applied by several PhD student and they are they have very successful outcome.
We have applied also for hospital for future hospital in the United Kingdom Wilson economic prize two years ago the matrix of design and health.
So it's simply all those design factors right there to lifestyle emotion of the experience and then later to do comprehensibility, manageability, meaningfulness.
I don't know, for first time and last time actually mentioned the word word architecture.
He said immeasurable aspect of design that can help people operate at peak performance and help them to maintain physical and mental well-being.
It is the ultimate investment in people in architectural sense.
I don't know.
So, now example of how what is some of the Salutogenic design means?
Actually, this is ordinary main entrance of hospital in Middle East.
They have transform like this.
This is Salutogenic, the same place could be transformed like that.
And the corridor usually like that in many hospital.
So simply transfer like that.
And this is a salute to Salutogenic.
So but there is certain procedure that you can do it.
So the classroom like this in Toronto, the same place has been transformed like this.
This is using the principle of some two geniuses.
You can reach this and, building become a part of education.
I am the master for my fate.
I am the captain.
So children learn about.
But all about is our creativity is about our brain.
Our performance is depends highly how our brain works and how our brain connected and how our brain respond to the amount of physical environment exposure.
And since our brain right side dealing with all holistic, all creativity, emotion, experiences, music, etc., the left side dealing with all rational logic, mathematic.
So if we during the entire our journey exposure our brain for one activity.
So the risk is very high that we will be one side brain orientated.
The risk is that whatever you decide with will be with one side, not both of them.
That's why we say sleep on it.
That's means simply you can find the best solution.
Because brain 24 hours working all the time and early morning you will find some solution for your problem.
But those people that try to use both side of the brain, we called all brain people.
And it's very important.
And the exposure of our environment is crucial.
The medical doctor working 19 hours, they need exposure after that from to shift from left side to right side in place like this, for nature music and, massage.
So that entrance, any building, you come, you must feel welcome with green.
That, natural light, daylight and, spaces, high ceiling spaces is welcoming.
You feel very welcome in this.
This is AstraZeneca headquarter in Stockholm with, daylight sound of the nature and green.
So it's important when you design like this for coffee break.
That means you exposure for the nature and you solve the problem, but also shift from left soft, the brain to the right side of the brain.
And this is, your rest, actually.
So access to green area for recreation is the national go to public health in Sweden.
And we have green everywhere, in public space, in public sector, we try to adjust, the hospital, connect to the hospital like this, or bring the, green and, to the hospital.
This is Helsinki Main entrance of the hospital.
You see the fontaine of the nature, with the nature sound of the nature and the space, you will come to this again.
Perception and wayfinding is very important.
When you go to the building, you must find easily.
So many architect the design.
Build the entire room, entire space.
One color.
I was the first time I went to Vienna.
They told me, go to Sofitel Hotel because it's designed by, John Nobel, a very famous architect from France.
So I went there.
They asked me, do you want room?
Black or white?
I say, if it's only two color, I want white.
So I went there and the entire room was white.
Believe me, I'm traveling worldwide and many places in the morning when I wake up, I don't know where I am, but in that place I feel I was die in that room.
But I wake up because everything is was white.
So they prepare me to, bring out something like that.
So it's very important when you design, you must have floor, wall and ceiling, absolutely different color, absolutely different material.
Because the perception of space indicated by these three dimension elderly people, they don't see the ceiling people with an assignment they don't see at all.
So this is very important that you have indicate these three dimension for the perception of space.
If you have an underground you can design like this.
So with color and shape you recognize is guide you as a GPS.
It's always remain in your brain as a landmark in the building.
In airport you can design like this because I attract you and you walk long time without feeling tired.
So the use of art culture is very important.
Wherever we are, we must, because it's, attract our mind, our brain, and to stimulate our emotional development cross-culturally.
We have done some research in this area, but we can always use aquarium in any culture is welcome.
So this is, small hospital in North Stockholm.
We have a ceiling like these.
The student has painted with music postoperative patient coming out here.
So they stay here when they wake up with art and music.
So they reduce the time of recovery and so and etc..
So it's very nowadays we can design actually like this became a windows to theater room everywhere as possible.
One of the most exciting building that ever I have seen.
They put daylight in bunker in X-ray department.
You can see this is fake it window.
It's during the construction.
So the sun coming from here, you can see instead of putting machine traditionally here, they put here and that side, this is the result.
This is the unique in the world.
There's only one building in the world they designed with daylight for an X-ray department like that, with greenery.
So this hospital director said many scientists coming here and remain always here.
They don't go back because they like it, the environment.
So we give the Academy Award to, these guys, they design it, this such an environment.
And I have the privilege to work with Professor Paul Robinson.
The impact of music in, Sweden in, also in Europe, we apply music in different public, sector and also in hospital.
So the music is very important.
We use also for elderly.
By the way, you can see this, this is invention of one of our student.
We designed it and we put it there.
Usually you have an elderly handrail that nobody use, but if you use these, you know, the elderly put their hand and they can go around the corridor.
So this is only in that place where we have.
So music is a workplace in hospital.
We have done also a PhD on that area that shows how the impact of music.
So I mentioned all this.
So, this group where ever after surgery they have, they play on music.
So I am showing this design factor of part of, salute to Salutogenic design that how we can apply it.
This is the most iconic building that we put also in this book.
Zero energy.
This is green, inside vertical and horizontal.
And the green, bring actually, the difference temperature by 6 to 10 degrees, actually in the building, but also esthetic element.
So and clean air, so cleaning.
So this is in Singapore and Ken Yang has designed several, and, public.
So the most exciting hospital that we have follow this, key to park that has all characteristic of to Genesis.
And they apply this ecological and subtle to Salutogenic design for that.
When I came here, I saw this picture, and immediately I took this picture at an airport, actually.
Yes.
So the future of health.
And I see this is what we are looking and what we are working, so takes us, right in the right time.
Yesterday, I look, the pollution is huge.
So this pollution is fundamental for health.
We need clean air, clean water and clean land.
So clean air, clean water, clean done and clean air is not.
Then I look the pollution of takes us is equal.
Like Saudi Arabia.
So this is, people really must be care about this.
Really?
So take care of how to deal with that.
So this is then I look for the most causes of death in Texas only.
So I find it hard.
This is number one.
Cancer, accident, Covid.
Okay.
Covid is gone.
Stroke, Alzheimer, chronic lower respiratory diseases, diabetes, chronic and kidney diseases.
So I say all this is lifestyle related diseases.
Has nothing to do with hospital, has nothing to do with any other.
So just the is depend on us how we can deal with that.
Actually, I can say probably 20% is genetic.
Might be, but even genetic you can fight against that.
My family, we have all that bit, I have no doubt because I have different lifestyle of them actually.
So I can this my experience.
But we can see US healthcare expenditure is 80% went to this lifestyle related diseases, heart disease, cancer, digestive, obese and diabetes.
Again pharmacy.
We spend $5 billion for advertising drugs in this country.
You know our country is forbidden.
So, some, I leave this presentation to you and, you can have it, PDF file, Roxana can provide you, but you can see, despite, so much money being spent, 80% go to lifestyle related diseases, but US is almost 40.
Health index, 46 infant mortality, 50 in life expectancy and 73 wellness last in comparison 19 industrialized country.
To prevent that.
So we know that obese people they spend 50% more expensive for their health care.
How we can avoid this kind of advertisement.
Pay for one, get one for free, two for two.
So this is, dilemma marketing in relation to nutrition.
This is not ethical, actually.
So we need to come out of the box and ask a question in this society, what make people healthy.
And that is our task because this problem and we are scientists and we are university and university must work how to respond the problem of the society.
And that is your task.
New generation.
How to see, to think.
What is a lot of Salutogenic perspective means what create health?
Why is a person well which are the health promoting factor?
How is possible to feel quiet?
Well even told a person has experienced trauma.
This is a fundamental question for a student working on this direction.
So we know exercise and health.
A lot of research shows 91% because, case of type, type two diabetes and prevent 50% of heart diseases, 50% prevent 50% of all to reduce side specific cancer by 50 to 70%.
Decrease all causes of mortality by 67%.
Prevent 47, of cognitive damage.
Decrease depression by 20%, all accomplished with only 30 minutes day activity.
So we know that exercise is reduce Alzheimer's by 52% and 62% for, risk for Alzheimer's disease.
So never late.
You can see even elderly people when they do exercise the size of people, campus increase and the memory increase.
So this is very important of architect how to design choice environment so that people come to their part and make other healthy lifestyle choices.
With our president, Ray Pentaquarks, we produced this book and we give to Minister of Health in Australia, and we impact the health care, definition in Australia from health care.
What are the causes of diseases?
We change it to health.
And what are the causes of health?
How to treat diseases, how to prevent diseases.
We change to what contribute to good health and what make keeping good health easier.
So we work again, with Minister of Health, I don't know, mortality.
He was two per the Minister of Health, but three months ago, he become again the minister of health, and he will come to our Congress in Singapore.
He's public health scientist.
And we also had, discussion to have develop obese obesity school for, a health pilot, and also try to designing health promoting lifestyle center to deal with a specific problem in the society.
So this is, part the second that, only example of the most exciting hospital that received five Academy Award designed by, it's is and based smart and others.
They came early to Karolinska Institute.
I went with them to Finland and they show all the principle.
And then I went back to Australia with them, and we had several symposium workshop with them and, and convince the client that put the aquarium like this 12 meter high and 12 meter diameter and two floor high as wellness factor.
Right in the Department of Emergency.
So this is the design that is most progressive.
And the other one, I work almost 15 years in my life in Trondheim to help transform the old hospital to most modern hospital in the world, and this design competition by Neve store.
He has never designed hospital, but when he design like this.
So this is the final outcome.
Simplify the hospital complexity and put different center like this.
The center for Health promotion.
So people go there to learn about their health.
Entire building as ecologic.
And when you go inside, there is you put your card of health indicator all kind of indicator about your health.
So you know, you educate about your health.
So this is example of very progressive hospital in the world that received seven Academy Award.
And this is the most exciting example that instead of using elevator they use all stairs.
Because you design like this to promote, walkable at the woke up, possibility.
So walking.
Yeah.
Here.
You see, this is the final outcome.
And these people in Canada 2014, they received seven Academy Award.
So this is the principle of some 20 hospital.
I leave it for you guys.
You can study there.
I leave for you.
But it's very important to say subtle to Salutogenic approach will lead to better design and construction.
Improve health and well-being.
Improve building performance with use.
Running cost.
Improve.
Health and this up synthesize and reduce staff turnover.
Create image for organization and save a lot of money.
But also we can see exactly the cost of the design is is 0.1, the cost of planning 0.5 and, zero point yeah, one cost of building.
So you can see the cost of maintenance is five, and the cost of using for the client is 5200.
So that is important.
And post occupancy evaluation is nothing.
So how we can convince the client that put this, look for that we have applied this for elderly with again it's case with many other organization in Asia.
We had several seminar.
So this is a diagram that all of you you can look very carefully because this shows normal aging that people normal aging means simply, we deteriorated all all of health we use.
But, our glass, when we are 45 years later and deteriorated some function that I call natural function loss.
But there is other way that you keep this very high performance of your body.
And then probably you can leave some years more and suddenly die.
And this is the best alternative.
In this way you can save a lot of suffering for yourself, but also a lot of resources for the society.
Is the cost of this in terms of society is huge.
So what we can push as much as possible this, that we can still, live longer with healthy lifestyle.
And you can see again, people ask me how old are you?
I say, I'm 35 years, if you ask me, biological, if chronological.
I am 67 because I feel I have good condition.
I, and that is how I look like for everyone of us.
We can be here or here.
This is your choice.
But this.
A lot of suffering for you and a lot of costs for society.
And we need the leaders that understand and provide this to reduce the how we can prolong our life without suffering.
So if we could slow the process of aging by seven years, only we could reduce the aging related diseases by 50%.
So this is possibility.
We can work on it.
We can do research on that.
We can apply in community and depend only smoking, no smoking, physical activity, social network equity and build on them.
Again.
This lady is 92 years and run 40 kilometer marathon.
So it's possible all of you, you can reach this, you can do it.
You can do it if you want.
So I was in, Cape Town.
I visited the his museum out.
He mentioned always that, this situation everywhere.
Prevention.
I have saved the life of 150 people from heart transplantation.
If I had focus on preventative medicine earlier, I could have saved 150 million.
And this is very important.
So we designed the school that kids really learn about, future with exercise, with food.
They learn how to be responsible in the classroom, in the corridor for this is art exhibition.
But they are responsible when they eat.
They eat healthy food and exercise, etc..
So one of my research, PhD that apply this, solo to Genesis and doctor parole, she finished and now she's in us working on school.
The best thing billions of dollars for renovating different school.
And with this principle, so, so, small with, video, one big work to change children's lives.
That word is a little genesis.
Yes, that's possible, but all it means is the origin of health.
A well-designed school can not only reduce stress, but also improve children's health and well-being.
The three keys to a little genetic design are one.
Comprehensible environments that orient to reassure children by using familiar elements to make spaces legible and wayfinding easy.
Two manageable environments that allow students to exercise control by being safe, comfortable, and accessible.
Three meaningful environments that are inspiring, engaging, restoring an esthetically rich salute of Genesis.
The first and most important word in school design.
The first and most important of a school of design.
But really, it's not for them.
It's important for all of you sitting here how to apply in your own life.
Salute to Genesis and salute to Genesis could be leadership.
Some to Genesis could be an organization, some to Genesis could be an architecture to everywhere.
I have other student working right now in the final stage of a PhD on present design.
We apply all these principles and prism.
And I think it's very important Christian, because if you have 200, inmates in the prison, we have equally 200 people that working with them.
So how we can create an environment that really, promoting professional treatment for them, is not, business punishment is not the, their freedom, not, the environment.
So he's in the office.
You can see how traditionally we have the office, but how nowadays we change.
The office is like this.
And this principle with, exercise with, like, this is support.
Even in Los Angeles, they build like, this, street in the top floor so the people can go around and walking at the foot off for a while and, phone call, etc., while they are working.
So this is the best way.
And, Amazon has designed this kind of offices.
It's very exciting.
Now, is this principle, I have that, privilege to work again with, Ken Young.
We applied for this house, when I went to Monaco.
Martin.
So I said, do this my own experiment.
So we designed this building, 80% green and two floor, high ceiling, living room.
We have panel, solar panel in the top, barbecue, social gathering.
We have swimming pool.
We have you could see we have cinema inside.
We have gym where we have, place for meditation.
Place for yoga.
We have water.
Fontaine inside water fountain outside.
We have green panel, and we have natural ventilation inside.
So all element we have identified and transparency.
You are in sauna, here.
And, but you see outside.
So there is connection everywhere.
So this we applied this in this house and we are now in the stage of, construction.
This is close to Monte Carlo with this view, 350 degrees.
So, you can see element of, yeah.
It's so this kind of environment for housing first time we have applied this.
So this is my last, Application of, some the genesis for housing and, Yeah, organic form entire, and then this is a video of my last slide.
So.
So thank you very much for your attention.

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