Caracterização da propagação de vibração através de estruturas de edifícios de betão armado

Este artigo descreve os parâmetros que controlam a propagação da vibração através de estruturas de edifícios de betão armado para frequências abaixo de 200 Hz. A influência das propriedades dos materiais e das dimensões dos elementos estruturais foi avaliada com modelos de elementos finitos validados experimentalmente, considerando cinco tipos de funções de transferência de aceleração: i) da fundação para o primeiro piso; ii) entre pisos intermédios; iii) do último piso para a cobertura; iv) entre troços do mesmo piso intermédio; e v) entre troços da cobertura. Os resultados mostram que a transmissão de vibração depende não tanto do número de pisos mas mais de parâmetros como a espessura da laje, no caso da transmissão da vibração num pavimento, ou a esbelteza dos pilares, no caso da propagação de vibração das fundações para o primeiro piso. Observa-se que, apesar da amplitude de vibração ser maior para elementos estruturais mais flexíveis, os elementos mais rígidos transmitem efectivamente mais energia devido a um menor efeito dissipativo. Os resultados também mostram que a atenuação piso-a-piso é aproximadamente constante para todos os pisos excepto a cobertura, onde a atenuação diminui por via da redução do número de caminhos de dissipação de energia.info:eu-repo/semantics/publishedVersio

Prediction of low frequency vibration and sound propagation through reinforced concrete structures

Prediction of low frequency sound fields generated in buildings by internal sources as machines or external sources such as road or rail traffic is a difficult task. Assuming that the source is well known, predictions are generally based on the Finite Element Method (FEM), which is used to model building structures and vibration and sound fields, but other hybrid or coupling methods also can be used. In general, these methods are too much time consuming and provide results which are reliable only below 100-150 Hz. Reliability at higher frequencies requires much larger models. It is, thus, important to develop simpler methods to be used with confidence by acousticians and other consultants. In the present paper a method for prediction of vibration propagation to building slabs based on the use of simplified transfer functions between fundamental joints of the structure is presented. The method was developed numerically for traditional multi-storey building with reinforced concrete slabs supported by reinforced concrete beams and columns and also was experimentally validated. The method can be used together with theoretical modal analysis to predict sound fields in dwellings

Prediction of low frequency sound fields in buildings near railway lines

The design of new buildings in the vicinity of railway lines must consider protection against noise and vibrations induced by railway traffic. However, the prediction methods available involve heavy numerical models which have frequency limitations. In this paper a prediction method combining finite elements (FEM) with natural mode analysis is presented for use in reinforced concrete buildings with heavy walls. The method considers 2D FEM models of the railway, ground and buildings to identify the transfer function of vibration from the railway to building foundations. Also 3D models of the buildings are considered to identify the transfer functions of vibration from foundations to walls and floors. Finally, as the impedance of heavy walls and floors is much higher than the acoustic impedance of air, the numerically assessed vibration fields of walls and floors are used to calculate sound fields in rooms by means of natural mode analysis. A set of in situ measurements were made in two different situations in order to calibrate the prediction method and also to identify the factors which most affect vibration and sound transmission

Caracterização da propagação de vibração através de estruturas de edifícios de betão armado

Este artigo descreve os parâmetros que controlam a propagação da vibração através de estruturas de edifícios de betão armado para frequências abaixo de 200 Hz. A influência das propriedades dos materiais e das dimensões dos elementos estruturais foi avaliada com modelos de elementos finitos validados experimentalmente, considerando cinco tipos de funções de transferência de aceleração: i) da fundação para o primeiro piso; ii) entre pisos intermédios; iii) do último piso para a cobertura; iv) entre troços do mesmo piso intermédio; e v) entre troços da cobertura. Os resultados mostram que a transmissão de vibração depende não tanto do número de pisos mas mais de parâmetros como a espessura da laje, no caso da transmissão da vibração num pavimento, ou a esbelteza dos pilares, no caso da propagação de vibração das fundações para o primeiro piso. Observa-se que, apesar da amplitude de vibração ser maior para elementos estruturais mais flexíveis, os elementos mais rígidos transmitem efectivamente mais energia devido a um menor efeito dissipativo. Os resultados também mostram que a atenuação piso-a-piso é aproximadamente constante para todos os pisos excepto a cobertura, onde a atenuação diminui por via da redução do número de caminhos de dissipação de energia.info:eu-repo/semantics/publishedVersio

Engolo and Capoeira. From Ethnic to Diasporic Combat Games in the Southern Atlantic

This article provides a re-examination of the main Afrocentric narrative of capoeira origins, the engolo or ‘Zebra Dance’, in light of historical primary sources and new ethnographic evidence gathered during fieldwork in south-west Angola. By examining engolo’s bodily techniques, its socio-historical context and cultural meanings, the piece emphasises its insertion into a pastoral lifestyle and highlights the relatively narrow ethnic character of the practice in Angola. This analysis and the comparison with capoeira helps us to develop certain hypotheses about the formation, migration, and re-invention of diasporic combat games between southern Angola and coastal Brazil, and more broadly, to increase our understanding of how African cultures spread across the southern Atlantic

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit