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[Lakesha Hedrich]

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Adapt Pt 2010 With Crack
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The effects of moderate to severe TBI can be long lasting or even permanent. While recovery and rehabilitation are possible, most people with moderate to severe TBI face life challenges that will require them to adapt and adjust to a new reality.

Hi there I'm 42 I was struck by a car while walking down the road I was in a comma for 2 days so that was 2010. No problems until 2016ish started with bad migraines till 2019 then grand mal seizures started was diagnosed with focal epilepsy and severe short term memory loss. Hope the best for you.

Summer beak just started two days ago. I was 13 and graduated from the 7th grade. I went to my best friend's house, and we decided to go on a bike ride to get ice cream. The helmet my friend gave me broke, so I put it back in the garage, and started riding my bike down the street. Tim, my best friend at the time, came up behind me holding the helmet. His dad just got home and just happened to have the part to fix the helmet. I put the helmet on, and we went on our way. We started going down a steep hill, riding on the sidewalk. Unbeknownst to me, ahead of me the sidewalk was cracked, and the two cracked parts pushed together which made an A shaped wall on thes sidewalk. I hit the concrete with my front tire, and the bike flipped me and smashed the top of my head on the concrete. I blacked out for a few minutes, and when I came to I couldn't talk for about 3 minutes. When I did talk it sounded like I was mentally challenged, and the words themselves made no sense (according to my 3 friends). I never went to the hospital because we didn't want to tell anyone so we could all still go to summer camp. I don't remember much about that summer, except for the anxiety and headaches that started. I only made it through half of the 8th grade, I just couldn't do it. My math grade in the 7th grade was exactly 100%, after the concussion the numbers and lines were completely abstract to me, it was like learning Russian while being spun around. I quit the 8th grade and had to be homeschooled. I went to a regular high school (thank God) but it was a struggle. The anxiety and brainfog made it very difficult. I am 32 now, still living withmy parents, and I am unable to drive. My anxiety pulsates throughout my entire being second by second. I can't think, and I had to start taking Adderall and Ativan, which hardly do anything to help me. I am very blessed that my friend brought me my helmet, I believe I would be dead, or partially if not totally paralized had I not worn the helmet. I was an exceptionally intelligent child, who taught himself to play the piano at 4, and was reading 4 books a month by the 3rd grade. I wanted to be an inventor, but I could have been anything I wanted. Thankfully I have an online business, and my wonderful parents. I feel like a part of me died that day. I never cried about it, but writing this and thinking about it in this way is making me cry. I am just now coming to the realization that I will never be the same again.

Abstract:This study evaluated inundation impacts and the economic damage resulting from sea level rise (SLR) in the Vietnamese Mekong River Delta (VMRD), and identified the effectiveness of mixing gray and green infrastructures using cost-benefit analysis. The results showed that the VMRD could potentially be heavily affected by SLR. Without the implementation of proper adaptations, more than 90% of this area could be below sea level and nearly 20 million people could be affected by inundation by the end of the 21st century. The total economic damage could reach more than 22,000 billion US$ (2010 real value) by 2100 with no discount rate. These threats may increase the pressure on the region to ensure well-being, equity, and progress towards achieving sustainable development goals. However, achieving these goals will require the implementation of adaptations for upgrading and restoring in the region. This study assessed the effectiveness of adaptations and demonstrated that mixing gray and green infrastructures could benefit coastal inhabitants at a cost of 12 to 19 billion US$.Keywords: inundation; adaptation; protection; dike; mangrove; cost-benefit analysis



The pour strip or leave out (Figure 1) is a 3-foot to 8-foot gap in a floor slab, which is often left open three to four levels below the floor being placed. Pour strips have a long successful history of being used in reinforced concrete (RC) structures before the popularity of PT began in the 1960s. PT pour strips have even more impact from RTS due to the additional volume change from elastic shortening and creep caused by post-tensioning compression forces restrained by structural elements (i.e., shear walls and other stiff vertical members). Temperature change during construction can also significantly contribute to slab cracking, especially during winter when the slab is heated for curing but removed after a few days. All volume change components contribute to cracking and poor slab performance if not dealt with appropriately.

Volume change and RTS are challenging aspects of concrete construction and are often misunderstood. They are even more challenging when PT is involved. The issue is the tensile stress created when slab shortening is restrained by stiff structural elements. A properly designed pour strip temporarily interrupts slab continuity between the stiff elements, lowers RTS, and allows for volume change. Since creep and shrinkage strains increase with time, cracking can be reduced by keeping the pour strip open longer. It is common for EORs to require a pour strip to remain open for 28 or 56 days and sometimes even longer for better performance. Serviceability is the primary design concern, and PT slabs are not designed to crack. Excessive cracking leads to deflection, vibration, and corrosion (parking garages) problems, leading to architectural complications.
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