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Beach litter is a worldwide problem that has several negative effects. A first step in preventing an environmental hazard is to determine and model the level of contamination. In this paper, geostatistical simulation is used to model two main forms of beach litter (cigarette butts and sharp items) in one of the most contaminated beaches in Antofagasta, Chile. A hundred realizations of cigarette butts and broken glass are generated to emulate their joint spatial distribution. The simulation results are used to classify the beach into different areas with respect to the risk of injury by broken glass and the level of contamination by cigarette butts. The models obtained can be used by local authorities in beach clean-up programs and by visitors to beaches in choosing the safest and cleanest areas. The results demonstrate the capability of geostatistical simulation algorithms to model different types of beach litter.

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OBJECTIVE: to describe discarded wasted immunobiological products provided by the National Im-munization Program (PNI) to the State of Ceará between 2014 and 2016, and the costs of discarded doses. METHODS: this was a descriptive study using data from suspect im-munobiological product evaluation forms and data from disposal approval forms. RESULTS: a total of 317 forms were included, 72.0% of which had a disposal approval form, and 160,767 discarded doses were identified, at a total cost of BRL 1,834,604.75; wastage accounted for 0.45%, 0.93% and 0.53% of the total cost of vaccines in 2014, 2015 and 2016, respectively; the main reason for the wastage identified was electric power shortage (54.9%). CONCLUSION: we identified a large number of discarded wasted doses, with high absolute cost; tighter control is necessary, as failures in conservation dynamics may interfere with the supply of immunobiologicals.

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The aim was to evaluate the influence of an intervention on the nutritional and sensory quality of the menus and on the food waste of a Children's Educational Center. It is a quasi-experimental study that used the Qualitative Assessment of the Menu Preparations method and performed the waste-ingestion quantities and clean leftovers. The intervention was characterized by the inclusion of new recipes and adequacy of portions according to recommendations for the children's age group. Data were analyzed using the Mann Whitney test with a significance level of p < 0.05. The intervention resulted in a reduction in the occurrence of the side dish supply, color monotony, presence of sweets, presence of fried foods, sweets associated with fried foods, and repetition of the main dish cooking technique. In addition, there was a significant reduction in the average quantities of waste-ingestion/child (from 69.02 ± 11.87g to 37.06 ± 15.57g), clean leftovers /child (from 161.47 ± 44.12g to 35.23 ± 33.73 g) and clean leftovers percentage (from 39.56 ± 7.96 to 21.01 ± 17.15). The positive influence of intervention reinforces the importance of adjustments in recipes and portioning of preparations to meet the nutritional recommendations and to control food waste.

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Abstract The aim was to evaluate the influence of an intervention on the nutritional and sensory quality of the menus and on the food waste of a Children's Educational Center. It is a quasi-experimental study that used the Qualitative Assessment of the Menu Preparations method and performed the waste-ingestion quantities and clean leftovers. The intervention was characterized by the inclusion of new recipes and adequacy of portions according to recommendations for the children's age group. Data were analyzed using the Mann Whitney test with a significance level of p < 0.05. The intervention resulted in a reduction in the occurrence of the side dish supply, color monotony, presence of sweets, presence of fried foods, sweets associated with fried foods, and repetition of the main dish cooking technique. In addition, there was a significant reduction in the average quantities of waste-ingestion/child (from 69.02 ± 11.87g to 37.06 ± 15.57g), clean leftovers /child (from 161.47 ± 44.12g to 35.23 ± 33.73 g) and clean leftovers percentage (from 39.56 ± 7.96 to 21.01 ± 17.15). The positive influence of intervention reinforces the importance of adjustments in recipes and portioning of preparations to meet the nutritional recommendations and to control food waste.

Resumo O objetivo do estudo foi avaliar a influência de uma intervenção na qualidade dos cardápios e no desperdício de alimentos em um Centro de Educação Infantil. Trata-se de um estudo quase-experimental que utilizou o método de Avaliação Qualitativa de Preparações de Cardápios e avaliou quantidades de resto-ingestão e sobra limpa. A intervenção foi caracterizada pela inclusão de receituários e adequação do porcionamento das preparações segundo recomendações para a faixa etária. Os dados foram analisados pelo teste de Mann Whitney, nível de significância de p < 0,05. A intervenção proporcionou redução na ocorrência de oferta de guarnição, monotonia de cores, presença de doce, presença de frituras e de doce associado a fritura e repetição da técnica de cocção do prato principal. Além disso, observou-se redução significativa nas quantidades médias de resto-ingestão/criança (de 69,02 ± 11,87g para 37,06 ± 15,57g), de sobra limpa/criança (de 161,47 ± 44,12g para 35,23 ± 33,73 g) e do percentual de sobra limpa (de 39,55 ± 7,96 para 21,01 ± 17,15). A influência positiva da intervenção reforça a importância de adequações nos receituários e no porcionamento, para o atendimento das recomendações nutricionais e controle do desperdício de alimentos no ambiente escolar.

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Analyzing quantitative and qualitative aspects of school meals represents the initial stage to ensure that the National School Food Program (PNAE) is an effective space for the promotion of healthy eating habits and establishing individual rights. The objective of this study was to evaluate the nutritional adequacy of meals served and consumed, as well as quantifying food waste in Child Daycare Centers in Maceió, in the state of Alagoas. All meals served and consumed by 359 children (aged 17 to 63 months) were analyzed by the direct weighing method for three non-consecutive days in all institutions. Food waste was determined by the leftover factor and the nutritional value of meals served and consumed was compared to the PNAE reference values regarding energy, carbohydrates, protein, lipids, vitamins A and C, iron, calcium, zinc, magnesium and fiber. Of the 85 meals/preparations featured on the menu, 58 (68%) revealed a high leftover percentage; in excess of 10%. The meals served and consumed met approximately 50% of the recommended energy and macronutrient values. The difference between the averages of the nutrients offered and consumed was statistically significant (p < 0.05) for fiber, vitamin A, vitamin C, calcium, iron and zinc.

Analisar aspectos quantitativos e qualitativos da alimentação escolar constitui-se de etapa primordial para fazer do Programa Nacional de Alimentação Escolar (PNAE) um espaço efetivo para a promoção da alimentação saudável e formação de sujeitos de direitos. O objetivo deste estudo foi avaliar a adequação nutricional das refeições servidas e consumidas e quantificar o desperdício de alimentos em Centros de Educação Infantil de Maceió/AL. Foram analisadas por três dias não consecutivos, pelo método de pesagem direta, as refeições de 359 crianças (17 e 63 meses). O desperdício de alimentos foi determinado pelo índice de resto-ingestão e o valor nutricional das refeições servidas e consumidas foram comparadas com os valores de referência do PNAE para energia, carboidrato, proteína, lipídio, vitaminas A e C, ferro, cálcio, zinco, magnésio e fibra. Dos 85 alimentos/preparações presentes no cardápio, 58 (68%) apresentaram percentual de resto-ingestão, superior a 10%. As refeições servidas e consumidas atenderam aproximadamente 50% do recomendado para energia e macronutrientes. A diferença entre as médias dos nutrientes ofertados e consumidos foi estatisticamente significante (p < 0,05) para fibra, vitamina A, vitamina C, cálcio, ferro e zinco.

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Resumo Analisar aspectos quantitativos e qualitativos da alimentação escolar constitui-se de etapa primordial para fazer do Programa Nacional de Alimentação Escolar (PNAE) um espaço efetivo para a promoção da alimentação saudável e formação de sujeitos de direitos. O objetivo deste estudo foi avaliar a adequação nutricional das refeições servidas e consumidas e quantificar o desperdício de alimentos em Centros de Educação Infantil de Maceió/AL. Foram analisadas por três dias não consecutivos, pelo método de pesagem direta, as refeições de 359 crianças (17 e 63 meses). O desperdício de alimentos foi determinado pelo índice de resto-ingestão e o valor nutricional das refeições servidas e consumidas foram comparadas com os valores de referência do PNAE para energia, carboidrato, proteína, lipídio, vitaminas A e C, ferro, cálcio, zinco, magnésio e fibra. Dos 85 alimentos/preparações presentes no cardápio, 58 (68%) apresentaram percentual de resto-ingestão, superior a 10%. As refeições servidas e consumidas atenderam aproximadamente 50% do recomendado para energia e macronutrientes. A diferença entre as médias dos nutrientes ofertados e consumidos foi estatisticamente significante (p < 0,05) para fibra, vitamina A, vitamina C, cálcio, ferro e zinco.

Abstract Analyzing quantitative and qualitative aspects of school meals represents the initial stage to ensure that the National School Food Program (PNAE) is an effective space for the promotion of healthy eating habits and establishing individual rights. The objective of this study was to evaluate the nutritional adequacy of meals served and consumed, as well as quantifying food waste in Child Daycare Centers in Maceió, in the state of Alagoas. All meals served and consumed by 359 children (aged 17 to 63 months) were analyzed by the direct weighing method for three non-consecutive days in all institutions. Food waste was determined by the leftover factor and the nutritional value of meals served and consumed was compared to the PNAE reference values regarding energy, carbohydrates, protein, lipids, vitamins A and C, iron, calcium, zinc, magnesium and fiber. Of the 85 meals/preparations featured on the menu, 58 (68%) revealed a high leftover percentage; in excess of 10%. The meals served and consumed met approximately 50% of the recommended energy and macronutrient values. The difference between the averages of the nutrients offered and consumed was statistically significant (p < 0.05) for fiber, vitamin A, vitamin C, calcium, iron and zinc.

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Arraial do Cabo, RJ, Brazil, is known as the diving capital due to its clear waters and great biodiversity, a consequence of the upwelling phenomenon. This feature attracts tourists tripling their population during holidays, causing increase in the amount of debris on beaches and waters endangering marine biodiversity. To evaluate the amount of solid waste found on beaches in two different holiday period, eight people in each beach collected macrodebris (≥2 cm) in a transect covering an 20 m wide area, during 20 min, in winter/2015 and summer/2017. The materials were weighed, quantified and characterized. In the summer, when the number of tourists is greater, a larger total amount of waste in units were found. Plastic and cigarette butts were the most abundant. The results show that the city does not have adequate planning to receive a large amount of tourists, being vulnerable to socioeconomic and environmental damages.

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Objective: To analyze the insulin therapy waste disposal produced in the households of people with diabetes mellitus (DM). Method: Cross-sectional study with 105 Primary Care patients. Socio-demographic and clinical variables and insulin therapy practice were analyzed through the absolute and relative frequencies, Fisher's exact test and prevalence ratio (PR). Results: The association between types of insulin (60.0%), administered with a disposable syringe attached to a needle (80.9%), and a high percentage of reuse and disposal in normal household waste (57.1%) stood out. The professionals who most frequently provided guidance to people with diabetes were the nurses. Patients who had received instructions about disposal were 21 times more likely to dispose of waste properly than those who had not (PR 21.5; P < 0.0001). Age, gender, skin color, education, marital status, occupational status and type of DM did not interfere in the disposal (P > 0.05). Conclusion: People with diabetes served in Primary Health Care require guidance and material resources to carry out the appropriate disposal of insulin therapy waste.

Objetivo: Analisar o descarte de resíduos da insulinoterapia produzidos no domicílio de pessoas com diabetes mellitus (DM). Método: Estudo transversal com amostra de 105 pacientes da Atenção Primária. Variáveis sociodemográficas, clínicas e prática de insulinoterapia foram analisadas por meio das frequências absoluta e relativa, teste exato de Fisher e razão de prevalência (RP). Resultados: Destacou-se associação entre insulinas (60,0%), administradas com seringa descartável acoplada à agulha (80,9%), alto percentual de reutilização e descarte no lixo doméstico comum (57,1%). Os profissionais que mais orientaram os diabéticos foram os enfermeiros. Pacientes orientados sobre descarte tiveram 21 vezes mais chances de descartarem resíduos adequadamente que os não orientados (RP 21,5; P < 0,0001). Idade, sexo, cor da pele, escolaridade, estado civil, situação ocupacional e tipo de DM não interferiram no descarte (P > 0,05). Conclusão: Diabéticos atendidos na Atenção Primária necessitam de orientações e recursos materiais para realizarem descarte adequado dos resíduos da insulinoterapia.

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ABSTRACT Objective: To analyze the insulin therapy waste disposal produced in the households of people with diabetes mellitus (DM). Method: Cross-sectional study with 105 Primary Care patients. Socio-demographic and clinical variables and insulin therapy practice were analyzed through the absolute and relative frequencies, Fisher's exact test and prevalence ratio (PR). Results: The association between types of insulin (60.0%), administered with a disposable syringe attached to a needle (80.9%), and a high percentage of reuse and disposal in normal household waste (57.1%) stood out. The professionals who most frequently provided guidance to people with diabetes were the nurses. Patients who had received instructions about disposal were 21 times more likely to dispose of waste properly than those who had not (PR 21.5; P < 0.0001). Age, gender, skin color, education, marital status, occupational status and type of DM did not interfere in the disposal (P > 0.05). Conclusion: People with diabetes served in Primary Health Care require guidance and material resources to carry out the appropriate disposal of insulin therapy waste.

RESUMEN Objetivo: Analizar la eliminación de los residuos de la terapia con insulina en las viviendas de personas con diabetes mellitus (DM). Método: Estudio transversal, del cual participaron 105 pacientes asistidos en atención primaria. Se analizaron las variables sociodemográficas, clínicas y la administración de la terapia con insulina a través de las frecuencias absoluta y relativa, la prueba exacta de Fisher y la razón de prevalencias (RP). Resultados: Se destacaron la asociación entre insulinas (60,0%) aplicadas con jeringuillas desechables pegadas a la aguja (80,9%), su elevado porcentaje de reutilización y su eliminación en la basura doméstica común (57,1%). Los enfermeros fueron los profesionales que más orientaron a los pacientes con diabetes. Los pacientes orientados presentaron más de 21 posibilidades de eliminar correctamente los residuos que los que no recibieron orientación (RP 21,5; p<0,0001). La edad, sexo, etnia, nivel de instrucción, estado civil, situación laboral y tipo de DM no influyeron en los resultados para la eliminación de estos residuos (p>0,05). Conclusión: Las personas con diabetes asistidas en atención primaria carecen de recomendaciones y recursos materiales que les informen la correcta eliminación de los residuos de la terapia con insulina.

RESUMO Objetivo: Analisar o descarte de resíduos da insulinoterapia produzidos no domicílio de pessoas com diabetes mellitus (DM). Método: Estudo transversal com amostra de 105 pacientes da Atenção Primária. Variáveis sociodemográficas, clínicas e prática de insulinoterapia foram analisadas por meio das frequências absoluta e relativa, teste exato de Fisher e razão de prevalência (RP). Resultados: Destacou-se associação entre insulinas (60,0%), administradas com seringa descartável acoplada à agulha (80,9%), alto percentual de reutilização e descarte no lixo doméstico comum (57,1%). Os profissionais que mais orientaram os diabéticos foram os enfermeiros. Pacientes orientados sobre descarte tiveram 21 vezes mais chances de descartarem resíduos adequadamente que os não orientados (RP 21,5; P < 0,0001). Idade, sexo, cor da pele, escolaridade, estado civil, situação ocupacional e tipo de DM não interferiram no descarte (P > 0,05). Conclusão: Diabéticos atendidos na Atenção Primária necessitam de orientações e recursos materiais para realizarem descarte adequado dos resíduos da insulinoterapia.

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Introduction: As technology advances, society must reflect on the destination of materials which are no longer needed. Hospital waste requires special attention due to the associated risk of disease transmission and biological accidents. Also, it tends to increase proportionally to the economic development and is associated with increased use of disposable material. The purpose of this study is to analyze the management of hospital waste at the Hospital de Clínicas de Porto Alegre (HCPA) and to evaluate the effectiveness and feasibility of the measures adopted by the institution to mitigate the impact of its waste on the environment. Methods: Observational study with field research. Hospital waste management is divided into generation, disposal, storage and final destination. Results: Between 2010 and 2015, the HCPA produced 21.4 tons of biological and sharps waste, 23,000 liters of chemical waste and 113,9 tons of solid waste per month. The main improvements include the implementation of a inspection of the hospital's waste bins every 2 months, a reduction from 29.42% to 2.79% in the rate of inappropriate disposal of hazardous waste, a 313% increase in investments in staff training, the expansion and adaptation of external areas for temporary storage of hospital waste and the collection of more than 1 ton of waste generated by the local community (sharps, X-ray films, kitchen oil, batteries), as well as the establishment of contracts which will guarantee the appropriate treatment of all types of health care waste. Conclusions: These results demonstrate that mitigating the impact of hospital waste on the environment is possible and should encourage the adoption of similar measures at other institutions (AU)

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Microplastics (plastic debris smaller than 5mm) represent a growing concern worldwide due to increasing amounts of discarded trash. We investigated microplastic debris on sandy shorelines at seven locations in a northern Gulf of Mexico estuary (Mobile Bay, AL) during the summer of 2014. Microplastics were ubiquitous throughout the area studied at concentrations 66-253× larger than reported for the open ocean. The polymers polypropylene and polyethylene were most abundant, with polystyrene, polyester and aliphatic polyamide also present but in lower quantities. There was a gradient in microplastic abundance, with locations more directly exposed to marine currents and tides having higher microplastic abundance and diversity, as well as a higher contribution by denser polymers (e.g. polyester). These results indicate that microplastic accumulation on shorelines in the northern Gulf of Mexico may be a serious concern, and suggest that exposure to inputs from the Gulf is an important determinant of microplastic abundance.

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Abundances and composition of marine litter and seabirds were estimated in the central South Pacific (SP) Ocean between the Chilean continental coast and the Easter Island Ecoregion. Litter was dominated by plastics throughout the study area, but the proportion of plastics was higher at sea and on the oceanic islands than in coastal waters and on continental beaches. Litter densities were higher close to the center of the SP subtropical gyre compared to the continental coast. The seabird assemblage was diverse (28 species), and several endemic species were recorded. Seabird abundances were higher in the coastal waters and around Juan Fernández Islands off the continental coast than in the Oceanic and Polynesian sectors. Endangered species breeding on Salas & Gómez Island were observed in the Polynesian sector, which suggests a high potential for negative interactions between seabirds and floating litter, both occurring in high densities in this sector.

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Marine turtles are an iconic group of endangered animals threatened by debris ingestion. However, key aspects related to debris ingestion are still poorly known, including its effects on mortality and the original use of the ingested debris. Therefore, we analysed the impact of debris ingestion in 265 green turtles (Chelonia mydas) over a large geographical area and different habitats along the Brazilian coast. We determined the death rate due to debris ingestion and quantified the amount of debris that is sufficient to cause the death of juvenile green turtles. Additionally, we investigated the original use of the ingested debris. We found that a surprisingly small amount of debris was sufficient to block the digestive tract and cause death. We suggested that debris ingestion has a high death potential that may be masked by other causes of death. An expressive part of the ingested debris come from disposable and short-lived products.

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This study compared marine debris ingestion of the coastal dolphins Pontoporia blainvillei and Sotalia guianensis in a sympatric area in Atlantic Ocean. Among the 89 stomach contents samples of P. blainvillei, 14 (15.7%) contained marine debris. For S. guianensis, 77 stomach contents samples were analyzed and only one of which (1.30%) contained marine debris. The debris recovered was plastic material: nylon yarns and flexible plastics. Differences in feeding habits between the coastal dolphins were found to drive their differences regarding marine debris ingestion. The feeding activity of P. blainvillei is mainly near the sea bottom, which increases its chances of ingesting debris deposited on the seabed. In contrast, S. guianensis has a near-surface feeding habit. In the study area, the seabed is the main zone of accumulation of debris, and species with some degree of association with the sea bottom may be local bioindicators of marine debris pollution.

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An experiment observed the behavior of selected tagged plastic items deliberately released in different habitats of a tropical mangrove forest in NE Brazil in late rainy (September) and late dry (March) seasons. Significant differences were not reported among seasons. However, marine debris retention varied among habitats, according to characteristics such as hydrodynamic (i.e., flow rates and volume transported) and relative vegetation (Rhizophora mangle) height and density. The highest grounds retained significantly more items when compared to the borders of the river and the tidal creek. Among the used tagged items, PET bottles were more observed and margarine tubs were less observed, being easily transported to adjacent habitats. Plastic bags were the items most retained near the releasing site. The balance between items retained and items lost was positive, demonstrating that mangrove forests tend to retain plastic marine debris for long periods (months-years).

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Anthropogenic marine debris (AMD) is frequently studied on sandy beaches and occasionally in coastal waters, but links between these two environments have rarely been studied. High densities of AMD were found in coastal waters and on local shores of a large bay system in northern-central Chile. No seasonal pattern in AMD densities was found, but there was a trend of increasing densities over the entire study period. While plastics and Styrofoam were the most common types of AMD both on shores and in coastal waters, AMD composition differed slightly between the two environments. The results suggest that AMD from coastal waters are deposited on local shores, which over time accumulate all types of AMD. The types and the very low percentages of AMD with epibionts point to mostly local sources. Based on these results, it can be concluded that a reduction of AMD will require local solutions.

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A deep-sea trawl survey of the Northern Gulf of Mexico has documented the abundance and diversity of human-generated litter and natural detrital plant material, from the outer margin of the continental shelf out to the Sigsbee abyssal plain. Plastics were the most frequently encountered type of material. Litter and debris were encountered more frequently in the eastern than in the western GoM. Land-derived plant material was located primarily within the head of the Mississippi Canyon, whereas ocean-derived plant material was spread evenly throughout the NE GoM. Human discards were principally from ships offshore. Some of the material was contained in metal cans that sank to the sea floor, probably in order to conform to international agreements that prohibit disposal of toxic material and plastics. The Mississippi Canyon was a focal point for litter, perhaps due to topography, currents or proximity to shipping lanes.

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Landfill gas (LFG) emissions from municipal solid waste (MSW) landfills are an important environmental concern in Brazil due to the existence of several uncontrolled disposal sites. A program of laboratory and field tests was conducted to investigate gas generation in and emission from an Experimental Cell with a 36,659-ton capacity in Recife/PE - Brazil. This investigation involved waste characterisation, gas production and emission monitoring, and geotechnical and biological evaluations and was performed using three types of final cover layers. The results obtained in this study showed that waste decomposes 4-5 times faster in a tropical wet climate than predicted by traditional first-order models using default parameters. This fact must be included when considering the techniques and economics of projects developed in tropical climate countries. The design of the final cover layer and its geotechnical and biological behaviour proved to have an important role in minimising gas emissions to the atmosphere. Capillary and methanotrophic final cover layers presented lower CH(4) flux rates than the conventional layer.

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The study of pitch up limit for solid waste collection compactor trucks in tilted public roads is of great relevance both for the planning of waste collection, mainly in cities with very uneven street gradient, or for use as a design parameter in projects involving public roads. Considering the typical construction and use of rear loader waste compactor equipment, the centre of gravity moves towards the rear of the vehicle as it is loaded, resulting in overload in the rear axle at the end of the waste collection period. In the city of Belo Horizonte (Brazil), several cases of pitch up have been reported for this type of vehicle, in streets with different inclinations and with loading situations in which the load box was not completely full. The present study investigated the variation of the imminence pitch up angles of the two-axle, rear-loading, solid waste collection compactor truck in a static condition, determined by the variation of its centre of gravity coordinates, which were obtained experimentally by means of a testing programme for different loading situations. The critical inclination angle was 0.347 rad (19.89°), which corresponds to a ramp inclination of 36.17%, for the condition of total weight of 157.06 kN (16 027 kgf) with payload of 63.42 kN (6472 kgf).

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