This paper describes and interprets tests on piles driven through glacial tills chalk at a Baltic Sea windfarm, covering an advance trial campaign later production piling. The trials involved six instrumented 1·37 m dia. steel open-ended tubes in water depths up to 42 m. Three were tested statically, with dynamic re-strike paired piles, 12–15 week ages. Instrumented driving monitoring followed 3·7 piles. During driving, the shaft resistances developed fixed below seabed fell markedly during...

: Abstract Driving resistance is difficult to predict in chalk strata, with both pile free-fall self-weight ‘runs’ and refusals being reported. Axial capacity also highly uncertain after driving. This paper reviews recent research that has explored these topics. Programmes of onshore tests novel, high-value offshore, experiments involving static, dynamic cyclic loading are described. The key findings form the basis Chalk ICP-18 approach for estimating driving axial piles driven low-to...

Pile driving in low- to medium-density chalk is subject significant uncertainty. Predictions of “chalk resistance driving” (CRD) often vary considerably from field behaviour, with both pile refusals and free falls under zero load being reported. However, recent studies have led better understanding the processes that control wide range behaviour seen field. This paper describes primary outcomes analysis dynamic tests at an onshore offshore site uses results propose a new method predict CRD....

People with or affected by tuberculosis (TB) experience complex social and cultural constraints that may affect treatment outcomes impeding access to proper care hindering adherence. Low levels of health literacy which leads inadequate disease information; stigma, discrimination other forms prejudice result in marginalisation ostracisation; socioeconomic vulnerabilities hamper one's capacity essential goods increase the risk exposure are some barriers highlighted. These hurdles also...

Iberdrola developed the 350 MW Wikinger offshore windfarm (OWF) in German Baltic Sea where ground conditions are mainly dominated by deposits of Upper Quaternary series and post-glacial overlying Cretaceous Chalk (low-density, grade A1/A2) Maastrichtian age at some locations with Paleogene Limestone (high-density to very high density, A1/A2). Current pile design methods for open tubular steel piles highlighted significant uncertainties that would lead unnecessarily conservative dimensions 70...

Language plays a crucial role in shaping discourses and responses related to disease, particularly tuberculosis (TB). Stigmatising language attitudes surrounding TB can lead discrimination marginalisation of affected individuals, creating barriers seeking proper diagnosis treatment. The terminology used describe TB-affected individuals be disempowering criminalising, reinforcing an “othering” those affected. To combat this, engaging with communities is essential co-construct neutral...

Patient-reported outcomes (PROs) play a crucial role in understanding the impact of tuberculosis (TB) on both individuals and communities. Despite advances TB treatment, conventional outcome definitions often overlook essential components people with TB's experiences, leading to disparities treatment understanding. The incorporation PROs scientific research can help bridge gap between health system people's needs expectations. offer valuable insights into non-observable constructs like...

Introdução: Atualmente, o número de cirurgias cardíacas tem aumentado, sendo uma opção fim linha quando tratamento médico não consegue dar resposta aos problemas dos indivíduos, objetivando a reparação da disfunção do funcionamento mecânico coração. A reabilitação cardíaca (RC) corresponde intervenção multidimensional, que contempla educação e modificação fatores risco cardiovasculares, no sentido melhorar qualidade vida indivíduos. O exercício físico um componente central programas RC...

A pandemia da COVID-19 impôs mudanças drásticas no estilo de vida global, afetando significativamente a saúde pública e exacerbando prevalência obesidade infantil. Este artigo examina as transformações das crianças durante pandemia, incluindo o aumento do sedentarismo alterações nos padrões alimentares, discute interação desses fatores com Analisamos diversas estratégias prevenção gestão adaptadas este contexto sem precedentes, enfocando educação nutricional online, promoção atividades...

BACKGROUND: The COVID-19 pandemic led to widespread lockdowns and remote work educational practices that have impacted the lives of many families. OBJECTIVE: We aimed investigate how parents caregivers altered their routines due online schooling teleworking, exploring association with increased anxiety depression symptoms. METHODS: conducted an cross-sectional study collected data through snowball sampling. asked questions about age, gender, dwelling area, level, marital status, as well...

Objective: The demanding nature and psychosocial burdens of directly observed treatment (DOT) have opened a path to alternative strategies such as video-observed therapy (VOT), which offers comparable outcomes patient satisfaction while potentially saving time reducing costs. objective this study was evaluate the perceptions experiences patients health care professionals regarding DOT other implemented in Portugal. Methods: Patients with confirmed diagnosis tuberculosis, treated at Vila Nova...