California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U. S. the third-largest by area. The state capital is Sacramento; the Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, the country's second most populous, after New York City. California has the nation's most populous county, Los Angeles County, its largest county by area, San Bernardino County; the City and County of San Francisco is both the country's second-most densely populated major city after New York City and the fifth-most densely populated county, behind only four of the five New York City boroughs. California's $3.0 trillion economy is larger than that of any other state, larger than those of Texas and Florida combined, the largest sub-national economy in the world. If it were a country, California would be the 5th largest economy in the world, the 36th most populous as of 2017.
The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second- and third-largest urban economies, after the New York metropolitan area. The San Francisco Bay Area PSA had the nation's highest GDP per capita in 2017 among large PSAs, is home to three of the world's ten largest companies by market capitalization and four of the world's ten richest people. California is considered a global trendsetter in popular culture, innovation and politics, it is considered the origin of the American film industry, the hippie counterculture, fast food, the Internet, the personal computer, among others. The San Francisco Bay Area and the Greater Los Angeles Area are seen as global centers of the technology and entertainment industries, respectively. California has a diverse economy: 58% of the state's economy is centered on finance, real estate services and professional, scientific and technical business services. Although it accounts for only 1.5% of the state's economy, California's agriculture industry has the highest output of any U.
S. state. California is bordered by Oregon to the north and Arizona to the east, the Mexican state of Baja California to the south; the state's diverse geography ranges from the Pacific Coast in the west to the Sierra Nevada mountain range in the east, from the redwood–Douglas fir forests in the northwest to the Mojave Desert in the southeast. The Central Valley, a major agricultural area, dominates the state's center. Although California is well-known for its warm Mediterranean climate, the large size of the state results in climates that vary from moist temperate rainforest in the north to arid desert in the interior, as well as snowy alpine in the mountains. Over time and wildfires have become more pervasive features. What is now California was first settled by various Native Californian tribes before being explored by a number of European expeditions during the 16th and 17th centuries; the Spanish Empire claimed it as part of Alta California in their New Spain colony. The area became a part of Mexico in 1821 following its successful war for independence but was ceded to the United States in 1848 after the Mexican–American War.
The western portion of Alta California was organized and admitted as the 31st state on September 9, 1850. The California Gold Rush starting in 1848 led to dramatic social and demographic changes, with large-scale emigration from the east and abroad with an accompanying economic boom; the word California referred to the Baja California Peninsula of Mexico. The name derived from the mythical island California in the fictional story of Queen Calafia, as recorded in a 1510 work The Adventures of Esplandián by Garci Rodríguez de Montalvo; this work was the fifth in a popular Spanish chivalric romance series that began with Amadis de Gaula. Queen Calafia's kingdom was said to be a remote land rich in gold and pearls, inhabited by beautiful black women who wore gold armor and lived like Amazons, as well as griffins and other strange beasts. In the fictional paradise, the ruler Queen Calafia fought alongside Muslims and her name may have been chosen to echo the title of a Muslim leader, the Caliph. It's possible.
Know ye that at the right hand of the Indies there is an island called California close to that part of the Terrestrial Paradise, inhabited by black women without a single man among them, they lived in the manner of Amazons. They were robust of body with great virtue; the island itself is one of the wildest in the world on account of the craggy rocks. Shortened forms of the state's name include CA, Cal. Calif. and US-CA. Settled by successive waves of arrivals during the last 10,000 years, California was one of the most culturally and linguistically diverse areas in pre-Columbian North America. Various estimates of the native population range from 100,000 to 300,000; the Indigenous peoples of California included more than 70 distinct groups of Native Americans, ranging from large, settled populations living on the coast to groups in the interior. California groups were diverse in their political organization with bands, villages, on the resource-rich coasts, large chiefdoms, such as the Chumash and Salinan.
Trade, intermarriage a
Health care or healthcare is the maintenance or improvement of health via the prevention and treatment of disease, illness and other physical and mental impairments in people. Health care is delivered by health professionals in allied health fields. Physicians and physician associates are a part of these health professionals. Dentistry, nursing, optometry, pharmacy, occupational therapy, physical therapy and other health professions are all part of health care, it includes work done in providing primary care, secondary care, tertiary care, as well as in public health. Access to health care may vary across countries and individuals influenced by social and economic conditions as well as health policies. Health care systems are organizations established to meet the health needs of targeted populations. According to the World Health Organization, a well-functioning health care system requires a financing mechanism, a well-trained and adequately paid workforce, reliable information on which to base decisions and policies, well maintained health facilities to deliver quality medicines and technologies.
An efficient health care system can contribute to a significant part of a country's economy and industrialization. Health care is conventionally regarded as an important determinant in promoting the general physical and mental health and well-being of people around the world. An example of this was the worldwide eradication of smallpox in 1980, declared by the WHO as the first disease in human history to be eliminated by deliberate health care interventions; the delivery of modern health care depends on groups of trained professionals and paraprofessionals coming together as interdisciplinary teams. This includes professionals in medicine, physiotherapy, dentistry and allied health, along with many others such as public health practitioners, community health workers and assistive personnel, who systematically provide personal and population-based preventive and rehabilitative care services. While the definitions of the various types of health care vary depending on the different cultural, political and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process and may include the provision of secondary and tertiary levels of care.
Health care can be defined as either private. Primary care refers to the work of health professionals who act as a first point of consultation for all patients within the health care system; such a professional would be a primary care physician, such as a general practitioner or family physician. Another professional would be a licensed independent practitioner such as a physiotherapist, or a non-physician primary care provider such as a physician assistant or nurse practitioner. Depending on the locality, health system organization the patient may see another health care professional first, such as a pharmacist or nurse. Depending on the nature of the health condition, patients may be referred for secondary or tertiary care. Primary care is used as the term for the health care services that play a role in the local community, it can be provided in different settings, such as Urgent care centers which provide same day appointments or services on a walk-in basis. Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health, patients with all types of acute and chronic physical and social health issues, including multiple chronic diseases.
A primary care practitioner must possess a wide breadth of knowledge in many areas. Continuity is a key characteristic of primary care, as patients prefer to consult the same practitioner for routine check-ups and preventive care, health education, every time they require an initial consultation about a new health problem; the International Classification of Primary Care is a standardized tool for understanding and analyzing information on interventions in primary care based on the reason for the patient's visit. Common chronic illnesses treated in primary care may include, for example: hypertension, asthma, COPD, depression and anxiety, back pain, arthritis or thyroid dysfunction. Primary care includes many basic maternal and child health care services, such as family planning services and vaccinations. In the United States, the 2013 National Health Interview Survey found that skin disorders and joint disorders, back problems, disorders of lipid metabolism, upper respiratory tract disease were the most common reasons for accessing a physician.
In the United States, primary care physicians have begun to deliver primary care outside of the managed care system through direct primary care, a subset of the more familiar concierge medicine. Physicians in this model bill patients directly for services, either on a pre-paid monthly, quarterly, or annual basis, or bill for each service in the office. Examples of direct primary care practices include Foundation Health in Colorado and Qliance in Washington. In context of global population aging, with increasing numbers of older adults at greater risk of chronic non-communicable diseases increasing demand for primary care services is expected in both developed and developing countries; the World Health Organization attributes the provision of essential primary care as an integral component of an inclusive primary health care strategy. Secondary care includes acute care: nec
A public hospital or government hospital is a hospital, owned by a government and receives government funding. In some countries, this type of hospital provides medical care free of charge, the cost of, covered by government reimbursement. In Australia, public hospitals are funded by each individual state's health department; the federal government contributes funding. Services in public hospitals for all Australian citizens and permanent residents are subsidized by the federal government's Medicare Universal Healthcare program. Hospitals in Australia treat all Australian citizens and permanent residents regardless of their age, income, or social status. Emergency Departments are exclusively found in public hospitals. Private hospitals operate emergency departments, patients treated at these private facilities are billed for care; some costs, however may qualify for billing under Medicare. Where patients hold private health insurance, after initial treatment by a public hospital's emergency department, the patient has the option of being transferred to a private hospital.
The Brazilian health system is a mix composed of public hospitals, non-profit philanthropic hospitals, private hospitals. The majority of the low- and medium-income population uses services provided by public hospitals run by either the state or the municipality. Since the inception of 1988 Federal Constitution, health care is a universal right for everyone living in Brazil: citizens, permanent residents, foreigners. To provide this service, the Brazilian government created a national public health insurance system called SUS in which all publicly funded hospitals receive payments based on the number of patients and procedures performed; the construction and operation of hospitals and health clinics are a responsibility of the government. The system provides universal coverage to all patients, including emergency care, preventive medicine, diagnostic procedures and medicine necessary to treat their condition. However, given budget constraints, these services are unavailable in the majority of the country with the exception of major metropolitan regions, in those cities access to complex procedures may be delayed because of long lines.
Despite this scenario, some patients were able to sue the government for full SUS coverage for procedures performed in non-public facilities. New legislation has been enacted forbidding private hospitals to refuse treatment to patients with insufficient funds in case of life-threatening emergencies; the law determines that the healthcare costs in this situation are to be paid by the SUS. In Canada all hospitals are funded through Medicare, Canada's publicly funded universal health insurance system and operated by the provincial governments. Hospitals in Canada treat all Canadian citizens and permanent residents regardless of their age, income, or social status. In India, public hospitals provide health care free at the point of use for any Indian citizen; these are individual state funded. However, hospitals funded by the central government exist. State hospitals are run by the state government and may be dispensaries, peripheral health centers, rural hospital, district hospitals or medical college hospitals.
In many states the hospital bill is funded by the state government with patient not having to pay anything for treatment. However, other hospitals will charge nominal amounts for admission to special rooms and for medical and surgical consumables; the reliability and approachability of doctors and staff in private hospitals have resulted in preference of people from the public to private health centers. However state owned. In Norway, all public hospitals are funded from the national budget and run by four Regional Health Authorities owned by the Ministry of Health and Care Services. In addition to the public hospitals, a few owned health clinics are operating; the four Regional Health Authorities are: Northern Norway Regional Health Authority, Central Norway Regional Health Authority, Western Norway Regional Health Authority, South-eastern Norway Regional Health Authority. All citizens are eligible for treatment free of charge in the public hospital system. According to The Patients' Rights Act, all citizens have the right to Free Hospital Choices.
South Africa has public hospitals. Public hospitals are funded by the Department of Health; the majority of the patients use public hospitals in which patients pay a nominal fee $3–5. The patients point of entry is through primary health care run by nurses; the next level of care would be district hospitals which have General Practitioners and basic radiographs. The next level of care would be Regional hospitals which have general practitioners, specialists and ICU's, CT SCANS; the highest level of care is Tertiary which includes super specialists, MRI scans, nuclear medicine scans. Private patients either have healthcare insurance, known as medical aid, or have to pay the full amount if uninsured. In the UK public hospitals provide health care free at the point of use for the patient. Private health care is used by less than 8 percent of the population; the UK system is known as the National Health Service and has been funded from general taxation since 1948. In the United States, two thirds of all urban hospitals are non-profit.
The remaining third is split between for-profit and public, public hospitals not necessa
Intensive care medicine
Intensive care medicine, or critical care medicine, is a branch of medicine concerned with the diagnosis and management of life-threatening conditions that may require sophisticated life support and intensive monitoring. Patients requiring intensive care may require support for cardiovascular instability lethal cardiac arrhythmias, airway or respiratory compromise, acute renal failure, or the cumulative effects of multiple organ failure, more referred to now as multiple organ dysfunction syndrome, they may be admitted for intensive/invasive monitoring, such as the crucial hours after major surgery when deemed too unstable to transfer to a less intensively monitored unit. Medical studies suggest a relation between ICU volume and quality of care for mechanically ventilated patients. After adjustment for severity of illness, demographic variables, characteristics of the ICUs, higher ICU volume was associated with lower ICU and hospital mortality rates. For example, adjusted ICU mortality was 21.2% in hospitals with 87 to 150 mechanically ventilated patients annually, 14.5% in hospitals with 401 to 617 mechanically ventilated patients annually.
Hospitals with intermediate numbers of patients had outcomes between these extremes. ICU delirium and inaccurately referred to as ICU psychosis, is a syndrome common in intensive care and cardiac units where patients who are in unfamiliar, monotonous surroundings develop symptoms of delirium; this may include interpreting machine noises as human voices, seeing walls quiver, or hallucinating that someone is tapping them on the shoulder. There exists systematic reviews in which interventions of sleep promotion related outcomes in the ICU have proven impactful in the overall health of patients in the ICU. In general, it is the most expensive, technologically advanced and resource-intensive area of medical care. In the United States, estimates of the 2000 expenditure for critical care medicine ranged from US$15–55 billion. During that year, critical care medicine accounted for 0.56% of GDP, 4.2% of national health expenditure and about 13% of hospital costs. In 2011, hospital stays with ICU services accounted for just over one-quarter of all discharges but nearly one-half of aggregate total hospital charges in the United States.
The mean hospital charge was 2.5 times higher for discharges with ICU services than for those without. Intensive care takes a system-by-system approach to treatment; as such, the nine key systems are each considered on an observation-intervention-impression basis to produce a daily plan. In addition to the key systems, intensive care treatment raises other issues including psychological health, pressure points and physiotherapy, secondary infections. In alphabetical order, the nine key systems considered in the intensive care setting are: cardiovascular system, central nervous system, endocrine system, gastro-intestinal tract, integumentary system, microbiology and respiratory system. Intensive care is provided in a specialized unit of a hospital called the intensive care unit or critical care unit. Many hospitals have designated intensive care areas for certain specialities of medicine, such as the coronary intensive care unit for heart disease, medical intensive care unit, surgical intensive care unit, pediatric intensive care unit, neuroscience critical care unit, overnight intensive-recovery, shock/trauma intensive-care unit, neonatal intensive care unit, other units as dictated by the needs and available resources of each hospital.
The naming is not rigidly standardized. For a time in the early 1960s, it was not clear that specialized intensive care units were needed, so intensive care resources were brought to the room of the patient that needed the additional monitoring and resources, it became evident, that a fixed location where intensive care resources and dedicated personnel were available provided better care than ad hoc provision of intensive care services spread throughout a hospital. Common equipment in an intensive care unit includes mechanical ventilation to assist breathing through an endotracheal tube or a tracheotomy. Critical care medicine is an important medical specialty. Physicians with training in critical care medicine are referred to as intensivists. In the United States, the specialty requires additional fellowship training for physicians having completed their primary residency training in internal medicine, anesthesiology, surgery or emergency medicine. US board certification in critical care medicine is available through all five specialty boards.
Intensivists with a primary training in internal medicine sometimes pursue combined fellowship training in another subspecialty such as pulmonary medicine, infectious disease, or nephrology. The American Society of Critical Care Medicine is a well-established multiprofessional society for practitioners working in the ICU including nurses, respiratory therapists, physicians. Most medical research has demonstrated that ICU care provided by intensivists produces better outcomes and more cost-effective care; this has led the Leapfrog Group
Los Angeles the City of Los Angeles and known by its initials L. A. is the most populous city in California, the second most populous city in the United States, after New York City, the third most populous city in North America. With an estimated population of four million, Los Angeles is the cultural and commercial center of Southern California; the city is known for its Mediterranean climate, ethnic diversity and the entertainment industry, its sprawling metropolis. Los Angeles is the largest city on the West Coast of North America. Los Angeles is in a large basin bounded by the Pacific Ocean on one side and by mountains as high as 10,000 feet on the other; the city proper, which covers about 469 square miles, is the seat of Los Angeles County, the most populated county in the country. Los Angeles is the principal city of the Los Angeles metropolitan area, the second largest in the United States after that of New York City, with a population of 13.1 million. It is part of the Los Angeles-Long Beach combined statistical area the nation's second most populous area with a 2015 estimated population of 18.7 million.
Los Angeles is one of the most substantial economic engines within the United States, with a diverse economy in a broad range of professional and cultural fields. Los Angeles is famous as the home of Hollywood, a major center of the world entertainment industry. A global city, it has been ranked 6th in the Global Cities Index and 9th in the Global Economic Power Index; the Los Angeles metropolitan area has a gross metropolitan product of $1.044 trillion, making it the third-largest in the world, after the Tokyo and New York metropolitan areas. Los Angeles hosted the 1932 and 1984 Summer Olympics and will host the event for a third time in 2028; the city hosted the Miss Universe pageant twice, in 1990 and 2006, was one of 9 American cities to host the 1994 FIFA men's soccer World Cup and one of 8 to host the 1999 FIFA women's soccer World Cup, hosting the final match for both tournaments. Home to the Chumash and Tongva, Los Angeles was claimed by Juan Rodríguez Cabrillo for Spain in 1542 along with the rest of what would become Alta California.
The city was founded on September 4, 1781, by Spanish governor Felipe de Neve. It became a part of Mexico in 1821 following the Mexican War of Independence. In 1848, at the end of the Mexican–American War, Los Angeles and the rest of California were purchased as part of the Treaty of Guadalupe Hidalgo, becoming part of the United States. Los Angeles was incorporated as a municipality on April 4, 1850, five months before California achieved statehood; the discovery of oil in the 1890s brought rapid growth to the city. The completion of the Los Angeles Aqueduct in 1913, delivering water from Eastern California assured the city's continued rapid growth; the Los Angeles coastal area was settled by the Chumash tribes. A Gabrieleño settlement in the area was called iyáangẚ, meaning "poison oak place". Maritime explorer Juan Rodríguez Cabrillo claimed the area of southern California for the Spanish Empire in 1542 while on an official military exploring expedition moving north along the Pacific coast from earlier colonizing bases of New Spain in Central and South America.
Gaspar de Portolà and Franciscan missionary Juan Crespí, reached the present site of Los Angeles on August 2, 1769. In 1771, Franciscan friar Junípero Serra directed the building of the Mission San Gabriel Arcángel, the first mission in the area. On September 4, 1781, a group of forty-four settlers known as "Los Pobladores" founded the pueblo they called El Pueblo de Nuestra Señora la Reina de los Ángeles,'The Town of Our Lady the Queen of the Angels'; the present-day city has the largest Roman Catholic Archdiocese in the United States. Two-thirds of the Mexican or settlers were mestizo or mulatto, a mixture of African and European ancestry; the settlement remained a small ranch town for decades, but by 1820, the population had increased to about 650 residents. Today, the pueblo is commemorated in the historic district of Los Angeles Pueblo Plaza and Olvera Street, the oldest part of Los Angeles. New Spain achieved its independence from the Spanish Empire in 1821, the pueblo continued as a part of Mexico.
During Mexican rule, Governor Pío Pico made Los Angeles Alta California's regional capital. Mexican rule ended during the Mexican–American War: Americans took control from the Californios after a series of battles, culminating with the signing of the Treaty of Cahuenga on January 13, 1847. Railroads arrived with the completion of the transcontinental Southern Pacific line to Los Angeles in 1876 and the Santa Fe Railroad in 1885. Petroleum was discovered in the city and surrounding area in 1892, by 1923, the discoveries had helped California become the country's largest oil producer, accounting for about one-quarter of the world's petroleum output. By 1900, the population had grown to more than 102,000; the completion of the Los Angeles Aqueduct in 1913, under the supervision of William Mulholland, assured the continued growth of the city. Due to clauses in the city's charter that prevented the City of Los Angeles from selling or providing water from the aqueduct to any area outside its borders, many adjacent city and communities became compelled to annex themselves into Los Angeles.
Los Angeles created the first municipal zoning ordinance in the United States. On September 14, 1908, the Los Angeles City Council promulgated residential and industrial land use zones; the new ordinance established three residential zones of a single type, where industrial uses were
A university is an institution of higher education and research which awards academic degrees in various academic disciplines. Universities provide undergraduate education and postgraduate education; the word university is derived from the Latin universitas magistrorum et scholarium, which means "community of teachers and scholars". While antecedents had existed in Asia and Africa, the modern university system has roots in the European medieval university, created in Italy and evolved from cathedral schools for the clergy during the High Middle Ages; the original Latin word universitas refers in general to "a number of persons associated into one body, a society, community, corporation, etc". At the time of the emergence of urban town life and medieval guilds, specialized "associations of students and teachers with collective legal rights guaranteed by charters issued by princes, prelates, or the towns in which they were located" came to be denominated by this general term. Like other guilds, they were self-regulating and determined the qualifications of their members.
In modern usage the word has come to mean "An institution of higher education offering tuition in non-vocational subjects and having the power to confer degrees," with the earlier emphasis on its corporate organization considered as applying to Medieval universities. The original Latin word referred to degree-awarding institutions of learning in Western and Central Europe, where this form of legal organisation was prevalent, from where the institution spread around the world. An important idea in the definition of a university is the notion of academic freedom; the first documentary evidence of this comes from early in the life of the University of Bologna, which adopted an academic charter, the Constitutio Habita, in 1158 or 1155, which guaranteed the right of a traveling scholar to unhindered passage in the interests of education. Today this is claimed as the origin of "academic freedom"; this is now recognised internationally - on 18 September 1988, 430 university rectors signed the Magna Charta Universitatum, marking the 900th anniversary of Bologna's foundation.
The number of universities signing the Magna Charta Universitatum continues to grow, drawing from all parts of the world. According to Encyclopædia Britannica, the earliest universities were founded in Asia and Africa, predating the first European medieval universities; the University of Al Quaraouiyine, founded in Morocco by Fatima al-Fihri in 859, is considered by some to be the oldest degree-granting university. Their endowment by a prince or monarch and their role in training government officials made early Mediterranean universities similar to Islamic madrasas, although madrasas were smaller, individual teachers, rather than the madrasa itself, granted the license or degree. Scholars like Arnold H. Green and Hossein Nasr have argued that starting in the 10th century, some medieval Islamic madrasas became universities. However, scholars like George Makdisi, Toby Huff and Norman Daniel argue that the European university has no parallel in the medieval Islamic world. Several other scholars consider the university as uniquely European in origin and characteristics.
Darleen Pryds questions this view, pointing out that madaris and European universities in the Mediterranean region shared similar foundations by princely patrons and were intended to provide loyal administrators to further the rulers' agenda. Some scholars, including Makdisi, have argued that early medieval universities were influenced by the madrasas in Al-Andalus, the Emirate of Sicily, the Middle East during the Crusades. Norman Daniel, views this argument as overstated. Roy Lowe and Yoshihito Yasuhara have drawn on the well-documented influences of scholarship from the Islamic world on the universities of Western Europe to call for a reconsideration of the development of higher education, turning away from a concern with local institutional structures to a broader consideration within a global context; the university is regarded as a formal institution that has its origin in the Medieval Christian tradition. European higher education took place for hundreds of years in cathedral schools or monastic schools, in which monks and nuns taught classes.
The earliest universities were developed under the aegis of the Latin Church by papal bull as studia generalia and from cathedral schools. It is possible, that the development of cathedral schools into universities was quite rare, with the University of Paris being an exception, they were founded by Kings or municipal administrations. In the early medieval period, most new universities were founded from pre-existing schools when these schools were deemed to have become sites of higher education. Many historians state that universities and cathedral schools were a continuation of the interest in learning promoted by The residence of a religious community. Pope Gregory VII was critical in promoting and regulating the concept of modern university as his 1079 Papal Decree ordered the regulated establishment of cathedral schools that transformed themselves into the first European universities; the first universities in Europe with a form of corporate/guild structure were the University of Bologna, the University of Paris, the University of Oxford.
The University of Bologna began as a law school teach
HOK Hellmuth, Obata + Kassabaum, is an American worldwide design, architecture and urban planning firm. Since its formation in 1955, the firm has designed over 200 structures worldwide; as of 2018, HOK is the largest U. S.-based architecture-engineering firm and the fourth-largest interior design firm. The firm maintains more than 1,700 professional staff across a global network of 24 offices and is active in all major architectural specialties, its senior leaders are located in several different locations across the world. HOK was established in St. Louis, Missouri, in 1955; the firm's name is derived from the surnames of its three founding partners: George Hellmuth, Gyo Obata and George Kassabaum, all graduates of the School of Architecture at Washington University in St. Louis; the design firm started with its three founders. The practice's first building designs were schools in St. Louis suburbs, St. Thomas Aquinas High School in Florissant was the first private/parochial school designed by the firm.
Another prominent school they designed was the Saint Louis Priory School. By the mid-1960s, the firm was winning commissions across the United States and began to open additional offices, starting with San Francisco in 1966 for the design of a library at Stanford University and Dallas in 1968 for the master planning and design of Dallas-Fort Worth International Airport. In 1968, HOK launched its interior design practice. HOK expanded into Washington, DC, after winning the commission to design the Smithsonian National Air and Space Museum. In 1973, HOK established a presence in New York by acquiring Kahn & Jacobs, designers of many New York City skyscrapers. By the 1970s, the firm was operating internationally and in 1975 the firm was named as architect of the $3.5 billion King Saud University in Riyadh, at the time the single largest building project in the world. In 1979, George Kassabaum was elected into the National Academy of Design as an Associate Academician. In 1983, HOK formed HOK Sport Venue Event, which became a leader in designing sport stadiums and convention centers.
In January 2009, the Board of HOK Group, Inc. and managers of HOK Sports Facilities, LLC transferred ownership of HOK Sport to leaders of that practice. The company became an independent firm, rebranded itself as Populous. HOK's first office outside the United States opened in Hong Kong in 1984. In 1987, the firm opened a London office and in 1995, expanded this London practice by merging with renowned UK architectural practice Cecil Denny Highton. In November 1994, HOK acquired CRSS Architects, Inc. based in Houston, adding offices in Houston and Atlanta. HOK established its first offices in Canada in 1997 with the acquisition of Urbana Architects. In 2004, George Hellmuth's nephew, William Hellmuth, was named president of the firm. By 2007, international work represented more than 40% of HOK's annual revenue. In 2008, HOK opened an office in India. In 2010, it established an office in Washington. In 2012, HOK Chairman Bill Valentine retired after 50 years with the firm. HOK Chief Executive Officer Patrick MacLeamy, FAIA, assumed the role of chairman.
In 2013, HOK acquired the New York and Shanghai offices of hospitality design firm BBG-BBGM, creating one of the largest interior design firms. BBG-BBGM's office in Washington, D. C. continues to operate as BBGM. In 2014, ORO Editions published “HOK Tall Buildings,” a 300-page book exploring the design of the contemporary high-rise. On January 13, 2015, HOK announced that it had completed its acquisition of 360 Architecture, a 200-person, Kansas City-based firm specializing in the design of stadiums, arenas and wellness centers, mixed-use entertainment districts; the acquisition enabled HOK to launch a new global Sports + Recreation + Entertainment design practice and to open new offices in Kansas City and Columbus, Ohio. On May 15, 2015, the firm announced a multi-year partnership with the United Soccer League in the USA to lead a stadium development and standards initiative to help house all USL clubs in soccer-specific stadiums across North America by the end of the decade. In January 2016, HOK announced that Bill Hellmuth, the firm's president, would succeed Patrick MacLeamy as CEO, effective April 19, 2016.
In April 2017, HOK announced that Carl Galioto, FAIA, had been appointed president, with former president and current CEO Bill Hellmuth assuming the role of chairman. In 1983, HOK introduced HOK Draw, computer-aided drafting software products that specialized in conceptual architectural design. In the early 2000s, HOK began using Building Information Modeling to streamline the design and construction process. In 2012, Building Design + Construction ranked HOK the No. 1 BIM Architecture Firm. In 2013, DesignIntelligence magazine, based in part on the firm's leadership in buildingSMART and BIM, ranked HOK the No. 1 Design Firm for Technology Expertise. HOK is a leader in sustainable design. Professionals in the firm authored one of the industry's most respected resources on the topic, "The HOK Guidebook to Sustainable Design," published in 2000 by John Wiley & Sons. A second edition of the book was published in 2005. In September 2008, to better integrate nature's innovations into the design of buildings and cities worldwide, HOK announced an alliance with the Biomimicry Group, co-founded by Janine Benyus.
In 2010, HOK and energy and daylighting consultant The Weidt Group completed design of Net Zero Court, a 170,735-square-foot, market-rate, zero-emissions class A commercial office building in St. Louis. In 2013, HOK and Biomimicry 3.8 released the Genius of Biome report, a textbook for how to apply biomimicry design principles. In 2015, for the sixth consecutive year, the DesignIntel