Sample records for construction fall protection

  1. 75 FR 22844 - Construction Fall Protection Systems Criteria and Practices and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ...] Construction Fall Protection Systems Criteria and Practices and Training Requirements; Extension of the Office of Management and Budget's (OMB) Approval of Information Collection (Paperwork) Requirements AGENCY... requirements contained in the construction standards on Fall Protection Systems Criteria and Practices (29 CFR...

  2. 75 FR 80315 - Compliance Directive for Fall Protection in Residential Construction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... DEPARTMENT OF LABOR Occupational Safety and Health Administration 29 CFR Part 1926 Compliance Directive for Fall Protection in Residential Construction AGENCY: Occupational Safety and Health... Protection Compliance Directive for Residential Construction. SUMMARY: The Occupational Safety and Health...

  3. Assessing Barriers to the Use of Fall Protection in Small Residential Construction Companies in New Jersey.

    PubMed

    Borjan, Marija; Patel, Toral; Lefkowitz, Daniel; Campbell, Carla; Lumia, Margaret

    2016-05-01

    Three focus groups were conducted with residential construction workers from local New Jersey labor organizations to characterize barriers to fall protection use among residential construction contractors who work for companies with fewer than ten employees. Thirty-six residential construction workers volunteered to participate, the average age was thirty-nine years, and twenty-four (67%) were of Hispanic origin. Twelve (33%) of the participants reported having fallen from greater than 6 ft at work and twenty (56%) of the participants had known someone who has fallen from greater than 6 ft. Sixteen (44%) had not been provided with fall protection equipment by their employer and eighteen (50%) reported their current employer had not provided workplace safety training. Factors that created barriers to use of fall protection equipment such as equipment availability, employee/employer relationships, cultural differences, and company size were identified. Results from this study confirm that falls remain a concern among residential construction workers in small companies. © The Author(s) 2015.

  4. 29 CFR 1926.501 - Duty to have fall protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Duty to have fall protection. 1926.501 Section 1926.501..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.501 Duty to have fall protection. (a) General. (1) This section sets forth requirements for employers to...

  5. 29 CFR 1926.501 - Duty to have fall protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false Duty to have fall protection. 1926.501 Section 1926.501..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.501 Duty to have fall protection. (a) General. (1) This section sets forth requirements for employers to...

  6. 29 CFR 1926.501 - Duty to have fall protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Duty to have fall protection. 1926.501 Section 1926.501..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.501 Duty to have fall protection. (a) General. (1) This section sets forth requirements for employers to...

  7. 29 CFR 1926.501 - Duty to have fall protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Duty to have fall protection. 1926.501 Section 1926.501..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.501 Duty to have fall protection. (a) General. (1) This section sets forth requirements for employers to...

  8. 29 CFR 1926.759 - Falling object protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Falling object protection. 1926.759 Section 1926.759 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.759 Falling object... aloft, shall be secured against accidental displacement. (b) Protection from falling objects other than...

  9. 29 CFR 1926.759 - Falling object protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false Falling object protection. 1926.759 Section 1926.759 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.759 Falling object... aloft, shall be secured against accidental displacement. (b) Protection from falling objects other than...

  10. 29 CFR 1926.759 - Falling object protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Falling object protection. 1926.759 Section 1926.759 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.759 Falling object... aloft, shall be secured against accidental displacement. (b) Protection from falling objects other than...

  11. 29 CFR 1926.759 - Falling object protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Falling object protection. 1926.759 Section 1926.759 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.759 Falling object... aloft, shall be secured against accidental displacement. (b) Protection from falling objects other than...

  12. 29 CFR 1926.759 - Falling object protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Falling object protection. 1926.759 Section 1926.759 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.759 Falling object... aloft, shall be secured against accidental displacement. (b) Protection from falling objects other than...

  13. Fatal falls in the U.S. residential construction industry.

    PubMed

    Dong, Xiuwen Sue; Wang, Xuanwen; Largay, Julie A; Platner, James W; Stafford, Erich; Cain, Chris Trahan; Choi, Sang D

    2014-09-01

    Falls from heights remain the most common cause of workplace fatalities among residential construction workers in the United States. This paper examines patterns and trends of fall fatalities in U.S. residential construction between 2003 and 2010 by analyzing two large national datasets. Almost half of the fatalities in residential construction were from falls. In the residential roofing industry, 80% of fatalities were from falls. In addition, about one-third of fatal falls in residential construction were among self-employed workers. Workers who were older than 55 years, were Hispanic foreign-born, or employed in small establishments (1-10 employees) also had higher proportions of fatal falls in residential construction compared to those in nonresidential construction. The findings suggest that fall safety within the residential construction industry lags behind commercial construction and industrial settings. Fall prevention in residential construction should be enhanced to better protect construction workers in this sector. © 2014 Wiley Periodicals, Inc.

  14. Safety yoke would protect construction workers from falling

    NASA Technical Reports Server (NTRS)

    Goforth, O. H.

    1967-01-01

    Simple dismountable yoke protects construction workers on narrow steel I beams at high levels. The yoke engages the upper flat of the I beam and slides freely along it to permit freedom of movement to the worker while limiting his ability to fall by a harness attached to the yoke.

  15. 78 FR 59725 - Construction Fall Protection Systems Criteria and Practices, and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ...- 1648. Mail, hand delivery, express mail, messenger, or courier service: When using this method, you... DEPARTMENT OF LABOR Occupational Safety and Health Administration [Docket No. OSHA-2010-0008] Construction Fall Protection Systems Criteria and Practices, and Training Requirements; Extension of the Office...

  16. Fall prevention and safety communication training for foremen:Report of a pilot project designed to improve residential construction safety

    PubMed Central

    Kaskutas, Vicki; Dale, Ann Marie; Lipscomb, Hester; Evanoff, Brad

    2013-01-01

    Problem Falls from heights account for 64% of residential construction worker fatalities and 20% of missed work days. We hypothesized that worker safety would improve with foremen training in fall prevention and safety communication. Method Training priorities identified through foreman and apprentice focus groups and surveys were integrated into an 8-hour training. We piloted the training with ten foremen employed by a residential builder. Carpenter trainers contrasted proper methods to protect workers from falls with methods observed at the foremen’s worksites. Trainers presented methods to deliver toolbox talks and safety messages. Results from worksite observational audits (n=29) and foremen/crewmember surveys (n=97) administered before and after training were compared. Results We found that inexperienced workers are exposed to many fall hazards that they are often not prepared to negotiate. Fall protection is used inconsistently and worksite mentorship is often inadequate. Foremen feel pressured to meet productivity demands and some are unsure of the fall protection requirements. After the training, the frequency of daily mentoring and toolbox talks increased, and these talks became more interactive and focused on hazardous daily work tasks. Foremen observed their worksites for fall hazards more often. We observed increased compliance with fall protection and decreased unsafe behaviors during worksite audits. Discussion Designing the training to meet both foremen’s and crewmembers’ needs ensured the training was learner-centered and contextually-relevant. This pilot suggests that training residential foremen can increase use of fall protection, improve safety behaviors, and enhance on-the-job training and safety communication at their worksites. Impact on Industry Construction workers’ training should target safety communication and mentoring skills with workers who will lead work crews. Interventions at multiple levels are necessary to increase safety compliance in residential construction and decrease falls from heights. PMID:23398712

  17. Fall prevention and safety communication training for foremen: report of a pilot project designed to improve residential construction safety.

    PubMed

    Kaskutas, Vicki; Dale, Ann Marie; Lipscomb, Hester; Evanoff, Brad

    2013-02-01

    Falls from heights account for 64% of residential construction worker fatalities and 20% of missed work days. We hypothesized that worker safety would improve with foremen training in fall prevention and safety communication. Training priorities identified through foreman and apprentice focus groups and surveys were integrated into an 8-hour training. We piloted the training with ten foremen employed by a residential builder. Carpenter trainers contrasted proper methods to protect workers from falls with methods observed at the foremen's worksites. Trainers presented methods to deliver toolbox talks and safety messages. Results from worksite observational audits (n=29) and foremen/crewmember surveys (n=97) administered before and after training were compared. We found that inexperienced workers are exposed to many fall hazards that they are often not prepared to negotiate. Fall protection is used inconsistently and worksite mentorship is often inadequate. Foremen feel pressured to meet productivity demands and some are unsure of the fall protection requirements. After the training, the frequency of daily mentoring and toolbox talks increased, and these talks became more interactive and focused on hazardous daily work tasks. Foremen observed their worksites for fall hazards more often. We observed increased compliance with fall protection and decreased unsafe behaviors during worksite audits. Designing the training to meet both foremen's and crewmembers' needs ensured the training was learner-centered and contextually-relevant. This pilot suggests that training residential foremen can increase use of fall protection, improve safety behaviors, and enhance on-the-job training and safety communication at their worksites. Construction workers' training should target safety communication and mentoring skills with workers who will lead work crews. Interventions at multiple levels are necessary to increase safety compliance in residential construction and decrease falls from heights. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Fatal falls and PFAS use in the construction industry: Findings from the NIOSH FACE reports.

    PubMed

    Dong, Xiuwen Sue; Largay, Julie A; Choi, Sang D; Wang, Xuanwen; Cain, Chris Trahan; Romano, Nancy

    2017-05-01

    This study analyzed the Construction FACE Database (CFD), a quantitative database developed from reports of the Fatality Assessment and Control Evaluation (FACE) program conducted by the National Institute for Occupational Safety and Health (NIOSH). The CFD contains detailed data on 768 fatalities in the construction industry reported by NIOSH and individual states from 1982 through June 30, 2015. The results show that falls accounted for 42% (325) of the 768 fatalities included in the CFD. Personal fall arrest systems (PFAS) were not available to more than half of the fall decedents (54%); nearly one in four fall decedents (23%) had access to PFAS, but were not using it at the time of the fall. Lack of access to PFAS was particularly high among residential building contractors as well as roofing, siding, and sheet metal industry sectors (∼70%). Although the findings may not represent the entire construction industry today, they do provide strong evidence in favor of fall protection requirements by the Occupational Safety and Health Administration (OSHA). In addition to stronger enforcement, educating employers and workers about the importance and effectiveness of fall protection is crucial for compliance and fall prevention. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Fatal falls and PFAS use in the construction industry: Findings from the NIOSH FACE reports

    PubMed Central

    Dong, Xiuwen Sue; Largay, Julie A.; Choi, Sang D.; Wang, Xuanwen; Cain, Chris Trahan; Romano, Nancy

    2017-01-01

    This study analyzed the Construction FACE Database (CFD), a quantitative database developed from reports of the Fatality Assessment and Control Evaluation (FACE) program conducted by the National Institute for Occupational Safety and Health (NIOSH). The CFD contains detailed data on 768 fatalities in the construction industry reported by NIOSH and individual states from 1982 through June 30, 2015. The results show that falls accounted for 42% (325) of the 768 fatalities included in the CFD. Personal fall arrest systems (PFAS) were not available to more than half of the fall decedents (54%); nearly one in four fall decedents (23%) had access to PFAS, but were not using it at the time of the fall. Lack of access to PFAS was particularly high among residential building contractors as well as roofing, siding, and sheet metal industry sectors (~70%). Although the findings may not represent the entire construction industry today, they do provide strong evidence in favor of fall protection requirements by the Occupational Safety and Health Administration (OSHA). In addition to stronger enforcement, educating employers and workers about the importance and effectiveness of fall protection is crucial for compliance and fall prevention. PMID:28292698

  20. Fatal falls in the US construction industry, 1990 to 1999.

    PubMed

    Derr, J; Forst, L; Chen, H Y; Conroy, L

    2001-10-01

    The Occupational Safety and Health Administration's (OSHA's) Integrated Management Information System (IMIS) database allows for the detailed analysis of risk factors surrounding fatal occupational events. This study used IMIS data to (1) perform a risk factor analysis of fatal construction falls, and (2) assess the impact of the February 1995 29 CFR Part 1926 Subpart M OSHA fall protection regulations for construction by calculating trends in fatal fall rates. In addition, IMIS data on fatal construction falls were compared with data from other occupational fatality surveillance systems. For falls in construction, the study identified several demographic factors that may indicate increased risk. A statistically significant downward trend in fatal falls was evident in all construction and within several construction categories during the decade. Although the study failed to show a statistically significant intervention effect from the new OSHA regulations, it may have lacked the power to do so.

  1. 29 CFR Appendix A to Subpart M of... - Determining Roof Widths

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926... monitoring system alone as a means of providing fall protection during the performance of roofing operations...

  2. 29 CFR Appendix A to Subpart M of... - Determining Roof Widths

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926... monitoring system alone as a means of providing fall protection during the performance of roofing operations...

  3. 29 CFR Appendix A to Subpart M of... - Determining Roof Widths

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926... monitoring system alone as a means of providing fall protection during the performance of roofing operations...

  4. 29 CFR Appendix A to Subpart M of... - Determining Roof Widths

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926... monitoring system alone as a means of providing fall protection during the performance of roofing operations...

  5. 29 CFR Appendix A to Subpart M of... - Determining Roof Widths

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926... monitoring system alone as a means of providing fall protection during the performance of roofing operations...

  6. 29 CFR 1926.760 - Fall protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... a steel erection activity who is on a walking/working surface with an unprotected side or edge more.... (2) Perimeter safety cables. On multi-story structures, perimeter safety cables shall be installed at...

  7. 29 CFR 1926.760 - Fall protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... a steel erection activity who is on a walking/working surface with an unprotected side or edge more.... (2) Perimeter safety cables. On multi-story structures, perimeter safety cables shall be installed at...

  8. 29 CFR 1926.760 - Fall protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... a steel erection activity who is on a walking/working surface with an unprotected side or edge more.... (2) Perimeter safety cables. On multi-story structures, perimeter safety cables shall be installed at...

  9. 29 CFR 1926.760 - Fall protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... a steel erection activity who is on a walking/working surface with an unprotected side or edge more.... (2) Perimeter safety cables. On multi-story structures, perimeter safety cables shall be installed at...

  10. 29 CFR 1926.760 - Fall protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... a steel erection activity who is on a walking/working surface with an unprotected side or edge more.... (2) Perimeter safety cables. On multi-story structures, perimeter safety cables shall be installed at...

  11. 29 CFR 1926.503 - Training requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.503 Training requirements... training program for each employee who might be exposed to fall hazards. The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed...

  12. 29 CFR 1926.503 - Training requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.503 Training requirements... training program for each employee who might be exposed to fall hazards. The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed...

  13. 29 CFR 1926.503 - Training requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.503 Training requirements... training program for each employee who might be exposed to fall hazards. The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed...

  14. 29 CFR 1926.503 - Training requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.503 Training requirements... training program for each employee who might be exposed to fall hazards. The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed...

  15. 29 CFR 1926.503 - Training requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.503 Training requirements... training program for each employee who might be exposed to fall hazards. The program shall enable each employee to recognize the hazards of falling and shall train each employee in the procedures to be followed...

  16. Occupational safety issues in residential construction surveyed in Wisconsin, United States.

    PubMed

    Choi, Sang D; Carlson, Kathryn

    2014-01-01

    Residential construction is a high-risk industry in the U.S. due to the exposure to work-related safety hazards and fall injuries. This study aimed to examine the safety training and safe work practices of construction workers within the small residential construction industry. In order to achieve the study objectives, a survey was designed and sent to approximately 200 Wisconsin based residential construction contractors. About one third of the respondents stated that they did not have any form of safety programs. The study indicated that the most common types of work-related injuries in residential construction were slips/trips/falls and cuts/lacerations. The survey findings also suggested that the residential construction contractors needed to increase the utilization of fall protection safety equipment. Further education and subject matter expert training could provide benefits to improve occupational safety and health of the small business workforce in the residential construction industry.

  17. Occupational Safety Issues in Residential Construction Surveyed in Wisconsin, United States

    PubMed Central

    CHOI, Sang D.; CARLSON, Kathryn

    2014-01-01

    Residential construction is a high-risk industry in the U.S. due to the exposure to work-related safety hazards and fall injuries. This study aimed to examine the safety training and safe work practices of construction workers within the small residential construction industry. In order to achieve the study objectives, a survey was designed and sent to approximately 200 Wisconsin based residential construction contractors. About one third of the respondents stated that they did not have any form of safety programs. The study indicated that the most common types of work-related injuries in residential construction were slips/trips/falls and cuts/lacerations. The survey findings also suggested that the residential construction contractors needed to increase the utilization of fall protection safety equipment. Further education and subject matter expert training could provide benefits to improve occupational safety and health of the small business workforce in the residential construction industry. PMID:25016947

  18. Falls from height during the floor slab formwork of buildings: current situation in Spain.

    PubMed

    Adam, Jose M; Pallarés, Francisco J; Calderón, Pedro A

    2009-01-01

    One of the phases with the highest risk of falls from a height in the construction of a building is during the floor slab formwork stage. This paper analyzes this particular risk, as well as the most frequently used fall-protection systems. A survey was carried out to define the current situation in Spain with regard to falls from a height during floor slab formwork and the fall-protection systems used to prevent such a risk. The results of the survey clarified the current situation in Spain with regard to this risk, and made it clear that there is considerable risk of falling from a height during the floor slab formwork stage. All the safety systems analyzed presented a series of weak points that should be studied in detail before they can be used on building sites. The risk of falling associated with floor slab formwork and the most frequently used protection systems are analyzed. As no research had been carried out to date on this type of risk, we consider the research presented in this article to be a pioneer in the field.

  19. Rock fall simulation at Timpanogos Cave National Monument, American Fork Canyon, Utah, USA

    USGS Publications Warehouse

    Harp, E.L.; Dart, R.L.; Reichenbach, P.

    2011-01-01

    Rock fall from limestone cliffs at Timpanogos Cave National Monument in American Fork Canyon east of Provo, Utah, is a common occurrence. The cave is located in limestone cliffs high on the southern side of the canyon. One fatality in 1933 led to the construction of rock fall shelters at the cave entrance and exit in 1976. Numerous rock fall incidents, including a near miss in 2000 in the vicinity of the trail below the cave exit, have led to a decision to extend the shelter at the cave exit to protect visitors from these ongoing rock fall events initiating from cliffs immediately above the cave exit. Three-dimensional rock fall simulations from sources at the top of these cliffs have provided data from which to assess the spatial frequencies and velocities of rock falls from the cliffs and to constrain the design of protective measures to reduce the rock fall hazard. Results from the rock fall simulations are consistent with the spatial patterns of rock fall impacts that have been observed at the cave exit site. ?? 2011 Springer-Verlag.

  20. Rock fall simulation at Timpanogos Cave National Monument, American Fork Canyon, Utah, USA

    USGS Publications Warehouse

    Harp, Edwin L.; Dart, Richard L.; Reichenbach, Paola

    2011-01-01

    Rock fall from limestone cliffs at Timpanogos Cave National Monument in American Fork Canyon east of Provo, Utah, is a common occurrence. The cave is located in limestone cliffs high on the southern side of the canyon. One fatality in 1933 led to the construction of rock fall shelters at the cave entrance and exit in 1976. Numerous rock fall incidents, including a near miss in 2000 in the vicinity of the trail below the cave exit, have led to a decision to extend the shelter at the cave exit to protect visitors from these ongoing rock fall events initiating from cliffs immediately above the cave exit. Three-dimensional rock fall simulations from sources at the top of these cliffs have provided data from which to assess the spatial frequencies and velocities of rock falls from the cliffs and to constrain the design of protective measures to reduce the rock fall hazard. Results from the rock fall simulations are consistent with the spatial patterns of rock fall impacts that have been observed at the cave exit site.

  1. Social marketing to plan a fall prevention program for Latino construction workers.

    PubMed

    Menzel, Nancy N; Shrestha, Pramen P

    2012-08-01

    Latino construction workers experience disparities in occupational death and injury rates. The Occupational Safety and Health Administration funded a fall prevention training program at the University of Nevada, Las Vegas in response to sharp increases in fall-related accidents from 2005 to 2007. The grant's purpose was to improve fall protection for construction workers, with a focus on Latinos. This study assessed the effectiveness of social marketing for increasing fall prevention behaviors. A multi-disciplinary team used a social marketing approach to plan the program. We conducted same day class evaluations and follow-up interviews 8 weeks later. The classes met trainee needs as evidenced by class evaluations and increased safety behaviors. However, Spanish-speaking Latinos did not attend in the same proportion as their representation in the Las Vegas population. A social marketing approach to planning was helpful to customize the training to Latino worker needs. However, due to the limitations of behavior change strategies, future programs should target employers and their obligation to provide safer workplaces. Copyright © 2012 Wiley Periodicals, Inc.

  2. Work-related falls among union carpenters in Washington State before and after the Vertical Fall Arrest Standard.

    PubMed

    Lipscomb, Hester J; Li, Leiming; Dement, John

    2003-08-01

    Washington State enacted a change in their fall standard for the construction industry in 1991, preceding the Safety Standard for Fall Protection in the Construction Industry promulgated by Federal OSHA in 1994. We evaluated changes in the rate of falls from elevations and measures of severity among a large cohort of union carpenters after the fall standard change in Washington State, taking into account the temporal trends in their overall injury rates. There was a significant decrease in the rate of falls from height after the standard went into effect, even after adjusting for the overall decrease in work-related injuries among this cohort. Much of the decrease was immediate, likely representing the publicity surrounding fatal falls and subsequent promulgation of the standard. The greatest decrease was seen between 3 and 3(1/2) years after the standard went into effect. There was a significant reduction in mean paid lost days per event after the standard change and there was a significant reduction in mean cost per fall when adjusting for age and the temporal trend for costs among non-fall injuries. Through the use of observational methods we have demonstrated significant effects of the Washington State Vertical Fall Arrest Standard among carpenters in the absence of a control or comparison group. Without controlling for the temporal trend in overall injury rates, the rate of decline in falls appeared significantly greater, but the more pronounced, but delayed, decline was not seen. The analyses demonstrate potential error in failing to account for temporal patterns or assuming that a decline after an intervention is related to the intervention. Copyright 2003 Wiley-Liss, Inc.

  3. 29 CFR Appendix B to Subpart M of... - Guardrail Systems

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Guardrail Systems B Appendix B to Subpart M of Part 1926 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926...

  4. 29 CFR Appendix B to Subpart M of... - Guardrail Systems

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Guardrail Systems B Appendix B to Subpart M of Part 1926 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926...

  5. 29 CFR Appendix B to Subpart M of... - Guardrail Systems

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Guardrail Systems B Appendix B to Subpart M of Part 1926 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection Pt. 1926...

  6. Fall Protection Characteristics of Safety Belts and Human Impact Tolerance.

    PubMed

    Hino, Yasumichi; Ohdo, Katsutoshi; Takahashi, Hiroki

    2014-08-23

    Many fatal accidents due to falls from heights have occurred at construction sites not only in Japan but also in other countries. This study aims to determine the fall prevention performance of two types of safety belts: a body belt 1) , which has been used for more than 40 yr in the Japanese construction industry as a general type of safety equipment for fall accident prevention, and a full harness 2, 3) , which has been used in many other countries. To determine human tolerance for impact trauma, this study discusses features of safety belts with reference 4-9) to relevant studies in the medical science, automobile crash safety, and aircrew safety. For this purpose, simple drop tests were carried out in a virtual workplace to measure impact load, head acceleration, and posture in the experiments, the Hybrid-III pedestrian model 10) was used as a human dummy. Hybrid-III is typically employed in official automobile crash tests (New Car Assessment Program: NCAP) and is currently recognized as a model that faithfully reproduces dynamic responses. Experimental results shows that safety performance strongly depends on both the variety of safety belts used and the shock absorbers attached onto lanyards. These findings indicate that fall prevention equipment, such as safety belts, lanyards, and shock absorbers, must be improved to reduce impact injuries to the human head and body during falls.

  7. Fall protection characteristics of safety belts and human impact tolerance.

    PubMed

    Hino, Yasumichi; Ohdo, Katsutoshi; Takahashi, Hiroki

    2014-01-01

    Many fatal accidents due to falls from heights have occurred at construction sites not only in Japan but also in other countries. This study aims to determine the fall prevention performance of two types of safety belts: a body belt, which has been used for more than 40 yr in the Japanese construction industry as a general type of safety equipment for fall accident prevention, and a full harness, which has been used in many other countries. To determine human tolerance for impact trauma, this study discusses features of safety belts with reference to relevant studies in the medical science, automobile crash safety, and aircrew safety. For this purpose, simple drop tests were carried out in a virtual workplace to measure impact load, head acceleration, and posture in the experiments, the Hybrid-III pedestrian model was used as a human dummy. Hybrid-III is typically employed in official automobile crash tests (New Car Assessment Program: NCAP) and is currently recognized as a model that faithfully reproduces dynamic responses. Experimental results shows that safety performance strongly depends on both the variety of safety belts used and the shock absorbers attached onto lanyards. These findings indicate that fall prevention equipment, such as safety belts, lanyards, and shock absorbers, must be improved to reduce impact injuries to the human head and body during falls.

  8. Fall Protection Characteristics of Safety Belts and Human Impact Tolerance

    PubMed Central

    HINO, Yasumichi; OHDO, Katsutoshi; TAKAHASHI, Hiroki

    2014-01-01

    Abstract: Many fatal accidents due to falls from heights have occurred at construction sites not only in Japan but also in other countries. This study aims to determine the fall prevention performance of two types of safety belts: a body belt1), which has been used for more than 40 yr in the Japanese construction industry as a general type of safety equipment for fall accident prevention, and a full harness2, 3), which has been used in many other countries. To determine human tolerance for impact trauma, this study discusses features of safety belts with reference4,5,6,7,8,9) to relevant studies in the medical science, automobile crash safety, and aircrew safety. For this purpose, simple drop tests were carried out in a virtual workplace to measure impact load, head acceleration, and posture in the experiments, the Hybrid-III pedestrian model10) was used as a human dummy. Hybrid-III is typically employed in official automobile crash tests (New Car Assessment Program: NCAP) and is currently recognized as a model that faithfully reproduces dynamic responses. Experimental results shows that safety performance strongly depends on both the variety of safety belts used and the shock absorbers attached onto lanyards. These findings indicate that fall prevention equipment, such as safety belts, lanyards, and shock absorbers, must be improved to reduce impact injuries to the human head and body during falls. PMID:25345426

  9. Albeni Falls Wildlife Protection, Mitigation, and Enhancement Plan, Final Report 1987.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Martin, Robert C.

    1988-08-01

    A wildlife impact assessment and mitigation plan has been developed for the US Army Corps of Engineers Albeni Falls Project in northern Idaho. The Habitat Evaluation Procedure (HEP) was used to evaluate pre- and post-construction habitat conditions at the Albeni Falls Project. There were 6617 acres of wetlands converted to open water due to development and operation of the project. Eight evaluation species were selected with impacts expressed in numbers of Habitat Units (HU's). For a given species, one HU is equivalent to one acre of prime habitat. The Albeni Falls Project resulted in estimated losses of 5985 mallard HU's,more » 4699 Canada goose HU's, 3379 redhead HU's, 4508 breeding bald eagle HU's, 4365 wintering bald eagle HU's, 2286 black-capped chickadee HU's, 1680 white-tailed deer HU's, and 1756 muskrat HU's. The yellow warbler gained 71 HU's. Therefore, total target species estimated impacts were 28,587 HU's. Impacts on peregrine falcons were not quantified in terms of HU's. Projects have been proposed by an interagency team of biologists to mitigate the impacts of Albeni Falls on wildlife. The HEP was used to estimate benefits of proposed mitigation projects to target species. Through a series of proposed protection and enhancement actions, the mitigation plan will provide benefits of an estimated 28,590 target species HU's to mitigate Albeni Falls wildlife habitat values lost. 52 refs., 9 figs., 14 tabs.« less

  10. Fall Protection Introduction, #33462

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chochoms, Michael

    The proper use of fall prevention and fall protection controls can reduce the risk of deaths and injuries caused by falls. This course, Fall Protection Introduction (#33462), is designed as an introduction to various types of recognized fall prevention and fall protection systems at Los Alamos National Laboratory (LANL), including guardrail systems, safety net systems, fall restraint systems, and fall arrest systems. Special emphasis is given to the components, inspection, care, and storage of personal fall arrest systems (PFASs). This course also presents controls for falling object hazards and emergency planning considerations for persons who have fallen.

  11. 49 CFR 214.103 - Fall protection, generally.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Fall protection, generally. 214.103 Section 214... Fall protection, generally. (a) Except as provided in paragraphs (b) through (d) of this section, when... shall use a personal fall arrest system or safety net system. All fall protection systems required by...

  12. 49 CFR 214.103 - Fall protection, generally.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Fall protection, generally. 214.103 Section 214... Fall protection, generally. (a) Except as provided in paragraphs (b) through (d) of this section, when... shall use a personal fall arrest system or safety net system. All fall protection systems required by...

  13. 49 CFR 214.103 - Fall protection, generally.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Fall protection, generally. 214.103 Section 214... Fall protection, generally. (a) Except as provided in paragraphs (b) through (d) of this section, when... shall use a personal fall arrest system or safety net system. All fall protection systems required by...

  14. 49 CFR 214.103 - Fall protection, generally.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Fall protection, generally. 214.103 Section 214... Fall protection, generally. (a) Except as provided in paragraphs (b) through (d) of this section, when... shall use a personal fall arrest system or safety net system. All fall protection systems required by...

  15. 49 CFR 214.103 - Fall protection, generally.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Fall protection, generally. 214.103 Section 214... Fall protection, generally. (a) Except as provided in paragraphs (b) through (d) of this section, when... shall use a personal fall arrest system or safety net system. All fall protection systems required by...

  16. Fall hazard control observed on residential construction sites.

    PubMed

    Kaskutas, Vicki; Dale, Ann Marie; Nolan, James; Patterson, Dennis; Lipscomb, Hester J; Evanoff, Bradley

    2009-06-01

    Falls are a leading cause of mortality and morbidity in the construction industry. This study measured fall hazards at residential construction sites. Trained carpenters administered the St. Louis Audit of Fall Risks and interviewed carpenters. The prevalence of fall prevention practices meeting safety criteria was counted and correlations explored. We identified a high prevalence of fall hazards at the 197 residential sites audited. Roof sheathing met safety criteria most consistently (81%) and truss setting least consistently (28%). Use of personal fall arrest and monitoring of unguarded floor openings were rare. Safer performance on several scales was correlated. Construction sites of large-sized contractors were generally safer than smaller contractors. Apprentice carpenters were less familiar with their employers' fall prevention plan than experienced workers. Safety could be improved with consistent use of recognized fall prevention practices at residential construction sites.

  17. Protective Performance of Plate-Cell Rubber Tiles against Childhood Head Injury on Playground Surfaces — A Finite Element Analysis

    NASA Astrophysics Data System (ADS)

    Chang, Li-Tung; Huang, Tsai-Jeon

    Rubber tiles are commonly used in playgrounds as protective surfacing to reduce the incidence of head injuries in children caused by falling from equipment. This study developed a rubber tile model consisting of a surface layer of solid and a base layer of plate-cell and used it to investigate head injury protective performance. An explicit finite element method based on the experimental data was used to simulate head impact on the rubber tile. The peak acceleration and head injury criterion (HIC) were employed to assess the shock-absorbing capability of the tile. The results showed that compared to the peak acceleration, use of the HIC index provided a more conservative assessment of the shock absorption ability, and ultimately the protection against head injuries. This study supports the feasibility of using rubber tile with plate-cell construction to improve shock-absorbing capability. The plate-cell structure provided an excellent cushioning effect via a lower axial shear stiffness of the surface layer and lower transverse shearing stiffness of the core. The core's dimensions were an important parameter in determining the shearing stiffness. The analysis suggested that the cushioning effect would significantly reduce the peak force on the head from a fall and delay the occurrence of the peak value during impact, resulting in a marked reduction in the peak acceleration and HIC values of the head. Two plate-cell constructions with honeycomb and box-like cores were proposed and validated in this study. The better protective ability of the honeycomb core was attributed to its lower transverse shearing stiffness.

  18. 30 CFR 56.14106 - Falling object protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Falling object protection. 56.14106 Section 56... Equipment Safety Devices and Maintenance Requirements § 56.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  19. 30 CFR 57.14106 - Falling object protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Falling object protection. 57.14106 Section 57... Equipment Safety Devices and Maintenance Requirements § 57.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  20. 30 CFR 56.14106 - Falling object protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Falling object protection. 56.14106 Section 56... Equipment Safety Devices and Maintenance Requirements § 56.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  1. 30 CFR 57.14106 - Falling object protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Falling object protection. 57.14106 Section 57... Equipment Safety Devices and Maintenance Requirements § 57.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  2. 30 CFR 56.14106 - Falling object protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Falling object protection. 56.14106 Section 56... Equipment Safety Devices and Maintenance Requirements § 56.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  3. 30 CFR 57.14106 - Falling object protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Falling object protection. 57.14106 Section 57... Equipment Safety Devices and Maintenance Requirements § 57.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  4. 30 CFR 57.14106 - Falling object protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Falling object protection. 57.14106 Section 57... Equipment Safety Devices and Maintenance Requirements § 57.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  5. 30 CFR 57.14106 - Falling object protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Falling object protection. 57.14106 Section 57... Equipment Safety Devices and Maintenance Requirements § 57.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  6. 30 CFR 56.14106 - Falling object protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Falling object protection. 56.14106 Section 56... Equipment Safety Devices and Maintenance Requirements § 56.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  7. 30 CFR 56.14106 - Falling object protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Falling object protection. 56.14106 Section 56... Equipment Safety Devices and Maintenance Requirements § 56.14106 Falling object protection. (a) Fork-lift trucks, front-end loaders, and bulldozers shall be provided with falling object protective structures if...

  8. 29 CFR 1926.1423 - Fall protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Fall protection. 1926.1423 Section 1926.1423 Labor... Fall protection. (a) Application. (1) Paragraphs (b), (c)(3), (e) and (f) of this section apply to all... must be at least 12 inches wide. (ii) Guardrails, railings and other permanent fall protection...

  9. 29 CFR 1926.1423 - Fall protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Fall protection. 1926.1423 Section 1926.1423 Labor... Fall protection. (a) Application. (1) Paragraphs (b), (c)(3), (e) and (f) of this section apply to all... must be at least 12 inches wide. (ii) Guardrails, railings and other permanent fall protection...

  10. 29 CFR 1926.1423 - Fall protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false Fall protection. 1926.1423 Section 1926.1423 Labor... Fall protection. (a) Application. (1) Paragraphs (b), (c)(3), (e) and (f) of this section apply to all... must be at least 12 inches wide. (ii) Guardrails, railings and other permanent fall protection...

  11. 29 CFR 1926.1423 - Fall protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Fall protection. 1926.1423 Section 1926.1423 Labor... Fall protection. (a) Application. (1) Paragraphs (b), (c)(3), (e) and (f) of this section apply to all... must be at least 12 inches wide. (ii) Guardrails, railings and other permanent fall protection...

  12. Falls among union carpenters.

    PubMed

    Lipscomb, Hester J; Li, Leiming; Dement, John M

    2003-08-01

    Falls are a leading cause of morbidity and mortality in the construction trades. We identified a cohort of 16,215 active union carpenters, hours worked, and their workers' compensation claims for a 10-year period. The data on this well-defined cohort were used to describe their work-related falls; to define rates of injury and the associated costs; and to identify high-risk groups. Same level falls occurred at a rate of 1.8/200,000 hours worked; falls from elevations at a rate of 2.3/200,000 hours worked. These injuries resulted in direct payments of 0.30 dollars per hour of work or 2.40 dollars per 8-hr day. Mean costs per fall increased with increasing age. Age was not associated with risk of falls from elevations; younger carpenters had modestly reduced rates of falls from the same level. Rates of falls decreased with increasing time in the union. Carpenters whose usual work involved drywall installation or residential work were at highest risk. Falls are a significant public health risk for carpenters and they are responsible for a significant burden of work-related injury costs. While there is a need for prevention of falls from elevations--through training, enforcement of fall protection regulations, improved safety climate, or engineering changes--there is also the need to prevent falls from lower elevations. Differences in risk likely reflect varying exposures and safety practices in different areas of carpentry, as well as training, experience, and job assignments based on longevity in the union. Copyright 2003 Wiley-Liss, Inc.

  13. 29 CFR Appendix B to Subpart I of... - General Testing Conditions and Additional Guidelines for Personal Fall Protection Systems (Non...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment (PPE) Pt. 1915... Personal Fall Protection Systems (Non-Mandatory) B Appendix B to Subpart I of Part 1915 Labor Regulations... Guidelines for Personal Fall Protection Systems (Non-Mandatory) 1. Personal fall arrest systems—(a) General...

  14. 29 CFR Appendix B to Subpart I of... - General Testing Conditions and Additional Guidelines for Personal Fall Protection Systems (Non...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment (PPE) Pt. 1915... Personal Fall Protection Systems (Non-Mandatory) B Appendix B to Subpart I of Part 1915 Labor Regulations... Guidelines for Personal Fall Protection Systems (Non-Mandatory) 1. Personal fall arrest systems—(a) General...

  15. 30 CFR 75.202 - Protection from falls of roof, face and ribs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Protection from falls of roof, face and ribs... Protection from falls of roof, face and ribs. (a) The roof, face and ribs of areas where persons work or travel shall be supported or otherwise controlled to protect persons from hazards related to falls of the...

  16. 30 CFR 75.202 - Protection from falls of roof, face and ribs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Protection from falls of roof, face and ribs... Protection from falls of roof, face and ribs. (a) The roof, face and ribs of areas where persons work or travel shall be supported or otherwise controlled to protect persons from hazards related to falls of the...

  17. 30 CFR 75.202 - Protection from falls of roof, face and ribs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Protection from falls of roof, face and ribs... Protection from falls of roof, face and ribs. (a) The roof, face and ribs of areas where persons work or travel shall be supported or otherwise controlled to protect persons from hazards related to falls of the...

  18. 30 CFR 75.202 - Protection from falls of roof, face and ribs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Protection from falls of roof, face and ribs... Protection from falls of roof, face and ribs. (a) The roof, face and ribs of areas where persons work or travel shall be supported or otherwise controlled to protect persons from hazards related to falls of the...

  19. 30 CFR 75.202 - Protection from falls of roof, face and ribs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Protection from falls of roof, face and ribs... Protection from falls of roof, face and ribs. (a) The roof, face and ribs of areas where persons work or travel shall be supported or otherwise controlled to protect persons from hazards related to falls of the...

  20. 29 CFR Appendix B to Subpart I of... - General Testing Conditions and Additional Guidelines for Personal Fall Protection Systems (Non...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Personal Fall Protection Systems (Non-Mandatory) B Appendix B to Subpart I of Part 1915 Labor Regulations... Guidelines for Personal Fall Protection Systems (Non-Mandatory) 1. Personal fall arrest systems—(a) General... create the free fall distance should be the one supplied with the system, or in its absence, the least...

  1. 29 CFR Appendix B to Subpart I of... - General Testing Conditions and Additional Guidelines for Personal Fall Protection Systems (Non...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Personal Fall Protection Systems (Non-Mandatory) B Appendix B to Subpart I of Part 1915 Labor Regulations... Guidelines for Personal Fall Protection Systems (Non-Mandatory) 1. Personal fall arrest systems—(a) General... create the free fall distance should be the one supplied with the system, or in its absence, the least...

  2. 29 CFR Appendix B to Subpart I of... - General Testing Conditions and Additional Guidelines for Personal Fall Protection Systems (Non...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Personal Fall Protection Systems (Non-Mandatory) B Appendix B to Subpart I of Part 1915 Labor Regulations... Guidelines for Personal Fall Protection Systems (Non-Mandatory) 1. Personal fall arrest systems—(a) General... create the free fall distance should be the one supplied with the system, or in its absence, the least...

  3. 40 CFR 81.168 - Great Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Great Falls Intrastate Air Quality Control Region. 81.168 Section 81.168 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.168 Great Falls Intrastate Air Quality Control Region. The Great Falls...

  4. 40 CFR 81.168 - Great Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Great Falls Intrastate Air Quality Control Region. 81.168 Section 81.168 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.168 Great Falls Intrastate Air Quality Control Region. The Great Falls...

  5. 30 CFR 77.403 - Mobile equipment; falling object protective structures (FOPS).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Mobile equipment; falling object protective... AREAS OF UNDERGROUND COAL MINES Safeguards for Mechanical Equipment § 77.403 Mobile equipment; falling... underground coal mines shall be provided with substantial falling object protective structures (FOPS). FOPS...

  6. 40 CFR 81.168 - Great Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Great Falls Intrastate Air Quality Control Region. 81.168 Section 81.168 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.168 Great Falls Intrastate Air Quality Control Region. The Great Falls...

  7. 30 CFR 77.403 - Mobile equipment; falling object protective structures (FOPS).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Mobile equipment; falling object protective... AREAS OF UNDERGROUND COAL MINES Safeguards for Mechanical Equipment § 77.403 Mobile equipment; falling... underground coal mines shall be provided with substantial falling object protective structures (FOPS). FOPS...

  8. 40 CFR 81.168 - Great Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Great Falls Intrastate Air Quality Control Region. 81.168 Section 81.168 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.168 Great Falls Intrastate Air Quality Control Region. The Great Falls...

  9. 30 CFR 77.403 - Mobile equipment; falling object protective structures (FOPS).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Mobile equipment; falling object protective... AREAS OF UNDERGROUND COAL MINES Safeguards for Mechanical Equipment § 77.403 Mobile equipment; falling... underground coal mines shall be provided with substantial falling object protective structures (FOPS). FOPS...

  10. 40 CFR 81.168 - Great Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Great Falls Intrastate Air Quality Control Region. 81.168 Section 81.168 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.168 Great Falls Intrastate Air Quality Control Region. The Great Falls...

  11. Protection against impact with the ground using wearable airbags.

    PubMed

    Fukaya, Kiyoshi; Uchida, Mitsuya

    2008-01-01

    Incidental falls from heights, falls on the same level caused by slipping or tripping, and falls from wheelchair overturns are commonplace phenomena, associated with serious injuries from impact with the ground. A wearable airbag device is a countermeasure applicable to all these types of incidents. Three types of wearable airbag systems were developed and evaluated: for protection against falls from heights (Type-1), against wheelchair overturns (Type-2), and against falls on the same level (Type-3). The systems consist of an airbag, sensor, inflator, and jacket. The sensor detects the fall and the airbag inflates to protect the user. Fall tests using dummies with/without the airbags demonstrated the effectiveness of these devices. In the experiments with system Type-1, for fall heights of less than 2m, the airbags reduced the impact acceleration, and the Head Injury Criterion (HIC) values were under 1,000, the auto-crash test requirement. However, there are limits to the amount of protection afforded: in Type-1, the airbag can protect only the back of the head.; in Types-2 and 3, the fall height of the center of gravity is lower than 2m, and there is some margin of extra protective resource, which can be used to extend the protected area.

  12. Biomechanical efficiency of wrist guards as a shock isolator.

    PubMed

    Hwang, Il-Kyu; Kim, Kyu-Jung; Kaufman, Kenton R; Cooney, William P; An, Kai-Nan

    2006-04-01

    Despite the use of wrist guards during skate- and snowboard activities, fractures still occur at the wrist or at further proximal locations of the forearm. The main objectives of this study were to conduct a human subject testing under simulated falling conditions for measurement of the impact force on the hand, to model wrist guards as a shock isolator, to construct a linear mass-spring-damper model for quantification of the impact force attenuation (Q-ratio) and energy absorption (S-ratio), and to determine whether wrist guards play a role of an efficient shock isolator. While the falling direction (forward and backward) significantly influenced the impact responses, use of wrist guards provided minimal improvements in the Q- and S-ratios. It was suggested based on the results under the submaximal loading conditions that protective functions of the common wrist guard design could be enhanced with substantial increase in the damping ratio so as to maximize the energy absorption. This would bring forth minor deterioration in the impact force attenuation but significant increase in the energy absorption by 19%, which would help better protection against fall-related injuries of the upper extremity.

  13. 30 CFR 57.10007 - Falling object protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Falling object protection. 57.10007 Section 57.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 57.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  14. 30 CFR 57.10007 - Falling object protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Falling object protection. 57.10007 Section 57.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 57.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  15. 30 CFR 56.10007 - Falling object protection.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Falling object protection. 56.10007 Section 56.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 56.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  16. 30 CFR 57.10007 - Falling object protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Falling object protection. 57.10007 Section 57.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 57.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  17. 30 CFR 56.10007 - Falling object protection.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Falling object protection. 56.10007 Section 56.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 56.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  18. 30 CFR 57.10007 - Falling object protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Falling object protection. 57.10007 Section 57.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 57.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  19. 30 CFR 56.10007 - Falling object protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Falling object protection. 56.10007 Section 56.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 56.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  20. 30 CFR 56.10007 - Falling object protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Falling object protection. 56.10007 Section 56.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 56.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  1. 30 CFR 56.10007 - Falling object protection.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Falling object protection. 56.10007 Section 56.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 56.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  2. 30 CFR 57.10007 - Falling object protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Falling object protection. 57.10007 Section 57.10007 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL... § 57.10007 Falling object protection. Guard nets or other suitable protection shall be provided where...

  3. Safety concerns related to modular/prefabricated building construction.

    PubMed

    Fard, Maryam Mirhadi; Terouhid, Seyyed Amin; Kibert, Charles J; Hakim, Hamed

    2017-03-01

    The US construction industry annually experiences a relatively high rate of fatalities and injuries; therefore, improving safety practices should be considered a top priority for this industry. Modular/prefabricated building construction is a construction strategy that involves manufacturing of the whole building or some of its components off-site. This research focuses on the safety performance of the modular/prefabricated building construction sector during both manufacturing and on-site processes. This safety evaluation can serve as the starting point for improving the safety performance of this sector. Research was conducted based on Occupational Safety and Health Administration investigated accidents. The study found 125 accidents related to modular/prefabricated building construction. The details of each accident were closely examined to identify the types of injury and underlying causes. Out of 125 accidents, there were 48 fatalities (38.4%), 63 hospitalized injuries (50.4%), and 14 non-hospitalized injuries (11.2%). It was found that, the most common type of injury in modular/prefabricated construction was 'fracture', and the most common cause of accidents was 'fall'. The most frequent cause of cause (underlying and root cause) was 'unstable structure'. In this research, the accidents were also examined in terms of corresponding location, occupation, equipment as well as activities during which the accidents occurred. For improving safety records of the modular/prefabricated construction sector, this study recommends that future research be conducted on stabilizing structures during their lifting, storing, and permanent installation, securing fall protection systems during on-site assembly of components while working from heights, and developing training programmes and standards focused on modular/prefabricated construction.

  4. Applying data mining techniques to explore factors contributing to occupational injuries in Taiwan's construction industry.

    PubMed

    Cheng, Ching-Wu; Leu, Sou-Sen; Cheng, Ying-Mei; Wu, Tsung-Chih; Lin, Chen-Chung

    2012-09-01

    Construction accident research involves the systematic sorting, classification, and encoding of comprehensive databases of injuries and fatalities. The present study explores the causes and distribution of occupational accidents in the Taiwan construction industry by analyzing such a database using the data mining method known as classification and regression tree (CART). Utilizing a database of 1542 accident cases during the period 2000-2009, the study seeks to establish potential cause-and-effect relationships regarding serious occupational accidents in the industry. The results of this study show that the occurrence rules for falls and collapses in both public and private project construction industries serve as key factors to predict the occurrence of occupational injuries. The results of the study provide a framework for improving the safety practices and training programs that are essential to protecting construction workers from occasional or unexpected accidents. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. Characteristics of worker accidents on NYSDOT construction projects.

    PubMed

    Mohan, Satish; Zech, Wesley C

    2005-01-01

    This paper aims at providing cost-effective safety measures to protect construction workers in highway work zones, based on real data. Two types of accidents that occur in work zones were: (a) construction work area accidents, and (b) traffic accidents involving construction worker(s). A detailed analysis of work zone accidents involving 36 fatalities and 3,055 severe injuries to construction workers on New York State Department of Transportation (NYSDOT) construction projects from 1990 to 2001 established that five accident types: (a) Struck/Pinned by Large Equipment, (b) Trip or Fall (elevated), (c) Contact w/Electrical or Gas Utility, (d) Struck-by Moving/Falling Load, and (e) Crane/Lift Device Failure accounted for nearly 96% of the fatal accidents, nearly 63% of the hospital-level injury accidents, and nearly 91% of the total costs. These construction work area accidents had a total cost of $133.8 million. Traffic accidents that involve contractors' employees were also examined. Statistical analyses of the traffic accidents established that five traffic accident types: (a) Work Space Intrusion, (b) Worker Struck-by Vehicle Inside Work Space, (c) Flagger Struck-by Vehicle, (d) Worker Struck-by Vehicle Entering/Exiting Work Space, and (e) Construction Equipment Struck-by Vehicle Inside Work Space accounted for nearly 86% of the fatal, nearly 70% of the hospital-level injury and minor injury traffic accidents, and $45.4 million (79.4%) of the total traffic accident costs. The results of this paper provide real statistics on construction worker related accidents reported on construction work zones. Potential preventions based on real statistics have also been suggested. The ranking of accident types, both within the work area as well as in traffic, will guide the heavy highway contractor and owner agencies in identifying the most cost effective safety preventions.

  6. Graphical fault tree analysis for fatal falls in the construction industry.

    PubMed

    Chi, Chia-Fen; Lin, Syuan-Zih; Dewi, Ratna Sari

    2014-11-01

    The current study applied a fault tree analysis to represent the causal relationships among events and causes that contributed to fatal falls in the construction industry. Four hundred and eleven work-related fatalities in the Taiwanese construction industry were analyzed in terms of age, gender, experience, falling site, falling height, company size, and the causes for each fatality. Given that most fatal accidents involve multiple events, the current study coded up to a maximum of three causes for each fall fatality. After the Boolean algebra and minimal cut set analyses, accident causes associated with each falling site can be presented as a fault tree to provide an overview of the basic causes, which could trigger fall fatalities in the construction industry. Graphical icons were designed for each falling site along with the associated accident causes to illustrate the fault tree in a graphical manner. A graphical fault tree can improve inter-disciplinary discussion of risk management and the communication of accident causation to first line supervisors. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Preventive Effects of Safety Helmets on Traumatic Brain Injury after Work-Related Falls.

    PubMed

    Kim, Sang Chul; Ro, Young Sun; Shin, Sang Do; Kim, Joo Yeong

    2016-10-29

    Work-related traumatic brain injury (TBI) caused by falls is a catastrophic event that leads to disabilities and high socio-medical costs. This study aimed to measure the magnitude of the preventive effect of safety helmets on clinical outcomes and to compare the effect across different heights of fall. We collected a nationwide, prospective database of work-related injury patients who visited the 10 emergency departments between July 2010 and October 2012. All of the adult patients who experienced work-related fall injuries were eligible, excluding cases with unknown safety helmet use and height of fall. Primary and secondary endpoints were intracranial injury and in-hospital mortality. We calculated adjusted odds ratios (AORs) of safety helmet use and height of fall for study outcomes, and adjusted for any potential confounders. A total of 1298 patients who suffered from work-related fall injuries were enrolled. The industrial or construction area was the most common place of fall injury occurrence, and 45.0% were wearing safety helmets at the time of fall injuries. The safety helmet group was less likely to have intracranial injury comparing with the no safety helmet group (the adjusted odds ratios (ORs) (95% confidence interval (CI)): 0.42 (0.24-0.73)), however, there was no statistical difference of in-hospital mortality between two groups (the adjusted ORs (95% CI): 0.83 (0.34-2.03). In the interaction analysis, preventive effects of safety helmet on intracranial injury were significant within 4 m height of fall. A safety helmet is associated with prevention of intracranial injury resulting from work-related fall and the effect is preserved within 4 m height of fall. Therefore, wearing a safety helmet can be an intervention for protecting fall-related intracranial injury in the workplace.

  8. Construction safety monitoring based on the project's characteristic with fuzzy logic approach

    NASA Astrophysics Data System (ADS)

    Winanda, Lila Ayu Ratna; Adi, Trijoko Wahyu; Anwar, Nadjadji; Wahyuni, Febriana Santi

    2017-11-01

    Construction workers accident is the highest number compared with other industries and falls are the main cause of fatal and serious injuries in high rise projects. Generally, construction workers accidents are caused by unsafe act and unsafe condition that can occur separately or together, thus a safety monitoring system based on influencing factors is needed to achieve zero accident in construction industry. The dynamic characteristic in construction causes high mobility for workers while doing the task, so it requires a continuously monitoring system to detect unsafe condition and to protect workers from potential hazards. In accordance with the unique nature of project, fuzzy logic approach is one of the appropriate methods for workers safety monitoring on site. In this study, the focus of discussion is based on the characteristic of construction projects in analyzing "potential hazard" and the "protection planning" to be used in accident prevention. The data have been collected from literature review, expert opinion and institution of safety and health. This data used to determine hazard identification. Then, an application model is created using Delphi programming. The process in fuzzy is divided into fuzzification, inference and defuzzification, according to the data collection. Then, the input and final output data are given back to the expert for assessment as a validation of application model. The result of the study showed that the potential hazard of construction workers accident could be analysed based on characteristic of project and protection system on site and fuzzy logic approach can be used for construction workers accident analysis. Based on case study and the feedback assessment from expert, it showed that the application model can be used as one of the safety monitoring tools.

  9. FY 2000/FY 2001 Budget Estimates, Air National Guard, FY 2000 Military Construction Program, Justification Data Submitted to Congress.

    DTIC Science & Technology

    1999-02-01

    299 28 271 0 194 16 178 0 TOTAL OFFICER ENLISTED 948 120 828 954 89 865 12. RESERVE UNIT DATA UNIT DESIGNATION 156 Aircraft Generation...with oil/water separator, fire suppression (overhead wet pipe and underwing AFFF ), personnel breathing apparatus, fall protection system, and all...underwing AFFF ), and floor refmishing/restriping. The hangar shops and offices require relocation/renovation. Various utility systems need to be

  10. Foremen’s Intervention to Prevent Falls and Increase Safety Communication at Residential Construction Sites

    PubMed Central

    Kaskutas, Vicki; Buckner-Petty, Skye; Dale, Ann Marie; Gaal, John; Evanoff, Bradley A.

    2017-01-01

    Background This research aimed to improve residential construction foremen’s communication skills and safety behaviors of their crewmembers when working at heights. Methods Eighty-four residential construction foremen participated in the 8-hour fall prevention and safety communication training. We compared pre-intervention surveys from foremen and their crewmembers to measure the effect of training. Results Foremen and crewmembers’ ratings showed improvements in fall prevention knowledge, behaviors, and safety communication and were sustained 6-months post-training, with emphasized areas demonstrating larger increases. Ratings were similar between foremen and crewmembers, suggesting that the foremen effectively taught their crew and assigned accurate ratings. Based upon associations between safety behaviors and reported falls observed in prior research, we would expect a 16.6% decrease in the one year cumulative incidence of self-reported falls post-intervention. Conclusions This intervention improved safety knowledge and behaviors of a large number of workers by training construction foremen in fall prevention and safety communication skills. PMID:27345465

  11. 75 FR 28861 - Walking-Working Surfaces and Personal Protective Equipment (Fall Protection Systems)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ... workplaces walk or work on level surfaces, such as floors, where slips, trips, and falls are common..., and similar surfaces where slips, trips, or falls are likely to result in serious injury or death. The... receive a level of protection that is effective and necessary. OSHA believes many of these slips, trips...

  12. A study of using smartphone to detect and identify construction workers' near-miss falls based on ANN

    NASA Astrophysics Data System (ADS)

    Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

    2018-03-01

    As an effective fall accident preventive method, insight into near-miss falls provides an efficient solution to find out the causes of fall accidents, classify the type of near-miss falls and control the potential hazards. In this context, the paper proposes a method to detect and identify near-miss falls that occur when a worker walks in a workplace based on artificial neural network (ANN). The energy variation generated by workers who meet with near-miss falls is measured by sensors embedded in smart phone. Two experiments were designed to train the algorithm to identify various types of near-miss falls and test the recognition accuracy, respectively. At last, a test was conducted by workers wearing smart phones as they walked around a simulated construction workplace. The motion data was collected, processed and inputted to the trained ANN to detect and identify near-miss falls. Thresholds were obtained to measure the relationship between near-miss falls and fall accidents in a quantitate way. This approach, which integrates smart phone and ANN, will help detect near-miss fall events, identify hazardous elements and vulnerable workers, providing opportunities to eliminate dangerous conditions in a construction site or to alert possible victims that need to change their behavior before the occurrence of a fall accident.

  13. U.S. Coastal Flood Damage Reduction Projects: Federal Authorization and Investment Trends

    NASA Astrophysics Data System (ADS)

    Carter, N. T.

    2015-12-01

    The 2015 U.S. Environmental Protection Agency report Climate Change in the United States: Benefits of Global Action estimated the potential cumulative future economic impacts of storm surge and sea-level rise on U.S. coasts during this century at 5 trillion (2014 dollars) if no adaptation measures are implemented. These impacts drop to 0.8 trillion if investments are made in cost-effective adaptations and protections. Awareness of flood risk and its long-term fiscal impact historically has proven insufficient to motivate pre-disaster land use changes and investments in mitigation and protection. While many adaptations and protections fall largely under state and local authority, some stakeholders are interested in federal coastal flood protection projects, including projects by the U.S. Army Corps of Engineers. Since the 1950s, Congress has authorized the Corps to construct specific coastal projects. The broad vision, strategy, and priorities for the federal role in coastal flood damage reduction projects nonetheless remain ill-defined. This research analyzes (1) the authorization and appropriations trends for Corps coastal storm damage reduction projects, and (2) how Corps feasibility studies account for and address coastal flood hazards. Identified trends include: emergency appropriations for storm-damaged areas outstrip annual investments in coastal flood projects; the rate at which projects are congressionally approved for construction outpaces the rate at which construction is funded; and how coastal protection projects are evaluated in Corps feasibility studies shows variation and change in agency practices. These trends have consequences; they affect public and local expectations when projects begin providing protection benefits, and may influence investments in other adaptation measures. These trends also raise questions for policymakers at all levels and for scientists and practitioners interested in coastal flood resilience.

  14. Investigating risk factors for slips, trips and falls in New Zealand residential construction using incident-centred and incident-independent methods.

    PubMed

    Bentley, Tim A; Hide, Sophie; Tappin, David; Moore, Dave; Legg, Stephen; Ashby, Liz; Parker, Richard

    2006-01-15

    Slip, trip and fall (STF) incidents, particularly falls from a height, are a leading cause of injury in the New Zealand residential construction industry. The most common origins of falls from a height in this sector are ladders, scaffolding and roofs, while slipping is the most frequent fall initiating event category. The study aimed to provide detailed information on construction industry STF risk factors for high-risk tasks, work equipment and environments, as identified from an earlier analysis of STF claims data, together with information to be used in the development of interventions to reduce STF risk in New Zealand residential construction. The study involved the use of both incident-centred and incident-independent methods of investigation, including detailed follow-up investigations of incidents and observations and interviews with workers on construction sites, to provide data on a wide range of risk factors. A large number of risk factors for residential construction STFs were identified, including factors related to the work environment, tasks and the use and availability of appropriate height work equipment. The different methods of investigation produced complementary information on factors related to equipment design and work organization, which underlie some of the site conditions and work practices identified as key risk factors for residential construction STFs. A conceptual systems model of residential construction STF risk is presented.

  15. Foremen's intervention to prevent falls and increase safety communication at residential construction sites.

    PubMed

    Kaskutas, Vicki; Buckner-Petty, Skye; Dale, Ann Marie; Gaal, John; Evanoff, Bradley A

    2016-10-01

    This research aimed to improve residential construction foremen's communication skills and safety behaviors of their crewmembers when working at heights. Eighty-four residential construction foremen participated in the 8-hr fall prevention and safety communication training. We compared pre- and post-intervention surveys from foremen and their crewmembers to measure the effect of training. Foremen and crewmembers' ratings showed improvements in fall prevention knowledge, behaviors, and safety communication and were sustained 6-months post-training, with emphasized areas demonstrating larger increases. Ratings were similar between foremen and crewmembers, suggesting that the foremen effectively taught their crew and assigned accurate ratings. Based upon associations between safety behaviors and reported falls observed in prior research, we would expect a 16.6% decrease in the one year cumulative incidence of self-reported falls post-intervention. This intervention improved safety knowledge and behaviors of a large number of workers by training construction foremen in fall prevention and safety communication skills. Am. J. Ind. Med. 59:823-831, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  16. Preventive Effects of Safety Helmets on Traumatic Brain Injury after Work-Related Falls

    PubMed Central

    Kim, Sang Chul; Ro, Young Sun; Shin, Sang Do; Kim, Joo Yeong

    2016-01-01

    Introduction: Work-related traumatic brain injury (TBI) caused by falls is a catastrophic event that leads to disabilities and high socio-medical costs. This study aimed to measure the magnitude of the preventive effect of safety helmets on clinical outcomes and to compare the effect across different heights of fall. Methods: We collected a nationwide, prospective database of work-related injury patients who visited the 10 emergency departments between July 2010 and October 2012. All of the adult patients who experienced work-related fall injuries were eligible, excluding cases with unknown safety helmet use and height of fall. Primary and secondary endpoints were intracranial injury and in-hospital mortality. We calculated adjusted odds ratios (AORs) of safety helmet use and height of fall for study outcomes, and adjusted for any potential confounders. Results: A total of 1298 patients who suffered from work-related fall injuries were enrolled. The industrial or construction area was the most common place of fall injury occurrence, and 45.0% were wearing safety helmets at the time of fall injuries. The safety helmet group was less likely to have intracranial injury comparing with the no safety helmet group (the adjusted odds ratios (ORs) (95% confidence interval (CI)): 0.42 (0.24–0.73)), however, there was no statistical difference of in-hospital mortality between two groups (the adjusted ORs (95% CI): 0.83 (0.34–2.03). In the interaction analysis, preventive effects of safety helmet on intracranial injury were significant within 4 m height of fall. Conclusions: A safety helmet is associated with prevention of intracranial injury resulting from work-related fall and the effect is preserved within 4 m height of fall. Therefore, wearing a safety helmet can be an intervention for protecting fall-related intracranial injury in the workplace. PMID:27801877

  17. The Association Between Fall Frequency, Injury Risk, and Characteristics of Falls in Older Residents of Long-Term Care: Do Recurrent Fallers Fall More Safely?

    PubMed

    van Schooten, Kimberley S; Yang, Yijian; Feldman, Fabio; Leung, Ming; McKay, Heather; Sims-Gould, Joanie; Robinovitch, Stephen N

    2018-05-09

    Although a fall is a necessary prerequisite to a fall-related injury, previous studies suggest that frequent fallers are at lower injury risk for a given fall. We tested the hypotheses that differences in protective responses or the circumstances of falls underlie differences in injury risk with fall frequency. We analyzed video footage of 897 falls experienced by 220 long-term care residents (mean age 82 ± 9 years) to identify the cause of imbalance, activity leading to falling, direction of fall initiation, balance recovery and fall protective responses, and occurrence of impact to the head or hip. We further obtained injury information from the facilities' fall registration. We used generalized estimating equation models to examine the association between quartiles of fall frequency, injury risk, and fall characteristics. Residents with the highest fall frequency group (Q4; ≥5.6 falls/year) were less likely to sustain an injury per fall. They were less likely to fall during walking and more likely to fall during stand-to-sit transfers. Residents in the lowest fall frequency group (Q1; <1.15 falls/year) were more likely to fall during walking, and walking was associated with an increased risk for injury. When compared to less frequent fallers, more frequent fallers had a lower risk for injury per fall. This appeared to be explained by differences in the circumstances of falls, and not by protective responses. Injury prevention strategies in long-term care should target both frequent and infrequent fallers, as the latter are more mobile and apt to sustain injury.

  18. Fall Protection Procedures for Sealing Bulk Waste Shipments by Rail Cars at Formerly Utilized Sites Remedial Action Program (FUSRAP) Sites - 13509

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Boyle, J.D.; Fort, E. Joseph; Lorenz, William

    2013-07-01

    Rail-cars loaded with radioactive materials must be closed and fastened to comply with United States Department of Transportation (DOT) requirements before they shipped. Securing waste shipments in a manner that meets these regulations typically results in the use of a sealable rail-car liner. Workers accessing the tops of the 2.74 m high rail-cars to seal and inspect liners for compliance prior to shipment may be exposed to a fall hazard. Relatively recent revisions to the Fall Protection requirements in the Safety and Health Requirements Manual (EM385-1-1, U.S. Army Corps of Engineers) have necessitated modifications to the fall protection systems previouslymore » employed for rail-car loading at Formerly Utilized Sites Remedial Action Program (FUSRAP) sites. In response these projects have developed site-specific procedures to protect workers and maintain compliance with the improved fall protection regulations. (authors)« less

  19. Practical example of the infrastructure protection against rock fall

    NASA Astrophysics Data System (ADS)

    Jirásko, Daniel; Vaníček, Ivan

    2017-09-01

    The protection of transport infrastructures against rock falls represents for the Czech Republic one of the sensitive questions. Rock falls, similarly as other typical geo-hazards for the Czech Republic, as landslides and floods, can have negative impact on safety and security of these infrastructures. One practical example how to reduce risk of rock fall is described in the paper. Great care is devoted to the visual inspection enabling to indicate places with high potential to failure. With the help of numerical modelling the range of rock fall negative impact is estimated. Protection measures are dealing with two basic ways. The first one utilize the results of numerical modelling for the optimal design of protection measures and the second one is focused on the monitoring of the rock blocks with high potential of instability together with wire-less transfer of measured results. After quick evaluation, e.g. comparison with warning values, some protection measures, mostly connected with closure of the potential sector, can be recommended.

  20. Fall Prevention in Apprentice Carpenters

    PubMed Central

    Kaskutas, Vicki; Dale, Ann Marie; Lipscomb, Hester; Gaal, John; Fuchs, Mark; Evanoff, Bradley; Faucette, Julia; Gillen, Marion; Deych, Elena

    2013-01-01

    Objectives Falls from heights are a leading cause of mortality and morbidity in the construction industry, especially among inexperienced workers. We surveyed apprentice carpenters to identify individual and organizational factors associated with falls from heights. Methods We developed a 72-item fall prevention survey with multiple domains including fall experience, fall prevention knowledge, risk perceptions, confidence in ability to prevent falls, training experience, and perceptions of the safety climate and crew safety behaviors. We administered the questionnaire to apprentice carpenters in this cross-sectional study. Results Of the 1,025 respondents, 51% knew someone who had fallen from height at work and 16% had personally fallen in the past year, with ladders accounting for most of the falls. Despite participation in school-based and on-the-job training, fall prevention knowledge was poor. Ladders were perceived as low risk and ladder training was rare. Apprentices reported high levels of unsafe fall-related behaviors on their work crews. Apprentices working residential construction were more likely to fall than those working commercial construction, as were apprentices working on crews with fewer senior carpenters to provide mentorship, and those reporting more unsafe behaviors among fellow workers. Conclusions Despite participation in a formal apprenticeship program, many apprentices work at heights without adequate preparation and subsequently experience falls. Apprenticeship programs can improve the timing and content of fall prevention training. This study suggests that organizational changes in building practices, mentorship, and safety culture must also occur in order to decrease worker falls from heights. PMID:19953214

  1. Non-fatal construction industry fall-related injuries treated in US emergency departments, 1998-2005.

    PubMed

    Shishlov, Kirill S; Schoenfisch, Ashley L; Myers, Douglas J; Lipscomb, Hester J

    2011-02-01

    There is a growing recognition that common occupational injury surveillance systems in the US fail to reflect true injury risk; this failure limits efforts to accurately monitor efforts to prevent work-related injuries on a national level. Data from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) were used to describe fall-related injuries treated in US emergency departments among workers in the construction industry (1998-2005). These data do not require workers' compensation as the payer in order to be classified as work-related. Based on NEISS-Work estimates, a total of 555,700 (95% confidence interval (CI): 390,700-720,800) non-fatal work-related injuries among workers in the construction industry were the result of a fall, resulting in an annual rate of 70 (95% CI: 49-91) per 10,000 full-time equivalents. Younger workers had higher rates of falls, whereas older workers were more likely to suffer serious injuries. The majority of the injuries (70%) were precipitated by falls to a lower level from roofs, ladders, and scaffolding. The patterns of fall-related injuries identified in these data are consistent with other reports. In contrast to the declining rates of falls requiring days away from work reported through the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses, construction industry fall-related injury rates estimated through NEISS-Work remained unchanged from 1998 to 2005 providing another perspective on this serious cause of morbidity in the construction industry. Copyright © 2010 by John Wiley & Sons, Ltd.

  2. [Influence of traffic restriction on road and construction fugitive dust].

    PubMed

    Tian, Gang; Li, Gang; Qin, Jian-Ping; Fan, Shou-Bin; Huang, Yu-Hu; Nie, Lei

    2009-05-15

    By monitoring the road and construction dust fall continuously during the "Good Luck Beijing" sport events, the reduction of road and construction dust fall caused by traffic restriction was studied. The contribution rate of road and construction dust to particulate matter of Beijing atmosphere environment, and the emission ratio of it to total local PM10 emission were analyzed. The results show that the traffic restriction reduces road and construction dust fall significantly. The dust fall average value of ring roads was 0.27 g x (m2 x d)(-1) in the "traffic restriction" period, and the values were 0.81 and 0.59 g x (m2 x d)(-1) 1 month and 7 days before. The dust fall average value of major arterial and minor arterial was 0.21 g x (m2 x d)(-1) in the "traffic restriction" period, and the values were 0.54 and 0.58 g x (m2 x d)(-1) 1 month and 7 days before. The roads emission reduced 60%-70% compared with before traffic restriction. The dust fall average values of civil architecture and utility architecture were 0.61 and 1.06 g x (m2 x d)(-1) in the "traffic restriction" period, and the values were 1.15 and 1.55 g x (m2 x d)(-1) 20 days before. The construction dust reduced 30%-47% compared with 20 days before traffic restriction. Road and construction dust emission are the main source of atmosphere particulate matter in Beijing, and its contribution to ambient PM10 concentration is 21%-36%. PM10 emitted from roads and constructions account for 42%-72% and 30%-51% of local emission while the local PM10 account for 50% and 70% of the total emission.

  3. Occupational fall injuries presenting to the emergency department.

    PubMed

    Son, Hyung Min; Kim, Sun Hyu; Shin, Sang Do; Ryoo, Hyun Wook; Ryu, Hyun Ho; Lee, Ji Ho

    2014-04-01

    This study was performed to evaluate occupational and fall injuries presenting to the ED, the risk factors associated with falls among all occupational injuries, and factors affecting prognosis. Data from ED-based Occupational Injury Surveillance System were analysed to investigate the occupational injuries. The 2147 occupational injury subjects were divided into two groups: fall (n = 213, 9.9%) and non-fall (n = 1934, 90.1%). Data including baseline and clinical characteristics were compared between the groups. The mean age was older in the fall group (46 vs 42 years old). The rate of construction site-related injury was 32% in the fall group and only 8% in the non-fall group. Injury occurrence during regular working hours (09.00 hours to 18.00 hours) was 70% in the fall group and 57% in the non-fall group. Injury severity using the Excess Mortality Ratio-adjusted Injury Severity Score (EMR-ISS) was more severe in the fall group than in the non-fall group, and days away from work were longer in the fall group than the non-fall group. Older age, compared with an age <29 years old and presence in a construction area during regular working hours were factors associated with fall injuries. Factors affecting prolonged absence for work were older age, higher EMR-ISS, fall injury and poor workplace environmental conditions. Risk factors associated with fall-related occupational injuries include older age and being at a construction area during regular working hours. Falls among occupational injuries are more severe than other injuries and result in longer work loss. © 2014 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  4. Analysis of labour accidents in tunnel construction and introduction of prevention measures

    PubMed Central

    KIKKAWA, Naotaka; ITOH, Kazuya; HORI, Tomohito; TOYOSAWA, Yasuo; ORENSE, Rolando P.

    2015-01-01

    At present, almost all mountain tunnels in Japan are excavated and constructed utilizing the New Austrian Tunneling Method (NATM), which was advocated by Prof. Rabcewicz of Austria in 1964. In Japan, this method has been applied to tunnel construction since around 1978, after which there has been a subsequent decrease in the number of casualties during tunnel construction. However, there is still a relatively high incidence of labour accidents during tunnel construction when compared to incidence rates in the construction industry in general. During tunnel construction, rock fall events at the cutting face are a particularly characteristic of the type of accident that occurs. In this study, we analysed labour accidents that possess the characteristics of a rock fall event at a work site. We also introduced accident prevention measures against rock fall events. PMID:26027707

  5. Analysis of labour accidents in tunnel construction and introduction of prevention measures.

    PubMed

    Kikkawa, Naotaka; Itoh, Kazuya; Hori, Tomohito; Toyosawa, Yasuo; Orense, Rolando P

    2015-01-01

    At present, almost all mountain tunnels in Japan are excavated and constructed utilizing the New Austrian Tunneling Method (NATM), which was advocated by Prof. Rabcewicz of Austria in 1964. In Japan, this method has been applied to tunnel construction since around 1978, after which there has been a subsequent decrease in the number of casualties during tunnel construction. However, there is still a relatively high incidence of labour accidents during tunnel construction when compared to incidence rates in the construction industry in general. During tunnel construction, rock fall events at the cutting face are a particularly characteristic of the type of accident that occurs. In this study, we analysed labour accidents that possess the characteristics of a rock fall event at a work site. We also introduced accident prevention measures against rock fall events.

  6. KSC-99pp1240

    NASA Image and Video Library

    1999-10-14

    KENNEDY SPACE CENTER, FLA. — Two 34-year-old towers on Launch Complex 41, Cape Canaveral Air Station, fall to the ground amid the black smoke from explosives set to topple them. Weighing two million pounds, the umbilical tower (left) was approximately 200 feet high. The taller 300-foot Mobile Service Tower (right), still falling, weighs five million pounds. About 200 pounds of linear-shaped charges were used to topple the towers so that the materials can be recycled. Adjacent to the towers are lightning protection structures, which will remain on the site. The towers are being demolished to make room for Lockheed Martin's 14-acre Vehicle Integration Facility (VIF), under construction. The implosion and removal of the tower debris is expected to be completed in two months. The VIF will be used for Lockheed Martin's Atlas V Launch System.

  7. 1. Photocopy of a photographca. 1920 VIEW OF AMERICAN FALLS ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. Photocopy of a photograph--ca. 1920 VIEW OF AMERICAN FALLS PRIOR TO CONSTRUCTION OF HYDROELECTRIC PLANTS - American Falls Water, Power & Light Company, Island Power Plant, Snake River, below American Falls Dam, American Falls, Power County, ID

  8. Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study.

    PubMed

    Aryee, Emmanuel; James, Spencer L; Hunt, Guenola M; Ryder, Hilary F

    2017-11-07

    Admitted patients who fall and injure themselves during an acute hospitalization incur increased costs, morbidity, and mortality, but little research has been conducted on identifying inpatients at high risk to injure themselves in a fall. Falls risk assessment tools have been unsuccessful due to their low positive predictive value when applied broadly to entire hospital populations. We aimed to identify variables associated with the risk of or protection against injurious fall in the inpatient setting. We also aimed to test the variables in the ABCs mnemonic (Age > 85, Bones-orthopedic conditions, anti-Coagulation and recent surgery) for correlation with injurious fall. We performed a retrospective case-control study at an academic tertiary care center comparing admitted patients with injurious fall to admitted patients without fall. We collected data on the demographics, medical and fall history, outcomes, and discharge disposition of injured fallers and control patients. We performed multivariate analysis of potential risk factors for injurious fall with logistic regression to calculate adjusted odds ratios. We identified 117 injured fallers and 320 controls. There were no differences in age, anti-coagulation use or fragility fractures between cases and controls. In multivariate analysis, recent surgery (OR 0.46, p = 0.003) was protective; joint replacement (OR 5.58, P = 0.002), psychotropic agents (OR 2.23, p = 0.001), the male sex (OR 2.08, p = 0.003) and history of fall (OR 2.08, p = 0.02) were significantly associated with injurious fall. In this study, the variables in the ABCs parameters were among the variables not useful for identifying inpatients at risk of injuring themselves in a fall, while other non-ABCs variables demonstrated a significant association with injurious fall. Recent surgery was a protective factor, and practices around the care of surgical patients could be extrapolated to reduce the in-hospital fall rates.

  9. Segmental Dynamics of Forward Fall Arrests: System Identification Approach

    PubMed Central

    Kim, Kyu-Jung; Ashton-Miller, James A.

    2009-01-01

    Background Fall-related injuries are multifaceted problems, necessitating thorough biodynamic simulation to identify critical biomechanical factors. Methods A 2-degree-of-freedom discrete impact model was constructed through system identification and validation processes using the experimental data to understand dynamic interactions of various biomechanical parameters in bimanual forward fall arrests. Findings The bimodal reaction force response from the identified models had small identification errors for the first and second force peaks less than 3.5% and high coherence between the measured and identified model responses (R2=0.95). Model validation with separate experimental data also demonstrated excellent validation accuracy and coherence, less than 7% errors and R2=0.87, respectively. The first force peak was usually greater than the second force peak and strongly correlated with the impact velocity of the upper extremity, while the second force peak was associated with the impact velocity of the body. The impact velocity of the upper extremity relative to the body could be a major risk factor to fall-related injuries as observed from model simulations that a 75% faster arm movement relative to the falling speed of the body alone could double the first force peak from soft landing, thereby readily exceeding the fracture strength of the distal radius. Interpretation Considering that the time-critical nature of falling often calls for a fast arm movement, the use of the upper extremity in forward fall arrests is not biomechanically justified unless sufficient reaction time and coordinated protective motion of the upper extremity are available. PMID:19250726

  10. 195. Photocopy of drawing, Twin Falls Canal Company, date unknown. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    195. Photocopy of drawing, Twin Falls Canal Company, date unknown. PLAN OF CONSTRUCTION AREA PLANT, TWIN FALLS COUNTY, MILNER, IDAHO; BLUEPRINT. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

  11. 29 CFR 1926.500 - Scope, application, and definitions applicable to this subpart.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... CC of this part. (iii) Fall protection requirements for employees performing steel erection work... for training in the installation and use of fall protection systems, except in relation to steel... component parts. Load refusal is the point where the ultimate strength is exceeded. Free fall means the act...

  12. Worksite safety climate, smoking, and the use of protective equipment by blue collar building workers enrolled in the MassBUILT smoking cessation trial

    PubMed Central

    Dutra, Lauren M; Kim, Seung-Sup; Williams, David R; Kawachi, Ichiro; Okechukwu, Cassandra A

    2014-01-01

    Objective In order to assess potential contributors to high injury rates and smoking prevalence among construction workers, we investigated the association of safety climate with personal protective equipment (PPE) use, and smoking behaviors. Methods Logistic regression models estimated risk ratios for PPE use and smoking using data from participants in MassBUILT smoking cessation intervention (n=1,725). Results Contractor safety climate was negatively associated with use of dust masks (RR=0.88,95%CI:0.83–0.94); respirators (RR=0.82,95%CI:0.75–0.89); general equipment (RR=0.98,95%CI:0.95–1.00); and fall protection (RR=0.94,95%CI:0.91–0.98) and positively associated with current smoking (RR=1.12,95%CI:1.01–1.25) but not smoking cessation. Coworker safety climate was negatively associated with use of dust masks (RR=0.87,95%CI:0.82–0.92); respirators (RR=0.80,95%CI:0.74–0.87); general equipment (RR=0.96,95%CI:0.94–0.98); fall (RR=0.92,95%CI:0.89–0.96) and hearing (RR=0.88,95%CI:0.83–0.93) protection but not smoking. Conclusions Worksite safety climate may be important for PPE use and smoking, but further research is needed. PMID:25285831

  13. Features of development process displacement of earth’s surface when dredging coal in Eastern Donbas

    NASA Astrophysics Data System (ADS)

    Posylniy, Yu V.; Versilov, S. O.; Shurygin, D. N.; Kalinchenko, V. M.

    2017-10-01

    The results of studies of the process of the earth’s surface displacement due to the influence of the adjacent longwalls are presented. It is established that the actual distributions of soil subsidence in the fall and revolt of the reservoir with the same boundary settlement processes differ both from each other and by the distribution of subsidence, recommended by the rules of structures protection. The application of the new boundary criteria - the relative subsidence of 0.03 - allows one to go from two distributions to one distribution, which is also different from the sedimentation distribution of protection rules. The use of a new geometrical element - a virtual point of the mould - allows one to transform the actual distribution of subsidence in the model distribution of rules of constructions protection. When transforming the curves of subsidence, the boundary points vary and, consequently, the boundary corners do.

  14. Higher-order topological insulators and superconductors protected by inversion symmetry

    NASA Astrophysics Data System (ADS)

    Khalaf, Eslam

    2018-05-01

    We study surface states of topological crystalline insulators and superconductors protected by inversion symmetry. These fall into the category of "higher-order" topological insulators and superconductors which possess surface states that propagate along one-dimensional curves (hinges) or are localized at some points (corners) on the surface. We provide a complete classification of inversion-protected higher-order topological insulators and superconductors in any spatial dimension for the 10 symmetry classes by means of a layer construction. We discuss possible physical realizations of such states starting with a time-reversal-invariant topological insulator (class AII) in three dimensions or a time-reversal-invariant topological superconductor (class DIII) in two or three dimensions. The former exhibits one-dimensional chiral or helical modes propagating along opposite edges, whereas the latter hosts Majorana zero modes localized to two opposite corners. Being protected by inversion, such states are not pinned to a specific pair of edges or corners, thus offering the possibility of controlling their location by applying inversion-symmetric perturbations such as magnetic field.

  15. TAP into Learning, Fall-Winter 2000.

    ERIC Educational Resources Information Center

    Burns, Mary; Dimock, Vicki; Martinez, Danny

    2000-01-01

    This document consists of the final three issues of "TAP into Learning" (Technology Assistance Program). The double fall issue focuses on knowledge construction and on using multimedia applications in the classroom. Contents include: "Knowledge Under Construction"; "Hegel and the Dialectic"; "Implications for…

  16. Conceptual definitions of indicators for the nursing outcome "Knowledge: Fall Prevention".

    PubMed

    Luzia, Melissa de Freitas; Argenta, Carla; Almeida, Miriam de Abreu; Lucena, Amália de Fátima

    2018-01-01

    to construct conceptual definitions for indicators of nursing outcome Knowledge: Fall Prevention, selected for evaluation of hospitalized patients with the nursing diagnosis Risk for falls. integrative literature review performed in the LILACS, MEDLINE and Web of Science databases, comprising articles published in English, Spanish and Portuguese languages from 2005 to 2015. the final sample of the study was composed of 17 articles. The conceptualizations were constructed for 14 indicators of nursing outcome Knowledge: Fall Prevention focused on hospitalized patients. the theoretical support of the Nursing Outcomes Classification (NOC), through the process of constructing the conceptual definitions of the indicators of its results, allows nurses to accurately implement this classification in clinical practice and to evaluate the effectiveness of their interventions through the change of the patients' status over time.

  17. Development of a Risk Assessment Tool to Predict Fall-Related Severe Injuries Occurring in a Hospital

    PubMed Central

    Toyabe, Shin-ichi

    2014-01-01

    Inpatient falls are the most common adverse events that occur in a hospital, and about 3 to 10% of falls result in serious injuries such as bone fractures and intracranial haemorrhages. We previously reported that bone fractures and intracranial haemorrhages were two major fall-related injuries and that risk assessment score for osteoporotic bone fracture was significantly associated not only with bone fractures after falls but also with intracranial haemorrhage after falls. Based on the results, we tried to establish a risk assessment tool for predicting fall-related severe injuries in a hospital. Possible risk factors related to fall-related serious injuries were extracted from data on inpatients that were admitted to a tertiary-care university hospital by using multivariate Cox’ s regression analysis and multiple logistic regression analysis. We found that fall risk score and fracture risk score were the two significant factors, and we constructed models to predict fall-related severe injuries incorporating these factors. When the prediction model was applied to another independent dataset, the constructed model could detect patients with fall-related severe injuries efficiently. The new assessment system could identify patients prone to severe injuries after falls in a reproducible fashion. PMID:25168984

  18. The Development, Diffusion and Evaluation of a Fall Hazard Safety Training Program for Residential Construction Workers Utilizing Instructor Led and New Media Delivery

    ERIC Educational Resources Information Center

    Fullen, Mark D.

    2009-01-01

    The numbers of workers in the residential construction industry are on the rise. Falls have continually been the largest contributor to residential construction worker deaths and injuries. These workers are largely self-employed or working for small companies. These individuals are difficult to reach through traditional methods. This research…

  19. Participatory Training to Improve Safety and Health in Small Construction Sites in Some Countries in Asia: Development and Application of the WISCON Training Program.

    PubMed

    Kawakami, Tsuyoshi

    2016-08-01

    A participatory training program, Work Improvement in Small Construction Sites, was developed to provide practical support measures to the small construction sector. Managers and workers from selected small sites were interviewed about their occupational safety and health risks. The Work Improvement in Small Construction Sites training program comprised a 45-item action checklist, photos, and illustrations showing local examples and group work methods. Pilot training workshops were carried out with workers and employers in Cambodia, Laos, Mongolia, Thailand, and Vietnam. Participants subsequently planned, and using locally available low-cost materials, implemented their own improvements such as hand-made hand trucks to carry heavy materials, removal of projecting nails from timber materials, and fences to protect roof workers from falling. Local Work Improvement in Small Construction Sites trainers consisting of government officials, workers, employers, and nongovernment organization representatives were then trained to implement the Work Improvement in Small Construction Sites training widely. Keys to success were easy-to-apply training tools aiming at immediate, low-cost improvements, and collaboration with various local people's networks. © The Author(s) 2016.

  20. KSC-2010-4635

    NASA Image and Video Library

    2010-09-10

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, construction crews lay sand, reinforcing steel and large wooden mats under the rotating service structure (RSS) of Launch Pad 39B to protect the structure's concrete from falling debris during deconstruction. Starting in 2009, the structure at the pad was no longer needed for NASA's Space Shuttle Program, so it is being restructured for future use. The new design will feature a "clean pad" for rockets to come with their own launcher, making it more versatile for a number of vehicles. For information on NASA's future plans, visit www.nasa.gov. Photo credit: NASA/Jim Grossmann

  1. KSC-2010-4636

    NASA Image and Video Library

    2010-09-10

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, construction crews lay sand, reinforcing steel and large wooden mats under the rotating service structure (RSS) of Launch Pad 39B to protect the structure's concrete from falling debris during deconstruction. Starting in 2009, the structure at the pad was no longer needed for NASA's Space Shuttle Program, so it is being restructured for future use. The new design will feature a "clean pad" for rockets to come with their own launcher, making it more versatile for a number of vehicles. For information on NASA's future plans, visit www.nasa.gov. Photo credit: NASA/Jim Grossmann

  2. KSC-2010-4634

    NASA Image and Video Library

    2010-09-10

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, construction crews lay sand, reinforcing steel and large wooden mats under the rotating service structure (RSS) of Launch Pad 39B to protect the structure's concrete from falling debris during deconstruction. Starting in 2009, the structure at the pad was no longer needed for NASA's Space Shuttle Program, so it is being restructured for future use. The new design will feature a "clean pad" for rockets to come with their own launcher, making it more versatile for a number of vehicles. For information on NASA's future plans, visit www.nasa.gov. Photo credit: NASA/Jim Grossmann

  3. Analysis of the causes and consequences of falls from scaffolding using the Polish construction industry as an example

    NASA Astrophysics Data System (ADS)

    Hoła, A.; Hoła, B.; Szóstak, M.

    2017-10-01

    The results of research published in many publications indicate that the scale of the problem of accidents at work in the construction industry is significant. Fatal and serious accidents, which in the construction industry are often a result of a fall from a height and associated with working on scaffolding, have a particularly strong impact on society. Systematic controls carried out on Polish construction sites indicate irregularities in the area of ensuring safety on scaffolding. As a result of conducted own studies, dozens of accidents caused by falls from scaffolding were selected from the total number of accidents at work in the construction industry and then analysed. The aim of the research was to identify the causes of these accidents and their consequences. The results of studies conducted in this area will be the content of the article.

  4. 29 CFR 1926.1426 - Free fall and controlled load lowering.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false Free fall and controlled load lowering. 1926.1426 Section... Construction § 1926.1426 Free fall and controlled load lowering. (a) Boom free fall prohibitions. (1) The use of equipment in which the boom is designed to free fall (live boom) is prohibited in each of the...

  5. 29 CFR 1926.1426 - Free fall and controlled load lowering.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false Free fall and controlled load lowering. 1926.1426 Section... Construction § 1926.1426 Free fall and controlled load lowering. (a) Boom free fall prohibitions. (1) The use of equipment in which the boom is designed to free fall (live boom) is prohibited in each of the...

  6. 29 CFR 1926.1426 - Free fall and controlled load lowering.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false Free fall and controlled load lowering. 1926.1426 Section... Construction § 1926.1426 Free fall and controlled load lowering. (a) Boom free fall prohibitions. (1) The use of equipment in which the boom is designed to free fall (live boom) is prohibited in each of the...

  7. 29 CFR 1926.1426 - Free fall and controlled load lowering.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false Free fall and controlled load lowering. 1926.1426 Section... Construction § 1926.1426 Free fall and controlled load lowering. (a) Boom free fall prohibitions. (1) The use of equipment in which the boom is designed to free fall (live boom) is prohibited in each of the...

  8. Celebrity Homes, Inc. d/b/a Hanover Falls Residential Construction - Clean Water Act Public Notice

    EPA Pesticide Factsheets

    The EPA is providing notice of an Administrative Penalty Assessent in the form of an Expedited Storm Water Settlement Agreement against Celebrity Homes, Inc. d/b/a Hanover Falls Residential Construction, a business located at 14002 L Street, Omaha, NE, for

  9. Tai Chi for Risk of Falls. A Meta-analysis.

    PubMed

    Lomas-Vega, Rafael; Obrero-Gaitán, Esteban; Molina-Ortega, Francisco J; Del-Pino-Casado, Rafael

    2017-09-01

    To analyze the effectiveness of tai chi for falls prevention. Systematic review and meta-analysis. Pubmed, Scopus, CINHAL, and Physiotherapy Evidence Database (PEDro) were searched to May 26, 2016. Older adult population and at-risk adults. Randomized controlled trials analyzing the effect of tai chi versus other treatments on risk of falls. The incidence rate ratio (IRR) for falls incidence and hazard ratio (HR) for time to first fall. The search strategy identified 891 potentially eligible studies, of which 10 met the inclusion criteria. There was high-quality evidence of a medium protective effect for fall incidence over the short term (IRR = 0.57; 95% CI = 0.46, 0.70) and a small protective effect over the long term (IRR = 0.87; 95% CI = 0.77, 0.98). Regarding injurious falls, we found very low-quality evidence of a medium protective effect over the short term (IRR = 0.50; 95% CI = 0.33, 0.74) and a small effect over the long term (IRR = 0.72; 95% CI = 0.54, 0.95). There was no effect on time to first fall, with moderate quality of evidence (HR = 0.98; 95% CI = 0.69, 1.37). In at-risk adults and older adults, tai chi practice may reduce the rate of falls and injury-related falls over the short term (<12 months) by approximately 43% and 50%, respectively. Tai chi practice may not influence time to first fall in these populations. Due to the low quality of evidence, more studies investigating the effects of tai chi on injurious falls and time to first fall are required. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  10. Investigation of the Building M6-794 Roofing Fatality, Type A Mishap

    NASA Technical Reports Server (NTRS)

    Casper, John H.; French, Kristie; Tipton, David A.; Bennardo, C. P.; Miller, Darcy H.; Facemire, David L.

    2006-01-01

    The Building M6-794 Roofing Fatality Mishap Investigation Board (Board) was commissioned to gather information; analyze the facts; identify the proximate causes, root causes, and contributing factors relating to the mishap; and recommend appropriate actions to prevent a similar mishap from occurring in the future. During the investigation of this mishap, the Board also examined the fall protection policies of other NASA Centers and operating locations to gain an understanding of how those entities conduct fall protection, as well as the degree to which fall protection is standardized across the Agency.

  11. Controlled Human Malaria Infection (CHMI) differentially affects cell-mediated and antibody responses to CSP and AMA1 induced by adenovirus vaccines with and without DNA-priming.

    PubMed

    Sedegah, Martha; Hollingdale, Michael R; Farooq, Fouzia; Ganeshan, Harini; Belmonte, Maria; Huang, Jun; Abot, Esteban; Limbach, Keith; Chuang, Ilin; Tamminga, Cindy; Epstein, Judith E; Villasante, Eileen

    2015-01-01

    We have previously shown that a DNA-prime followed by an adenovirus-5 boost vaccine containing CSP and AMA1 (DNA/Ad) successfully protected 4 of 15 subjects to controlled human malaria infection (CHMI). However, the adenovirus-5 vaccine alone (AdCA) failed to induce protection despite eliciting cellular responses that were often higher than those induced by DNA/Ad. Here we determined the effect of CHMI on pre-CHMI cellular and antibody responses against CSP and AMA1 expressed as fold-changes in activities. Generally, in the DNA/Ad trial, CHMI caused pre-CHMI ELISpot IFN-γ and CD8+ T cell IFN-γ responses of the protected subjects to fall but among non-protected subjects, CHMI caused rises of pre-CHMI ELISpot IFN-γ but falls of CD8+ T cell IFN-γ responses. In contrast in the AdCA trial, CHMI caused both pre-CHMI ELISpot IFN-γ and CD8+ T cell IFN-γ responses of the AdCA subjects to fall. We suggest that the falls in activities are due to migration of peripheral CD8+ T cells to the liver in response to developing liver stage parasites, and this fall, in the DNA/Ad trial, is masked in ELISpot responses of the non-protected subjects by rises in other immune cell types. In addition, CHMI caused falls in antibody activities of protected subjects, but rises in non-protected subjects in both trials to CSP, and dramatically in the AdCA trial to AMA1, reaching 380 μg/ml that is probably due to boosting by transient blood stage infection before chloroquine treatment. Taken together, these results further define differences in cellular responses between DNA/Ad and AdCA trials, and suggest that natural transmission may boost responses induced by these malaria vaccines especially when protection is not achieved.

  12. Observed safety belt use : Fall 2000 national occupant protection use survey

    DOT National Transportation Integrated Search

    2001-02-01

    Overall front seat outboard passenger shoulder belt use in the United States was estimated at 71% in the Fall of 2000, according to results obtained from the National Occupant Protection Use Survey (NOPUS) conducted by the National Highway Traffic Sa...

  13. National occupant protection use survey 2000 : controlled intersection study

    DOT National Transportation Integrated Search

    2001-08-01

    In the Fall of 2000, 21 percent more Young Adults (persons 16 24 years of age) were restrained by shoulder belts than were restrained in the Fall of 1998. These estimates were obtained through the National Occupant Protection Use Survey (NOPUS) which...

  14. Occupational ladder fall injuries - United States, 2011.

    PubMed

    Socias, Christina M; Chaumont Menéndez, Cammie K; Collins, James W; Simeonov, Peter

    2014-04-25

    Falls remain a leading cause of unintentional injury mortality nationwide [corrected].Among workers, approximately 20% of fall injuries involve ladders. Among construction workers, an estimated 81% of fall injuries treated in U.S. emergency departments (EDs) involve a ladder. To fully characterize fatal and nonfatal injuries associated with ladder falls among workers in the United States, CDC's National Institute for Occupational Safety and Health (NIOSH) analyzed data across multiple surveillance systems: 1) the Census of Fatal Occupational Injuries (CFOI), 2) the Survey of Occupational Injuries and Illnesses (SOII), and 3) the National Electronic Injury Surveillance System-occupational supplement (NEISS-Work). In 2011, work-related ladder fall injuries (LFIs) resulted in 113 fatalities (0.09 per 100,000 full-time equivalent [FTE] workers), an estimated 15,460 nonfatal injuries reported by employers that involved ≥1 days away from work (DAFW), and an estimated 34,000 nonfatal injuries treated in EDs. Rates for nonfatal, work-related, ED-treated LFIs were higher (2.6 per 10,000 FTE) than those for such injuries reported by employers (1.2 per 10,000 FTE). LFIs represent a substantial public health burden of preventable injuries for workers. Because falls are the leading cause of work-related injuries and deaths in construction, NIOSH, the Occupational Safety and Health Administration, and the Center for Construction Research and Training are promoting a national campaign to prevent workplace falls. NIOSH is also developing innovative technologies to complement safe ladder use.

  15. 78 FR 16849 - Fall Creek Hydro, LLC, Oregon; Notice of Availability of Draft Environmental Assessment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Project No. 12778-004] Fall Creek... Office of Energy Projects has reviewed the application for an original license to construct the Fall...-megawatt project would be located on Fall Creek in Lane County, Oregon, near the towns of Springfield and...

  16. Upcoming Purchasing and Subcontracting Opportunities | NREL

    Science.gov Websites

    Services Fall 2022 Construction@nrel.gov Design-Build and Construction Spring 2018 Construction@nrel.gov Design-Build for Minor Construction Spring 2020 Construction@nrel.gov Testing of Fuel and Oil Samples

  17. 29 CFR (non-Mandatory) Appendix B... - [Reserved

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false [Reserved] Appendix (Non-mandatory) Appendix B to Subpart L of Part 1926-Criteria for Determining the Feasibility of Providing Safe Access and Fall Protection... Feasibility of Providing Safe Access and Fall Protection for Scaffold Erectors and Dismantlers [Reserved] ...

  18. 29 CFR (non-Mandatory) Appendix B... - [Reserved

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false [Reserved] Appendix (Non-mandatory) Appendix B to Subpart L of Part 1926-Criteria for Determining the Feasibility of Providing Safe Access and Fall Protection... Feasibility of Providing Safe Access and Fall Protection for Scaffold Erectors and Dismantlers [Reserved] ...

  19. 29 CFR (non-Mandatory) Appendix B... - [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false [Reserved] Appendix (Non-mandatory) Appendix B to Subpart L of Part 1926-Criteria for Determining the Feasibility of Providing Safe Access and Fall Protection... Feasibility of Providing Safe Access and Fall Protection for Scaffold Erectors and Dismantlers [Reserved] ...

  20. Fall cover crops boost soil arbuscular mycorrhizal fungi which can lead to reduced inputs

    USDA-ARS?s Scientific Manuscript database

    Fall cover crops provide multiple benefits to producers. These benefits include pathogen and pest protection, drought protection, weed control, reduced soil erosion, nutrient acquisition and retention, increased soil organic matter, and conservation of soil water by improvement of soil structure th...

  1. How Do Community-Dwelling Persons with Alzheimer Disease Fall? Falls in the FINALEX Study.

    PubMed

    Perttila, Niko M; Öhman, Hannareeta; Strandberg, Timo E; Kautiainen, Hannu; Raivio, Minna; Laakkonen, Marja-Liisa; Savikko, Niina; Tilvis, Reijo S; Pitkala, Kaisu H

    2017-01-01

    People with dementia are at high risk for falls. However, little is known of the features causing falls in Alzheimer disease (AD). Our aim was to investigate how participants with AD fall. In the FINALEX (Finnish Alzheimer Disease Exercise Trial) study, participants' ( n = 194) falls were followed up for 1 year by diaries kept by their spouses. The most common reason for falls ( n = 355) was stumbling ( n = 61). Of the falls, 123 led to injuries, 50 to emergency department visits, and 13 to fractures. The participants without falls ( n = 103) were younger and had milder dementia than those with 1 ( n = 34) or ≥2 falls ( n = 57). Participants with a Mini Mental State Examination score of around 10 points were most prone to fall. In adjusted regression models, good nutritional status, good physical functioning, and use of antihypertensive medication (incident rate ratio [IRR] 0.68, 95% confidence interval [CI] 0.54-0.85) protected against falls, whereas fall history (IRR 2.71, 95% CI 2.13-3.44), osteoarthritis, diabetes mellitus, chronic obstructive pulmonary disease, higher number of drugs, drugs with anticholinergic properties, psychotropics, and opioids (IRR 4.27, 95% CI 2.92-6.24) were risk factors for falls. Our study provides a detailed account on how and why people with AD fall, suggesting several risk and protective factors.

  2. How Do Community-Dwelling Persons with Alzheimer Disease Fall? Falls in the FINALEX Study

    PubMed Central

    Perttila, Niko M.; Öhman, Hannareeta; Strandberg, Timo E.; Kautiainen, Hannu; Raivio, Minna; Laakkonen, Marja-Liisa; Savikko, Niina; Tilvis, Reijo S.; Pitkala, Kaisu H.

    2017-01-01

    Background People with dementia are at high risk for falls. However, little is known of the features causing falls in Alzheimer disease (AD). Our aim was to investigate how participants with AD fall. Methods In the FINALEX (Finnish Alzheimer Disease Exercise Trial) study, participants' (n = 194) falls were followed up for 1 year by diaries kept by their spouses. Results The most common reason for falls (n = 355) was stumbling (n = 61). Of the falls, 123 led to injuries, 50 to emergency department visits, and 13 to fractures. The participants without falls (n = 103) were younger and had milder dementia than those with 1 (n = 34) or ≥2 falls (n = 57). Participants with a Mini Mental State Examination score of around 10 points were most prone to fall. In adjusted regression models, good nutritional status, good physical functioning, and use of antihypertensive medication (incident rate ratio [IRR] 0.68, 95% confidence interval [CI] 0.54–0.85) protected against falls, whereas fall history (IRR 2.71, 95% CI 2.13–3.44), osteoarthritis, diabetes mellitus, chronic obstructive pulmonary disease, higher number of drugs, drugs with anticholinergic properties, psychotropics, and opioids (IRR 4.27, 95% CI 2.92–6.24) were risk factors for falls. Conclusions Our study provides a detailed account on how and why people with AD fall, suggesting several risk and protective factors. PMID:28690633

  3. 29 CFR 1926.500 - Scope, application, and definitions applicable to this subpart.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Fall protection requirements for employees performing steel erection work (except for towers and tanks... protection systems, except in relation to steel erection activities. (b) Definitions. Anchorage means a... component parts. Load refusal is the point where the ultimate strength is exceeded. Free fall means the act...

  4. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  5. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  6. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  7. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  8. 40 CFR 81.132 - Abilene-Wichita Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 18 2012-07-01 2012-07-01 false Abilene-Wichita Falls Intrastate Air... Air Quality Control Regions § 81.132 Abilene-Wichita Falls Intrastate Air Quality Control Region. The Abilene-Wichita Falls Intrastate Air Quality Control Region (Texas) consists of the territorial area...

  9. 40 CFR 81.132 - Abilene-Wichita Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 17 2011-07-01 2011-07-01 false Abilene-Wichita Falls Intrastate Air... Air Quality Control Regions § 81.132 Abilene-Wichita Falls Intrastate Air Quality Control Region. The Abilene-Wichita Falls Intrastate Air Quality Control Region (Texas) consists of the territorial area...

  10. 40 CFR 81.132 - Abilene-Wichita Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Abilene-Wichita Falls Intrastate Air... Air Quality Control Regions § 81.132 Abilene-Wichita Falls Intrastate Air Quality Control Region. The Abilene-Wichita Falls Intrastate Air Quality Control Region (Texas) consists of the territorial area...

  11. 40 CFR 81.132 - Abilene-Wichita Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 18 2014-07-01 2014-07-01 false Abilene-Wichita Falls Intrastate Air... Air Quality Control Regions § 81.132 Abilene-Wichita Falls Intrastate Air Quality Control Region. The Abilene-Wichita Falls Intrastate Air Quality Control Region (Texas) consists of the territorial area...

  12. 40 CFR 81.85 - Metropolitan Sioux Falls Interstate Air Quality Control Region.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 18 2013-07-01 2013-07-01 false Metropolitan Sioux Falls Interstate... Designation of Air Quality Control Regions § 81.85 Metropolitan Sioux Falls Interstate Air Quality Control Region. The Metropolitan Sioux Falls Interstate Air Quality Control Region (Iowa-South Dakota) has been...

  13. 40 CFR 81.132 - Abilene-Wichita Falls Intrastate Air Quality Control Region.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false Abilene-Wichita Falls Intrastate Air... Air Quality Control Regions § 81.132 Abilene-Wichita Falls Intrastate Air Quality Control Region. The Abilene-Wichita Falls Intrastate Air Quality Control Region (Texas) consists of the territorial area...

  14. Preventing falls in residential construction: Effectiveness of engaging partners for a national social marketing campaign.

    PubMed

    Macario, Everly; Hannon, Sandra Wills; Baker, Robin; Branche, Christine M; Trahan, Christina

    2015-08-01

    Falls are the leading cause of fatalities in construction. The Safety Pays, Falls Cost campaign aims to prevent falls in residential construction. A critical component of our social marketing approach was to involve 70 partners in reaching target audiences. We assessed partner engagement April 2012-August 2013 through: (1) baseline partnership quality interviews (eight partners); (2) pre-/post-partner "market" readiness in-depth interviews (three partners); (3) a pre-/post- (29/31 partners) online partner engagement survey; and (4) standardized metrics to measure partner activity. We found a high level of interest and engagement that increased with the addition of prompting to action through regular communication and new resources from organizers and formation of local partnerships that were able to tailor their activities to their own communities or regions. It is feasible to leverage government-labor-management partnerships that enjoy trust among target audiences to widely disseminate campaign materials and messages. © 2015 Wiley Periodicals, Inc.

  15. Construction and evaluation of FiND, a fall risk prediction model of inpatients from nursing data.

    PubMed

    Yokota, Shinichiroh; Ohe, Kazuhiko

    2016-04-01

    To construct and evaluate an easy-to-use fall risk prediction model based on the daily condition of inpatients from secondary use electronic medical record system data. The present authors scrutinized electronic medical record system data and created a dataset for analysis by including inpatient fall report data and Intensity of Nursing Care Needs data. The authors divided the analysis dataset into training data and testing data, then constructed the fall risk prediction model FiND from the training data, and tested the model using the testing data. The dataset for analysis contained 1,230,604 records from 46,241 patients. The sensitivity of the model constructed from the training data was 71.3% and the specificity was 66.0%. The verification result from the testing dataset was almost equivalent to the theoretical value. Although the model's accuracy did not surpass that of models developed in previous research, the authors believe FiND will be useful in medical institutions all over Japan because it is composed of few variables (only age, sex, and the Intensity of Nursing Care Needs items), and the accuracy for unknown data was clear. © 2016 Japan Academy of Nursing Science.

  16. Myths and Misconceptions in Fall Protection

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Epp, R J

    2006-02-23

    Since 1973, when OSHA CFRs 1910 and 1926 began to influence the workplace, confusion about the interpretation of the standards has been a problem and fall protection issues are among them. This confusion is verified by the issuance of 351 (as of 11/25/05) Standard Interpretations issued by OSHA in response to formally submitted questions asking for clarification. Over the years, many workers and too many ES&H Professionals have become 'self-interpreters', reaching conclusions that do not conform to either the Standards or the published Interpretations. One conclusion that has been reached by the author is that many ES&H Professionals are eithermore » not aware of, or do not pay attention to the Standard Interpretations issued by OSHA, or the State OSHA interpretation mechanism, whoever has jurisdiction. If you fall in this category, you are doing your organization or clients a disservice and are not providing them with the best information available. Several myths and/or misconceptions have been promulgated to the point that they become accepted fact, until an incident occurs and OSHA becomes involved. For example, one very pervasive myth is that you are in compliance as long as you maintain a distance of 6 feet from the edge. No such carte blanche rule exists. In this presentation, this myth and several other common myths/misconceptions will be discussed. This presentation is focused only on Federal OSHA CFR1910 Subpart D--Walking-Working Surfaces, CFR1926 Subpart M--Fall Protection and the Fall Protection Standard Interpretation Letters. This presentation does not cover steel erection, aerial lifts and other fall protection issues. Your regulations will probably be different than those presented if you are operating under a State plan.« less

  17. The Falling Chain of Hopkins, Tait, Steele and Cayley

    ERIC Educational Resources Information Center

    Wong, Chun Wa; Youn, Seo Ho; Yasui, Kosuke

    2007-01-01

    A uniform, flexible and frictionless chain falling link by link from a heap by the edge of a table falls with an acceleration g/3 if the motion is nonconservative, but g/2 if the motion is conservative, g being the acceleration due to gravity. Unable to construct such a falling chain, we use instead higher-dimensional versions of it. A home…

  18. Motor vehicle fatalities in the United States construction industry.

    PubMed

    Ore, T; Fosbroke, D E

    1997-09-01

    A death certificate-based surveillance system was used to identify 2144 work-related motor vehicle fatalities among civilian workers in the United States construction industry over the years 1980-92. Construction workers were twice as likely to be killed by a motor vehicle as the average worker, with an annual crude mortality rate of 2.3/100,000 workers. Injury prevention efforts in construction have had limited effect on motor vehicle-related deaths, with death rates falling by only 11% during the 13-year period, compared with 43% for falls, 54% for electrocutions and 48% for machinery. In all industries combined, motor vehicle fatality rates dropped by 47%. The largest proportion of motor vehicle deaths (40%) occurred among pedestrians, with construction accounting for more than one-fourth of all pedestrian deaths. A minimum of 54 (6%) of these pedestrian fatalities were flaggers or surveyors. Flaggers accounted for half the 34 pedestrian fatalities among women, compared with only 3% among men. Along with previous studies and recent trends in the amount and type of road construction, these results underscore the need for better traffic control management in construction work areas to reduce pedestrian fatalities. As the second leading cause of traumatic death in construction, with an annual average share of 15% of the total deaths, exceeded only by falls, prevention of work-related motor vehicle research should become a greater priority in the construction industry.

  19. The correlation between white matter hyperintensity and balance disorder and fall risk: An observational, prospective cohort study.

    PubMed

    Shen, Dong-Chao; Wu, Shuo-Lin; Shi, Yu-Zhi; Wang, Shuo; Zhang, Yu-Mei; Wang, Chun-Xue

    2016-09-01

    The presence of an association between white matter hyperintensity (WMH) and the risk of falls in older people is uncertain, with little supporting prospective evidence available at present. We aimed to determine whether WMH was associated with dysfunctions of balance and gait, and other sensorimotor factors leading to falls, and the independent factors related to falls in older Chinese people. The protective effect of exercise against falls was also addressed. In a representative sample of hospital-based individuals aged 50 years and older in China, the patients' history of falls, magnetic resonance imaging data, scores on the 9-item Berg Balance Scale (BBS-9) test and timed up-and-go test (TUGT), and sensorimotor measures of computerized dynamic posturography (CDP) were analyzed. Incident falls were recorded prospectively over a 12-month period. Using regression modeling, the association between the risk of falls and baseline WMH was estimated. Only individuals with severe WMH were at an increased risk of falls, and CDP was more sensitive than BBS-9 in detecting WMH-related balance and gait dysfunction. However, WMH was not an independent predictor of falls. Taller height and overweight or obese body habitus were identified as novel protective factors for falls. Female, fall history, and increased TUGT score were identified as independent risk factors for falls in older Chinese people. Although WMH was associated with an increased risk of falls, it was not an independent predictor.

  20. An examination of the misuse of prescription stimulants among college students using the theory of planned behavior.

    PubMed

    Gallucci, Andrew; Martin, Ryan; Beaujean, Alex; Usdan, Stuart

    2015-01-01

    The misuse of prescription stimulants (MPS) is an emergent adverse health behavior among undergraduate college students. However, current research on MPS is largely atheoretical. The purpose of this study was to validate a survey to assess MPS-related theory of planned behavior (TPB) constructs (i.e. attitudes, subjective norms, and perceived behavioral control) and determine the relationship between these constructs, MPS-related risk factors (e.g. gender and class status), and current MPS (i.e. past 30 days use) among college students. Participants (N = 978, 67.8% female and 82.9% Caucasian) at a large public university in the southeastern USA completed a survey assessing MPS and MPS-related TPB constructs during fall 2010. To examine the relationship between MPS-related TPB constructs and current MPS, we conducted (1) confirmatory factor analyses to validate that our survey items assessed MPS-related TPB constructs and (2) a series of regression analyses to examine associations between MPS-related TPB constructs, potential MPS-related risk factors, and MPS in this sample. Our factor analyses indicated that the survey items assessed MPS-related TPB constructs and our multivariate logistic regression analysis indicated that perceived behavioral control was significantly associated with current MPS. In addition, analyses found that having a prescription stimulant was a protective factor against MPS when the model included MPS-related TPB variables.

  1. Prevalence of and factors associated with head impact during falls in older adults in long-term care.

    PubMed

    Schonnop, Rebecca; Yang, Yijian; Feldman, Fabio; Robinson, Erin; Loughin, Marie; Robinovitch, Stephen N

    2013-11-19

    Falls cause more than 60% of head injuries in older adults. Lack of objective evidence on the circumstances of these events is a barrier to prevention. We analyzed video footage to determine the frequency of and risk factors for head impact during falls in older adults in 2 long-term care facilities. Over 39 months, we captured on video 227 falls involving 133 residents. We used a validated questionnaire to analyze the mechanisms of each fall. We then examined whether the probability for head impact was associated with upper-limb protective responses (hand impact) and fall direction. Head impact occurred in 37% of falls, usually onto a vinyl or linoleum floor. Hand impact occurred in 74% of falls but had no significant effect on the probability of head impact (p = 0.3). An increased probability of head impact was associated with a forward initial fall direction, compared with backward falls (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.3-5.9) or sideways falls (OR 2.8, 95% CI 1.2-6.3). In 36% of sideways falls, residents rotated to land backwards, which reduced the probability of head impact (OR 0.2, 95% CI 0.04-0.8). Head impact was common in observed falls in older adults living in long-term care facilities, particularly in forward falls. Backward rotation during descent appeared to be protective, but hand impact was not. Attention to upper-limb strength and teaching rotational falling techniques (as in martial arts training) may reduce fall-related head injuries in older adults.

  2. Surveillance of construction worker injuries: the utility of trade-specific analysis.

    PubMed

    Hunting, K L; Welch, L S; Nessel-Stephens, L; Anderson, J; Mawudeku, A

    1999-07-01

    Construction is a dangerous industry, with high rates of both fatal and nonfatal injuries. To learn more about the causes of nonfatal construction worker injuries, and to identify injury cases for further work site-based investigations or prevention programs, we established an emergency department-based surveillance program in November 1990. This article describes circumstances of injury, diagnoses, and demographic characteristics of injured construction workers for 2,791 cases identified through mid-August, 1997. Lacerations and strains and sprains were the most frequent diagnoses; cutting and piercing objects were the leading causes of injury among all construction workers, followed by falls and overexertion. Because of the variety of work performed in this industry, more detailed injury descriptions, by trade, are most useful for thinking about injury prevention. To illustrate this, we profile injury patterns among workers from four specific trades: carpenters, electricians, plumbers, and ironworkers. Areas of concern highlighted by the trade-specific analyses include eye injuries among plumbers; falls from ladders among electricians and plumbers; slips, trips, and falls on the same level among ironworkers; electrical exposure among electricians; and, amputations among carpenters.

  3. [Study on incidence and risk factors of fall in the elderly in a rural community in Beijing].

    PubMed

    Zhang, D; He, Y; Liu, M; Yang, H B; Wu, L; Wang, J H; Yang, S S; Chen, J; Wang, Y Y; Zeng, J; Yao, Y; Guo, M L

    2016-05-01

    To investigate the incidence of fall in the old farmers of Miyun county in Beijing. The old farmers who lived in Jugezhuang and Fengjiayu townships of Miyun county were selected for a questionnaire survey to collect the information about the incidence of fall and their health status. A total of 2 397 old farmers, including 967 males and 1 430 females, were surveyed. Fall occurred in 347 old farmers(14.5%). The difference in the incidence of fall was significant between males(9.6%)and females(17.8%). A total of 282 falls occurred in courtyards, 45 falls occurred in field/hilly areas. Among the falls occurred, 216(27.2%)led to injuries. The most common site of injuries was hip(45 falls). Logistic regression analysis showed that physical exercise and high income were protective factors, but difficult standing up and walking, visual problem and stroke were the risk factors. In the males, the special risk factor was mid cognitive impairment, and in the females, the special risk factor was urinary incontinence, but afternoon nap was a protective factor. The incidence of fall in the rural community was relatively high with distinct area distribution, which has caused serious influence on the mental and physical health of the elderly.

  4. Trauma caused by falling objects at construction sites.

    PubMed

    Atique, Sajid; Zarour, Ahmad; Siddiqui, Tariq; El-Menyar, Ayman; Maull, Kimball; Al Thani, Hassan; Latifi, Rifat

    2012-09-01

    Workplace-related injuries carry a significant health care challenge. The state of Qatar is developing rapidly, with much construction and an expanding industrial work force. This study aimed to assess the incidence and social impact of work-related injuries requiring hospitalization caused by falling objects at the construction sites. We performed a prospective study for all admissions, which resulted from falling objects between January 2008 and June 2010 at the only trauma center in the state of Qatar. Data were analyzed, and outcomes were described (mortality, length of hospital stay, and safety measures). Of the total injured patients (N = 4,302) admitted between January 2008 and June 2010, 185 (4%) had injuries caused purely by falling objects. Patients' mean age was 29 years, and 97% of the patients were men. All injuries occurred at construction sites. Most patients (86%) were brought by ambulance, and the reminder was brought by private vehicles. After initial evaluation and resuscitation, 120 patients (65%) were found to have a single-system injury, and 65 (35%) had multisystem injury. Operative interventions were required in 50% of the patients. Mean length of hospital stay varied from 6.5 days for single-system injuries to 19 days for multisystem injuries. Safety devices were used in 32 patients (17.3%). All of the 16 mortality cases (8.6%) were reported in multiple injuries. Traumatic injury caused by falling object represents a significant problem in a rapidly developing country. Many of these injuries could be prevented by following established safety guidelines. Epidemiologic study, level III.

  5. Video analysis of falls experienced by paediatric iceskaters and roller/inline skaters

    PubMed Central

    Knox, C L; Comstock, R D

    2006-01-01

    Objectives To evaluate differences in the way iceskaters and roller/inline skaters fall. Methods Children's falls related to skating were videotaped and categorised based on type of skating activity, child's estimated age, direction of fall, whether the child attempted to break the fall, and whether the head struck the skating surface. Results In total, 216 iceskating and 201 roller/inline skating falls were captured on videotape. In both iceskating and roller/inline skating, the majority of falls were forward in direction. The skaters attempted to break the falls with their arms or hands in over 90% of falls in both iceskating (93.1%) and roller/inline skating (94.5%). A greater proportion of falls in iceskating resulted in the head striking the skating surface (13.0%) than did those in roller/inline skating (3.0%) (odds ratio = 4.8; 95% confidence interval 1.9 to 13.3; p<0.001). Conclusions This study found that paediatric iceskaters and roller/inline skaters fall similarly and that both types of skaters try to break their falls with their arms or hands; however, because iceskating takes place on a low friction surface, attempts to break falls with the arms or hands are often unsuccessful, leading to head and face injuries. The development of a new type of protective gear, a wrist guard with a non‐slip palm, should stop iceskaters from striking the head, protect against upper extremity fractures, and unlike a bulky helmet, should not discourage children from skating. PMID:16505087

  6. Baseline Characteristics of fall from Height Victims Presenting to Emergency Department; a Brief Report.

    PubMed

    Hatamabadi, Hamidreza; Arhami Dolatabadi, Ali; Atighinasab, Batoul; Safari, Saeed

    2017-01-01

    Trauma due to accidents or fall from height is a major cause of disability and mortality. The present study was designed aiming to evaluate the baseline characteristics of fall from height victims presenting to emergency department (ED). This prospective cross-sectional study evaluates the baseline characteristics of fall from height cases presenting to EDs of three educational Hospitals, Tehran, Iran, during one year. Data were analyzed using SPSS 21 and presented using descriptive statistics. 460 patients with the mean age of 27.89 ± 20.95 years were evaluated (76.5% male). 191 (41.5%) falls occurred when working, 27 (5.9%) during play, and 242 (52.6%) in other times. Among construction workers, 166 (81.4%) had not used any safety equipment. Fracture and dislocation with 180 (39.1%) cases and soft tissue injury with 166 (36.1%) were the most common injuries inflicted. Mean height of falling was 3.41 ± 0.34 (range: 0.5 - 20) meters. Finally, 8 (1.7%) of the patients died (50% intentional) and 63% were discharged from ED. A significant correlation was detected between mortality and the falls being intentional (p < 0.0001) as well as greater height of fall (p < 0.0001). Based on the findings, most fall from height victims in the present study were young men, single, construction workers, with less than high school diploma education level. Intentional fall and greater height of falling significantly correlated with mortality.

  7. Mobility Is a Key Predictor of Change in Well-Being Among Older Adults Who Experience Falls: Evidence From the Vancouver Falls Prevention Clinic Cohort.

    PubMed

    Davis, Jennifer C; Best, John R; Bryan, Stirling; Li, Linda C; Hsu, Chun Liang; Gomez, Caitlin; Vertes, Kelly; Liu-Ambrose, Teresa

    2015-09-01

    To determine the factors that predict change in well-being over time in older men and women presenting to the falls prevention clinic. Prospective cohort study. Falls prevention clinic. Community-dwelling older adults who were referred to the clinic after sustaining a fall (between N=244 and N=255, depending on the analysis). Not applicable. The ICEpop CAPability measure for Older people, a measure of well-being or quality of life, was administered at baseline, 6 months, and 12 months. We constructed linear mixed models to determine whether baseline predictor variables were related to baseline well-being and/or changes in well-being over time. In addition, we included interactions with sex to investigate the difference between men and women. Baseline predictors included 2 measures of mobility--Short Performance Physical Battery and timed Up and Go test--and a measure of global cognitive function--Montreal Cognitive Assessment. All 3 predictors were associated with well-being at baseline (P<.05). Furthermore, both the Short Performance Physical Battery and the timed Up and Go test interacted with sex (P<.05) to predict changes in well-being over time. Follow-up analyses suggested that better mobility was protective against decline in well-being in men but was generally unrelated to changes in well-being in women. We found that 2 valid and reliable measures of mobility interacted with sex to predict changes in well-being over time. This is a critical research area to develop in order to appropriately tailor future intervention strategies targeting well-being in older fallers, a population at high risk of functional decline. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  8. Behavioral thermoregulation by juvenile spring and fall chinook salmon, Oncorhynchus tshawytscha, during smoltification

    USGS Publications Warehouse

    Sauter, S.T.; Crawshaw, L.I.; Maule, A.G.

    2001-01-01

    Fall chinook salmon evolved to emigrate during the summer months. The shift in the temperature preference we observed in smolting fall chinook but not spring chinook salmon may reflect a phylogenetic adaptation to summer emigration by (1) providing directional orientation as fall chinook salmon move into the marine environment, (2) maintaining optimal gill function during emigration and seawater entry, and/or (3) resetting thermoregulatory set-points to support physiological homeostasis once smolted fish enter the marine environment. Phylogenetically determined temperature adaptations and responses to thermal stress may not protect fall chinook salmon from the recent higher summer water temperatures, altered annual thermal regimes, and degraded cold water refugia that result from hydropower regulation of the Columbia and Snake rivers. The long-term survival of fall chinook salmon will likely require restoration of normal annual thermographs and rigorous changes in land use practices to protect critical thermal refugia and control maximum summer water temperatures in reservoirs.

  9. Prevalence of and factors associated with head impact during falls in older adults in long-term care

    PubMed Central

    Schonnop, Rebecca; Yang, Yijian; Feldman, Fabio; Robinson, Erin; Loughin, Marie; Robinovitch, Stephen N.

    2013-01-01

    Background: Falls cause more than 60% of head injuries in older adults. Lack of objective evidence on the circumstances of these events is a barrier to prevention. We analyzed video footage to determine the frequency of and risk factors for head impact during falls in older adults in 2 long-term care facilities. Methods: Over 39 months, we captured on video 227 falls involving 133 residents. We used a validated questionnaire to analyze the mechanisms of each fall. We then examined whether the probability for head impact was associated with upper-limb protective responses (hand impact) and fall direction. Results: Head impact occurred in 37% of falls, usually onto a vinyl or linoleum floor. Hand impact occurred in 74% of falls but had no significant effect on the probability of head impact (p = 0.3). An increased probability of head impact was associated with a forward initial fall direction, compared with backward falls (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.3–5.9) or sideways falls (OR 2.8, 95% CI 1.2–6.3). In 36% of sideways falls, residents rotated to land backwards, which reduced the probability of head impact (OR 0.2, 95% CI 0.04–0.8). Interpretation: Head impact was common in observed falls in older adults living in long-term care facilities, particularly in forward falls. Backward rotation during descent appeared to be protective, but hand impact was not. Attention to upper-limb strength and teaching rotational falling techniques (as in martial arts training) may reduce fall-related head injuries in older adults. PMID:24101612

  10. Occupational Fatalities Resulting from Falls in the Oil and Gas Extraction Industry, United States, 2005-2014.

    PubMed

    Mason, Krystal L; Retzer, Kyla D; Hill, Ryan; Lincoln, Jennifer M

    2017-04-28

    During 2003-2013, fatality rates for oil and gas extraction workers decreased for all causes of death except those associated with fall events, which increased 2% annually during 2003-2013 (1). To better understand risk factors for these events, CDC examined fatal fall events in the oil and gas extraction industry during 2005-2014 using data from case investigations conducted by the Occupational Safety and Health Administration (OSHA). Sixty-three fatal falls were identified, accounting for 15% of all fatal events. Among fatal falls, 33 (52%) workers fell from a height of >30 feet (9 meters), and 22 (35%) fell from the derrick board, the elevated work platform located in the derrick (structure used to support machinery on a drilling rig). Fall fatalities occurred most frequently when drilling rigs were being assembled or disassembled at the well site (rigging up or rigging down) (14; 22%) or when workers were removing or inserting drill pipe into the wellbore (14; 22%). Measures that target derrickmen and workers engaged in assembling and disassembling drilling rigs (rigging up and down) could reduce falls in this industry. Companies should annually update their fall protection plans and ensure effective fall prevention programs are in place for workers at highest risk for falls, including providing trainings on proper use, fit, and inspection of personal protective equipment.

  11. 29 CFR 1915.159 - Personal fall arrest systems (PFAS).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment (PPE) § 1915.159 Personal fall arrest systems (PFAS). The criteria of this section apply... 29 Labor 7 2011-07-01 2011-07-01 false Personal fall arrest systems (PFAS). 1915.159 Section 1915...

  12. Corrosion protection products as a source of bisphenol A and toxicity to the aquatic environment.

    PubMed

    Vermeirssen, Etiënne L M; Dietschweiler, Conrad; Werner, Inge; Burkhardt, Michael

    2017-10-15

    Steel components are typically treated with anti-corrosion coatings like epoxy or polyurethane resins to protect the integrity and functioning of steel. Such resins may contain substances, such as bisphenol A (BPA), that have caused concern in a human and environmental toxicological context. We investigated the release of toxicity from four anti-corrosion coatings used in hydraulic and civil engineering. Resins were applied onto glass plates and leachate samples produced by horizontally shaking the plates in water for 7 days. Two experiments were conducted, one with a 1 day and one with a 7 day curing period. Using a suite of bioassays, we tested samples for: agonistic and antagonistic effects on various mammalian nuclear receptors; inhibition of photosynthesis and growth in algae; inhibition of bacterial bioluminescence; and inhibition of water flea reproduction. Concentrations of BPA, bisphenol F and various BPA transformation products were determined by chemical analysis (LC-MS/MS). Bioassay results were evaluated using a scheme developed by DIBt (Centre of Competence for Construction, Berlin, Germany). Three products induced responses in one or more of the measured endpoints and toxicity profiles varied markedly in intensity across products. One product released high amounts of BPA which was associated with effects on nuclear receptor transactivation, requiring a more than 700-fold dilution for effect induction to fall below 20%. The same product was also the most toxic to water flea reproduction, requiring ca. 70-fold dilution for effects to fall below 20%. Another product was highly toxic in terms of bacterial bioluminescence, particularly after a shorter curing time, requiring a ca. 1'300-fold dilution for effects to fall below 20%. The third product required a 22-fold dilution for inhibition of water flea reproduction to drop below 20%. Results show that anti-corrosion coatings based on epoxy resins can be a source of toxicity to the aquatic environment. The fact that some products are more toxic than others highlights opportunities for the development of low risk formulations and products with better environmental performance. Finally, the DIBt scheme provides a useful starting point to develop further ecotoxicity guidelines for testing and data evaluation of leachates from construction materials. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. States with low non-fatal injury rates have high fatality rates and vice-versa.

    PubMed

    Mendeloff, John; Burns, Rachel

    2013-05-01

    State-level injury rates or fatality rates are sometimes used in studies of the impact of various safety programs or other state policies. How much does the metric used affect the view of relative occupational risks among U.S. states? This paper uses a measure of severe injuries (fatalities) and of less severe injuries (non-fatal injuries with days away from work, restricted work, or job transfer-DART) to examine that issue. We looked at the correlation between the average DART injury rate (from the BLS Survey of Occupational Injuries and Illnesses) and an adjusted average fatality rate (from the BLS Census of Fatal Occupational Injuries) in the construction sector for states for 2003-2005 and for 2006-2008. The RAND Human Subjects Protection Committee determined that this study was exempt from review. The correlations between the fatal and non-fatal injury rates were between -0.30 and -0.70 for all construction and for the subsector of special trade contractors. The negative correlation was much smaller between the rate of fatal falls from heights and the rate of non-fatal falls from heights. Adjusting for differences in the industry composition of the construction sector across states had minor effects on these results. Although some have suggested that fatal and non-fatal injury rates should not necessarily be positively correlated, no one has suggested that the correlation is negative, which is what we find. We know that reported non-fatal rates are influenced by workers' compensation benefits and other factors. Fatality rates appear to be a more valid measure of risk. Efforts to explain the variations that we find should be undertaken. Copyright © 2012 Wiley Periodicals, Inc.

  14. [«All of a sudden…» preventability and priorities of construction fatalities: an experience in Piedmont].

    PubMed

    Pasqualini, Osvaldo; Libener, Marcello; Farina, Elena; Bena, Antonella

    2011-01-01

    To examine the usefulness for prevention of the National Surveillance System on occupational fatalities, which is based on the narrative description of the work accident collected by OSH inspectors and on the subsequent classification of the injury dynamics by means of a standardized model of analysis. The system ability of providing useful recommendations for prevention was evaluated on one hand by analyzing the effectiveness of inspections in preventing fatalities, on the other hand by identifying the most frequent accident mechanisms. Data analyzed consisted of investigation reports of construction fatalities occurred during 2002-2008 in the Piedmont Region, collected by surveillance system. The injury narrative description was used to assess whether the fatality would have been preventable by an inspection hypothetically conducted the day before the event; injuries were classified as probably preventable, probably not preventable, and uncertain. A standardized model of classification of injury dynamics was employed to identify mechanisms and circumstances related to the construction fatalities, and particularly those caused by falls from height. Among 122 construction fatalities occurred, 25%were considered probably preventable and 60%probably not preventable. Half of the construction fatalities was caused by fall from height, most of which were caused by sudden breaking of a surface walkway, and almost 20% by fall of objects, including burial. The analysis of the preventability of construction fatalities in Piedmont seems partly to rebut the assumption that more inspections are necessarily associated with a reduction in fatalities. The interpretation of the injury narrative descriptions, which are implemented by OHS inspectors as part of their usual activity, through a standardized model of analysis allows to identify the breaking of surface walkways as the most important mechanism of fatality among falls from height.

  15. You are born with your genes: justice and protection against discrimination in the use of genetic information.

    PubMed

    Francis, Leslie P

    2010-01-01

    Genetic information poses an apparent paradox for justice in health care. On the one hand, genetic information seems to be exactly the kind of information that it is unjust to take into account in the distribution of important goods. On the other hand, genetic information may increasingly become useful in individual patient care as evidence for personalized medicine increases. Although it is important to emphasize the difference between genetic information and the social construct of race, nonetheless, the historical interplay between discrimination based on assumptions about heritability and discrimination based on race are significant. Thus, this article defends the importance of paying very close attention to protections in the use of genetic information. Three current examples of inadequate protection are cited. First, informed consent to genetic testing should incorporate potential confidentiality risks raised by this information. Second, the Genetic Information Nondiscrimination Act is too porous to protect employees from their employers' possession of genetic information; if such information is used in discriminatory ways, burdens of seeking protection then fall on the employees. More stringent strategies for protecting information are thus desirable. Finally, current designs of interoperable health records fail to allow for the sequestration of genetic information. Efforts to develop such sequestration techniques should be encouraged; among other benefits, they would be helpful in shielding genetic information from employers. (c) 2010 Mount Sinai School of Medicine.

  16. A measure of fall risk behaviors and perceptions among community-dwelling older adults.

    PubMed

    Yuen, Hon Keung; Carter, Rickey E

    2006-01-01

    Relatively little is known about the interaction between behavioral and environmental circumstances associated with falls among community-dwelling older adults. This study is designed to develop an instrument that measures community-dwelling older adults' participation in and perceptions of fall risk behaviors. Eighty-seven community-dwelling older adults aged 60 or above (mean +/- SD = 76 +/- 7.9), who had experienced at least one fall in the past 12 months, completed a questionnaire dealing with frequency of their participation in fall risk behaviors, their perceptions of these behaviors, and their fall history. Data were subjected to exploratory factor analysis. A 20-item instrument consisting of three constructs was presented as the Fall Risk Behaviors and Perceptions Scale (FRB&PS). Two of the three constructs of the instrument were de-stabilizers and non-supports, both of which measure participation in fall risk behaviors; the third was perceptions of fall risk behaviors. Internal consistency coefficient of the FRB&PS is 0.733 with a root mean square error of approximation (RMSEA) score of 0.075, which indicates an adequate model fit. Results from the stepwise regression analyses indicated that adults aged 75 and above (the old-old) participated less frequently in fall risk activities (p = 0.025), and had more knowledge about fall risks as measured by a higher perception score (p = 0.025) than those aged 60 to 75 (the young-old). Older men tended to participate more frequently in fall risk activities (p = 0.020) than older women; in addition, those older adults who are more mobile (p = 0.002) also participated more frequently in fall risk behaviors than those who are less mobile. Preliminary findings indicate that the pilot FRB&PS is a reliable and valid instrument to measure community-dwelling older adults' participation in and perceptions of fall risk behaviors. Additional psychometric validation of the FRB&PS on predicting the likelihood of falls is warranted.

  17. Mechanical evaluation of hip pads to protect against fracture of elderly femurs in falls.

    PubMed

    Tadano, Shigeru; Nakatsuchi, Hiroki; Goto, Naoko; Fujisaki, Kazuhiro; Nakatsuchi, Yukio

    2011-01-01

    Hip fracture in the aged easily occurs by falls and may cause these persons to become bedridden. Hip pads are effective in protecting hip fracture as they directly deflect and absorb the impact forces by falls. It is necessary for the material and the structure of hip pads to be designed to realize both high impact absorption and compliance (comfort during wearing). In this report, an impact testing system was developed to test the impact absorbing performance of hip pad with air cushions designed by the research group. The impact absorbing performance was evaluated by the impact load, collision time, and maximum load. To confirm the effectiveness in protecting against hip fracture, an impact force was applied to the greater trochanter of the human femur and the degree of fracture was measured by X-ray examination. As a result, the hip pad with air cushions had a high impact absorbing performance and was sufficiently effective to protect against hip fracture.

  18. The effects of safety handrails and the heights of scaffolds on the subjective and objective evaluation of postural stability and cardiovascular stress in novice and expert construction workers.

    PubMed

    Min, Seung-Nam; Kim, Jung-Yong; Parnianpour, Mohamad

    2012-05-01

    Work performed on scaffolds carries the risk of falling that disproportionately threatens the safety and health of novice construction workers. Hence, objective measures of the postural stability, cardiovascular stress, and subjective difficulty in maintaining postural balance were evaluated for four expert and four novice construction workers performing a manual task in a standing posture on a scaffold with and without safety handrails at two different elevation heights. Based on a multivariate analysis of variance, the experience, scaffold height, and presence of a handrail were found to significantly affect measures of the postural stability and cardiovascular stress. At a lower level of worker experience, a higher scaffold height, and in the absence of a handrail (which may correspond to higher risk of a fall), postural stability was significantly reduced, while cardiovascular stress and subjective difficulties in maintaining postural balance increased. We emphasize the importance of training and handrails for fall prevention at construction sites. Copyright © 2011 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  19. 77 FR 65380 - 2012 Fall Joint Meeting of the Ozone Transport Commission and the Mid-Atlantic Northeast...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-26

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9745-9] 2012 Fall Joint Meeting of the Ozone Transport... Fall Meeting of the Ozone Transport Commission (OTC) and the Mid-Atlantic Northeast Visibility Union (MANE- VU). The meeting agenda will include topics regarding reducing ground- level ozone precursors and...

  20. 29 CFR 1915.159 - Personal fall arrest systems (PFAS).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 7 2012-07-01 2012-07-01 false Personal fall arrest systems (PFAS). 1915.159 Section 1915... Protective Equipment (PPE) § 1915.159 Personal fall arrest systems (PFAS). The criteria of this section apply to PFAS and their use. Effective January 1, 1998, body belts and non-locking snaphooks are not...

  1. 29 CFR 1915.159 - Personal fall arrest systems (PFAS).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 7 2014-07-01 2014-07-01 false Personal fall arrest systems (PFAS). 1915.159 Section 1915... Protective Equipment (PPE) § 1915.159 Personal fall arrest systems (PFAS). The criteria of this section apply to PFAS and their use. Effective January 1, 1998, body belts and non-locking snaphooks are not...

  2. 29 CFR 1915.159 - Personal fall arrest systems (PFAS).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 7 2013-07-01 2013-07-01 false Personal fall arrest systems (PFAS). 1915.159 Section 1915... Protective Equipment (PPE) § 1915.159 Personal fall arrest systems (PFAS). The criteria of this section apply to PFAS and their use. Effective January 1, 1998, body belts and non-locking snaphooks are not...

  3. 49 CFR 393.122 - What are the rules for securing paper rolls?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... REGULATIONS PARTS AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo... tipping or falling sideways or rearwards by vehicle structure or other cargo, and its width is more than 2 times its diameter, it must be prevented from tipping or falling by banding it to other rolls, bracing...

  4. 49 CFR 393.122 - What are the rules for securing paper rolls?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... REGULATIONS PARTS AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo... tipping or falling sideways or rearwards by vehicle structure or other cargo, and its width is more than 2 times its diameter, it must be prevented from tipping or falling by banding it to other rolls, bracing...

  5. 29 CFR 1915.159 - Personal fall arrest systems (PFAS).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Personal fall arrest systems (PFAS). 1915.159 Section 1915... Protective Equipment (PPE) § 1915.159 Personal fall arrest systems (PFAS). The criteria of this section apply to PFAS and their use. Effective January 1, 1998, body belts and non-locking snaphooks are not...

  6. Are green building features safe for preventive maintenance workers? Examining the evidence.

    PubMed

    Omar, Mohamed Shamun; Quinn, Margaret M; Buchholz, Bryan; Geiser, Ken

    2013-04-01

    Many newly constructed green buildings (GB) are certified using the United States Green Building Council (USGBC) Leadership in Energy and Environmental Design (LEED) rating system for new construction and major renovation which focuses on architectural and mechanical design to conserve energy, reduce environmental harm, and enhance indoor quality for occupants. This study evaluated the preventive maintenance (PM) worker occupational safety and health (OSH) risks related to the design of GB. PM job hazard analyses (JHA) were performed on the tasks required to operate and maintain five GB features selected from 13 LEED certified GB. A 22-item JHA and OSH risk scoring system were developed. Potentially serious OSH hazards included: green roofs made of slippery material without fall protection; energy recovery wheels and storm water harvesting systems in confined spaces; skylights without guard rails; and tight geothermal well mechanical rooms constraining safe preventive practices. GB can present PM OSH risks and these should be eliminated in the building design phase. Copyright © 2013 Wiley Periodicals, Inc.

  7. A simplified concept for controlling oxygen mixtures in the anaesthetic machine--better, cheaper and more user-friendly?

    PubMed

    Berge, J A; Gramstad, L; Grimnes, S

    1995-05-01

    Modern anaesthetic machines are equipped with several safety components to prevent delivery of hypoxic mixtures. However, such a technical development has increased the complexity of the equipment. We report a reconstructed anaesthetic machine in which a paramagnetic oxygen analyzer has provided the means to simplify the apparatus. The new machine is devoid of several components conventionally included to prevent hypoxic mixtures: oxygen failure protection device, reservoir O2 alarm, N2O/air selector, and proportioning system for oxygen/nitrous oxide delivery. These devices have been replaced by a simple safety system using a paramagnetic oxygen analyzer at the common gas outlet, which in a feed-back system cuts off the supply of nitrous oxide whenever the oxygen concentration falls below 25%. The simplified construction of the anaesthetic machine has important consequences for safety, cost and user-friendliness. Reducing the complexity of the construction also simplifies the pre-use checkout procedure, and an efficient 5-point check list is presented for the new machine.

  8. An expert system for the quantification of fault rates in construction fall accidents.

    PubMed

    Talat Birgonul, M; Dikmen, Irem; Budayan, Cenk; Demirel, Tuncay

    2016-01-01

    Expert witness reports, prepared with the aim of quantifying fault rates among parties, play an important role in a court's final decision. However, conflicting fault rates assigned by different expert witness boards lead to iterative objections raised by the related parties. This unfavorable situation mainly originates due to the subjectivity of expert judgments and unavailability of objective information about the causes of accidents. As a solution to this shortcoming, an expert system based on a rule-based system was developed for the quantification of fault rates in construction fall accidents. The aim of developing DsSafe is decreasing the subjectivity inherent in expert witness reports. Eighty-four inspection reports prepared by the official and authorized inspectors were examined and root causes of construction fall accidents in Turkey were identified. Using this information, an evaluation form was designed and submitted to the experts. Experts were asked to evaluate the importance level of the factors that govern fall accidents and determine the fault rates under different scenarios. Based on expert judgments, a rule-based expert system was developed. The accuracy and reliability of DsSafe were tested with real data as obtained from finalized court cases. DsSafe gives satisfactory results.

  9. Data linkage of inpatient hospitalization and workers' claims data sets to characterize occupational falls.

    PubMed

    Bunn, Terry L; Slavova, Svetla; Bathke, Arne

    2007-07-01

    The identification of industry, occupation, and associated injury costs for worker falls in Kentucky have not been fully examined. The purpose of this study was to determine the associations between industry and occupation and 1) hospitalization length of stay; 2) hospitalization charges; and 3) workers' claims costs in workers suffering falls, using linked inpatient hospitalization discharge and workers' claims data sets. Hospitalization cases were selected with ICD-9-CM external cause of injury codes for falls and payer code of workers' claims for years 2000-2004. Selection criteria for workers'claims cases were International Association of Industrial Accident Boards and Commissions Electronic Data Interchange Nature (IAIABCEDIN) injuries coded as falls and/or slips. Common data variables between the two data sets such as date of birth, gender, date of injury, and hospital admission date were used to perform probabilistic data linkage using LinkSolv software. Statistical analysis was performed with non-parametric tests. Construction falls were the most prevalent for male workers and incurred the highest hospitalization and workers' compensation costs, whereas most female worker falls occurred in the services industry. The largest percentage of male worker falls was from one level to another, while the largest percentage of females experienced a fall, slip, or trip (not otherwise classified). When male construction worker falls were further analyzed, laborers and helpers had longer hospital stays as well as higher total charges when the worker fell from one level to another. Data linkage of hospitalization and workers' claims falls data provides additional information on industry, occupation, and costs that are not available when examining either data set alone.

  10. A field study of PCC joint misalignment near Fergus Falls, Minnesota

    DOT National Transportation Integrated Search

    1999-05-01

    This report highlights an investigation into concrete pavement performance problems caused by transverse joint misalignment on a segment of westbound Interstate 94 near Fergus Falls, Minnesota. In 1986, heavy rain during construction resulted in tran...

  11. 36 CFR 331.1 - Applicability and scope.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... REGULATIONS GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE... part apply to those lands and waters within the established boundary of the Falls of the Ohio National...

  12. 36 CFR 331.1 - Applicability and scope.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REGULATIONS GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE... part apply to those lands and waters within the established boundary of the Falls of the Ohio National...

  13. 36 CFR § 331.1 - Applicability and scope.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... REGULATIONS GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE... part apply to those lands and waters within the established boundary of the Falls of the Ohio National...

  14. 36 CFR 331.1 - Applicability and scope.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... REGULATIONS GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE... part apply to those lands and waters within the established boundary of the Falls of the Ohio National...

  15. 36 CFR 331.1 - Applicability and scope.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... REGULATIONS GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE... part apply to those lands and waters within the established boundary of the Falls of the Ohio National...

  16. A national safety stand-down to reduce construction worker falls.

    PubMed

    Bunting, Jessica; Branche, Christine; Trahan, Chris; Goldenhar, Linda

    2017-02-01

    Falls are the leading cause of death and third leading cause of non-fatal injuries in construction. In an effort to combat these numbers, The National Campaign to Prevent Falls in Construction began in April 2012. As the campaign gained momentum, a week called the National Safety Stand-Down to Prevent Falls was launched to draw attention to the campaign and its goals. The purpose of this paper is to examine the reach of the Stand-Down and lessons learned from its implementation. The Occupational Safety & Health Administration offered a certificate of participation during the Stand-Down. To print the certificate, respondents provided information about their company and stand-down event. CPWR - The Center for Construction Research and Training conducted analyses on the data collected to assess reach and extent of participation. In 2014, 4,882 stand-downs were reported. The total number reported in 2015 was 3,759. The number of participants, however, increased from 770,193 in 2014 to 1,041,307 in 2015. The Stand-Down successfully reached the construction industry and beyond. Respondents were enthusiastic and participated nationally and internationally in variety of activities. They also provided significant feedback that will be influential in future campaign planning. Numbers of Stand-Downs and participants for both years are estimated to be substantially higher than the data recorded from the certificate database. While we cannot determine impact, the reach of the Stand-Down has surpassed expectations. The data gathered provide support for the continuation of the Stand-Down. Campaign planners incorporated findings into future Stand-Down planning, materials creation, and promotion. This analysis also provides insight on how organizations can partner to create targeted national campaigns that include activities stakeholders in the construction industry respond to, and can be used to replicate our efforts for other safety and health initiatives in construction and other industries. Copyright © 2016 National Safety Council and Elsevier Ltd. All rights reserved.

  17. 29 CFR 1915.156 - Foot protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... protective footwear when working in areas where there is a danger of foot injuries due to falling or rolling... Foot Protection,” and ASTM F-2413-2005, “Standard Specification for Performance Requirements for...

  18. 77 FR 59890 - Reorganization and Expansion of Foreign-Trade Zone 220 Under Alternative Site Framework; Sioux...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Foreign-Trade Zone 220 Under Alternative Site Framework; Sioux Falls, SD Pursuant to its authority under... Sioux Falls Development Foundation, grantee of Foreign-Trade Zone 220, submitted an application to the... Dakota, within and adjacent to the Sioux Falls U.S. Customs and Border Protection port of entry, FTZ 220...

  19. 29 CFR 1926.300 - General requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Personal protective equipment. Employees using hand and power tools and exposed to the hazard of falling... shall be provided with the particular personal protective equipment necessary to protect them from the hazard. All personal protective equipment shall meet the requirements and be maintained according to...

  20. 29 CFR 1926.300 - General requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Personal protective equipment. Employees using hand and power tools and exposed to the hazard of falling... shall be provided with the particular personal protective equipment necessary to protect them from the hazard. All personal protective equipment shall meet the requirements and be maintained according to...

  1. Validity and sensitivity to change of the falls efficacy scales international to assess fear of falling in older adults with and without cognitive impairment.

    PubMed

    Hauer, Klaus A; Kempen, Gertrudis I J M; Schwenk, Michael; Yardley, Lucy; Beyer, Nina; Todd, Chris; Oster, Peter; Zijlstra, G A Rixt

    2011-01-01

    Measures of fear of falling have not yet been validated in patients with dementia, leaving a methodological gap that limits research in a population at high risk of falling and fall-related consequences. The objectives of this study are to determine: (1) the validity of the 7-item Short Falls Efficacy Scale International (Short FES-I) in geriatric patients with and without cognitive impairment, and (2) the sensitivity to change of the 10-item Falls Efficacy Scale (FES), the 16-item FES-I and the 7-item Short FES-I in geriatric patients with dementia. Cross-sectional data of community-dwelling older adults and geriatric rehabilitation patients (n = 284) collected during face-to-face interviews were used to determine construct and discriminant validity by testing for differences within variables related to fear of falling. Sensitivity to change was studied in an intervention study including patients with mild to moderate dementia (n = 130) as determined by standard response means (SRMs). The Short FES-I showed excellent construct and discriminant validity in the total group and subsamples according to cognitive status. Sensitivity to change was adequate to good in the FES (range SRM: 0.18-0.77) and FES-I (range SRM: 0.21-0.74), with the Short FES-I showing the highest peak sensitivity to change (range SRM: 0.18-0.91). The Short FES-I is a valid measure to assess fear of falling in frail older adults with and without cognitive impairment, yet it may show floor effects in higher functioning older people. All scales, including the Short FES-I, were sensitive to detecting intervention-induced changes in concerns about falling in geriatric patients with dementia. Copyright © 2010 S. Karger AG, Basel.

  2. 15th Annual School Construction Report, 2010

    ERIC Educational Resources Information Center

    Abramson, Paul

    2010-01-01

    School construction in 2009 fell 16 percent from one year ago, to just $16.4 billion, the lowest annual total for school construction since 1998. Indications are that it will fall further this year. "School Planning & Management" received reports on school construction completed and underway during 2009 and planned to start in 2010…

  3. Performance and evaluation of small construction safety training simulations.

    PubMed

    Wojcik, S M; Kidd, P S; Parshall, M B; Struttmann, T W

    2003-06-01

    Back- and fall-related injuries occur frequently in construction and are costly in terms of workers' compensation claims and lost productivity. Interventions are needed that address the susceptibility to these injuries. The purpose of this study was to develop and test a safety training intervention for small construction companies (

  4. Micro-controller based fall detector to assist recovering patients or senior citizens

    NASA Astrophysics Data System (ADS)

    Páez, Francisco; Asplund, Lars

    2010-09-01

    Senior citizens and patients recovering from surgery or using strong medications with severe side effects tend to fall unexpectedly. The consequences of such an uncontrolled fall could be worse than the original malady, especially when there is no communication with the care-takers. We describe a fall-detector device capable of distinguishing falls from normal daily activities. Based on three-axis accelerometer and advanced data processing, the microcontroller emits an alarm requesting help in the case of a physical fall. We design and construct the fall-detector prototype for either inside or outside use. In order to determine the device performance, fifty instances of each fall event have been evaluated; all of them detected as fall event. In the case of daily activities, the only movement that produces an alarm is the transition from standing up to lying in 5% of the occurrences.

  5. EUROBLOCv2: Methodology for the Study of Rockfalls

    NASA Astrophysics Data System (ADS)

    Torrebadella, Joan; Altimir, Joan; Lopez, Carles; Amigó, Jordi; Ferrer, Pau

    2014-05-01

    For studies of falling rocks, Euroconsult (Andorra) and Eurogeotecnica (Catalonia) developed in 1998 the methodology known as EUROBLOC. Having worked with it for over 10 years, and having done numerous studies both in the Principality of Andorra and Spain, it was considered appropriate to undertake an enhanced version of the methodology (EUROBLOCv2), in order to adapt it to the technological advances carried out in recent years on passive protection techniques, (it should be remembered that in 2000 there was only dynamic barriers with a retaining capacity of 1.000 kJ and nowadays there are already approved barriers up to 8.000 kJ and it is expected to reach10.000 kJ in the near future, embankments, reinforced earth walls, etc.) and also in active protection systems (direct stabilization of the slope in base of wire mesh or wire mesh combined with high strength anchors). The EUROBLOCv2 methodology (which was first used in 2012 in order to incorporate all the improvements in the field of protection) consists of two distinct parts, which are firstly, the analysis of rock falls and secondly determining the degree of protection afforded by the protection. So today, we can use a pioneering technique in the field of rocky landslides in which we consider all possible kinds of protection that are on the market, based on both passive protection and active protection. The new methodology also allows work with the simulation of 20m3 rock fall volume, instead on 10m3, maximum considered to date.

  6. 29 CFR 1915.155 - Head protection.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment... wears a protective helmet when working in areas where there is a potential for injury to the head from falling objects. (2) The employer shall ensure that each affected employee wears a protective helmet...

  7. 29 CFR 1915.155 - Head protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment... wears a protective helmet when working in areas where there is a potential for injury to the head from falling objects. (2) The employer shall ensure that each affected employee wears a protective helmet...

  8. Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older.

    PubMed

    O'Hoski, Sachi; Sibley, Kathryn M; Brooks, Dina; Beauchamp, Marla K

    2015-09-01

    The Balance Evaluation Systems Test (BESTest) and its two abbreviated versions (mini-BESTest and briefBESTest) are functional balance tools that have yet to be validated in middle aged and elderly people living in the community. Determine the construct validity of the three BESTest versions by comparing them with commonly-used measures of balance, balance confidence and physical activity, and examining their ability to discriminate between groups with respect to falls and fall risk. This was a secondary analysis of data from 79 adults (mean age 68.7±10.57 years). Pearson correlation coefficients were used to examine the relationships between each BESTest measure and the Activities-Specific Balance Confidence (ABC) scale, the Physical Activity Scale for the Elderly (PASE), the Timed Up and Go (TUG) and the Single Leg Stance (SLS) test. Independent t-tests were used to examine differences in balance between fallers (≥1 fall in previous year) and non-fallers and individuals classified at low versus high fall risk using the Elderly Falls Screening Test (EFST). The BESTest measures showed moderate associations with the ABC scale and TUG (r=0.62-0.67 and -0.60 to -0.68 respectively), fair associations (r=0.33-0.40) with the PASE and moderate to high associations (r=0.67-0.77) with the SLS. Fallers showed a trend (p=0.054) for lower scores on the original BESTest, and people at high risk for falls had significantly lower scores on all BESTest versions. These findings support the construct validity of the BESTest, mini-BESTest and briefBESTest in adults over 50 years old. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. The Complex Association Between Fear of Falling and Mobility Limitation in Relation to Late-Life Falls: A SHARE-Based Analysis.

    PubMed

    Litwin, Howard; Erlich, Bracha; Dunsky, Ayelet

    2018-07-01

    This study examines fear of falling (FOF) in relation to falls in light of mobility limitation. Data on community-dwelling older Europeans, aged 65+, were drawn from two consecutive waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). The analysis regressed fall status in 2013 on reported FOF 2 to 3 years earlier, controlling for previous falls. FOF predicted subsequent falls when mobility limitation was low to moderate. However, the effect of FOF on fall probability was reversed when mobility limitation was high. The analysis underscores a complex association between FOF and mobility limitation in relation to late-life falls. People who are worried about falling tend to fall more. Those having high mobility limitation but lacking FOF are also more likely to fall. In cases of considerable mobility limitation, FOF may act as a protective buffer. The less worried in this group, however, may be subject to greater falling, and thus require greater attention.

  10. ACHP | Case Digest - Protecting Historic Properties: Section 106 in Action

    Science.gov Websites

    Digest index. Previous issues: Summer 2012 (PDF) Spring 2012 (PDF) Winter 2012 (PDF) Fall 2011 (PDF ) Summer 2011 (PDF) Spring 2011 (PDF) Winter 2011 (PDF) Fall 2010 (PDF) Summer 2010 (PDF) Winter 2010 (PDF ) Fall 2009 (PDF) Summer 2009 (PDF) Spring 2009 (PDF) Winter 2009 (PDF) Fall 2008 (PDF) Summer 2008 (PDF

  11. Comparing Science Achievement Constructs: Targeted and Achieved

    ERIC Educational Resources Information Center

    Ferrara, Steve; Duncan, Teresa

    2011-01-01

    This article illustrates how test specifications based solely on academic content standards, without attention to other cognitive skills and item response demands, can fall short of their targeted constructs. First, the authors inductively describe the science achievement construct represented by a statewide sixth-grade science proficiency test.…

  12. Safety in Construction Using Virtual Reality (SAVR): A Model for Labor Safety. Working Paper Series WP-022.

    ERIC Educational Resources Information Center

    Hadipriono, Fabian C.; And Others

    An interactive training model called SAVR (Safety in Construction Using Virtual Reality) was developed to train construction students, novice engineers, and construction workers to prevent falls from scaffolding. The model was implemented in a graphics supercomputer, the ONYX Reality Engine2. The SAVR model provides trainees with an immersive,…

  13. Automated Fall Detection With Quality Improvement “Rewind” to Reduce Falls in Hospital Rooms

    PubMed Central

    Rantz, Marilyn J.; Banerjee, Tanvi S.; Cattoor, Erin; Scott, Susan D.; Skubic, Marjorie; Popescu, Mihail

    2014-01-01

    The purpose of this study was to test the implementation of a fall detection and “rewind” privacy-protecting technique using the Microsoft® Kinect™ to not only detect but prevent falls from occurring in hospitalized patients. Kinect sensors were placed in six hospital rooms in a step-down unit and data were continuously logged. Prior to implementation with patients, three researchers performed a total of 18 falls (walking and then falling down or falling from the bed) and 17 non-fall events (crouching down, stooping down to tie shoe laces, and lying on the floor). All falls and non-falls were correctly identified using automated algorithms to process Kinect sensor data. During the first 8 months of data collection, processing methods were perfected to manage data and provide a “rewind” method to view events that led to falls for post-fall quality improvement process analyses. Preliminary data from this feasibility study show that using the Microsoft Kinect sensors provides detection of falls, fall risks, and facilitates quality improvement after falls in real hospital environments unobtrusively, while taking into account patient privacy. PMID:24296567

  14. Antoine's Necklace or How to Keep a Necklace from Falling Apart.

    ERIC Educational Resources Information Center

    Brechner, Beverly L.; Mayer, John C.

    1988-01-01

    A construction in geometric topology is presented for an imaginary string of beads, but without the string, forming a necklace that cannot fall apart. Some well-known applications and generalizations of Antoine's Necklace are provided, with all examples subsets of Euclidean spaces. (MNS)

  15. Environmental Assessment: Construction and Operation of Fire Training Tower and Car Wash at Niagara Falls Air Reserve Station, New York

    DTIC Science & Technology

    2006-02-01

    separated by a switch that is maintained by Niagara Mohawk on the same circuit (NFARS 1998). Transportation Network . Vehicular access to Niagara Falls...from the City of Niagara Falls would be adequate to handle the additional used water ( Nerone 2005). Implementation might have minor, adverse effects...Action. Transportation Network . Potehtial impacts on transportation and circulation are evaluated for disruption or improvement of current

  16. A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital.

    PubMed

    Hill, Anne-Marie; McPhail, Steven; Hoffmann, Tammy; Hill, Keith; Oliver, David; Beer, Christopher; Brauer, Sandra; Haines, Terry P

    2009-08-01

    To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology. Randomized trial (DVD vs workbook) with additional quasi-experimental control group. Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia. One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older receiving an intervention (mean age 75.3+/-10.1) and 122 in the control group (mean age 79.3+/-8.3). Participants randomly assigned to receive identical educational material on falls prevention delivered on a DVD or in a workbook. Control group received usual care. Custom-designed survey addressing elements of the Health Belief Model of health behavior change. Participants randomized to DVD delivery had a higher self-perceived risk of falling (P=.04) and higher levels of confidence (P=.03) and motivation (P=.04) to engage in self-protective strategies than participants who received the workbook. A higher proportion of participants who received either form of the education provided "desired" responses than of control group participants across all knowledge items (P<.001). Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.

  17. KSC-99pp1239

    NASA Image and Video Library

    1999-10-14

    KENNEDY SPACE CENTER, FLA. — Two 34-year-old towers on Launch Complex 41, Cape Canaveral Air Station, fall to the ground amid the black smoke from explosives set to topple them. Weighing two million pounds, the umbilical tower (left) was approximately 200 feet high. The taller 300-foot Mobile Service Tower (right) weighs five million pounds. About 200 pounds of linear-shaped charges were used to topple the towers so that the materials can be recycled. Adjacent to the towers are lightning protection structures, which will remain on the site. The towers are being demolished to make room for Lockheed Martin's 14-acre Vehicle Integration Facility (VIF), under construction. The implosion and removal of the tower debris is expected to be completed in two months. The VIF will be used for Lockheed Martin's Atlas V Launch System.

  18. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: a systematic review.

    PubMed

    Denkinger, Michael D; Lukas, Albert; Nikolaus, Thorsten; Hauer, Klaus

    2015-01-01

    Fear of falling (FOF) is an important threat to autonomy. Current interventions to reduce FOF have yielded conflicting results. A possible reason for this discrepancy could be its multicausality. Some risk factors may not have been identified and addressed in recent studies. The last systematic review included studies until 2006. To identify additional risk factors for FOF and to test those mentioned previously, we conducted a systematic literature review. Studies examining FOF in community-dwelling older adults between 2006 and October 2013 were screened. Outcomes are summarized with respect to different constructs such as FOF, fall-related self-efficacy/balance confidence, and FOF-related activity restriction. Odds ratios and p values are reported. There is no clear pattern with regard to the different FOF-related constructs studied. The only parameters robustly associated across all constructs were female gender, performance-based and questionnaire-based physical function, the use of a walking aid, and, less robust, a history of falls and poor self-rated health. Conflicting results were identified for depression and anxiety, multiple drugs, and psychotropic drugs. Other potentially modifiable risk factors were only mentioned in one or two studies and warrant further investigation. Parameters with mainly negative results are also presented. Only few risk factors identified were robustly associated across all FOF-related constructs and should be included in future studies on FOF. Some newer factors have to be tested again in different cohorts. The comprehensive overview might assist in the conceptualization of future studies. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  19. A new testing station about full-scale testing for rockfall protection systems

    NASA Astrophysics Data System (ADS)

    Bost, Marion; Dubois, Laurent; Rocher-Lacoste, Frédéric

    2010-05-01

    Rock blocks which detach from slopes overhanging urban areas, roads, railways and other infrastructures create one of the most frequent hazards in mountainous areas. Some of protection systems against rockfalls are designed to mitigate the effects of a foreseen movement by intercepting and stopping falling rock blocks. Despite the worldwide application of this kind of protections, the global behaviour of such a system has been poorly investigated, for the time being, and only at a reduced scale. The behaviour of these protection systems at real scale has been widely extrapolated, however these theories have still not been investigated by performing relating test at scale 1. The French Public Work Laboratory (LCPC) has decided to build a new testing station to work on that topic. This new testing station located in French Alps is able to drop heavy loads (up to 20 tons) from the top of a cliff down to structural systems in order to test their resistance to big shocks and study their dynamical behaviour at this high energy level. As the fall height can reach near 70m, the impact velocity can actually reach 35 metres per second and the energy released during the impact can be as large as 13 500 kilojoules. The experimental area at the bottom of the cliff which can be impacted by a block is 12 metres wide. This allows to test not only rockfall protection systems at scale 1 but also some parts of building structures too. To avoid damaging test-structure during a block drop due to dynamical effects, the dropping hook was designed with a special system. This one consists of a reversed mass which can be adapted to the dropped block and dropped together with the block. Moreover, it is very important to pay attention on repeatability of results concerning new devices for experiments. Whatever fall height the impact point is hit so with a precision of 50 centimetres. Such an experimental facility needs to be equipped with a relevant instrumentation. High capacity stress sensors, accelerometers and high speed cameras are available for experiments. They have been chosen for their capacity to work with an important length of cables. The monitoring with these experimental devices is performed at a high sample frequency suitable and for a very short load like an impact. A radio controlled system allows triggering monitoring and dropping at the same time. Due to bounce risk with the dropped block the safety of personal is ensured by strict operating rules. An observation platform has been located on an embankment along the test-site in order to follow experiments without risk. Two years were necessary for the test-site construction and its equipment. First tests on rockfall nets fences were performed at the end of 2009.

  20. R&D 100, 2016: Falling Particle Receiver

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ho, Cliff; Christian, Joshua; Stein, Wesley

    After several years of design and development, the world's first continuously recirculating high-temperature Falling Particle Receiver for Concentrated Solar Energy was constructed and tested at Sandia National Laboratories. This technology enables clean, renewable energy and electricity on demand with cheap, efficient storage at costs comparable with fossil-fuel-based plants.

  1. R&D 100, 2016: Falling Particle Receiver

    ScienceCinema

    Ho, Cliff; Christian, Joshua; Stein, Wesley

    2018-06-13

    After several years of design and development, the world's first continuously recirculating high-temperature Falling Particle Receiver for Concentrated Solar Energy was constructed and tested at Sandia National Laboratories. This technology enables clean, renewable energy and electricity on demand with cheap, efficient storage at costs comparable with fossil-fuel-based plants.

  2. Fatal occupational injuries in the Malaysian construction sector–causes and accidental agents

    NASA Astrophysics Data System (ADS)

    Ayob, A.; Shaari, A. A.; Zaki, M. F. M.; Munaaim, M. A. C.

    2018-04-01

    The construction sector is associated with various accidents and fatal injuries. These occupational accidents are caused by numerous factors, such as lack of supervision; lack of adherence to safe work technique; failure to wear personal protective equipment; and failure to comply with the safe use of tools, vehicles, and machines. Using 2013–2016 secondary data from the Department of Occupational Safety and Health and Social Security Organization, this study conducted a descriptive exploration survey to identify common fatal occupational injuries associated with the Malaysian construction sector, as well as their causes and accidental agents. Results indicated that construction, followed by manufacturing, agriculture, forestry, logging, and fishery, are the riskiest job sectors in Malaysia. The highest incidences of occupational casualties were reported in Sarawak, Johor, and Selangor. These states accounted for approximately 13.33% to 18.18% of all cases of fatal occupational accidents. In these states, the lack of safety and health regulations and poor execution of risk management increased the risk of occupational accidents. Falls from heights accounted for 46.28% of fatal occupational injuries. Furthermore, being crushed by objects, materials, or vehicles accounted for 9.09% to 17.36% of fatal occupational injuries. Substandard work environment and transportation and lifting equipment, such as scaffolds, are primary accidental agents. Results of this study could enhance the knowledge and awareness of construction workers and management of job-related injuries to decrease the incidence of fatal occupational accidents.

  3. 49 CFR 393.100 - Which types of commercial motor vehicles are subject to the cargo securement standards of this...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo § 393.100..., spilling, blowing or falling from the motor vehicle. (c) Prevention against shifting of load. Cargo must be...

  4. 49 CFR 393.100 - Which types of commercial motor vehicles are subject to the cargo securement standards of this...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo § 393.100..., spilling, blowing or falling from the motor vehicle. (c) Prevention against shifting of load. Cargo must be...

  5. 49 CFR 393.100 - Which types of commercial motor vehicles are subject to the cargo securement standards of this...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo § 393.100..., spilling, blowing or falling from the motor vehicle. (c) Prevention against shifting of load. Cargo must be...

  6. 49 CFR 393.100 - Which types of commercial motor vehicles are subject to the cargo securement standards of this...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo § 393.100..., spilling, blowing or falling from the motor vehicle. (c) Prevention against shifting of load. Cargo must be...

  7. 49 CFR 393.100 - Which types of commercial motor vehicles are subject to the cargo securement standards of this...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... AND ACCESSORIES NECESSARY FOR SAFE OPERATION Protection Against Shifting and Falling Cargo § 393.100..., spilling, blowing or falling from the motor vehicle. (c) Prevention against shifting of load. Cargo must be...

  8. 77 FR 25495 - Proposed Flood Hazard Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-30

    ... Docket No. FEMA-B-1250, to Luis Rodriguez, Chief, Engineering Management Branch, Federal Insurance [email protected] . FOR FURTHER INFORMATION CONTACT: Luis Rodriguez, Chief, Engineering Management... Mechanic Falls Town Office, 108 Lewiston Street, Mechanic Falls, ME 04256. Town of Minot Town Office, 329...

  9. Habitat Evaluation Procedure (HEP) Report for the Pend Oreille Wetlands Wildlife II Project, Technical Report 2002.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Holmes, Darren

    The Habitat Evaluation Procedure (HEP), developed in 1980 by the U.S. Fish and Wildlife Service (USFWS 1980a, USFWS 1980b), uses a habitat/species based approach to assessing project impacts, and is a convenient tool to document the predicted effects of proposed management actions. The Northwest Power Planning Council (NPPC) endorsed the use of HEP in its Columbia River Basin Fish and Wildlife Program to evaluate wildlife benefits and impacts associated with the development and operation of the federal Columbia River Basin hydroelectric system (NPPC 1994). The Albeni Falls Interagency Work Group (AFIWG) used HEP in 1987 to evaluate wildlife habitat lossesmore » attributed to the Albeni Falls hydroelectric facility (Martin et al. 1988). In 1992, the AFIWG (Idaho Department of Fish and Game; Kalispel, Coeur d'Alene, and Kootenai Tribes) began implementing activities to mitigate these losses. Implementation activities include protecting, restoring and enhancing wildlife habitat. HEPs are used extensively within the NPPC's Columbia River Basin Fish and Wildlife Program. Wildlife managers use HEP to determine habitat lost from the construction of the federal hydroelectric projects and habitat gained through NPPC mitigation program. Habitat Suitability Index (HSI) models for each of the seven target species are used to determine habitat quality and quantity losses for representative habitat cover types for this project. Target species include Bald Eagle, black-capped chickadee, Canada goose, mallard, muskrat, white-tailed deer and yellow warbler. In 2002, a HEP team determined the habitat condition of the 164-acre Pend Oreille Wetlands Wildlife II Project (Figure 1). The HEP team consisted of the following members and agencies: Roy Finley, Kalispel Natural Resource Department (KNRD); Neil Lockwood, KNRD; Brian Merson, KNRD; Sonny Finley, KNRD; Darren Holmes, KNRD; Anna, Washington Dept. of Fish and Game (WDFW); and Scott, WDFW. Baseline Habitat Units (HU) will be credited to Bonneville Power Administration (BPA) for protection of habitats within the project area. The HSI models used were identical to those modified for use in 1991 (Appendix 2). The objective of using HEP as an assessment tool is two-fold. First, it provides an unbiased and measured assessment of wildlife habitats within the mitigation parcel. This data is used to offset the Albeni Falls Dam HU loss ledger. That ledger accounts for the loss of wildlife habitat that resulted from the construction and inundation of Albeni Falls hydroelectric project and the extent to which those losses have been mitigated. Additionally, the baseline HEP evaluation describes existing habitat conditions on the property and will be used, along with other tools, to determine initial management, restoration, and enhancement activities. HEP analyses will be completed every five years to quantitatively evaluate the effectiveness of management strategies in improving and maintaining habitat conditions while providing additional HU crediting to BPA for enhanced habitat values.« less

  10. Habitat Evaluation Procedure (HEP) Report for the Pend Oreille Wetlands Wildlife Project, Technical Report 2002.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Holmes, Darren

    The Habitat Evaluation Procedure (HEP), developed in 1980 by the U.S. Fish and Wildlife Service (USFWS 1980a, USFWS 1980b), uses a habitat/species based approach to assessing project impacts, and is a convenient tool to document the predicted effects of proposed management actions. The Northwest Power Planning Council (NPPC) endorsed the use of HEP in its Columbia River Basin Fish and Wildlife Program to evaluate wildlife benefits and impacts associated with the development and operation of the federal Columbia River Basin hydroelectric system (NPPC 1994). The Albeni Falls Interagency Work Group (AFIWG) used HEP in 1987 to evaluate wildlife habitat lossesmore » attributed to the Albeni Falls hydroelectric facility (Martin et al. 1988). In 1992, the AFIWG (Idaho Department of Fish and Game; Kalispel, Coeur d'Alene, and Kootenai Tribes) began implementing activities to mitigate these losses. Implementation activities include protecting, restoring and enhancing wildlife habitat. HEPs are used extensively within the NPPC's Columbia River Basin Fish and Wildlife Program. Wildlife managers use HEP to determine habitat lost from the construction of the federal hydroelectric projects and habitat gained through NPPC mitigation program. Habitat Suitability Index (HSI) models for each of the seven target species are used to determine habitat quality and quantity losses for representative habitat cover types for this project. Target species include Bald Eagle, black-capped chickadee, Canada goose, mallard, muskrat, white-tailed deer and yellow warbler. In 2002, a HEP team determined the habitat condition of the 436-acre Pend Oreille Wetlands Wildlife Project (Figure 1). The HEP team consisted of the following members and agencies: Roy Finley, Kalispel Natural Resource Department (KNRD); Neil Lockwood, KNRD; Brian Merson, KNRD; Sonny Finley, KNRD; Darren Holmes, KNRD; Anna, Washington Dept. of Fish and Game (WDFW); and Scott, WDFW. Baseline Habitat Units (HU) will be credited to Bonneville Power Administration (BPA) for protection of habitats within the project area. The HSI models used were identical to those modified for use in 1991 (Attachment A). The objective of using HEP as an assessment tool is two-fold. First, it provides an unbiased and measured assessment of wildlife habitats within the mitigation parcel. This data is used to offset the Albeni Falls Dam HU loss ledger. That ledger accounts for the loss of wildlife habitat that resulted from the construction and inundation of Albeni Falls hydroelectric project and the extent to which those losses have been mitigated. Additionally, the baseline HEP evaluation describes existing habitat conditions on the property and will be used, along with other tools, to determine initial management, restoration, and enhancement activities. HEP analyses will be completed every five years to quantitatively evaluate the effectiveness of management strategies in improving and maintaining habitat conditions while providing additional HU crediting to BPA for enhanced habitat values.« less

  11. Oregon Department of Transportation research leader : fall 2008.

    DOT National Transportation Integrated Search

    2008-01-01

    The newsletter includes: : 1) To ensure safe travel through construction work zones, Traffic Control Plans (TCPs) are developed to communicate required traffic control measures to the construction team. The quality of the design and implementation of...

  12. Leveraging Event Reporting Through Knowledge Support: A Knowledge-Based Approach to Promoting Patient Fall Prevention.

    PubMed

    Yao, Bin; Kang, Hong; Miao, Qi; Zhou, Sicheng; Liang, Chen; Gong, Yang

    2017-01-01

    Patient falls are a common safety event type that impairs the healthcare quality. Strategies including solution tools and reporting systems for preventing patient falls have been developed and implemented in the U.S. However, the current strategies do not include timely knowledge support, which is in great need in bridging the gap between reporting and learning. In this study, we constructed a knowledge base of fall events by combining expert-reviewed fall prevention solutions and then integrating them into a reporting system. The knowledge base enables timely and tailored knowledge support and thus will serve as a prevailing fall prevention tool. This effort holds promise in making knowledge acquisition and management a routine process for enhancing the reporting and understanding of patient safety events.

  13. Surveillance of construction worker injuries through an urban emergency department.

    PubMed

    Hunting, K L; Nessel-Stephens, L; Sanford, S M; Shesser, R; Welch, L S

    1994-03-01

    To learn more about the causes of nonfatal construction worker injuries, and to identify injury cases for further work-site investigations or prevention programs, an emergency department-based surveillance program was established. Construction workers with work-related injuries or illnesses were identified by reviewing the medical records of all patients treated at the George Washington University Emergency Department between November 1, 1990 and November 31, 1992. Information regarding the worker, the injury, and the injury circumstances were abstracted from medical records. Information was obtained on 592 injured construction workers from numerous trades. Lacerations were the most commonly treated injuries among these workers, followed by strains and sprains, contusions, and eye injuries. Injuries were most commonly caused by sharp objects (n = 155, 26%), falls (n = 106, 18%), and falling objects (n = 70, 12%). Thirty-five percent of injuries were to the hands, wrists, or fingers. Among the twenty-eight injuries severe enough to require hospital admission, eighteen (64%) were caused by falls. Laborers and Hispanic workers were overrepresented among these severe cases. Emergency Department records were a useful surveillance tool for the initial identification and description of work-related injuries. Although E codes were not that useful for formulating prevention strategies, detailed review of injury circumstances from Emergency Department records was valuable and has helped to establish priorities for prevention activities.

  14. Evaluation and Response of Aged Flexible Airfield Pavements at Ambient Temperatures Using the Falling Weight Deflectometer

    DTIC Science & Technology

    1988-01-01

    named in 2 and 3 above 5. Raveling and Weathering Deterioration Asphalt hardening Time 6. Disintergration Stripping--loss of bond Chemical reactivity...two chapters. 3.2.4 Construction History The existing airfield is the product of several construction and repair projects (88). Initial construction

  15. Disabling occupational injury in the US construction industry, 1996.

    PubMed

    Courtney, Theodore K; Matz, Simon; Webster, Barbara S

    2002-12-01

    In 1996 the US construction industry comprised 5.4% of the annual US employment but accounted for 7.8% of nonfatal occupational injuries and illness and 9.7% of cases involving at least a day away from work. Information in the published literature on the disability arising from construction injuries is limited. The construction claims experience (n = 35,790) of a large workers' compensation insurer with national coverage was examined. The leading types and sources of disabling occupational morbidity in 1996 in the US construction industry were identified. Disability duration was calculated from indemnity payments data using previously published methods. The average disability duration for an injured construction worker was 46 days with a median of 0 days. The most frequently occurring conditions were low back pain (14.8%), foreign body eye injuries (8.5%), and finger lacerations (4.8%). Back pain also accounted for the greatest percentage of construction claim costs (21.3%) and disability days (25.5%). However, the conditions with the longest disability durations were sudden-onset injuries, including fractures of the ankle (median = 55 days), foot (42 days), and wrist (38 days). Same-level and elevated falls were the principal exposures for fractures of the wrist and ankle, whereas elevated falls and struck by incidents accounted for the majority of foot fractures. Manual materials handling activities were most often associated with low back pain disability. The results suggest that these most disabling injuries can be addressed by increasing primary prevention resources in slips and falls and exposures related to injuries of sudden-onset as well as in reducing manual materials handling and other exposures associated with more gradual-onset injuries.

  16. 75 FR 35090 - Maritime Advisory Committee for Occupational Safety and Health (MACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... workgroup reports: arc flash guidance; fall protection in commercial fishing; ventilation for welding and allied operations in shipyards; eye protection against radiant energy for welding in shipyards...

  17. New Vaccines Help Protect You

    MedlinePlus

    ... Navigation Bar Home Current Issue Past Issues New Vaccines Help Protect You Past Issues / Fall 2006 Table ... this page please turn Javascript on. Important new vaccines have recently been approved for use and are ...

  18. Defense Base Realignment and Closure Military Construction Budget Data for Sheppard Air Force Base, Wichita Falls, Texas

    DTIC Science & Technology

    1995-06-23

    provides the results of the audit of one project, valued at $1.8 million, for the repair of roads on Sheppard Air Force Base, Wichita Falls, Texas. The ... audit also assessed the adequacy of the management control program as it applied to the audit objectives.

  19. Construction of a groundwater-flow model for the Big Sioux Aquifer using airborne electromagnetic methods, Sioux Falls, South Dakota

    USGS Publications Warehouse

    Valder, Joshua F.; Delzer, Gregory C.; Carter, Janet M.; Smith, Bruce D.; Smith, David V.

    2016-09-28

    The city of Sioux Falls is the fastest growing community in South Dakota. In response to this continued growth and planning for future development, Sioux Falls requires a sustainable supply of municipal water. Planning and managing sustainable groundwater supplies requires a thorough understanding of local groundwater resources. The Big Sioux aquifer consists of glacial outwash sands and gravels and is hydraulically connected to the Big Sioux River, which provided about 90 percent of the city’s source-water production in 2015. Managing sustainable groundwater supplies also requires an understanding of groundwater availability. An effective mechanism to inform water management decisions is the development and utilization of a groundwater-flow model. A groundwater-flow model provides a quantitative framework for synthesizing field information and conceptualizing hydrogeologic processes. These groundwater-flow models can support decision making processes by mapping and characterizing the aquifer. Accordingly, the city of Sioux Falls partnered with the U.S. Geological Survey to construct a groundwater-flow model. Model inputs will include data from advanced geophysical techniques, specifically airborne electromagnetic methods.

  20. Falls in residential carpentry and drywall installation: findings from active injury surveillance with union carpenters.

    PubMed

    Lipscomb, Hester J; Dement, John M; Nolan, James; Patterson, Dennis; Li, Leiming; Cameron, Wilfred

    2003-08-01

    Active injury surveillance was conducted with a large, unionized workforce of residential and drywall carpenters over a 3-year period. Injured carpenters were interviewed by trained carpenter investigators and sites were visited where falls occurred. Qualitative information was collected on exposures, risk perception, training, and mentoring. Falls accounted for 20% of injuries. Same-level falls were often related to weather, carrying objects-sometimes with an obstructed view-housekeeping, terrain of the lot, and speed of work. Falls from height occurred from a variety of work surfaces and involved ladders, scaffolding, roofs, work on other unsecured surfaces, unprotected openings, speed, and weather conditions. Recognized fall protection strategies, such as guardrails, toe boards, tying off to appropriate anchors, and guarding openings, would have prevented many of these falls; these practices were not the norm on many sites.

  1. Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention.

    PubMed

    Goldberg, Elizabeth M; McCreedy, Ellen M; Gettel, Cameron J; Merchant, Roland C

    2017-12-01

    Falls are the leading cause of emergency department (ED) visits for fatal and non-fatal injuries among adults 65 years old and older. We aimed to better understand the fall history, risk for further falls, and actions taken to prevent further falls among this higher fall risk population. This cross-sectional study included older adults without cognitive impairment presenting to the Rhode Island Hospital ED from February to May 2017. Of the 76 participants, 35 self-reported no prior falls, and 41 self-reported at least one prior fall, of whom 20 fell on the day of ED presentation. Participants with vs. without self-reported prior falls were similar in age, gender, race, and substance use. Participants with prior falls scored lower on cognitive testing and had more comorbidities associated with falls. Only one quarter of those with prior falls reported making changes and few were evaluated by professionals to prevent future falls. This study highlights that older adult ED patients who sustain a fall are at higher risk for subsequent falls, and that greater fall prevention efforts are needed to protect this vulnerable group. [Full article available at http://rimed.org/rimedicaljournal-2017-12.asp].

  2. 33 CFR 150.611 - What head protection is required?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of injury from falling objects or contact with electrical conductors, personnel working or visiting such an area wear head protectors designed to protect them against such injury and complying with 29...

  3. A disposable insulated container for rearing fall webworm larvae in the laboratory

    Treesearch

    William N., Jr. Cannon

    1970-01-01

    Plastic-foam cups with plastic lids were found to be more suitable for rearing larvae of the fall webworm, Hyphantria cunea Drury, than other types of containers tested. These cups are inexpensive, lightweight, rigid, and translucent; and they protect the contents from rapid fluctuations in temperature.

  4. Fall armyworm (Lepidoptera: Noctuidae) development survivorship and damage on cotton plants expressing insecticidal plant-incorporated protectants

    USDA-ARS?s Scientific Manuscript database

    Cotton, Gossypium hirsutum (L.), plants expressing insecticidal crystal (Cry) proteins of Bacillus thuringiensis (Bt) Berliner are planted on significant acreage across the Southern region of the United States. Fall armyworm, Spodoptera frugiperda (J. E. Smith), can be a significant cotton pest in ...

  5. Results of Workshops on Privacy Protection Technologies

    NASA Astrophysics Data System (ADS)

    Landwehr, Carl

    This talk summarizes the results of a series of workshops on privacy protecting technologies convened in the fall of 2006 by the Office of the Director of National Intelligence through its Civil Liberties Protection Office and the (then) Disruptive Technology Office (now part of the Intelligence Advanced Research Projects Activity, IARPA).

  6. 40 CFR 23.11 - Holidays.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Holidays. 23.11 Section 23.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL JUDICIAL REVIEW UNDER EPA-ADMINISTERED STATUTES § 23.11 Holidays. If the date determined under §§ 23.2 to 23.10 falls on a Federal holiday, then...

  7. 47 CFR 32.2000 - Instructions for telecommunications plant accounts.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... equipment; 2122, Furniture; 2123, Office equipment; 2124, General purpose computers, costing $2,000 or less... for personal computers falling within Account 2124. Personal computers classifiable to Account 2124..., power, construction quarters, office space and equipment directly related to the construction project...

  8. 47 CFR 32.2000 - Instructions for telecommunications plant accounts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... equipment; 2122, Furniture; 2123, Office equipment; 2124, General purpose computers, costing $2,000 or less... for personal computers falling within Account 2124. Personal computers classifiable to Account 2124..., power, construction quarters, office space and equipment directly related to the construction project...

  9. 47 CFR 32.2000 - Instructions for telecommunications plant accounts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... equipment; 2122, Furniture; 2123, Office equipment; 2124, General purpose computers, costing $2,000 or less... for personal computers falling within Account 2124. Personal computers classifiable to Account 2124..., power, construction quarters, office space and equipment directly related to the construction project...

  10. 47 CFR 32.2000 - Instructions for telecommunications plant accounts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... equipment; 2122, Furniture; 2123, Office equipment; 2124, General purpose computers, costing $2,000 or less... for personal computers falling within Account 2124. Personal computers classifiable to Account 2124..., power, construction quarters, office space and equipment directly related to the construction project...

  11. HealthLines: Control Blood Pressure, Protect Your Kidneys

    MedlinePlus

    ... Home Current Issue Past Issues Health Lines Control Blood Pressure, Protect Your Kidneys Past Issues / Fall 2008 Table ... on. By Shana Potash, Staff Writer, NLM High blood pressure is a leading cause of chronic kidney disease ( ...

  12. Lidar-Based Rock-Fall Hazard Characterization of Cliffs

    USGS Publications Warehouse

    Collins, Brian D.; Greg M.Stock,

    2017-01-01

    Rock falls from cliffs and other steep slopes present numerous challenges for detailed geological characterization. In steep terrain, rock-fall source areas are both dangerous and difficult to access, severely limiting the ability to make detailed structural and volumetric measurements necessary for hazard assessment. Airborne and terrestrial lidar survey methods can provide high-resolution data needed for volumetric, structural, and deformation analyses of rock falls, potentially making these analyses straightforward and routine. However, specific methods to collect, process, and analyze lidar data of steep cliffs are needed to maximize analytical accuracy and efficiency. This paper presents observations showing how lidar data sets should be collected, filtered, registered, and georeferenced to tailor their use in rock fall characterization. Additional observations concerning surface model construction, volumetric calculations, and deformation analysis are also provided.

  13. Efficient source separation algorithms for acoustic fall detection using a microsoft kinect.

    PubMed

    Li, Yun; Ho, K C; Popescu, Mihail

    2014-03-01

    Falls have become a common health problem among older adults. In previous study, we proposed an acoustic fall detection system (acoustic FADE) that employed a microphone array and beamforming to provide automatic fall detection. However, the previous acoustic FADE had difficulties in detecting the fall signal in environments where interference comes from the fall direction, the number of interferences exceeds FADE's ability to handle or a fall is occluded. To address these issues, in this paper, we propose two blind source separation (BSS) methods for extracting the fall signal out of the interferences to improve the fall classification task. We first propose the single-channel BSS by using nonnegative matrix factorization (NMF) to automatically decompose the mixture into a linear combination of several basis components. Based on the distinct patterns of the bases of falls, we identify them efficiently and then construct the interference free fall signal. Next, we extend the single-channel BSS to the multichannel case through a joint NMF over all channels followed by a delay-and-sum beamformer for additional ambient noise reduction. In our experiments, we used the Microsoft Kinect to collect the acoustic data in real-home environments. The results show that in environments with high interference and background noise levels, the fall detection performance is significantly improved using the proposed BSS approaches.

  14. 49 CFR 214.105 - Fall protection systems standards and practices.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... (8) Connectors shall be drop forged, pressed or formed steel, or made of equivalent-strength... bridge worker shall have a minimum breaking strength of 5,000 pounds. (2) Self-retracting lifelines and... travels to 3.5 feet. (9) The personal fall arrest system shall have sufficient strength to withstand twice...

  15. 49 CFR 214.105 - Fall protection systems standards and practices.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    .... (8) Connectors shall be drop forged, pressed or formed steel, or made of equivalent-strength... bridge worker shall have a minimum breaking strength of 5,000 pounds. (2) Self-retracting lifelines and... travels to 3.5 feet. (9) The personal fall arrest system shall have sufficient strength to withstand twice...

  16. 49 CFR 214.105 - Fall protection systems standards and practices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (8) Connectors shall be drop forged, pressed or formed steel, or made of equivalent-strength... bridge worker shall have a minimum breaking strength of 5,000 pounds. (2) Self-retracting lifelines and... travels to 3.5 feet. (9) The personal fall arrest system shall have sufficient strength to withstand twice...

  17. 49 CFR 214.105 - Fall protection systems standards and practices.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    .... (8) Connectors shall be drop forged, pressed or formed steel, or made of equivalent-strength... bridge worker shall have a minimum breaking strength of 5,000 pounds. (2) Self-retracting lifelines and... travels to 3.5 feet. (9) The personal fall arrest system shall have sufficient strength to withstand twice...

  18. 49 CFR 214.105 - Fall protection systems standards and practices.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... (8) Connectors shall be drop forged, pressed or formed steel, or made of equivalent-strength... bridge worker shall have a minimum breaking strength of 5,000 pounds. (2) Self-retracting lifelines and... travels to 3.5 feet. (9) The personal fall arrest system shall have sufficient strength to withstand twice...

  19. A Comparison of Decision-Making Methods for Criterion-Referenced Tests.

    ERIC Educational Resources Information Center

    Haladyna, Tom; Roid, Gale

    The problems associated with misclassifying students when pass-fail decisions are based on test scores are discussed. One protection against misclassification is to set a confidence interval around the cutting score. Those whose scores fall above the interval are passed; those whose scores fall below the interval are failed; and those whose scores…

  20. ANAEROBIC COMPOST CONSTRUCTED WETLANDS SYSTEM TECHNOLOGY - SITE ITER

    EPA Science Inventory

    In Fall 1994, anaerobic compost wetlands in both upflow and downflow configurations were constructed adjacent to and received drainage from the Burleigh Tunnel, which forms part of the Clear Creek/Central City Superfund site. The systems were operated over a 3 year period. The e...

  1. Small Sized Drone Fall Recover Mechanism Design

    NASA Astrophysics Data System (ADS)

    LIU, Tzu-Heng; CHAO, Fang-Lin; LIOU, Jhen-Yuan

    2017-12-01

    Drones uses four motors to rotate clockwise, counter-clockwise, or change in rotational speed to change its status of motion. The problem of Unmanned Aerial Vehicle turnover causes personal loses and harm local environment. Designs of devices that can let falling drones recover are discussed. The models attempt to change the orientation, so that the drone may be able to improve to the point where it can take off again. The design flow included looking for functional elements, using simplify model to estimate primary functional characteristics, and find the appropriate design parameters. For reducing the complexity, we adopted the simple rotate mechanism with rotating arms to change the fuselage angle and reduce the dependence on the extra-components. A rough model was built to verify structure, and then the concept drawing and prototype were constructed. We made the prototype through the integration of mechanical part and the electronic control circuit. The electronic control module that selected is Arduino-mini pro. Through the Bluetooth modules, user can start the rebound mechanism by the motor control signal. Protections frames are added around each propeller to improve the body rotate problem. Limited by current size of Arduino module, motor and rebound mechanism make the main chassis more massive than the commercial product. However, built-in sensor and circuit miniaturization will improve it in future.

  2. Comparison of real-life accidental falls in older people with experimental falls in middle-aged test subjects.

    PubMed

    Kangas, M; Vikman, I; Nyberg, L; Korpelainen, R; Lindblom, J; Jämsä, T

    2012-03-01

    Falling is a common accident among older people. Automatic fall detectors are one method of improving security. However, in most cases, fall detectors are designed and tested with data from experimental falls in younger people. This study is one of the first to provide fall-related acceleration data obtained from real-life falls. Wireless sensors were used to collect acceleration data during a six-month test period in older people. Data from five events representing forward falls, a sideways fall, a backwards fall, and a fall out of bed were collected and compared with experimental falls performed by middle-aged test subjects. The signals from real-life falls had similar features to those from intentional falls. Real-life forward, sideways and backward falls all showed a pre impact phase and an impact phase that were in keeping with the model that was based on experimental falls. In addition, the fall out of bed had a similar acceleration profile as the experimental falls of the same type. However, there were differences in the parameters that were used for the detection of the fall phases. The beginning of the fall was detected in all of the real-life falls starting from a standing posture, whereas the high pre impact velocity was not. In some real-life falls, multiple impacts suggested protective actions. In conclusion, this study demonstrated similarities between real-life falls of older people and experimental falls of middle-aged subjects. However, some fall characteristics detected from experimental falls were not detectable in acceleration signals from corresponding heterogeneous real-life falls. Copyright © 2011 Elsevier B.V. All rights reserved.

  3. US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: A qualitative study.

    PubMed

    Vandenberg, Ann E; van Beijnum, Bert-Jan; Overdevest, Vera G P; Capezuti, Elizabeth; Johnson, Theodore M

    Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses' environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members' mobile devices in patient-centered care culture. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Neuromuscular training in construction workers: a longitudinal controlled pilot study.

    PubMed

    Faude, Oliver; Donath, Lars; Bopp, Micha; Hofmann, Sara; Erlacher, Daniel; Zahner, Lukas

    2015-08-01

    Many accidents at construction sites are due to falls. An exercise-based workplace intervention may improve intrinsic fall risk factors. In this pilot study, we aimed at evaluating the effects of neuromuscular exercise on static and functional balance performance as well as on lower limb explosive power in construction workers. Healthy middle-aged construction workers were non-randomly assigned to an intervention [N = 20, age = 40.3 (SD 8.3) years] or a control group [N = 20, age = 41.8 (9.9) years]. The intervention group performed static and dynamic balance and strength exercises (13 weeks, 15 min each day). Before and after the intervention and after an 8-week follow-up, unilateral postural sway, backward balancing (on 3- and 4.5-cm-wide beams) as well as vertical jump height were assessed. We observed a group × time interaction for postural sway (p = 0.002) with a reduction in the intervention group and no relevant change in the control group. Similarly, the number of successful steps while walking backwards on the 3-cm beam increased only in the intervention group (p = 0.047). These effects were likely to most likely practically beneficial from pretest to posttest and to follow-up test for postural sway (+12%, standardized mean difference (SMD) = 0.65 and 17%, SMD = 0.92) and backward balancing on the 3-cm beam (+58%, SMD = 0.59 and 37%, SMD = 0.40). Fifteen minutes of neuromuscular training each day can improve balance performance in construction workers and, thus, may contribute to a decreased fall risk.

  5. Measurement of the effect of playground surface materials on hand impact forces during upper limb fall arrests.

    PubMed

    Choi, Woochol J; Kaur, Harjinder; Robinovitch, Stephen N

    2014-04-01

    Distal radius fractures are common on playgrounds. Yet current guidelines for the selection of playground surface materials are based only on protection against fall-related head injuries. We conducted "torso release" experiments to determine how common playground surface materials affect impact force applied to the hand during upper limb fall arrests. Trials were acquired for falls onto a rigid surface, and onto five common playground surface materials: engineered wood fiber, gravel, mulch, rubber tile, and sand. Measures were acquired for arm angles of 20 and 40 degrees from the vertical. Playground surface materials influenced the peak resultant and vertical force (P<.001), but not the peak horizontal force (P=.159). When compared with the rigid condition, peak resultant force was reduced 17% by sand (from 1039 to 864 N), 16% by gravel, 7% by mulch, 5% by engineered wood fiber, and 2% by rubber tile. The best performing surface provided only a 17% reduction in peak resultant force. These results help to explain the lack of convincing evidence from clinical studies on the effectiveness of playground surface materials in preventing distal radius fractures during playground falls, and highlight the need to develop playground surface materials that provide improved protection against these injuries.

  6. STEADI: CDC's approach to make older adult fall prevention part of every primary care practice.

    PubMed

    Sarmiento, Kelly; Lee, Robin

    2017-12-01

    Primary care providers play a critical role in protecting older adult patients from one of the biggest threats to their health and independence-falls. A fall among an older adult patient cannot only be fatal or cause a devastating injury, but can also lead to problems that can effect a patient's overall quality of life. In response, the Centers for Disease Control and Prevention (CDC) developed the STEADI initiative to give health care providers the tools they need to help reduce their older adult patient's risk of a fall. CDC's STEADI resources have been distributed widely and include practical materials and tools for health care providers and their patients that are designed to be integrated into every primary care practice. As the population ages, the need for fall prevention efforts, such as CDC's STEADI, will become increasingly critical to safeguard the health of Americans. STEADI's electronic health records (EHRs), online trainings, assessment tools, and patient education materials are available at no-cost and can be downloaded online at www.cdc.gov/STEADI. Health care providers should look for opportunities to integrate STEADI materials into their practice, using a team-based approach, to help protect their older patients. Published by Elsevier Ltd.

  7. Impacts of the 2011 Tohoku-oki tsunami along the Sendai coast protected by hard and soft seawalls; interpretations of satellite images, helicopter-borne video footage and field studies

    NASA Astrophysics Data System (ADS)

    Tappin, D. R.; Jordan, H. M.; Jordan, C. J.; Richmond, B. M.; Sugawara, D.; Goto, K.

    2012-12-01

    A combination of time-series satellite imagery, helicopter-borne video footage and field observation is used to identify the impact of a major tsunami on a low-lying coastal zone located in eastern Japan. A comparison is made between the coast protected by hard sea walls and the coast without. Changes to the coast are mapped from before and after imagery, and sedimentary processes identified from the video footage. The results are validated by field observations. The impact along a 'natural' coast, with minimal defences, is erosion focussed on the back beach. There is little erosion (or sedimentation) of the whole beach, and where active, erosion mainly forms V-shaped channels that are initiated during the tsunami flood and then further developed during backwash. Enigmatic, short lived, 'strand lines' are attributed to the slow fall of sea level after such a major tsunami. Backwash on such a low lying area takes place as sheet flood immediately after tsunami flooding has ceased, and then subsequently, when the water level landward of coastal ridges falls below their elevation, becomes confined to channels formed on the coastal margin by the initial tsunami impact. Immediately after the tsunami coastal reconstruction begins, sourced from the sediment recently flushed into the sea by tsunami backwash. Hard engineering structures are found to be small defence against highly energetic tsunami waves that overtop them. The main cause of damage is scouring at the landward base of concrete-faced embankments constructed to defend the coast from erosion, that results in foundation-weakening and collapse.

  8. [Protection against laryngotracheobronchial obstruction and anaphylaxis with ketotifen and DSCG (disodium chromoglycate) in patients with food allergy].

    PubMed

    De Luca, L

    1988-01-01

    The authors studied in 30 allergic children to foods the protection of fall of spirometric flow (FEV1) after food challenge, caused by ketotifen and DSCG. The first showed a greater number of total protection = 60% in comparison with DSCG = 53.3%. The supply of both drugs at the same time showed a great amplification of protective action: total protection 73.3%, partial 20%; amount of two protections = 93.3%.

  9. Multilevel Analysis Exploring the Links between Stress, Depression, and Sleep Problems among Two-Year College Students

    ERIC Educational Resources Information Center

    Wallace, Deshira D.; Boynton, Marcella H.; Lytle, Leslie A.

    2017-01-01

    Objective: This study explored the association of stress and depression with a multidimensional sleep problems construct in a sample of 2-year college students. Participants: The sample consisted of 440 students enrolled in 2-year study from Fall 2011 to Fall 2013. Methods: Participants in an obesity prevention study completed surveys assessing…

  10. Lower Snake River, Fish and Wildlife Compensation. Status of the Warmwater Fishery and the Potential of Improving Warmwater Fish Habitat in the Lower Snake Reservoirs.

    DTIC Science & Technology

    1983-01-01

    fisheries for salaonids such as kokanee ( Oncorhynchus nerka ) and catchable rainbow trout. Goodnight (1972) report- ed catch rates of 1.42 fish/angler... Oncorhynchus tshawytscha) and steelhead trout (Salmo gairdneri) migrated to Shoshone Falls on the Snake River (PNRBC 1971). Construction of Swan Falls

  11. Dangers of dermatologic surgery: protect your feet.

    PubMed

    Barr, Jerome; Siegel, Daniel

    2004-12-01

    Dermatologists frequently utilize scalpels, which are reported to be to culprit in around seven percent of the 385,000 sharps-related injuries sustained by healthcare personnel a year. Injuries from sharp devices are associated with the occupational transmission of more than 20 pathogens. Dropped scalpels may penetrate unprotected lower extremity skin, and there is no published data regarding what a shoe's actual degree of protection is against the danger of falling sharps. The purpose of this study was to evaluate and determine which types of shoes will protect their wearers. Although every shoe decreased falling sharp's degree of penetration into the feet, shoes cannot be relied on to prevent injury. More than half of the shoes allowed the scalpel blade to pass through the shoes and penetrate into the meat.

  12. ANAEROBIC COMPOST CONSTRUCTED WETLANDS SYSTEM TECHNOLOGY - SITE TECHNOLOGY CAPSULE

    EPA Science Inventory

    In fall 1994, anaerobic compost wetlands in both upflow and down flow configurations were constructed adjacent to and received drainage from the Burleigh tunnel, which forms part of the Clear Creek/Central City Superfund site. The systems were operated over a 3 year period. The ...

  13. Visual Literacy. . .An Overview of Theory and Practice.

    ERIC Educational Resources Information Center

    DeSantis, Lucille Burbank; Pett, Dennis W.

    Visual Literacy is a field that encompasses a variety of theoretical constructs and practical considerations relating to communicating with visual signs. The theoretical constructs that influence visual communication primarily fall into two closely interrelated categories: those that relate to the individuals involved in the communication process,…

  14. 48 CFR 2124.102-70 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... GROUP LIFE INSURANCE FEDERAL ACQUISITION REGULATION SOCIOECONOMIC PROGRAMS PROTECTION OF PRIVACY AND FREEDOM OF INFORMATION Protection of Individual Privacy 2124.102-70 Policy. Records retained by FEGLI... OPM. Consequently, the records do not fall within the provisions of the Privacy Act. Nevertheless, OPM...

  15. Reliability and validity of selected measures associated with increased fall risk in females over the age of 45 years with distal radius fracture - A pilot study.

    PubMed

    Mehta, Saurabh P; MacDermid, Joy C; Richardson, Julie; MacIntyre, Norma J; Grewal, Ruby

    2015-01-01

    Clinical measurement. This study examined test-retest reliability and convergent/divergent construct validity of selected tests and measures that assess balance impairment, fear of falling (FOF), impaired physical activity (PA), and lower extremity muscle strength (LEMS) in females >45 years of age after the distal radius fracture (DRF) population. Twenty one female participants with DRF were assessed on two occasions. Timed Up and Go, Functional Reach, and One Leg Standing tests assessed balance impairment. Shortened Falls Efficacy Scale, Activity-specific Balance Confidence scale, and Fall Risk Perception Questionnaire assessed FOF. International Physical Activity Questionnaire and Rapid Assessment of Physical Activity were administered to assess PA level. Chair stand test and isometric muscle strength testing for hip and knee assessed LEMS. Intraclass correlation coefficients (ICC) examined the test-retest reliability of the measures. Pearson correlation coefficients (r) examined concurrent relationships between the measures. The results demonstrated fair to excellent test-retest reliability (ICC between 0.50 and 0.96) and low to moderate concordance between the measures (low if r ≤ 0.4; moderate if r = 0.4-0.7). The results provide preliminary estimates of test-retest reliability and convergent/divergent construct validity of selected measures associated with increased risk for falling in the females >45 years of age after DRF. Further research directions to advance knowledge regarding fall risk assessment in DRF population have been identified. Copyright © 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

  16. 11. VIEW SHOWING THE SUPERSTRUCTURE OF THE SHED ROOF (REMOVED ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    11. VIEW SHOWING THE SUPERSTRUCTURE OF THE SHED ROOF (REMOVED AUTUMN OF 1996) PROTECTING THE PRESENT INTAKE GATES- AND RAKE-LIFTING MECHANISMS AND THE TRASH RACKS (LOWER FOREGROUND), LOOKING NORTH. - Washington Water Power Company Post Falls Power Plant, Middle Channel Powerhouse & Dam, West of intersection of Spokane & Fourth Streets, Post Falls, Kootenai County, ID

  17. Falls from Height in the Construction Industry: A Critical Review of the Scientific Literature

    PubMed Central

    Nadhim, Evan A.; Hon, Carol; Xia, Bo; Stewart, Ian; Fang, Dongping

    2016-01-01

    Globally, falls from height (FFH) are a substantial public health jeopardy and are among the important leading causes of serious and fatal injuries for construction workers. A comprehensive understanding of the causal factors in FFH incidents is urgently required; however, the literature appears to lack a scientific review of FFH. In this study, 297 articles that contribute to the topic of fall incidents were reviewed. Seventy-five (75) articles met the criteria for relevance and were aggregated in a database to support a critical review. A synthesis of macro-variables approach was adopted rather than a structured meta-analysis. Such a method of analysis provides the flexibility to combine previous studies' findings. The most common factors associated with FFH are risky activities, individual characteristics, site conditions, organizational characteristics, agents (scaffolds/ladders) and weather conditions. The outcomes contributed to identifying the most significant research area for safety enhancement by improving engineering facilities, behaviour investigations and FFH prevention methods. PMID:27367706

  18. Study on Walking Training System using High-Performance Shoes constructed with Rubber Elements

    NASA Astrophysics Data System (ADS)

    Hayakawa, Y.; Kawanaka, S.; Kanezaki, K.; Doi, S.

    2016-09-01

    The number of accidental falls has been increasing among the elderly as society has aged. The main factor is a deteriorating center of balance due to declining physical performance. Another major factor is that the elderly tend to have bowlegged walking and their center of gravity position of the body tend to swing from side to side during walking. To find ways to counteract falls among the elderly, we developed walking training system to treat the gap in the center of balance. We also designed High-Performance Shoes that showed the status of a person's balance while walking. We also produced walk assistance from the insole in which insole stiffness corresponded to human sole distribution could be changed to correct the person's walking status. We constructed our High- Performances Shoes to detect pressure distribution during walking. Comparing normal sole distribution patterns and corrected ones, we confirmed that our assistance system helped change the user's posture, thereby reducing falls among the elderly.

  19. Assessing the stability of human locomotion: a review of current measures

    PubMed Central

    Bruijn, S. M.; Meijer, O. G.; Beek, P. J.; van Dieën, J. H.

    2013-01-01

    Falling poses a major threat to the steadily growing population of the elderly in modern-day society. A major challenge in the prevention of falls is the identification of individuals who are at risk of falling owing to an unstable gait. At present, several methods are available for estimating gait stability, each with its own advantages and disadvantages. In this paper, we review the currently available measures: the maximum Lyapunov exponent (λS and λL), the maximum Floquet multiplier, variability measures, long-range correlations, extrapolated centre of mass, stabilizing and destabilizing forces, foot placement estimator, gait sensitivity norm and maximum allowable perturbation. We explain what these measures represent and how they are calculated, and we assess their validity, divided up into construct validity, predictive validity in simple models, convergent validity in experimental studies, and predictive validity in observational studies. We conclude that (i) the validity of variability measures and λS is best supported across all levels, (ii) the maximum Floquet multiplier and λL have good construct validity, but negative predictive validity in models, negative convergent validity and (for λL) negative predictive validity in observational studies, (iii) long-range correlations lack construct validity and predictive validity in models and have negative convergent validity, and (iv) measures derived from perturbation experiments have good construct validity, but data are lacking on convergent validity in experimental studies and predictive validity in observational studies. In closing, directions for future research on dynamic gait stability are discussed. PMID:23516062

  20. Technology Transfer Opportunities for the Construction Engineering Community: Materials and Diagnostics.

    DTIC Science & Technology

    1986-02-27

    pavement testing include the use of the falling weight deflectometer and layered -elastic analysis. The falling weight deflectometer has the advantages of...being more transportable, lighter weight, and requires fewer operational personnel. The layer -elastic analysis provides for calculation of the elastic...moduli for pavement layers and sub- grade based on deflection measurements at the pavement surface. This analysis is device independent and will

  1. Managing uncertainty in flood protection planning with climate projections

    NASA Astrophysics Data System (ADS)

    Dittes, Beatrice; Špačková, Olga; Schoppa, Lukas; Straub, Daniel

    2018-04-01

    Technical flood protection is a necessary part of integrated strategies to protect riverine settlements from extreme floods. Many technical flood protection measures, such as dikes and protection walls, are costly to adapt after their initial construction. This poses a challenge to decision makers as there is large uncertainty in how the required protection level will change during the measure lifetime, which is typically many decades long. Flood protection requirements should account for multiple future uncertain factors: socioeconomic, e.g., whether the population and with it the damage potential grows or falls; technological, e.g., possible advancements in flood protection; and climatic, e.g., whether extreme discharge will become more frequent or not. This paper focuses on climatic uncertainty. Specifically, we devise methodology to account for uncertainty associated with the use of discharge projections, ultimately leading to planning implications. For planning purposes, we categorize uncertainties as either visible, if they can be quantified from available catchment data, or hidden, if they cannot be quantified from catchment data and must be estimated, e.g., from the literature. It is vital to consider the hidden uncertainty, since in practical applications only a limited amount of information (e.g., a finite projection ensemble) is available. We use a Bayesian approach to quantify the visible uncertainties and combine them with an estimate of the hidden uncertainties to learn a joint probability distribution of the parameters of extreme discharge. The methodology is integrated into an optimization framework and applied to a pre-alpine case study to give a quantitative, cost-optimal recommendation on the required amount of flood protection. The results show that hidden uncertainty ought to be considered in planning, but the larger the uncertainty already present, the smaller the impact of adding more. The recommended planning is robust to moderate changes in uncertainty as well as in trend. In contrast, planning without consideration of bias and dependencies in and between uncertainty components leads to strongly suboptimal planning recommendations.

  2. Temporal variation in community composition, pigmentation, and Fv/Fm of desert cyanobacterial soil crusts

    USGS Publications Warehouse

    Bowker, M.A.; Reed, S.C.; Belnap, J.; Phillips, S.L.

    2002-01-01

    Summers on the Colorado Plateau (USA) are typified by harsh conditions such as high temperatures, brief soil hydration periods, and high UV and visible radiation. We investigated whether community composition, physiological status, and pigmentation might vary in biological soil crusts as a result of such conditions. Representative surface cores were sampled at the ENE, WSW, and top microaspects of 20 individual soil crust pedicels at a single site in Canyonlands National Park, Utah, in spring and fall of 1999. Frequency of cyanobacterial taxa, pigment concentrations, and dark adapted quantum yield (Fv/Fm) were measured for each core. The frequency of major cyanobacterial taxa was lower in the fall compared to spring. The less-pigmented cyanobacterium Microcoleus vaginatus showed significant mortality when not in the presence of Nostoc spp. and Scytonema myochrous (Dillw.) Agardh. (both synthesizers of UV radiation-linked pigments) but had little or no mortality when these species were abundant. We hypothesize that the sunscreen pigments produced by Nostoc and Scytonema in the surface of crusts protect other, less-pigmented taxa. When fall and spring samples were compared, overall cyanobacterial frequency was lower in fall, while sunscreen pigment concentrations, chlorophyll a concentration, and Fv/Fm were higher in fall. The ratio of cyanobacterial frequency/chlorophyll a concentrations was 2-3 times lower in fall than spring. Because chlorophyll a is commonly used as a surrogate measure of soil cyanobacterial biomass, these results indicate that seasonality needs to be taken into consideration. In the fall sample, most pigments associated with UV radiation protection or repair were at their highest concentrations on pedicel tops and WSW microaspects, and at their lowest concentrations on ENE microaspects. We suggest that differential pigment concentrations between microaspects are induced by varying UV radiation dosage at the soil surface on these different microaspects.

  3. Environment-friendly drilling operation technology

    NASA Astrophysics Data System (ADS)

    Luo, Huaidong; Jing, Ning; Zhang, Yanna; Huang, Hongjun; Wei, Jun

    2017-01-01

    Under the circumstance that international safety and environmental standards being more and more stringent, drilling engineering is facing unprecedented challenges, the extensive traditional process flow is no longer accepted, the new safe and environment-friendly process is more suitable to the healthy development of the industry. In 2015, CNPCIC adopted environment-friendly drilling technology for the first time in the Chad region, ensured the safety of well control, at the same time increased the environmental protection measure, reduced the risk of environmental pollution what obtain the ratification from local government. This technology carries out recovery and disposal of crude oil, cuttings and mud without falling on the ground. The final products are used in road and well site construction, which realizes the reutilization of drilling waste, reduces the operating cost, and provides a strong technical support for cost-cutting and performance-increase of drilling engineering under low oil price.

  4. Kinematic and behavioral analyses of protective stepping strategies and risk for falls among community living older adults.

    PubMed

    Bair, Woei-Nan; Prettyman, Michelle G; Beamer, Brock A; Rogers, Mark W

    2016-07-01

    Protective stepping evoked by externally applied lateral perturbations reveals balance deficits underlying falls. However, a lack of comprehensive information about the control of different stepping strategies in relation to the magnitude of perturbation limits understanding of balance control in relation to age and fall status. The aim of this study was to investigate different protective stepping strategies and their kinematic and behavioral control characteristics in response to different magnitudes of lateral waist-pulls between older fallers and non-fallers. Fifty-two community-dwelling older adults (16 fallers) reacted naturally to maintain balance in response to five magnitudes of lateral waist-pulls. The balance tolerance limit (BTL, waist-pull magnitude where protective steps transitioned from single to multiple steps), first step control characteristics (stepping frequency and counts, spatial-temporal kinematic, and trunk position at landing) of four naturally selected protective step types were compared between fallers and non-fallers at- and above-BTL. Fallers took medial-steps most frequently while non-fallers most often took crossover-back-steps. Only non-fallers varied their step count and first step control parameters by step type at the instants of step initiation (onset time) and termination (trunk position), while both groups modulated step execution parameters (single stance duration and step length) by step type. Group differences were generally better demonstrated above-BTL. Fallers primarily used a biomechanically less effective medial-stepping strategy that may be partially explained by reduced somato-sensation. Fallers did not modulate their step parameters by step type at first step initiation and termination, instances particularly vulnerable to instability, reflecting their limitations in balance control during protective stepping. Copyright © 2016. Published by Elsevier Ltd.

  5. Falls and fear of falling in vertigo and balance disorders: A controlled cross-sectional study.

    PubMed

    Schlick, Cornelia; Schniepp, Roman; Loidl, Verena; Wuehr, Max; Hesselbarth, Kristin; Jahn, Klaus

    2016-01-01

    Vertigo and dizziness are among the most prevalent symptoms in neurologic disorders. Although many of these patients suffer from postural instability and gait disturbances, there is only limited data on their risk of falling. We conducted a controlled cross-sectional study at the tertiary care outpatient clinic of the German Center for Vertigo and Balance Disorders using a self-administered questionnaire to assess falls, fall-related injuries, and fear of falling. The recruitment period was 6 months. A total of 569 patients (mean age 59.6 ± 17.1 years, 55% females) and 100 healthy participants were included (response rate > 90%). Dizzy patients with central balance disorders (Parkinsonian, cerebellar, and brainstem oculomotor syndromes) had the highest fall rates (> 50% recurrent fallers, odds ratio > 10). The rate of recurrent fallers was 30% in bilateral vestibular failure and peripheral neuropathy (odds ratio > 5). Patients with functional dizziness (somatoform or phobic vertigo) were concerned about falling but did not fall more often than healthy controls (odds ratio 0.87). Falls are common in patients presenting to a dizziness unit. Those with central syndromes are at risk of recurrent and injurious falling. Fall rates and fear of falling should be assessed in balance disorders and used to guide the regimen of rehabilitation therapy. The identification of risk factors would help provide protective measures to these groups of patients.

  6. Fear of Falling Is Associated with Recurrent Falls in People with Multiple Sclerosis

    PubMed Central

    Lambert, William E.; Nguyen, Thuan; Bourdette, Dennis N.; Cameron, Michelle H.

    2015-01-01

    Background: People with multiple sclerosis (MS) fall frequently, and there are few clinically valid tools to measure the risk factors for falls. We assessed the unidimensionality of the 7-item Falls Efficacy Scale–International (FES-I), a measure of fear of falling, and determined whether the 7-item FES-I is associated with recurrent falls in people with MS. Methods: Falls were counted prospectively for 6 months using fall calendars in 58 people with MS (age, 18–50 years; Expanded Disability Status Scale score, 0–6). The FES-I was administered at baseline, and its unidimensionality was assessed by confirmatory factor analysis. The relationship between FES-I score and future falls, after adjusting for recurrent falls in the past year, was assessed by logistic regression. Results: Fifty-four participants who completed all assessments were included in the analysis. Goodness-of-fit indices confirmed a single-factor solution for the 7-item FES-I (discrepancy χ2, P = .101; Tucker-Lewis index, 0.953; comparative fit index, 0.969; root mean square error of approximation, 0.098). There was a significant association between fear of falling and falls in the following 3 months, independent of recurrent falls in the past year (odds ratio = 1.22, 95% confidence interval, 1.04–1.43, P = .016). Conclusions: The 7-item FES-I demonstrates good construct validity, allowing the total score to be used as a measure of fear of falling in people with MS. Fear of falling, as measured by the 7-item FES-I, is associated with future recurrent falls independent of past recurrent falls in people with MS. PMID:26300702

  7. Physical and vegetative characteristics of a relocated stream reach, constructed wetland, and riparian buffer, Upper Saucon Township, Lehigh County, Pennsylvania, 2000-04

    USGS Publications Warehouse

    Chaplin, Jeffrey J.; White, Kirk E.; Loper, Connie A.

    2006-01-01

    The U.S. Geological Survey, in cooperation with the Pennsylvania Department of Transportation, Engineering District 5-0, investigated physical and vegetative changes within a relocated stream reach, constructed wetland, and riparian buffer from September 2000 to October 2004. This report presents an evaluation of data collected using methods from multiple sources that have been adapted into a consistent approach. This approach is intended to satisfy a need for consistent collection of different types of data with the goal of transferring technology and findings to similar projects. Survey data indicate that adjustment of the upstream part of the relocated stream reach slowed over the monitoring period, but the downstream channel remains unstable as evidenced by excessive deposition. Upstream migration of a nick point has slowed or stopped altogether as of the 2003 assessment when this feature came in contact with the upstream-most part of the channel that is lined with riprap. Documented streambed erosion in the upstream cross sections, along with deposition downstream, has resulted in an overall decrease in slope of the stream channel over the monitoring period. Most streambed erosion took place prior to the 2002 assessment when annual mean streamflows were less than those in the final 2 years of monitoring. An abundance of fine sediment dominates the substrate of the relocated channel. Annual fluctuations of large particles within each cross section demonstrates the capacity of the relocated channel to transport the entire range of sediment. The substrate within the 0.28-acre constructed wetland (a mixture of soil from an off-site naturally occurring wetland and woodchips) supported a hydrophytic-vegetation community throughout the investigation. Eleocharis obtusa (spike rush), an obligate-wetland herb, was the most prevalent species, having a maximum areal cover of 90 percent in fall 2001 and a minimum of 23 percent in fall 2004. Drought-like conditions in water year 2002 (cumulative precipitation was 28.11 inches) allowed species like Panicum dichotomiflorum (witch grass), Salix sp. (willow), Leersia oryzoides (rice cutgrass), and Echinocloa crusgalli (barnyard grass) to become established by fall 2002. Above-average precipitation in water years 2003 and 2004 (58.55 and 53.17 inches, respectively) coincided with increased areal cover by E. obtusa in fall 2003 (56 percent) and decreased areal cover in fall 2004 (23 percent). Pond-like conditions that probably persisted throughout the 2004 growing season favored aquatic species like Alisma subcordatum (water plantain) to the detriment of many emergent species, including E. obtusa. Despite the pond-like conditions, L. oryzoides, an obligate-wetland grass, increased in areal cover (from 12 to 34 percent) between the 2003 and 2004 growing seasons because it was established in the higher elevations and the peripheral areas of the constructed wetland that were less prone to persistent inundation. Canopy development by trees and shrubs in the riparian buffer was initially (fall 2000) poor (39.7 percent), resulting in more available sunlight for the herbaceous understory than in any other growing season. As a result, areal cover of herbaceous species and trees and shrubs less than 1-meter tall was 108 percent in fall 2000 with Lolium perenne (perennial rye), Polygonum persicaria (lady's thumb), and Setaria faberi (foxtail) collectively contributing nearly half the cover (59.2 percent). Because of increases in canopy cover by trees and shrubs (39.7 percent in fall 2000 to 127 percent in fall 2004), herbaceous cover decreased to 76 percent by the fall of 2001 and varied between 72 and 77 percent for the rest of the study period. Tree density in the riparian buffer ranged from 3,078 and 4,130 plants per acre (fall 2000 and 2003, respectively) over the study period but essentially remained constant after fall 2001; computations reported each fall between fall 2001 and fall 2004 are within 10 percent of one another. When the study ended in fall 2004, Acer negundo (box elder) and Fraxinus pennsylvanica (green ash) were the most populous tree species (1,526 and 1,084 plants per acre, respectively) followed by Quercus bicolor (swamp white oak; 720 plants per acre). A. negundo, F. pennsylvanica, and Q. bicolor also contributed the greatest areal cover in fall 2004 (31.2, 24.0, and 18.5 percent,respectively). 

  8. Impact of Fall Prevention on Nurses and Care of Fall Risk Patients.

    PubMed

    King, Barbara; Pecanac, Kristen; Krupp, Anna; Liebzeit, Daniel; Mahoney, Jane

    2018-03-19

    Falls are common events for hospitalized older adults, resulting in negative outcomes both for patients and hospitals. The Center for Medicare and Medicaid (CMS) has placed pressure on hospital administrators by identifying falls as a "never event", resulting in a zero falls goal for many hospitals. Staff nurses are responsible for providing direct care to patients and for meeting the hospital no falls goal. Little is known about the impact of "zero falls" on nurses, patients and the organization. A qualitative study, using Grounded Dimensional Analysis (GDA) was conducted to explore nurses' experiences with fall prevention in hospital settings and the impact of those experiences on how nurses provide care to fall risk patients. Twenty-seven registered nurses and certified nursing assistants participated in in-depth interviews. Open, axial and selective coding was used to analyze data. A conceptual model which illustrates the impact of intense messaging from nursing administration to prevent patient falls on nurses, actions nurses take to address the message and the consequences to nurses, older adult patients and to the organization was developed. Intense messaging from hospital administration to achieve zero falls resulted in nurses developing a fear of falls, protecting self and unit, and restricting fall risk patients as a way to stop messages and meet the hospital goal. Results of this study identify unintended consequences of fall prevention message on nurses and older adult patients. Further research is needed understand how nurse care for fall risk patients.

  9. Lightning and Gunpowder in the 18th Century

    NASA Astrophysics Data System (ADS)

    Krider, E. P.

    2006-12-01

    On or before June, 1751, Benjamin Franklin and co-workers showed that gunpowder could be ignited by a small electric spark, and subsequently people used gunpowder to enhance the explosions of "thunder houses" to demonstrate that grounded metallic rods would protect model structures against lightning damage. Even before the sentry box and kite experiments proved that thunderclouds are electrified and that lightning is an electrical discharge in 1752, Franklin had hypothesized that a tall, well-grounded conductor might reduce or prevent lightning damage by silently discharging the cloud, and if a discharge did occur, then the tall rod would offer a preferred place for the lightning to strike, and the grounding conductors would guide the current into the ground in a harmless fashion. Over the next 10 years, experience gained through practice showed that grounded rods did indeed protect ordinary structures from lightning damage, but a question remained about the best way to protect gunpowder magazines. In 1762, Franklin recommended a tall "mast not far from it, which may reach 15 or 20 feet above the top of it, with a thick iron rod in one piece fastened to it, pointed at the highest end, and reaching down through the earth till it comes to water," and in 1772 he made a similar recommendation for protecting the British powder magazine at Purfleet. In 1780, Jan Ingenhousz asked Franklin to "communicate to me some short hints, which may occur to you about the most convenient manner of constructing gun powder magazines, the manner of preserving the powder from moisture and securing the building in the best manner from the effects of lightning." In his reply, Franklin detailed a method of protection that is almost perfect, "they should be constructed in the Ground; that the Walls should be lin'd with Lead, the Floor Lead, all 1/4 Inch thick & the Joints well solder'd; the Cover Copper; with a little Scuttle to enter, the whole in the Form of a Canister for Tea. If the Edges of the Cover scuttle fall into a Copper Channel containing Mercury, not the smallest Particle of Air or Moisture can enter to the Powder, even tho' the Walls stood in Water, or the whole was under Water." In 1876, the Scottish physicist, James Clerk Maxwell, made almost exactly the same recommendation for protecting against lightning, a method known today as a "Faraday cage."

  10. 29 CFR Appendix E to Subpart M of... - Sample Fall Protection Plan

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... system shall not be used when the wind is strong enough to cause loads with large surface areas to swing out of radius, or result in loss of control of the load, or when weather conditions cause the walking... column is through the slab opening, there will no longer exist a fall hazard at this location. III...

  11. 29 CFR Appendix E to Subpart M of... - Sample Fall Protection Plan

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... system shall not be used when the wind is strong enough to cause loads with large surface areas to swing out of radius, or result in loss of control of the load, or when weather conditions cause the walking... column is through the slab opening, there will no longer exist a fall hazard at this location. III...

  12. 29 CFR Appendix E to Subpart M of... - Sample Fall Protection Plan

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... system shall not be used when the wind is strong enough to cause loads with large surface areas to swing out of radius, or result in loss of control of the load, or when weather conditions cause the walking... column is through the slab opening, there will no longer exist a fall hazard at this location. III...

  13. Straw mulch prevents loss of fall-sown seeds to cold temperatures and wildlife predation

    Treesearch

    J. Wichman; R. Hawkins; P.M. Pijut

    2005-01-01

    A combination of cover crops and straw mulch effectively protect fall-sown hardwood seeds from cold temperature damage and predation at our nursery in central Indiana. Before using this treatment, we experienced 30% to 90% crop losses on a regular basis, but now our seedbed densities are consistently at target and the resulting seedlings are larger. Specialized...

  14. Albeni Falls Wildlife Mitigation : Annual Report 2002.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Terra-Berns, Mary

    The Albeni Falls Interagency Work Group continued to actively engage in implementing wildlife mitigation actions in 2002. Regular Work Group meetings were held to discuss budget concerns affecting the Albeni Falls Wildlife Mitigation Program, to present potential acquisition projects, and to discuss and evaluate other issues affecting the Work Group and Project. Work Group members protected 1,386.29 acres of wildlife habitat in 2002. To date, the Albeni Falls project has protected approximately 5,914.31 acres of wildlife habitat. About 21% of the total wildlife habitat lost has been mitigated. Administrative activities have increased as more properties are purchased and continue tomore » center on restoration, operation and maintenance, and monitoring. In 2001, Work Group members focused on development of a monitoring and evaluation program as well as completion of site-specific management plans. This year the Work Group began implementation of the monitoring and evaluation program performing population and plant surveys, data evaluation and storage, and map development as well as developing management plans. Assuming that the current BPA budget restrictions will be lifted in the near future, the Work Group expects to increase mitigation properties this coming year with several potential projects.« less

  15. Passenger vehicle driver cell phone use : results from the fall 2000 National Occupant Protection Use Survey

    DOT National Transportation Integrated Search

    2001-07-01

    The National Highway Traffic Safety Administration's National Occupant Protection Use Survey (NOPUS) expanded its data collection protocols during October and November 2000 to obtain national estimates of driver cell phone use. The results of NOPUS f...

  16. 75 FR 7569 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-22

    ... without change, including any personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT... Defense for Health Affairs, Force Health Protection and Readiness, ATTN: Ms. Caroline Miner, 5113 Leesburg Pike, Suite 901, Falls Church, VA 22041, or call Force Health Protection and Readiness, at 703-578-8500...

  17. Alternative timing of carbaryl treatments for protecting lodgepole pine from mortality attributed to mountain pine beetle

    Treesearch

    Christopher J. Fettig; A.Steve Munson; Kenneth E. Gibson

    2015-01-01

    Carbaryl is regarded among the most effective, economically viable, and ecologically-compatible insecticides available for protecting conifers from bark beetle attack in the western United States. Treatments are typically applied in spring prior to initiation of bark beetle flight for that year. We evaluated the efficacy of spring and fall applications for protecting...

  18. Constructing Relationships between Science and Practice in the Written Science Communication of the Washington State Wine Industry

    ERIC Educational Resources Information Center

    Szymanski, Erika Amethyst

    2016-01-01

    Even as deficit model science communication falls out of favor, few studies question how written science communication constructs relationships between science and industry. Here, I investigate how textual microprocesses relate scientific research to industry practice in the Washington State wine industry, helping (or hindering) winemakers and…

  19. The Hispanic Project for Architecture and Building Construction

    ERIC Educational Resources Information Center

    Dail, Edward; Mora, Jorge

    2006-01-01

    John Tyler Community College in Chester, Virginia, began a program in architecture and building construction in fall 2003 to meet the needs of the Hispanic community--a much neglected but rapidly growing segment of the regional population. After first hiring a Hispanic director (Mr. Jorge Mora), a program was developed that heavily involved the…

  20. Prevention of falls to a lower level: evaluation of an occupational health and safety intervention via subsidies for the replacement of scaffolding.

    PubMed

    Rubio-Romero, Juan Carlos; Carrillo-Castrillo, Jesús Antonio; Gibb, Alistair

    2015-01-01

    The objective of this study is to evaluate the impact of a subsidy policy for construction companies in Andalusia (Spain), which enables them to acquire new scaffolds. The rate of falls from scaffolds within the Andalusian construction sector in the period 2009-2011 was analysed. A randomised controlled trial was not possible as the subsidy was granted according to a public and competitive call. A quasi-experimental design based on an intervention group (subsidised companies) and a control group was chosen. Companies in the control group were selected from the social security census of companies in order to avoid selection bias. The subsidy policy has led to an overall 71% decrease in the rate of accident involving falls to a lower level in the companies that received grants in the period 2009-2011. The confidence interval for the comparison for the before-after difference in rates between the intervention group and the control group is found significant (confidence 95%, p = 0.05). The improvement of scaffolds was effective in reducing rates of accident with falls to a lower level. This intervention should be a priority in public policies. The process of standardisation of equipment with high accident risk should be developed further.

  1. Traumatic brain injuries from work accidents: a retrospective study.

    PubMed

    Salem, A M O; Jaumally, B A; Bayanzay, K; Khoury, K; Torkaman, A

    2013-07-01

    The United Arab Emirates is a rapidly developing country with recent expansion in construction and manufacturing. To investigate the occurrence and outcomes following occupational traumatic brain injury (TBI) requiring hospital admission. Records for all TBI cases admitted to an Abu Dhabi hospital between 2005 and 2009 were reviewed. Data on mechanisms of occupational injuries, Glasgow Coma Scale (GCS) on admission and Glasgow Outcome Scale (GOS) on follow-up, were analysed. Of 581 TBI cases reviewed, 56 (10%) cases were reported as occupational by either the patient or the informant accompanying the patient. All cases were male migrants, and 63% were aged 25-44. Falls accounted for 63% of cases, falling objects 34% and motor vehicle collisions 4%. Median GCS score was 13 for all cases. Median hospital stay was 7.5 days. Intensive care unit admission data were available in 47 cases, of which 34% (16) were admitted with a median stay of 5 days. GOS data were available in 95% (53) of cases, with good recovery in 81% cases, moderate-to-severe disability in 11% of cases and death in 8% (4) cases. Occupational TBI requiring hospitalization is most frequently due to falls and falling objects, with potentially grave consequences. This study further highlights the urgent need to implement preventative measures to improve construction worker safety.

  2. Workplace protection of air-fed visors used in paint spraying operations.

    PubMed

    Bolsover, J; Rajan-Sithamparanadarajah, B; Vaughan, N

    2006-04-01

    Air-fed visors are commonly used for protection against exposure to airborne isocyanates during paint spraying. Protection levels for this class of equipment are theoretically adequate, yet isocyanate sensitization in this occupation still occurs. The work reported here set out to establish the level of respiratory protection that is achieved during real paint spraying activities when air-fed visors are used. The work also examined the effects of reduced air supply flow rates on this type of respiratory protection. The workplace study highlighted common problems that occur when attempting to measure protection factors, and process and interpret the collected data. Many of the environments included in this study did not exhibit challenge concentrations high enough to reliably measure the workplace protection factor of this class of device. When detection limits are taken into consideration, the remaining field data suggest that an assigned protection factor in the region of 40 may be appropriate. When well maintained and used in accordance with the manufacturer's instructions, air-fed visors are capable of providing a good level of respiratory protection. The protection given by air-fed visors is strongly dependent on the air flow supplied to them. Laboratory measurements demonstrate that protection falls as the air supply falls. This is a gradual process and does not suddenly occur at any particular air supply flow. Observations made during the field tests indicate that there may be other activities associated with the spraying process that need to be taken into consideration when looking for sources of respiratory sensitization.

  3. A spatial model to assess the effects of hydropower operations on Columbia River fall Chinook Salmon spawning habitat

    USGS Publications Warehouse

    Hatten, James R.; Tiffan, Kenneth F.; Anglin, Donald R.; Haeseker, Steven L.; Skalicky, Joseph J.; Schaller, Howard

    2009-01-01

    Priest Rapids Dam on the Columbia River produces large daily and hourly streamflow fluctuations throughout the Hanford Reach during the period when fall Chinook salmon Oncorhynchus tshawytscha are selecting spawning habitat, constructing redds, and actively engaged in spawning. Concern over the detrimental effects of these fluctuations prompted us to quantify the effects of variable flows on the amount and persistence of fall Chinook salmon spawning habitat in the Hanford Reach. Specifically, our goal was to develop a management tool capable of quantifying the effects of current and alternative hydrographs on predicted spawning habitat in a spatially explicit manner. Toward this goal, we modeled the water velocities and depths that fall Chinook salmon experienced during the 2004 spawning season, plus what they would probably have experienced under several alternative (i.e., synthetic) hydrographs, using both one- and two-dimensional hydrodynamic models. To estimate spawning habitat under existing or alternative hydrographs, we used cell-based modeling and logistic regression to construct and compare numerous spatial habitat models. We found that fall Chinook salmon were more likely to spawn at locations where velocities were persistently greater than 1 m/s and in areas where fluctuating water velocities were reduced. Simulations of alternative dam operations indicate that the quantity of spawning habitat is expected to increase as streamflow fluctuations are reduced during the spawning season. The spatial habitat models that we developed provide management agencies with a quantitative tool for predicting, in a spatially explicit manner, the effects of different flow regimes on fall Chinook salmon spawning habitat in the Hanford Reach. In addition to characterizing temporally varying habitat conditions, our research describes an analytical approach that could be applied in other highly variable aquatic systems.

  4. Growth characteristics and Otolith analysis on Age-0 American Shad

    USGS Publications Warehouse

    Sauter, Sally T.; Wetzel, Lisa A.

    2011-01-01

    Otolith microstructure analysis provides useful information on the growth history of fish (Campana and Jones 1992, Bang and Gronkjaer 2005). Microstructure analysis can be used to construct the size-at-age growth trajectory of fish, determine daily growth rates, and estimate hatch date and other ecologically important life history events (Campana and Jones 1992, Tonkin et al. 2008). This kind of information can be incorporated into bioenergetics modeling, providing necessary data for estimating prey consumption, and guiding the development of empirically-based modeling scenarios for hypothesis testing. For example, age-0 American shad co-occur with emigrating juvenile fall Chinook salmon originating from Hanford Reach and the Snake River in the lower Columbia River reservoirs during the summer and early fall. The diet of age-0 American shad appears to overlap with that of juvenile fall Chinook salmon (Chapter 1, this report), but juvenile fall Chinook salmon are also known to feed on age-0 American shad in the reservoirs (USGS unpublished data). Abundant, energy-dense age-0 American shad may provide juvenile fall Chinook salmon opportunities for rapid growth during the time period when large numbers of age-0 American shad are available. Otolith analysis of hatch dates and the growth curve of age-0 American shad could be used to identify when eggs, larvae, and juveniles of specific size classes are temporally available as food for fall Chinook salmon in the lower Columbia River reservoirs. This kind of temporally and spatially explicit life history information is important to include in bioenergetics modeling scenarios. Quantitative estimates of prey consumption could be used with spatially-explicit estimates of prey abundance to construct a quantitative assessment of the age-0 American shad impact on a reservoir food web.

  5. National occupant protection use survey 1996 : controlled intersection study

    DOT National Transportation Integrated Search

    1997-08-01

    In 1996, the overall observed shoulder belt use rate was 61.5%, as measured by the National Occupant Protection Use Survey (NOPUS). This is compared to 58.0% observed in 1994. The NOPUS was conducted in the Fall of 1996 to estimate safety belt use in...

  6. 29 CFR 1926.701 - General requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... number of employees, are exposed to the hazards associated with falling concrete buckets. (f) Personal protective equipment. No employee shall be permitted to apply a cement, sand, and water mixture through a pneumatic hose unless the employee is wearing protective head and face equipment. [53 FR 22643, June 16...

  7. 29 CFR 1926.701 - General requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... number of employees, are exposed to the hazards associated with falling concrete buckets. (f) Personal protective equipment. No employee shall be permitted to apply a cement, sand, and water mixture through a pneumatic hose unless the employee is wearing protective head and face equipment. [53 FR 22643, June 16...

  8. 40 CFR 85.2217 - Loaded test-EPA 91.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....2217 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED... determinations is a simple running average of the measurements taken over five seconds. (2) Pass/fail... measurements are voided if the measured concentration of CO plus CO2 falls below six percent or the vehicle's...

  9. Risk factors for falls in community-dwelling patients with Alzheimer's disease and dementia with Lewy bodies: walking with visuocognitive impairment may cause a fall.

    PubMed

    Kudo, Yuri; Imamura, Toru; Sato, Atsushi; Endo, Naoto

    2009-01-01

    To identify risk factors for falls in community-dwelling patients with Alzheimer's disease (AD) and dementia with Lewy bodies (DLB). 78 consecutive patients (51 AD, 27 DLB) were recruited from the Niigata Rehabilitation Hospital memory clinic. We assessed the number of falls each patient had had in the previous 4 months. The data for DLB patients without motor parkinsonism were analyzed both as part of the whole DLB group and separately to determine the effect of parkinsonism alone on falls. Of 78 patients, 17 (21.8%) reported at least 1 fall during the period. A diagnosis of DLB, visual hallucinations, parkinsonism and cognitive fluctuation were significant predictors, but none of them was significant in the stepwise multivariate analysis. After excluding patients with parkinsonism, the use of hypnotics-anxiolytics and a worse score on the constructional task were significant and independent predictors of falling. Parkinsonism was a major risk factor for falls. When AD or DLB patients walk with incongruent visual information, they may increase their postural sway or instability, because of their executive dysfunction. If elementary and/or higher-order visuocognitive impairment in AD or DLB patients alters visual information sufficiently, they may fall when walking. Copyright 2009 S. Karger AG, Basel.

  10. A qualitative understanding of patient falls in inpatient mental health units.

    PubMed

    Powell-Cope, Gail; Quigley, Patricia; Besterman-Dahan, Karen; Smith, Maureen; Stewart, Jonathan; Melillo, Christine; Haun, Jolie; Friedman, Yvonne

    2014-01-01

    Falls are the leading cause of injury-related deaths among people age 65 and older, and fractures are the major category of serious injuries produced by falls. Determine market segment-specific recommendations for "selling" falls prevention in acute inpatient psychiatry. Descriptive using focus groups. One inpatient unit at a Veterans' hospital in the Southeastern United States and one national conference of psychiatric and mental health nurses. A convenience sample of 22 registered nurses and advanced practice nurses, one physical therapist and two physicians participated in one of six focus groups. None. Focus groups were conducted by expert facilitators using a semistructured interview guide. Focus groups were recorded and transcribed. Content analysis was used to organize findings. Findings were grouped into fall risk assessment, clinical fall risk precautions, programmatic fall prevention, and "selling" fall prevention in psychiatry. Participants focused on falls prevention instead of fall injury prevention, were committed to reducing risk, and were receptive to learning how to improve safety. Participants recognized unique features of their patients and care settings that defined risk, and were highly motivated to work with other disciplines to keep patients safe. Selling fall injury prevention to staff in psychiatric settings is similar to selling fall injury prevention to staff in other health care settings. Appealing to the larger construct of patient safety will motivate staff in psychiatric settings to implement best practices and customize these to account for unique population needs characteristics. © The Author(s) 2014.

  11. Evidence-based exercise prescription for balance and falls prevention: a current review of the literature.

    PubMed

    Shubert, Tiffany E

    2011-01-01

    Falls are the leading cause of emergency department visits, hospital admissions, and unintentional death for older adults. Balance and strength impairments are common falls risk factors for community-dwelling older adults. Though physical therapists commonly treat balance and strength, standardized falls screening has not been fully incorporated into physical therapy practice and there is much variation in the frequency, intensity, and duration of therapy prescribed to achieve optimal results. For community-dwelling older adults, a progressive exercise program that focuses on moderate to high-intensity balance exercises appears to be one of the most effective interventions to prevent falls. For more frail older adults in institutional settings, exercise programs in addition to multifactorial interventions appear to show promise as effective falls prevention interventions. The minimum dose of exercise to protect an older adult against falls is 50 hours. This article describes the current best practices for physical therapists to effectively improve balance and manage falls risk in patients. The unique challenges and opportunities for physical therapists to incorporate evidence-based fall-prevention strategies are discussed. Innovative practice models incorporating evidence-based fall-prevention programs and partnerships with public health and aging service providers to create a continuum of care and achieve the optimal dose of balance training are presented.

  12. Risk and protective factors for falls from furniture in young children: multicenter case-control study.

    PubMed

    Kendrick, Denise; Maula, Asiya; Reading, Richard; Hindmarch, Paul; Coupland, Carol; Watson, Michael; Hayes, Mike; Deave, Toity

    2015-02-01

    Falls from furniture are common in young children but there is little evidence on protective factors for these falls. To estimate associations for risk and protective factors for falls from furniture in children aged 0 to 4 years. Multicenter case-control study at hospitals, minor injury units, and general practices in and around 4 UK study centers. Recruitment commenced June 14, 2010, and ended April 27, 2012. Participants included 672 children with falls from furniture and 2648 control participants matched on age, sex, calendar time, and study center. Thirty-five percent of cases and 33% of control individuals agreed to participate. The mean age was 1.74 years for cases and 1.91 years for control participants. Fifty-four percent of cases and 56% of control participants were male. Exposures included safety practices, safety equipment use, and home hazards. Falls from furniture occurring at the child's home resulting in attendance at an emergency department, minor injury unit, or hospital admission. Compared with parents of control participants, parents of cases were significantly more likely not to use safety gates in the home (adjusted odds ratio [AOR], 1.65; 95% CI, 1.29-2.12) and not to have taught their children rules about climbing on kitchen objects (AOR, 1.58; 95% CI, 1.16-2.15). Cases aged 0 to 12 months were significantly more likely to have been left on raised surfaces (AOR, 5.62; 95% CI, 3.62-8.72), had their diapers changed on raised surfaces (AOR, 1.89; 95% CI, 1.24-2.88), and been put in car/bouncing seats on raised surfaces (AOR, 2.05; 95% CI, 1.29-3.27). Cases 3 years and older were significantly more likely to have played or climbed on furniture (AOR, 9.25; 95% CI, 1.22-70.07). Cases were significantly less likely to have played or climbed on garden furniture (AOR, 0.74; 95% CI, 0.56-0.97). If estimated associations are causal, some falls from furniture may be prevented by incorporating advice into child health contacts, personal child health records, and home safety assessments about use of safety gates; not leaving children, changing diapers, or putting children in car/bouncing seats on raised surfaces; allowing children to play or climb on furniture; and teaching children safety rules about climbing on objects.

  13. Can martial arts techniques reduce fall severity? An in vivo study of femoral loading configurations in sideways falls.

    PubMed

    van der Zijden, A M; Groen, B E; Tanck, E; Nienhuis, B; Verdonschot, N; Weerdesteyn, V

    2012-06-01

    Sideways falls onto the hip are a major cause of femoral fractures in the elderly. Martial arts (MA) fall techniques decrease hip impact forces in sideways falls. The femoral fracture risk, however, also depends on the femoral loading configuration (direction and point of application of the force). The purpose of this study was to determine the effect of fall techniques, landing surface and fall height on the impact force and the loading configuration in sideways falls. Twelve experienced judokas performed sideways MA and Block ('natural') falls on a force plate, both with and without a judo mat on top. Kinematic and force data were analysed to determine the hip impact force and the loading configuration. In falls from a kneeling position, the MA technique reduced the impact force by 27%, but did not change the loading configuration. The use of the mat did not change the loading configuration. Falling from a standing changed the force direction. In all conditions, the point of application was distal and posterior to the greater trochanter, but it was less distal and more posterior in falls from standing than from kneeling position. The present decrease in hip impact force with an unchanged loading configuration indicates the potential protective effect of the MA technique on the femoral fracture risk. The change in loading configuration with an increased fall height warrant further studies to examine the effect of MA techniques on fall severity under more natural fall circumstances. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. Attracting predators without falling prey: chemical camouflage protects honeydew-producing treehoppers from ant predation.

    PubMed

    Silveira, Henrique C P; Oliveira, Paulo S; Trigo, José R

    2010-02-01

    Predaceous ants are dominant organisms on foliage and represent a constant threat to herbivorous insects. The honeydew of sap-feeding hemipterans has been suggested to appease aggressive ants, which then begin tending activities. Here, we manipulated the cuticular chemical profiles of freeze-dried insect prey to show that chemical background matching with the host plant protects Guayaquila xiphias treehoppers against predaceous Camponotus crassus ants, regardless of honeydew supply. Ant predation is increased when treehoppers are transferred to a nonhost plant with which they have low chemical similarity. Palatable moth larvae manipulated to match the chemical background of Guayaquila's host plant attracted lower numbers of predatory ants than unchanged controls. Although aggressive tending ants can protect honeydew-producing hemipterans from natural enemies, they may prey on the trophobionts under shortage of alternative food resources. Thus chemical camouflage in G. xiphias allows the trophobiont to attract predaceous bodyguards at reduced risk of falling prey itself.

  15. Impact of a Newly Constructed Motor Vehicle Road on Altitude Illness in the Nepal Himalayas.

    PubMed

    Reisman, Jonathan; Deonarain, Dinesh; Basnyat, Buddha

    2017-12-01

    This study investigated the impact that motor vehicle travel along a newly constructed road has on altitude illness (including acute mountain sickness, high-altitude cerebral edema, and high-altitude pulmonary edema). The new road from Besisahar (760 m) to Manang (3540 m) in Nepal was completed in December 2014. We enrolled all patients diagnosed with altitude illness at the Himalayan Rescue Association Manang clinic in fall 2016. Phi coefficients were calculated to test for an association between Nepali ethnicity and rapid ascent by motor vehicle. A retrospective review looked at all patients with altitude illness from fall (September-November) 2010 to spring (February-May) 2016. In fall 2016, more than half (54%) of patients with altitude illness traveled to Manang by motor vehicle, and one-third (33%) reached Manang from low altitude (Besisahar) in less than 48 hours. Nepali nationality had a significant association with motor vehicle travel (phi +0.69, P < .0001) as well as with rapid ascent to Manang (phi +0.72, P < .0001). Compared to previous seasons, fall 2016 saw the most patients diagnosed with altitude illness. The proportion of people with altitude illness who traveled by vehicle and reached Manang in less than 48 hours was significantly greater than the proportion prior to completion of the road (P < .0001 for both). Rapid ascent by the newly constructed road from Besisahar to Manang appears to be related to a significant increase in the number of patients with all forms of altitude illness, especially among Nepalis. The authors believe that educational interventions emphasizing prevention are urgently needed. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  16. 30 CFR 56.11012 - Protection for openings around travelways.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....11012 Section 56.11012 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES... through which persons or materials may fall shall be protected by railings, barriers, or covers. Where it...

  17. Computer Security Products Technology Overview

    DTIC Science & Technology

    1988-10-01

    13 3. DATABASE MANAGEMENT SYSTEMS ................................... 15 Definition...this paper addresses fall into the areas of multi-user hosts, database management systems (DBMS), workstations, networks, guards and gateways, and...provide a portion of that protection, for example, a password scheme, a file protection mechanism, a secure database management system, or even a

  18. A Description of the Environmental Protection Agency's In-House Library Systems.

    ERIC Educational Resources Information Center

    Thomas, Sarah M.; Needle, Lester P.

    The Environmental Protection Agency's (EPA) inhouse library systems fall into two principle categories: basic library inventory systems and literature retrieval systems. Currently, the library network supports three inventory systems: the journal system; the hard bound book system; and the circulation system. At the same time, five efforts are…

  19. Biopsychosocial Predictors of Fall Events among Older African Americans

    PubMed Central

    Nicklett, Emily Joy; Taylor, Robert Joseph; Rostant, Ola; Johnson, Kimson E.; Evans, Linnea

    2016-01-01

    This study identifies risk and protective factors for falls among older, community-dwelling African Americans. Drawing upon the biopsychosocial perspective (Engel, 1997), we conducted a series of sex- and age-adjusted multinomial logistic regression analyses to identify the correlates of fall events among older African Americans. Our sample consisted of 1,442 community-dwelling African Americans aged 65 and older, participating in the 2010-12 rounds of the Health and Retirement Study. Biophysical characteristics associated with greater relative risk of experiencing single and/or multiple falls included greater functional limitations, poorer self-rated health, poorer self-rated vision, chronic illnesses (high blood pressure, diabetes, cancer, lung disease, heart problems, stroke, and arthritis), greater chronic illness comorbidity, older age, and female sex. Physical activity was negatively associated with recurrent falls. Among the examined psychosocial characteristics, greater depressive symptoms were associated with greater relative risk of experiencing single and multiple fall events. Implications for clinicians and future studies are discussed. PMID:28285579

  20. Repeated-Slip Training: An Emerging Paradigm for Prevention of Slip-Related Falls Among Older Adults

    PubMed Central

    Pai, YC; Bhatt, TS

    2009-01-01

    Falls frequently cause injury-related hospitalization or death among older adults. This article reviews a new conceptual framework on dynamic stability and weight support in reducing the risk for falls resulting from a forward slip, based on the principles of motor control and learning, in the context of adaptation and longer-term retention induced by repeated-slip training. Although an unexpected slip is severely destabilizing, a recovery step often is adequate for regaining stability, regardless of age. Consequently, poor weight support (quantified by reduction in hip height), rather than instability, is the major determinant of slip-related fall risk. Promisingly, a single session of repeated-slip training can enhance neuromechanical control of dynamic stability and weight support to prevent falls, which can be retained for several months or longer. These principles provide the theoretical basis for establishing task-specific adaptive training that facilitates the development of protective strategies to reduce falls among older adults. PMID:17712033

  1. [Falling as a method of suicide--psychodynamic aspects].

    PubMed

    Haenel, T

    1985-01-01

    After some reflections upon the phenomenon of falling/jumping, the fall from a height and its meaning in fairy tales, in literature and in history is discussed. Eight casuistics with fatal and non-fatal issue serve to shed light on the psychodynamics which precipitate such acts. Referring to world-famous buildings such as the Eiffel Tower in Paris or the Golden Gate Bridge in San Francisco, the fact is stressed that many suicidal persons are attracted by these constructions and choose the place for their suicidal act accordingly. The possibilities of suicide prevention and the treatment of patients who have survived their attempt are presented.

  2. The Fall and Rise of Experiential Construction and Engineering Education: Decoupling and Recoupling Practice and Theory

    ERIC Educational Resources Information Center

    Forster, Alan Mark; Pilcher, Nick; Tennant, Stuart; Murray, Mike; Craig, Nigel; Copping, Alex

    2017-01-01

    From the mid-20th C., construction and engineering pedagogy and curricula have moved from long-held traditional experiential apprenticeship approaches to one ostensibly decoupling practice and theory. This paper traces this decoupling and explores modern-day opportunities and challenges for recoupling university education with industry practice.…

  3. Urban School Construction: A Case Study of Alternative Financing Methods for St. Louis, Missouri. A Report.

    ERIC Educational Resources Information Center

    Fitzgibbon, James; And Others

    The authors, after discussing the St. Louis school system and its financial history, survey both traditional and innovative construction finance alternatives that have been used across the country. These alternatives, which fall into two categories, include: (1) conventional financing through tax incomes including State and Federal aid, and (2)…

  4. Application of Coalition Battle Management Language (C-BML) and C-BML Services to Live, Virtual, and Constructive (LVC) Simulation Environments

    DTIC Science & Technology

    2011-12-01

    Task Based Approach to Planning.” Paper 08F- SIW -033. In Proceed- ings of the Fall Simulation Interoperability Workshop. Simulation Interoperability...Paper 06F- SIW -003. In Proceed- 2597 Blais ings of the Fall Simulation Interoperability Workshop. Simulation Interoperability Standards Organi...MSDL).” Paper 10S- SIW -003. In Proceedings of the Spring Simulation Interoperability Workshop. Simulation Interoperability Standards Organization

  5. How older adults and their informal carers prevent falls: An integrative review of the literature.

    PubMed

    Wilkinson, Amanda; Meikle, Nicole; Law, Phoebe; Yong, Hui Jia; Butler, Philip; Kim, Justin; Mulligan, Hilda; Hale, Leigh

    2018-06-01

    Falls in older persons are prevalent and costly for the individual and the health system. Falls prevention guidelines have been developed from best evidence to minimise falls in older persons. To synthesise the literature on falls prevention strategies used by community dwelling older persons and/or their informal carers and to compare the commonly adopted strategies with those recommended by falls prevention guidelines. Health sciences databases for full text articles published in English plus reference list searching of included articles. An integrative review approach. Studies were included if they identified fall prevention management strategies used by community dwelling older adults and/or their informal carers. Quality appraisal was undertaken using appropriate Joanna Briggs Institute critical appraisal tools. Information relevant to the aim of the review were extracted and coded into categories then inductively sorted into sub-themes and themes. Of the seventeen studies included in the review, eleven identified older adults' falls prevention strategies, two investigated fall prevention strategies used by carers, and four explored perspectives of older persons together with their carers, representing the perspectives of an estimated 501 older persons and 102 carers. Strategies used by older adults arose because of self-awareness about their changing physical ability, and advice and support mainly from family or friends. Carer fall prevention strategy was predominantly around protection of the older adult from falling by discouraging independence. The fall self-management strategies adopted by older adults and their carers to prevent falls, in the main, do not align with international best practice fall prevention guidelines. Copyright © 2018. Published by Elsevier Ltd.

  6. Workers' compensation experience of North Carolina residential construction workers, 1986-1994.

    PubMed

    Dement, J M; Lipscomb, H

    1999-02-01

    A total of 31,113 workers' compensation claims among 7,400 North Carolina Homebuilders Association (NCHA) members and their subcontractors for the period 1986-1994 were analyzed to calculate workers' compensation claim incidence density rates. For the 7 years studied, the average rate (cases/200,000 work hours) for all claims was 16.40 and the rate for medical or lost time cases was 10.78. Highest rates for cases involving medical costs or paid lost time by mechanism of injury were observed for being struck by an object (3.1), lifting/movement (1.97), falls from a different level (1.13), striking against an object (0.87), and falls on the same level (0.46). Rates by mechanism of injury were highest for muscle strains (2.34), wounds/punctures (2.33), bruises/contusions (1.24), fractures/dislocations (0.98), and injuries to the eyes (0.81). Among medical cost or lost work time cases, body parts with highest injury rates were back/shoulders (1.99), fingers (1.31), leg/knee (1.00), hand/wrist (1.00), foot/ankle (0.86), and eyes (0.82). Injury rates were found to vary substantially among the residential construction trades. For more serious injuries involving medical costs greater than $2,000 or any lost work time, rates were highest for welders and cutters (28.1), insulators (24.3), roofers (19.4), and carpenters (15.3). The same general trends by trade were observed for cases involving paid lost time except that roofers were highest, with a rate of 9.1, followed by insulators (8.5), welders and cutters (5.8), and carpenters (5.8). Rates of falls from a different level resulting in medical costs or lost work time were highest for roofers (5.54), insulators (3.53), carpenters (2.05), and drywall installers (1.99). Descriptive information for falls from a different level resulting in paid lost time during 1993-1994 (n = 219) were reviewed to better determine the causes and circumstances of injuries. Falls from a roof accounted for 25.4 percent of the cases followed by falls involving scaffolds (23.9%) and ladders (20.6%), and falls from ceiling joists, floor joists, or framing (14.8%). Twenty-six work-related deaths occurred with vehicle accidents (n = 6) being the major known cause of death, followed by falls (n = 3), being struck by an object (n = 3), electric shock (n = 2), and contact with energy or chemicals (n = 2). Consistent with other analyses of workers' compensation data, chronic occupational diseases are not well captured in the workers' compensation claims among home builders; therefore, a companion study has examined mortality patterns among North Carolina construction workers.

  7. 8. Historic photo taken during construction of the Lost River ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    8. Historic photo taken during construction of the Lost River Diversion Dam and House. Labeled as follows, 'View showing walk construction North side. Group in foreground, left to right: - J.M. McLean, I.S. Voorhees, Asst Eng'r, A.B. Clevland, engineer... W.W. Patch, Project Engineer.' Negative # 95. Facing east. - Klamath Basin Project, Lost River Diversion Dam House, Lost River near intersection of State Highway 140 & Hill Road, Klamath Falls, Klamath County, OR

  8. Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review

    PubMed Central

    Khambalia, A; Joshi, P; Brussoni, M; Raina, P; Morrongiello, B; Macarthur, C

    2006-01-01

    Objective To identify risk factors for unintentional injuries due to falls in children aged 0–6 years. Design A systematic review of the literature. Methods Electronic databases from 1966 to March 2005 were comprehensively searched to identify empirical research that evaluated risk factors for unintentional injuries due to falls in children aged 0–6 years and included a comparison group. Results 14 studies met the inclusion criteria. Studies varied by the type of fall injury that was considered (ie, bunk bed, stairway, playground or infant walker) and with respect to the quality of evidence. In general, major risk factors for the incidence or severity of injuries due to falls in children included age of the child, sex, height of the fall, type of surface, mechanism (dropped, stairway or using a walker), setting (day care v home care) and socioeconomic status. Conclusion Despite a high burden, few controlled studies have examined the risk and protective factors for injuries due to falls in children aged 0–6 years. The only study to examine falls from a population health perspective suggests that age, sex and poverty are independent risk factors for injuries due to falls in children. PMID:17170185

  9. Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation.

    PubMed

    Chen, Shueh-Fen; Huang, Su-Fei; Lu, Li-Ting; Wang, Mei-Chuen; Liao, Jung-Yu; Guo, Jong-Long

    2016-07-07

    Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method. The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 - 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35. Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention. By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult personal perspectives and interpretations of the required responsive approach is a key element for appropriating fall-prevention support.

  10. Foraging habitat for shorebirds in southeastern Missouri and its predicted future availability

    USGS Publications Warehouse

    Twedt, Daniel J.

    2013-01-01

    Water management to protect agriculture in alluvial floodplains often conflicts with wildlife use of seasonal floodwater. Such is the case along the Mississippi River in southeastern Missouri where migrating shorebirds forage in shallow-flooded fields. I estimated the current availability of habitat for foraging shorebirds within the New Madrid and St. Johns Basins based on daily river elevations (1943–2009), under assumptions that shorebirds forage in open habitat with water depth <15 cm and use mudflats for 3 days after exposure. The area of shorebird foraging habitat, based on replicated 50-year random samples, averaged 975 ha per day during spring and 33 ha per day during fall. Adjustments to account for habitat quality associated with different water depths, duration of mudflat exposure, intra-seasonal availability, and state of agricultural crops, indicated the equivalent of 494 ha daily of optimal habitat during spring and 11 ha during fall. Proposed levees and pumps to protect cropland would reduce shorebird foraging habitat by 80 %: to 211 ha (108 optimal ha) per day during spring and 9 ha (<3 optimal ha) per day during fall. Alternative water management that allows natural flooding below a prescribed elevation would retain nearly all existing shorebird foraging habitat during fall and about 60 % of extant habitat during spring.

  11. Research on Reasons for Repeated Falling of Tiles in Internal Walls of Construction

    NASA Astrophysics Data System (ADS)

    Xu, LiBin; Chen, Shangwei; He, Xinzhou; Zhu, Guoliang

    2018-03-01

    In view of the quality problem of repeated falling of facing tiles in some construction, the essay had a comparative trial in laboratory on cement mortar which is often used to paste tiles, special tile mortar and dry-hang glue, and measured durability of tile adhesive mortar through freezing and thawing tests. The test results indicated that ordinary cement mortar cannot meet standards due to reasons like big shrinkage and low adhesive. In addition, the ten times of freezing and thawing tests indicated that ordinary cement mortar would directly shell and do not have an adhesive force, and moreover, adhesive force of special tile mortar would reduce. Thus, for tiles of large size which are used for walls, dry-hang techniques are recommended to be used.

  12. Turkish meteor surveillance systems and network: Impact craters and meteorites database

    NASA Astrophysics Data System (ADS)

    Unsalan, O.; Ozel, M. E.; Derman, I. E.; Terzioglu, Z.; Kaygisiz, E.; Temel, T.; Topoyan, D.; Solmaz, A.; Yilmaz Kocahan, O.; Esenoglu, H. H.; Emrahoglu, N.; Yilmaz, A.; Yalcinkaya, B. O.

    2014-07-01

    In our project, we aim toward constructing Turkish Meteor Surveillance Systems and Network in Turkey. For this goal, video observational systems from SonotaCo (Japan) were chosen. Meteors are going to be observed with the specific cameras, their orbits will be calculated by the software from SonotaCo, and the places where they will be falling / impacting will be examined by field trips. The collected meteorites will be investigated by IR-Raman Spectroscopic techniques and SEM-EDX analyses in order to setup a database. On the other hand, according to our Prime Ministry Ottoman Archives, there are huge amounts of reports of falls for the past centuries. In order to treat these data properly, it is obvious that processing systems should be constructed and developed.

  13. Fall Frequency among Men and Women with or at Risk for HIV Infection

    PubMed Central

    Erlandson, Kristine M.; Plankey, Michael W.; Springer, Gayle; Cohen, Helen S.; Cox, Christopher; Hoffman, Howard J.; Yin, Michael T.; Brown, Todd T.

    2016-01-01

    Background Falls and fall-related injuries are a major public health concern. HIV-infected adults have been shown to have a high incidence of falls. Identification of major risk factors for falls that are unique to HIV or similar to the general population will inform development of future interventions for fall prevention. Methods HIV-infected and uninfected men and women participating in a Hearing and Balance Sub-study of the Multicenter AIDS Cohort Study and Women’s Interagency HIV Study were asked about balance symptoms and falls during the prior 12 months. Falls were categorized as 0, 1, or ≥ 2; proportional odds logistic regression models were used to investigate relationships between falls and demographic and clinical variables and multivariable models were created. Results 24% of 303 HIV-infected participants reported ≥1 fall compared to 18% of 233 HIV-uninfected participants (p=0.27). HIV-infected participants were demographically different from HIV-uninfected participants, and were more likely to report clinical imbalance symptoms (p≤0.035). In univariate analyses, more falls were associated with hepatitis C, female sex, obesity, smoking, and clinical imbalance symptoms, but not age, HIV serostatus, or other comorbidities. In multivariable analyses, female sex and imbalance symptoms were independently associated with more falls. Among HIV-infected participants, smoking, number of medications, and imbalance symptoms remained independent fall predictors while current protease inhibitor use was protective. Discussion Similar rates of falls among HIV-infected and uninfected participants were largely explained by a high prevalence of imbalance symptoms. Routine assessment of falls and dizziness/imbalance symptoms should be considered, with interventions targeted at reducing symptomatology. PMID:27028463

  14. Protecting the Force? A Historical Perspective on the Operational Effect of the Division Protection Cell

    DTIC Science & Technology

    2012-05-17

    A. Buckingham , Jr., Operation Ranch Hand: The Air Forces and Herbicides in Southeast Asia, 1961-1971, p. 161. 56 Albert J. Mauroni, America’s...throughout Iraq. The problem that then faced divisions: what to do with all this newly acquired terrain? Falling in on former Iraqi regime palaces

  15. 77 FR 10657 - Protecting the Public and Our Employees in Our Hearing Process

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-23

    ... SOCIAL SECURITY ADMINISTRATION 20 CFR Parts 404 and 416 [Docket No. SSA-2011-0008] RIN 0960-AH29 Protecting the Public and Our Employees in Our Hearing Process AGENCY: Social Security Administration. ACTION... INFORMATION CONTACT: Glen Colvin, Social Security Administration, 5107 Leesburg Pike, Falls Church, VA 22041...

  16. 75 FR 27625 - Announcement of the Fall 2010 Annual Grant Competition Effective October 1, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... resolution. Deadline: October 1, 2010. Online application available: http://www.usip.org/[email protected]org . FOR FURTHER INFORMATION CONTACT: The Grant Program, Annual Grant Competition, Phone (202) 429-3842, email: [email protected]org . Dated: May 11, 2010. Michael Graham, Vice President for Management...

  17. Falling through the Gaps: Safeguarding Children Trafficked into the UK

    ERIC Educational Resources Information Center

    Bokhari, Farrah

    2008-01-01

    An overview of child trafficking in the UK explores the nature and methods of this abuse, as well as the treatment and protection afforded to these particularly vulnerable children. It highlights the shortcomings and inconsistent standards of local authorities, the lack of specialist protection and the uncertainty of a trafficked child's…

  18. Environmental Assessment for a Gravel Road Training Course Extension Malmstrom Air Force Base, Great Falls, Montana

    DTIC Science & Technology

    2010-07-01

    3,271 acres in Cascade County in west-central Montana (Figure 1-1). The Base lies approximately 0.3 miles east of the city of Great Falls and 75...for future planning. MAFB has defined several land use categories, including Administration, Aircraft Operations, Airfield, Community, Housing ...greenhouse gases during construction. These emissions would be small compared to human-induced releases within the region and the State of Montana. No

  19. [Proximal femoral fractures in the elderly: pathogenesis, sequelae, interventions].

    PubMed

    Runge, M; Schacht, E

    1999-08-01

    Hip fractures are a health problem of paramount importance for the individual and society. They are associated with a sharp increase of the incidence of immobility, dependency, nursing home placement, and death. In Germany, more than 100,000 elderly suffer a hip fracture every year. 90% of fractures of the proximal femur result from a fall with an impact near the hip. The kinetic energy of a fall from standing height without successful protective reactions is far above the fracture threshold of a femur in a man aged 70 and older, regardless of osteoporosis and sex. Therefore, propensity to fall and mechanisms of falling are more important in the pathogenesis of hip fracture than bone mineral density alone. The combination of age-associated gait and balance disorders, which increase the probability of falls, and age-related decreasing strength of the femur is responsible for the high incidence of hip fractures. Besides the interventions to reduce the fall frequency it is possible to decrease the number of hip fractures by a passive protection of the trochanter. An energy-shunting protector (crash helmet-like, hip padding) has been developed by Lauritzen and Lund (safehip). The protector consists of two stiff shells, sewn into special undergarment. The shells disperse the impact away from the trochanter to soft tissue, and increase the area of contact. A controlled study among nursing home residents has demonstrated a relative risk of hip fracture of 0.44 (95% CC 0.21 to 0.94) in the intervention group, i.e., the protector has reduced the number of hip fractures by more than a half. No hip fracture has happened during use of the protector. Using the protector can improve self-confidence and diminish self-restraint of physical activity, which is not rarely caused by fear of falling. Further investigations of compliance are necessary.

  20. "Better safe than sorry": a qualitative content analysis of participant's perspectives of fall-related concerns and balance in older women with osteoporosis after balance training.

    PubMed

    Halvarsson, Alexandra; Ståhle, Agneta; Halén, Carolina; Roaldsen, Kirsti Skavberg

    2015-07-03

    To explore how older women with osteoporosis perceive fall-related concerns and balance in daily life after having participated in balance training. Explorative study. Semi-structured interviews were conducted with 19 women (66-84 years), with osteoporosis recruited from an ongoing RCT; participants were asked about their perceived fall-related concerns and balance. Interviews were taped and transcribed verbatim. Data were analyzed using inductive qualitative content analysis. One underlying theme emerged: "Internalized risk perception related to experience of bodily fragility", and three manifest categories: empowerment, safety and menace. A dynamic process between the categories was found, in which contextual and personal factors influenced perceptions of fall-related concerns and balance, i.e. winter season may lead a person who is highly empowered and/or uses active strategies into a situation of perception of menace and avoidance of activity. To cope with the fragility caused by osteoporosis informants had an internalized risk perception that protected them against possible threats and harm. Informants perceived improved empowerment and self-efficacy after participation in balance training. They resumed activities and became more active and independent in daily life using safety precautions and fall-prevention strategies. Depending on contextual factors, some situations still invoked fear and led to avoidance. Implication for Rehabilitation Risk awareness protecting against possible threats and harms seems to be internalized in older women living with osteoporosis. When designing fall prevention programs, it is important to recognize that contextual and personal factors have a major influence on how older women with osteoporosis perceive fall-related concerns and balance. Perception of fragility and risk seems to be a significant problem for older women with osteoporosis and health-care providers should encourage their patients to participate in tailored balance training programs to overcome these concerns.

  1. 14 CFR 1216.301 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... fall within any of the four NASA budget categories: Research and Development (R&D), Construction of Facilities (CoF), Research and Program Management (R&PM), and Space Flight Control and Data Communications...

  2. Analysis of construction accidents in Turkey and responsible parties.

    PubMed

    Gürcanli, G Emre; Müngen, Uğur

    2013-01-01

    Construction is one of the world's biggest industry that includes jobs as diverse as building, civil engineering, demolition, renovation, repair and maintenance. Construction workers are exposed to a wide variety of hazards. This study analyzes 1,117 expert witness reports which were submitted to criminal and labour courts. These reports are from all regions of the country and cover the period 1972-2008. Accidents were classified by the consequence of the incident, time and main causes of the accident, construction type, occupation of the victim, activity at time of the accident and party responsible for the accident. Falls (54.1%), struck by thrown/falling object (12.9%), structural collapses (9.9%) and electrocutions (7.5%) rank first four places. The accidents were most likely between the hours 15:00 and 17:00 (22.6%), 10:00-12:00 (18.7%) and just after the lunchtime (9.9%). Additionally, the most common accidents were further divided into sub-types. Expert-witness assessments were used to identify the parties at fault and what acts of negligence typically lead to accidents. Nearly two thirds of the faulty and negligent acts are carried out by the employers and employees are responsible for almost one third of all cases.

  3. Hispanic construction workers and assertiveness training.

    PubMed

    Shrestha, Pramen P; Menzel, Nancy N

    2014-01-01

    Hispanic (Latino) construction workers experience disparities in occupational death and injury rates in the United States. The cultural value of respect for those in authority may hinder these workers from requesting safe working conditions from supervisors. To evaluate whether Hispanic construction workers in Las Vegas, Nevada found assertiveness training more useful than non-Hispanic trainees and whether or not they practiced this behavior at work after the training. An assertiveness training simulation was part of fall prevention classes offered to area construction workers. Eight weeks after the training, participants were interviewed by telephone about class topics they found most useful and whether or not they had made any subsequent behavior changes at work. More than half of the 760 fall prevention trainees completed telephone interviews. A smaller proportion of Hispanic trainees found assertiveness training to be useful (11%) than non-Hispanics (28%) (p⩽ 0.001). Only 2% of both groups identified practicing assertiveness at work. A large proportion of Hispanic trainees valued other knowledge more highly. They may weigh job security as more important than speaking up about safety issues, which might threaten their employment. Interventions to improve safety should focus instead on improving work safety climate and engineering controls.

  4. Frailty and falls among adult patients undergoing chronic hemodialysis: a prospective cohort study

    PubMed Central

    2013-01-01

    Background Patients undergoing hemodialysis are at high risk of falls, with subsequent complications including fractures, loss of independence, hospitalization, and institutionalization. Factors associated with falls are poorly understood in this population. We hypothesized that insights derived from studies of the elderly might apply to adults of all ages undergoing hemodialysis; we focused on frailty, a phenotype of physiological decline strongly associated with falls in the elderly. Methods In this prospective, longitudinal study of 95 patients undergoing hemodialysis (1/2009-3/2010), the association of frailty with future falls was explored using adjusted Poisson regression. Frailty was classified using the criteria established by Fried et al., as a combination of five components: shrinking, weakness, exhaustion, low activity, and slowed walking speed. Results Over a median 6.7-month period of longitudinal follow-up, 28.3% of study participants (25.9% of those under 65, 29.3% of those 65 and older) experienced a fall. After adjusting for age, sex, race, comorbidity, disability, number of medications, marital status, and education, frailty independently predicted a 3.09-fold (95% CI: 1.38-6.90, P=0.006) higher number of falls. This relationship between frailty and falls did not differ for younger and older adults (P=0.57). Conclusions Frailty, a validated construct in the elderly, was a strong and independent predictor of falls in adults undergoing hemodialysis, regardless of age. Our results may aid in identifying frail hemodialysis patients who could be targeted for multidimensional fall prevention strategies. PMID:24131569

  5. 40 CFR 125.99 - What are approved design and construction technologies?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... construction technologies? 125.99 Section 125.99 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...) of the Act § 125.99 What are approved design and construction technologies? (a) The following technologies constitute approved design and construction technologies for purposes of § 125.94(a)(4): (1...

  6. 40 CFR 125.99 - What are approved design and construction technologies?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... construction technologies? 125.99 Section 125.99 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...) of the Act § 125.99 What are approved design and construction technologies? (a) The following technologies constitute approved design and construction technologies for purposes of § 125.94(a)(4): (1...

  7. 40 CFR 125.99 - What are approved design and construction technologies?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... construction technologies? 125.99 Section 125.99 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...) of the Act § 125.99 What are approved design and construction technologies? (a) The following technologies constitute approved design and construction technologies for purposes of § 125.94(a)(4): (1...

  8. 40 CFR 125.99 - What are approved design and construction technologies?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... construction technologies? 125.99 Section 125.99 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...) of the Act § 125.99 What are approved design and construction technologies? (a) The following technologies constitute approved design and construction technologies for purposes of § 125.94(a)(4): (1...

  9. 40 CFR 125.99 - What are approved design and construction technologies?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... construction technologies? 125.99 Section 125.99 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...) of the Act § 125.99 What are approved design and construction technologies? (a) The following technologies constitute approved design and construction technologies for purposes of § 125.94(a)(4): (1...

  10. Epidemiology of occupational accidents in iran based on social security organization database.

    PubMed

    Mehrdad, Ramin; Seifmanesh, Shahdokht; Chavoshi, Farzaneh; Aminian, Omid; Izadi, Nazanin

    2014-01-01

    Today, occupational accidents are one of the most important problems in industrial world. Due to lack of appropriate system for registration and reporting, there is no accurate statistics of occupational accidents all over the world especially in developing countries. The aim of this study is epidemiological assessment of occupational accidents in Iran. Information of available occupational accidents in Social Security Organization was extracted from accident reporting and registration forms. In this cross-sectional study, gender, age, economic activity, type of accident and injured body part in 22158 registered accidents during 2008 were described. The occupational accidents rate was 253 in 100,000 workers in 2008. 98.2% of injured workers were men. The mean age of injured workers was 32.07 ± 9.12 years. The highest percentage belonged to age group of 25-34 years old. In our study, most of the accidents occurred in basic metals industry, electrical and non-electrical machines and construction industry. Falling down from height and crush injury were the most prevalent accidents. Upper and lower extremities were the most common injured body parts. Due to the high rate of accidents in metal and construction industries, engineering controls, the use of appropriate protective equipment and safety worker training seems necessary.

  11. Epidemiology of Occupational Accidents in Iran Based on Social Security Organization Database

    PubMed Central

    Mehrdad, Ramin; Seifmanesh, Shahdokht; Chavoshi, Farzaneh; Aminian, Omid; Izadi, Nazanin

    2014-01-01

    Background: Background: Today, occupational accidents are one of the most important problems in industrial world. Due to lack of appropriate system for registration and reporting, there is no accurate statistics of occupational accidents all over the world especially in developing countries. Objectives: The aim of this study is epidemiological assessment of occupational accidents in Iran. Materials and Methods: Information of available occupational accidents in Social Security Organization was extracted from accident reporting and registration forms. In this cross-sectional study, gender, age, economic activity, type of accident and injured body part in 22158 registered accidents during 2008 were described. Results: The occupational accidents rate was 253 in 100,000 workers in 2008. 98.2% of injured workers were men. The mean age of injured workers was 32.07 ± 9.12 years. The highest percentage belonged to age group of 25-34 years old. In our study, most of the accidents occurred in basic metals industry, electrical and non-electrical machines and construction industry. Falling down from height and crush injury were the most prevalent accidents. Upper and lower extremities were the most common injured body parts. Conclusion: Due to the high rate of accidents in metal and construction industries, engineering controls, the use of appropriate protective equipment and safety worker training seems necessary. PMID:24719699

  12. Effect of Surface Preparation on Residual Stresses in Multilayer Coatings and the Consequences for Disbondment Following Construction Damage and Exposure to In-Service Stress

    DOT National Transportation Integrated Search

    2009-01-01

    Underground pipelines are protected by a combination of cathodic protection and a protective coating. Multi-layer coatings offer protection against corrosion and from mechanical damage during construction or during service. Multi-layer coatings are w...

  13. Sun protection at elementary schools: a cluster randomized trial.

    PubMed

    Hunter, Seft; Love-Jackson, Kymia; Abdulla, Rania; Zhu, Weiwei; Lee, Ji-Hyun; Wells, Kristen J; Roetzheim, Richard

    2010-04-07

    Elementary schools represent both a source of childhood sun exposure and a setting for educational interventions. Sun Protection of Florida's Children was a cluster randomized trial promoting hat use at (primary outcome) and outside of schools among fourth-grade students during August 8, 2006, through May 22, 2007. Twenty-two schools were randomly assigned to the intervention (1115 students) or control group (1376 students). Intervention schools received classroom sessions targeting sun protection attitudes and social norms. Each student attending an intervention school received two free wide-brimmed hats. Hat use at school was measured by direct observation and hat use outside of school was measured by self-report. A subgroup of 378 students (178 in the intervention group and 200 in the control group) underwent serial measurements of skin pigmentation to explore potential physiological effects of the intervention. Generalized linear mixed models were used to evaluate the intervention effect by accounting for the cluster randomized trial design. All P values were two-sided and were claimed as statistically significant at a level of .05. The percentage of students observed wearing hats at control schools remained essentially unchanged during the school year (baseline = 2%, fall = 0%, and spring = 1%) but increased statistically significantly at intervention schools (baseline = 2%, fall = 30%, and spring = 41%) (P < .001 for intervention effect comparing the change in rate of hat use over time at intervention vs control schools). Self-reported use of hats outside of school did not change statistically significantly during the study (control: baseline = 14%, fall = 14%, and spring = 11%; intervention: baseline = 24%, fall = 24%, and spring = 23%) nor did measures of skin pigmentation. The intervention increased use of hats among fourth-grade students at school but had no effect on self-reported wide-brimmed hat use outside of school or on measures of skin pigmentation.

  14. Validation of the Narrowing Beam Walking Test in Lower Limb Prosthesis Users.

    PubMed

    Sawers, Andrew; Hafner, Brian

    2018-04-11

    To evaluate the content, construct, and discriminant validity of the Narrowing Beam Walking Test (NBWT), a performance-based balance test for lower limb prosthesis users. Cross-sectional study. Research laboratory and prosthetics clinic. Unilateral transtibial and transfemoral prosthesis users (N=40). Not applicable. Content validity was examined by quantifying the percentage of participants receiving maximum or minimum scores (ie, ceiling and floor effects). Convergent construct validity was examined using correlations between participants' NBWT scores and scores or times on existing clinical balance tests regularly administered to lower limb prosthesis users. Known-groups construct validity was examined by comparing NBWT scores between groups of participants with different fall histories, amputation levels, amputation etiologies, and functional levels. Discriminant validity was evaluated by analyzing the area under each test's receiver operating characteristic (ROC) curve. No minimum or maximum scores were recorded on the NBWT. NBWT scores demonstrated strong correlations (ρ=.70‒.85) with scores/times on performance-based balance tests (timed Up and Go test, Four Square Step Test, and Berg Balance Scale) and a moderate correlation (ρ=.49) with the self-report Activities-specific Balance Confidence scale. NBWT performance was significantly lower among participants with a history of falls (P=.003), transfemoral amputation (P=.011), and a lower mobility level (P<.001). The NBWT also had the largest area under the ROC curve (.81) and was the only test to exhibit an area that was statistically significantly >.50 (ie, chance). The results provide strong evidence of content, construct, and discriminant validity for the NBWT as a performance-based test of balance ability. The evidence supports its use to assess balance impairments and fall risk in unilateral transtibial and transfemoral prosthesis users. Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  15. [Ecological demonstration activity and eco-civilization construction mode: review and prospects].

    PubMed

    Mao, Hui-ping; He, Xuan; He, Jia; Niu, Dong-jie; Bao, Cun-kuan

    2013-04-01

    Ecological civilization is to normalize human development behaviors to harmonize the relationships between social and ecological development and eco-environment protection. In this paper, a comparative analysis was made on the ecological demonstration activities of ecological demonstration areas led by the Ministry of Environmental Protection, exemplar cities of national environmental protection, and ecological provinces, cities, and counties. It was considered that all the ecological demonstration activities had the problems of lacking pertinence of construction goals, disordered construction subjects, inefficient construction processes, and lacking continuous incentive mechanisms of assessment. In the meantime, through the analysis of the connotations of eco-civilization, the relationships between eco-civilization and eco-demonstration constructions were approached, and the eco-civilization construction mode was put forward in terms of construction goal, construction subject, and construction processes and assessment. The construction mode included the construction goal based on regional characteristics; the synergistic cooperation of construction subjects, the expanding ways of public participation, and the establishment of evaluation system for comprehensively measuring the 'actions and results'.

  16. Engineered Logjam Technology: A decade of application and development of science based design guidelines.

    NASA Astrophysics Data System (ADS)

    Abbe, T.

    2007-12-01

    Over 11 years ago the first engineered logjams (ELJs) were constructed in the Upper Cowlitz River (Abbe et al 1997). Nine years ago, the North Fork Stillaguamish River project was presented at the 1998 AGU Fall Meeting (Abbe et al 1998). Over the last decade, tribes, governmental agencies, private land owners and non-profit organizations have used ELJs to restore river habitat, limit channel incision, and provide bank protection for property and infrastructure. ELJs have been constructed throughout the Pacific Northwest, Alaska, California and as far away as New South Wales, Australia. The development of ELJ technology was founded on the premise of applying scientific methods to: (1) assess project sites (e.g, hydrology, hydraulics, sediment, vegetation, channel dynamics), (2) understand the mechanics of wood debris, (3) emulate natural processes and forms, (4) adapt solutions to situations constrained by human development (e.g., channelization, flow regulation) and (5) educate human communities about fluvial systems (e.g., address real and perceived views about wood debris and fluvial systems, considering direct and indirect effects on property and public safety). The case for a scientific standard of practice is supported by the successful performance of ELJ projects that employed a scientific analysis of site conditions, structure stability and the hydraulic and channel response to proposed structures. ELJ structures have successfully survived 100-yr flood events; delivered measurable increases in the amount of aquatic habitat, periphyton and invertebrate populations, and floodplain connectivity; created preferential habitat for juvenile salmon; and provided effective bank protection. I summarize the physical performance of several ELJ projects built from 1996 to 2006 and present a general scientific standard of practice for ELJ technology and wood debris management.

  17. Anthropometric Procedures for Protective Equipment Sizing and Design

    PubMed Central

    Hsiao, Hongwei

    2015-01-01

    Objectives This article presented four anthropometric theories (univariate, bivariate/probability distribution, multivariate, and shape-based methods) for protective equipment design decisions. Background While the significance of anthropometric information for product design is well recognized, designers continue to face challenges in selecting efficient anthropometric data processing methods and translating the acquired information into effective product designs. Methods For this study, 100 farm tractor operators, 3,718 respirator users, 951 firefighters, and 816 civilian workers participated in four studies on the design of tractor roll-over protective structures (ROPS), respirator test panels, fire truck cabs, and fall-arrest harnesses, respectively. Their anthropometry and participant-equipment interfaces were evaluated. Results Study 1 showed a need to extend the 90-cm vertical clearance for tractor ROPS in the current industrial standards to 98.3 to 101.3 cm. Study 2 indicated that current respirator test panel would have excluded 10% of the male firefighter population; a systematic adjustment to the boundaries of test panel cells was suggested. Study 3 provided 24 principal component analysis-based firefighter body models to facilitate fire truck cab design. Study 4 developed an improved gender-based fall-arrest harness sizing scheme to supplant the current unisex system. Conclusions This article presented four anthropometric approaches and a six-step design paradigm for ROPS, respirator test panel, fire truck cab, and fall-arrest harness applications, which demonstrated anthropometric theories and practices for defining protective equipment fit and sizing schemes. Applications The study provided a basis for equipment designers, standards writers, and industry manufacturers to advance anthropometric applications for product design and improve product efficacy. PMID:23516791

  18. Thin Bonded Concrete Overlay and Bonding Agents

    DOT National Transportation Integrated Search

    1996-06-01

    This report presents the construction procedures and initial performance evaluation of a four-inch Bonded Concrete Overlay placed on Interstate 80 near Moline, Illinois. Preconstruction testing consisted of Falling Weight Deflectometer, permeability ...

  19. Albeni Falls Wildlife Mitigation Project, 2008 Annual Report.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Soults, Scott

    The Albeni Falls Interagency Work Group (AFIWG) was actively involved in implementing wildlife mitigation activities in late 2007, but due to internal conflicts, the AFIWG members has fractionated into a smaller group. Implementation of the monitoring and evaluation program continued across protected lands. As of 2008, The Albeni Falls Interagency Work Group (Work Group) is a coalition comprised of wildlife managers from three tribal entities (Kalispel Tribe, Kootenai Tribe, Coeur d Alene Tribe) and the US Army Corps of Engineers. The Work Group directs where wildlife mitigation implementation occurs in the Kootenai, Pend Oreille and Coeur d Alene subbasins. Themore » Work Group is unique in the Columbia Basin. The Columbia Basin Fish and Wildlife Authority (CBFWA) wildlife managers in 1995, approved what was one of the first two project proposals to implement mitigation on a programmatic basis. The maintenance of this kind of approach through time has allowed the Work Group to implement an effective and responsive habitat protection program by reducing administrative costs associated with site-specific project proposals. The core mitigation entities maintain approximately 9,335 acres of wetland/riparian habitats in 2008.« less

  20. Niagara Falls Storage Site annual environmental report for calendar year 1991, Lewiston, New York. [Niagara Falls Storage Site

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1992-09-01

    This document describes the environmental monitoring program at the Niagara Falls Storage Site (NFSS) and surrounding area, implementation of the program, and monitoring results for 1991. Environmental monitoring at NFSS began in 1981. The site is owned by the US Department of Energy (DOE) and is assigned to the DOE Formerly Utilized Sites Remedial Action Program (FUSRAP). FUSRAP is a program to decontaminate or otherwise control sites where residual radioactive materials remain from the early years of the nation's atomic energy program or from commercial operations causing conditions that Congress has authorized DOE to remedy. The environmental monitoring program atmore » NFSS includes sampling networks for radon concentrations in air; external gamma radiation exposure; and total uranium and radium-226 concentrations in surface water, sediments, and groundwater. Additionally, several nonradiological parameters including seven metals are routinely measured in groundwater. Monitoring results are compared with applicable Environmental Protection Agency (EPA) standards, DOE derived concentration guides (DCGs), dose limits, and other requirements in DOE orders. Environmental standards are established to protect public health and the environment.« less

  1. Evaluation of Final Radiological Conditions at Areas of the Niagara Falls Storage Site Remediated under the Formerly Utilized Sites Remedial Action Program -12184

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Clayton, Christopher; Kothari, Vijendra; Starr, Ken

    2012-02-26

    The U. S. Department of Energy (DOE) methods and protocols allow evaluation of remediation and final site conditions to determine if remediated sites remain protective. Two case studies are presented that involve the Niagara Falls Storage Site (NFSS) and associated vicinity properties (VPs), which are being remediated under the Formerly Utilized Sites Remedial Action Program (FUSRAP). These properties are a part of the former Lake Ontario Ordnance Works (LOOW). In response to stakeholders concerns about whether certain remediated NFSS VPs were putting them at risk, DOE met with stakeholders and agreed to evaluate protectiveness. Documentation in the DOE records collectionmore » adequately described assessed and final radiological conditions at the completed VPs. All FUSRAP wastes at the completed sites were cleaned up to meet DOE guidelines for unrestricted use. DOE compiled the results of the investigation in a report that was released for public comment. In conducting the review of site conditions, DOE found that stakeholders were also concerned about waste from the Separations Process Research Unit (SPRU) at the Knolls Atomic Power Laboratory (KAPL) that was handled at LOOW. DOE agreed to determine if SPRU waste remained at that needed to be remediated. DOE reviewed records of waste characterization, historical handling locations and methods, and assessment and remediation data. DOE concluded that the SPRU waste was remediated on the LOOW to levels that pose no unacceptable risk and allow unrestricted use and unlimited exposure. This work confirms the following points as tenets of an effective long-term surveillance and maintenance (LTS&M) program: Stakeholder interaction must be open and transparent, and DOE must respond promptly to stakeholder concerns. DOE, as the long-term custodian, must collect and preserve site records in order to demonstrate that remediated sites pose no unacceptable risk. DOE must continue to maintain constructive relationships with the U.S. Army Corps of Engineers and state and federal regulators.« less

  2. Coastal changes in the Sendai area from the impact of the 2011 Tōhoku-oki tsunami: Interpretations of time series satellite images, helicopter-borne video footage and field observations

    NASA Astrophysics Data System (ADS)

    Tappin, David R.; Evans, Hannah M.; Jordan, Colm J.; Richmond, Bruce; Sugawara, Daisuke; Goto, Kazuhisa

    2012-12-01

    A combination of time-series satellite imagery, helicopter-borne video footage and field observation is used to identify the impact of a major tsunami on a low-lying coastal zone located in eastern Japan. A comparison is made between the coast protected by armoured 'engineered' sea walls and the coast without. Changes are mapped from before and after imagery, and sedimentary processes identified from the video footage. The results are validated by field observations. The impact along a 'natural' coast, with minimal defences, is erosion focussed on the back beach. Along coasts with hard engineered protection constructed to defend against erosion, the presence of three to six metre high concrete-faced embankments results in severe erosion on their landward faces. The erosion is due to the tsunami wave accelerating through a hydraulic jump as it passes over the embankment, resulting in the formation of a ditch into which the foundations collapse. Engineered coastal defences are thus found to be small defence against highly energetic tsunami waves that overtop them. There is little erosion (or sedimentation) of the whole beach, and where active, it mainly forms V-shaped channels. These channels are probably initiated during tsunami inflow and then further developed during tsunami backflow. Tsunami backflow on such a low lying area takes place energetically as sheet flow immediately after tsunami flooding has ceased. Subsequently, when the water level landward of the coastal dune ridges falls below their elevation, flow becomes confined to rivers and breaches in the coast formed during tsunami inflow. Enigmatic, short lived, 'strand lines' are attributed to the slow fall of sea level after such a major tsunami. Immediately after the tsunami coastal reconstruction begins, sourced from the sediment recently flushed into the sea by tsunami backflow.

  3. Perturbation Training Can Reduce Community-Dwelling Older Adults’ Annual Fall Risk: A Randomized Controlled Trial

    PubMed Central

    Bhatt, Tanvi; Yang, Feng; Wang, Edward

    2014-01-01

    Background. Previous studies indicated that a single session of repeated-slip exposure can reduce over 40% of laboratory-induced falls among older adults. The purpose of this study was to determine to what degree such perturbation training translated to the reduction of older adults’ annual falls risk in their everyday living. Methods. Two hundred and twelve community-dwelling older adults (≥65 years old) were randomly assigned to either the training group (N = 109), who then were exposed to 24 unannounced repeated slips, or the control group (N = 103), who merely experienced one slip during the same walking in the same protective laboratory environment. We recorded their falls in the preceding year (through self-reported history) and during the next 12 months (through falls diary and monitored with phone calls). Results. With this single session of repeated-slip exposure, training cut older adults’ annual risk of falls by 50% (from 34% to 15%, p < .05). Those who experienced merely a single slip were 2.3 times more likely to fall during the same 12-month follow-up period (p < .05) than those who experienced the 24 repeated slips. Such training effect was especially prominent among those who had history of falls. Conclusion. A single session of repeated-slip exposure could improve community-dwelling older adults’ resilience to postural disturbances and, hence, significantly reduce their annual risk of falls. PMID:24966227

  4. Mobility and Muscle Strength Together are More Strongly Correlated with Falls in Suburb-Dwelling Older Chinese

    PubMed Central

    Wang, Xiuyang; Ma, Yixuan; Wang, Jiazhong; Han, Peipei; Dong, Renwei; Kang, Li; Zhang, Wen; Shen, Suxing; Wang, Jing; Li, Dongfang; Zhou, Maoran; Wang, Liancheng; Niu, Kaijun; Guo, Qi

    2016-01-01

    Falls are common in older adults and result in adverse outcomes. Impaired mobility and poor muscle strength have been consistently identified as the main contributors to falls. We choose three easy-to-perform tests (i.e. Timed Up and Go test (TUGT), walking speed (WS) and grip strength (GS)) in order to assess mobility and muscle strength to further define their relationship with falls. This study is cross-sectional, consisting of 1092 residents over 60-year-old; 589 were female. 204 (18.68%) participants reported falling at least once in the past year. It was found that, of the three tests evaluated independently, a TUGT < 9.1750 s had the strongest association with fewer falls. When evaluating these tests as pairs, the combination of a TUGT < 9.1750 s and a WS < 0.9963 m/s was the best protective indicator of falls after adjusting for age, sex and other variables. When evaluating all three tests in conjunction with each other, the combination of a TUGT < 9.1750 s, a WS < 0.9963 m/s, and a GS > 0.3816 was most correlated with less possibility of falls. The combination of a better TUGT performance, a stronger GS, and a slower WS is the most strongly correlated with less possibility of falls. PMID:27146721

  5. Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition.

    PubMed

    Mirelman, Anat; Herman, Talia; Brozgol, Marina; Dorfman, Moran; Sprecher, Elliot; Schweiger, Avraham; Giladi, Nir; Hausdorff, Jeffrey M

    2012-01-01

    Recent findings suggest that executive function (EF) plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk. We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women) who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR). After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74-.98, p = .021), the attention index (RR: .84; CI: .75-.94, p = .002) and dual tasking gait variability (RR: 1.11; CI: 1.01-1.23; p = .027) were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02). These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk.

  6. 78 FR 28291 - Announcement of the Fall 2013 Annual Grant Competition for Immediate Release

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ... resolution. Deadline: October 1, 2013; Online application available: http://www.usip.org/grants-fellowships... 20037, (202) 429-3842 (phone), (202) 833-1018 (fax), (202) 457-1719 (TTY), Email: [email protected]org . FOR...: [email protected]org . Dated: May 8, 2013. Michael Graham, Senior Vice President for Management. [FR Doc. 2013...

  7. 75 FR 69369 - Walking-Working Surfaces and Personal Protective Equipment (Fall Protection Systems)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-12

    ... attachments that supplement these documents (e.g., studies, journal articles), submit these attachments in... requests for an informal public hearing (see, e.g., Ex. OSHA-2007-0072-0150.1). Accordingly, OSHA [[Page... questioning. At the close of the hearing, the ALJ will establish a post-hearing comment period for parties who...

  8. Rodney Hunt supplies gates to Idaho Power's Swan Falls

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1993-02-01

    Rodney Hunt Co. shipped two 30-foot by 28-foot fabricated steel roller gates to Idaho Power Co.'s Swan Falls Dam Project, where they will be installed as draft tube gates. Rodney Hunt said the gates, each weighing approximately 55 tons, are the largest roller gates the company has manufactured. The company supplied the gates under the terms of a contract worth more than $500,000. The gates were ordered as part of Idaho Power's rehabilitation of Swan Falls Dam, which will double the power plant's capacity to 25 MW. New units will begin producing power in 1993, and the project will bemore » completed in 1994. Elsewhere on the Snake River, Idaho Power intends to increase the capacity of its Twin Falls project to 52 MW from 10 MW. Construction is scheduled to start in June 1993.« less

  9. Working Toward a Better Environment

    ERIC Educational Resources Information Center

    Occupational Outlook Quarterly, 1974

    1974-01-01

    Career opportunities in the field of environmental protection fall into four broad categories: equipment operation, monitoring of pollution control activities, environmental technology and education, and environmental service and research. (Author)

  10. Wood Products Other Building Materials Used in New Residential Construction in the United States

    Treesearch

    David B. McKeever; Joe Elling

    2015-01-01

    On average, new residential construction accounts for about one-third of all wood products consumed in the United States annually. During periods of robust housing activity, 45% or more of all wood products consumed are for new single-family and multifamily housing. This can fall to as low as 20% or less during times of economic recession. Unfortunately, 2012 was not...

  11. An Examination of Freshman Student Attrition from the Fall Semester to the Spring Semester as Related to William Glasser's Choice Theory and Basic Needs

    ERIC Educational Resources Information Center

    Price, Erin S.

    2010-01-01

    Freshman student retention has become a major focus in higher education. The loss of incoming students is not only financially burdensome to the institution, but it can be academically and personally discouraging for students. Many theoretical constructs have been applied to the problem of student attrition, including the individual constructs of…

  12. The Construct and Predictive Validity of a Dynamic Assessment of Young Children Learning to Read: Implications for RTI Frameworks

    ERIC Educational Resources Information Center

    Fuchs, Douglas; Compton, Donald L.; Fuchs, Lynn S.; Bouton, Bobette; Caffrey, Erin

    2011-01-01

    The purpose of this study was to examine the construct and predictive validity of a dynamic assessment (DA) of decoding learning. Students (N = 318) were assessed in the fall of first grade on an array of instruments that were given in hopes of forecasting responsiveness to reading instruction. These instruments included DA as well as…

  13. Changes in step-width during dual-task walking predicts falls.

    PubMed

    Nordin, E; Moe-Nilssen, R; Ramnemark, A; Lundin-Olsson, L

    2010-05-01

    The aim was to evaluate whether gait pattern changes between single- and dual-task conditions were associated with risk of falling in older people. Dual-task cost (DTC) of 230 community living, physically independent people, 75 years or older, was determined with an electronic walkway. Participants were followed up each month for 1 year to record falls. Mean and variability measures of gait characteristics for 5 dual-task conditions were compared to single-task walking for each participant. Almost half (48%) of the participants fell at least once during follow-up. Risk of falling increased in individuals where DTC for performing a subtraction task demonstrated change in mean step-width compared to single-task walking. Risk of falling decreased in individuals where DTC for carrying a cup and saucer demonstrated change compared to single-task walking in mean step-width, mean step-time, and step-length variability. Degree of change in gait characteristics related to a change in risk of falling differed between measures. Prognostic guidance for fall risk was found for the above DTCs in mean step-width with a negative likelihood ratio of 0.5 and a positive likelihood ratio of 2.3, respectively. Findings suggest that changes in step-width, step-time, and step-length with dual tasking may be related to future risk of falling. Depending on the nature of the second task, DTC may indicate either an increased risk of falling, or a protective strategy to avoid falling. Copyright 2010. Published by Elsevier B.V.

  14. Development and Evaluation of an Online Fall-Risk Questionnaire for Nonfrail Community-Dwelling Elderly Persons: A Pilot Study

    PubMed Central

    Obrist, Seraina; Rogan, Slavko; Hilfiker, Roger

    2016-01-01

    Introduction. Falls are frequent in older adults and may have serious consequences but awareness of fall-risk is often low. A questionnaire might raise awareness of fall-risk; therefore we set out to construct and test such a questionnaire. Methods. Fall-risk factors and their odds ratios were extracted from meta-analyses and a questionnaire was devised to cover these risk factors. A formula to estimate the probability of future falls was set up using the extracted odds ratios. The understandability of the questionnaire and discrimination and calibration of the prediction formula were tested in a cohort study with a six-month follow-up. Community-dwelling persons over 60 years were recruited by an e-mail snowball-sampling method. Results and Discussion. We included 134 persons. Response rates for the monthly fall-related follow-up varied between the months and ranged from low 38% to high 90%. The proportion of present risk factors was low. Twenty-five participants reported falls. Discrimination was moderate (AUC: 0.67, 95% CI 0.54 to 0.81). The understandability, with the exception of five questions, was good. The wording of the questions needs to be improved and measures to increase the monthly response rates are needed before test-retest reliability and final predictive value can be assessed. PMID:27247571

  15. Nursing Unit Design, Nursing Staff Communication Networks, and Patient Falls: Are They Related?

    PubMed

    Brewer, Barbara B; Carley, Kathleen M; Benham-Hutchins, Marge; Effken, Judith A; Reminga, Jeffrey

    2018-01-01

    The purpose of this research is to (1) investigate the impact of nursing unit design on nursing staff communication patterns and, ultimately, on patient falls in acute care nursing units; and (2) evaluate whether differences in fall rates, if found, were associated with the nursing unit physical structure (shape) or size. Nursing staff communication and nursing unit design are frequently linked to patient safety outcomes, yet little is known about the impact of specific nursing unit designs on nursing communication patterns that might affect patient falls. An exploratory longitudinal correlational design was used to measure nursing unit communication structures using social network analysis techniques. Data were collected 4 times over a 7-month period. Floor plans were used to determine nursing unit design. Fall rates were provided by hospital coordinators. An analysis of covariance controlling for hospitals resulted in a statistically significant interaction of unit shape and size (number of beds). The interaction occurred when medium- and large-sized racetrack-shaped units intersected with medium- and large-sized cross-shaped units. The results suggest that nursing unit design shape impacts nursing communication patterns, and the interaction of shape and size may impact patient falls. How those communication patterns affect patient falls should be considered when planning hospital construction of nursing care units.

  16. A rockfall hazard assessment for a residential area by using 2D and 3D simulation models: A case study from North Turkey

    NASA Astrophysics Data System (ADS)

    Akgün, Aykut; Yakut, Mehmet

    2017-04-01

    Rockfalls are one of the most common and important mass movement type encountered throughout both the World and Turkey. In Turkey, especially in Black Sea Region, rock fall cases frequently occur due to the steep topography, lithological characteristics, improper land use and structural elements such as discontinuity density. As a consequence of rock fall cases, serious injury and loss of lives can be observed in the area. In this study, a residential area located in Trabzon city (Northeast part of Black Sea Region, Turkey) was handled in point of rock fall hazard assessment. In the area, several rock fall cases occurred, and one of them occurred in year of 2009, resulted two people died. The last one also occurred in year of 2016, and the source of both cases are the same location. In the area, several houses and working places are available, and up to now any effective protection measurements have been installed. The area is also located near a highway connecting Trabzon city to the southeast region of Turkey, and daily vehicle number is highly considerable. Due to all these sensitive issues, the area was selected to be study location. In order to make a rock fall hazard assessment in the area to determine and propose an effective mitigation system, a 2D and 3D simulation models were applied. Initially a digital elevation model (DEM) of the area was obtained by a 1:1000 scale digital topographical sheets. By using the obtained digital terrain data, detailed cross sections of the slope profiles were created. Then, a detailed field and photo survey was carried out to detect the dangerous and hanging rock blocks that may be source for a possible rock fall cases. The physico-mechanical properties of the intact rock material were determined so that they can be used to be input parameters for the rock fall simulation models. To create simulation models, Rocfall 6.0®, Rockfall Analyst for ArcGIS and CONEFALL softwares were used. Using the Rockfall Analyst extension for ArcGIS and CONEFALL software, propagation and runout distances of possible rock fall cases were evaluated. By Rocfall 6.0® software, possible rock fall paths and proper mitigation measurements such as protection barriers or ditches were also assessed. At the end of the assessment processes, a detailed rock fall hazard map was produced for the area. With the help of this map, an important extent of area was determined to be under rock fall threat. This obtained map is also expected to be considered by the local governmental authorities to make persistent hazard mitigation measurements in the area. Keywords: Rock fall, simulation, hazard, Turkey

  17. Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients.

    PubMed

    Shea, Cristina A; Ward, Rachel E; Welch, Sarah A; Kiely, Dan K; Goldstein, Richard; Bean, Jonathan F

    2018-06-01

    The aim of the study was to examine whether the chair stand component of the Short Physical Performance Battery predicts fall-related injury among older adult primary care patients. A 2-yr longitudinal cohort study of 430 Boston-area primary care patients aged ≥65 yrs screened to be at risk for mobility decline was conducted. The three components of the Short Physical Performance Battery (balance time, gait speed, and chair stand time) were measured at baseline. Participants reported incidence of fall-related injuries quarterly for 2 yrs. Complementary log-log discrete time hazard models were constructed to examine the hazard of fall-related injury across Short Physical Performance Battery scores, adjusting for age, sex, race, Digit Symbol Substitution Test score, and fall history. Participants were 68% female and 83% white, with a mean (SD) age of 76.6 (7.0). A total of 137 (32%) reported a fall-related injury during the follow-up period. Overall, inability to perform the chair stand task was a significant predictor of fall-related injury (hazard ratio = 2.11, 95% confidence interval = 1.23-3.62, P = 0.01). Total Short Physical Performance Battery score, gait component score, and balance component score were not predictive of fall-related injury. Inability to perform the repeated chair stand task was associated with increased hazard of an injurious fall for 2 yrs among a cohort of older adult primary care patients.

  18. Strategic thinking.

    PubMed

    Andalo, Debbie

    2005-12-01

    THIS SUMMER, there was a glimmer of hope in the battle against sexually transmitted infections (STIs). According to the Health Protection Agency (HPA), infection rates for some diseases are at last beginning to fall.

  19. Cost-effectiveness in fall prevention for older women.

    PubMed

    Hektoen, Liv F; Aas, Eline; Lurås, Hilde

    2009-08-01

    The aim of this study was to estimate the cost-effectiveness of implementing an exercise-based fall prevention programme for home-dwelling women in the > or = 80-year age group in Norway. The impact of the home-based individual exercise programme on the number of falls is based on a New Zealand study. On the basis of the cost estimates and the estimated reduction in the number of falls obtained with the chosen programme, we calculated the incremental costs and the incremental effect of the exercise programme as compared with no prevention. The calculation of the average healthcare cost of falling was based on assumptions regarding the distribution of fall injuries reported in the literature, four constructed representative case histories, assumptions regarding healthcare provision associated with the treatment of the specified cases, and estimated unit costs from Norwegian cost data. We calculated the average healthcare costs per fall for the first year. We found that the reduction in healthcare costs per individual for treating fall-related injuries was 1.85 times higher than the cost of implementing a fall prevention programme. The reduction in healthcare costs more than offset the cost of the prevention programme for women aged > or = 80 years living at home, which indicates that health authorities should increase their focus on prevention. The main intention of this article is to stipulate costs connected to falls among the elderly in a transparent way and visualize the whole cost picture. Cost-effectiveness analysis is a health policy tool that makes politicians and other makers of health policy conscious of this complexity.

  20. Work-related ladder fall fractures: identification and diagnosis validation using narrative text.

    PubMed

    Smith, Gordon S; Timmons, Robert A; Lombardi, David A; Mamidi, Dheeresh K; Matz, Simon; Courtney, Theodore K; Perry, Melissa J

    2006-09-01

    To identify ladder-related fracture injuries and determine how ladder fall fractures differ from other ladder-related injuries. Ladder-related fracture cases were identified using narrative text and coded data from workers' compensation claims. Potential cases were identified by text searches and verified with claim records. Injury characteristics were compared using proportionate injury ratios. Of 9826 ladder-related injuries, 7% resulted in fracture cases. Falls caused 89% of fractures and resulted in more medical costs and disability days than other injuries. Frequent mechanisms were ladder instability (22%) and lost footing (22%). Narrative text searches identified 17% more fractures than injury codes alone. Males were more likely to sustain a fall fracture than other injuries; construction workers were most likely, and retail workers were the least likely to sustain fractures. Fractures are an important injury from ladder falls, resulting more serious consequences than other ladder-related injuries. Text analysis can improve the quality and utility of workers compensation data by identifying and understanding injury causes. Proportionate injury ratios are also useful for making cross-group comparisons of injury experience when denominator data are not available. Greater attention to risk factors for ladder falls is needed for targeting interventions.

  1. DRMS World, Volume 33, Number 4, Fall 2008

    DTIC Science & Technology

    2008-01-01

    love tors)." to hear. But what does she ask in return? EXCHANGE PROGRAM What responsibility comes with that empower- "It’s an age old problem ...said. hunt without a map. Databases By bringing all of the data sources such as MIDAS , DAISY, together there was less chance for error FEDLOG and FLIS...example, slips and falls have program. THE VOLUNTARY PROTECTION PROGRAM HAS always been a perpetual problem at More informa- BEEN IMPLEMENTED AT THE

  2. 40 CFR 40.115-1 - Construction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... investigations and studies, surveys, designs, plans, working drawings, specifications, procedures, and other... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Construction. 40.115-1 Section 40.115-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE RESEARCH AND...

  3. 40 CFR 40.115-1 - Construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... investigations and studies, surveys, designs, plans, working drawings, specifications, procedures, and other... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Construction. 40.115-1 Section 40.115-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE RESEARCH AND...

  4. 40 CFR 40.115-1 - Construction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... investigations and studies, surveys, designs, plans, working drawings, specifications, procedures, and other... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Construction. 40.115-1 Section 40.115-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE RESEARCH AND...

  5. 40 CFR 40.115-1 - Construction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... investigations and studies, surveys, designs, plans, working drawings, specifications, procedures, and other... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Construction. 40.115-1 Section 40.115-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE RESEARCH AND...

  6. 40 CFR 40.115-1 - Construction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... investigations and studies, surveys, designs, plans, working drawings, specifications, procedures, and other... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Construction. 40.115-1 Section 40.115-1 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE RESEARCH AND...

  7. Fall prevention and monitoring of assisted living patients: an exploratory study of physician perspectives.

    PubMed

    Nyrop, Kirsten A; Zimmerman, Sheryl; Sloane, Philip D; Bangdiwala, Srikant

    2012-06-01

    Explore physician perspectives on their involvement in fall prevention and monitoring for residential care/assisted living (RC/AL) residents. Exploratory cross-sectional study; mailed questionnaire. Four RC/AL communities, North Carolina. Primary physicians for RC/AL residents. Past Behavior and future Intentions of physicians with regard to (1) fall risk assessment and (2) collaboration with RC/AL staff to reduce falls and fall risks among RC/AL residents were explored using Theory of Planned Behavior (TPB) constructs. Predictor variables examined (1) physicians' views on their own responsibilities (Attitude), (2) their views of expectations from important referent groups (Subjective Norms), and (3) perceived constraints on engaging in fall prevention and monitoring (Perceived Behavioral Control). Physicians reported conducting fall risk assessments of 47% of RC/AL patients and collaborating with RC/AL staff to reduce fall risks for 36% of RC/AL patients (Behavior). These proportions increased to 75% and 62%, respectively, for future Intentions. TPB-based models explained approximately 60% of the variance in self-reported Behavior and Intentions. Physician's involvement in fall prevention and monitoring was significantly associated (P < .05) with their perceptions of barriers and facilitators-ease, time, reimbursement, and expertise. This study provides first data on physician beliefs regarding their involvement in fall risk assessment of RC/AL patients and collaboration with RC/AL staff to reduce fall risks of individual patients. Challenges to physician involvement identified in our study are not unique or specific to the RC/AL setting, and instead relate to clinical practice and reimbursement constraints in general. Copyright © 2012 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  8. Alternative contracting research : [project summary].

    DOT National Transportation Integrated Search

    2016-09-01

    To conserve taxpayer money, many governmental agencies use a low-bid process for design : and construction services. The Florida Department of Transportations (FDOT) Design-Bid-Build : process falls in this category. However, a low-bid approach do...

  9. Effect of inhaled furosemide and torasemide on bronchial response to ultrasonically nebulized distilled water in asthmatic subjects.

    PubMed

    Foresi, A; Pelucchi, A; Mastropasqua, B; Cavigioli, G; Carlesi, R M; Marazzini, L

    1992-08-01

    Inhaled furosemide has been shown to reduce the bronchoconstriction induced by several indirect stimuli, including ultrasonically nebulized distilled water (UNDW). Because the protective effect could be due to the inhibition of the Na(+)-2Cl(-)-K+ cotransport system of bronchial epithelium, we have compared the protective effect of inhaled furosemide with that of inhaled torasemide, a new and more potent loop diuretic, on UNDW-induced bronchoconstriction in a group of 12 asthmatic subjects. UNDW challenge was performed by constructing a stimulus-response curve with five increasing volume outputs of distilled water (from 0.5 to 5.2 ml/min) and the bronchial response expressed as the provocative output causing a 20% fall in FEV1 (PO20UNDW). On different days, each subject inhaled an equal dose (28 mg) of furosemide and torasemide in a randomized, double-blind, placebo-controlled study 5 min prior to an UNDW challenge. Furosemide and torasemide had no significant effect on resting lung function. The geometric mean value of PO20UNDW measured after placebo was 1.73 ml/min. This was significantly lower than that recorded after furosemide (4.25 ml/min; p < 0.025), but not after torasemide (3.05 ml/min; p = 0.07). Inhaled furosemide totally blocked bronchial response to UNDW in five subjects. In two of five subjects the response was also blocked by inhaled torasemide. A remarkable increase in diuresis was noted only after torasemide in most subjects. We conclude that inhaled furosemide has a better protective effect than does inhaled torasemide against UNDW-induced bronchoconstriction. However, the protective effect of furosemide is variable, with some asthmatic patients showing no change in bronchial response to UNDW.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. Research on flux of dry atmospheric falling dust and its characterization in a subtropical city, Guangzhou, South China.

    PubMed

    Zhao, Jinping; Peng, Ping'an; Song, Jianzhong; Ma, Shexia; Sheng, Guoying; Fu, Jiamo

    2010-09-01

    Guangzhou is the central city in the Pearl River Delta (PRD), China, and is one of the most polluted cities in the world. To characterize the ambient falling dust pollution, two typical sampling sites: urban (Wushan) and suburban (University Town) areas in Guangzhou city were chosen for falling dust collection over 1 year at time intervals of 1 or 2 months. The flux of dry deposition was calculated. In addition, mineral composition and morphology of atmospheric falling dust were studied by X-ray diffraction, scanning electron microscopy, and microscopic observation. The results revealed that the dust flux in Guangzhou city was 3.34-3.78 g/(m(2) month) during the study period. The main minerals in the dust were quartz, illite, calcite, kaolinite, gypsum, plagioclase, dolomite, and amorphous matter. The morphological types included grained and flaky individual minerals, chain-like aggregates, spherical flying beads, and irregular aggregates, with the chain-like and spherical aggregates indicators of industrial ash. The major dusts were derived from industrial and construction activities. The gypsum present in the dust collected in winter season was not only derived from cement dust but may also have originated from the reaction of calcic material with sulfuric acids resulting from photooxidation of SO(x) and NO(x), which confirmed serious air pollution due to SO(x) and NO(x) in Guangzhou. The abatement of fossil fuel combustion emissions and construction dust will have a significant beneficial effect on dust reduction.

  11. Do Canes or Walkers Make Any Difference? NonUse and Fall Injuries.

    PubMed

    Luz, Clare; Bush, Tamara; Shen, Xiaoxi

    2017-04-01

    Examine patterns of cane and walker use as related to falls and fall injuries. Among people who fall at home, most do not have an assistive device with them when they fall. Nonusers who fall sustain more severe injuries. This was a cross-sectional study using a self-administered written survey completed by 262 people aged 60 and older who were community dwelling, cognitively intact, and current cane/walker users with a history of falls. They were recruited through clinical practice sites, churches, and senior housing in central Michigan. Outcomes of interest included patterns of device use, reasons for nonuse, device use at time of fall, and fall-related injuries. Seventy-five percent of respondents who fell were not using their device at the time of fall despite stating that canes help prevent falls. Reasons for nonuse included believing it was not needed, forgetfulness, the device made them feel old, and inaccessibility. Perceived risk was not high enough to engage in self-protective behavior. However, nonuse led to a significantly higher proportion of falls resulting in surgery than among device users. Among respondents requiring surgery, 100% were nonusers. Most respondents never received a home safety evaluation (68%) and only 50% received training on proper device use. Providers must place increased emphasis on the importance of cane/walker use for injury prevention through patient education to promote personal relevance, proper fitting, and training. New strategies are needed to improve device acceptability and accessibility. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. "Staying safe" - a narrative review of falls prevention in people with Parkinson's - "PDSAFE".

    PubMed

    Hulbert, Sophia; Rochester, Lynn; Nieuwboer, Alice; Goodwin, Vicki; Fitton, Carolyn; Chivers-Seymour, Kim; Ashburn, Ann

    2018-05-18

    Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms. Falling is common and disabling. Current medical management shows minimal impact to reduce falls or fall-related risk factors, such as deficits in gait, strength, and postural instability. Despite evidence supporting rehabilitation in reducing fall risk factors, the most appropriate intervention to reduce overall fall rate remains inconclusive. This article aims to 1) synthesise current evidence and conceptual models of falls rehabilitation in Parkinson's in a narrative review; and based on this evidence, 2) introduce the treatment protocol used in the falls prevention and multi-centre clinical trial "PDSAFE". Search of four bibliographic databases using the terms "Parkinson*" and "Fall*" combined with each of the following; "Rehab*, Balanc*, Strength*, Strateg*and Exercis*" and a framework for narrative review was followed. A total of 3557 papers were identified, 416 were selected for review. The majority report the impact of rehabilitation on isolated fall risk factors. Twelve directly measure the impact on overall fall rate. Results were used to construct a narrative review with conceptual discussion based on the "International Classification of Functioning", leading to presentation of the "PDSAFE" intervention protocol. Evidence suggests training single, fall risk factors may not affect overall fall rate. Combining with behavioural and strategy training in a functional, personalised multi-dimensional model, addressing all components of the "International Classification of Functioning" is likely to provide a greater influence on falls reduction. "PDSAFE" is a multi-dimensional, physiotherapist delivered, individually tailored, progressive, home-based programme. It is designed with a strong evidence-based approach and illustrates a model for the clinical delivery of the conceptual theory discussed. Implications for Rehabilitation Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms, where falling is common and disabling. Current medical and surgical management have minimal impact on falls, rehabilitation of falls risk factors has strong evidence but the most appropriate intervention to reduce overall fall rate remains inconclusive. Addressing all components of the International Classification of Function in a multifactorial model when designing falls rehabilitation interventions may be more effective at reducing fall rates in people with Parkinson's than treating isolated risk factors. The clinical model for falls rehabilitation in people with Parkinson's should be multi-dimensional.

  13. Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors.

    PubMed

    Mazur, Katarzyna; Wilczyński, Krzysztof; Szewieczek, Jan

    2016-01-01

    Inpatient geriatric falls are a frequent complication of hospital care that results in significant morbidity and mortality. Evaluate factors associated with falls in geriatric inpatients after implementation of the fall prevention program. Prospective observational study comprised of 788 consecutive patients aged 79.5±7.6 years ( [Formula: see text] ± standard deviation) (66% women and 34% men) admitted to the subacute geriatric ward. Comprehensive geriatric assessment (including Mini-Mental State Examination, Barthel Index of Activities of Daily Living, and modified Get-up and Go Test) was performed. Confusion Assessment Method was used for diagnosis of delirium. Patients were categorized into low, moderate, or high fall risk groups after clinical and functional assessment. About 15.9%, 21.1%, and 63.1% of participants were classified into low, moderate, and high fall risk groups, respectively. Twenty-seven falls were recorded in 26 patients. Increased fall probability was associated with age ≥76 years ( P <0.001), body mass index (BMI) <23.5 ( P =0.007), Mini-Mental State Examination <20 ( P =0.004), Barthel Index <65 ( P =0.002), hemoglobin <7.69 mmol/L ( P =0.017), serum protein <70 g/L ( P =0.008), albumin <32 g/L ( P =0.001), and calcium level <2.27 mmol/L. Four independent factors associated with fall risk were included in the multivariate logistic regression model: delirium (odds ratio [OR] =7.33; 95% confidence interval [95% CI] =2.76-19.49; P <0.001), history of falls (OR =2.55; 95% CI =1.05-6.19; P =0.039), age (OR =1.14; 95% CI =1.05-1.23; P =0.001), and BMI (OR =0.91; 95% CI =0.83-0.99; P =0.034). Delirium, history of falls, and advanced age seem to be the primary risk factors for geriatric falls in the context of a hospital fall prevention program. Higher BMI appears to be associated with protection against inpatient geriatric falls.

  14. Safe Landing Strategies During a Fall: Systematic Review and Meta-Analysis.

    PubMed

    Moon, Yaejin; Sosnoff, Jacob J

    2017-04-01

    To systematically synthesize information on safe landing strategies for a fall, and quantitatively examine the effects of the strategies to reduce the risk of injury from a fall. PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library. Databases were searched using the combinations of keywords of "falls," "strategy," "impact," and "load." Randomized controlled trials, cohort studies, pre-post studies, and cross-sectional studies were included. Fall strategies were extracted and categorized by falling direction. Measurements of impact loads that reflect the risk of injuries were extracted (eg, impact velocity, impact force, fall duration, impact angle). Hedges' g was used as effect size to quantify the effect of a protective landing strategy to reduce the impact load. A total of 7 landing strategies (squatting, elbow flexion, forward rotation, martial arts rolling, martial arts slapping, relaxed muscle, stepping) in 13 studies were examined. In general, all strategies, except for the martial arts slapping technique, significantly reduced impact load (g values=.73-2.70). Squatting was an efficient strategy to reduce impact in backward falling (g=1.77), while elbow flexion with outstretched arms was effective in forward falling (g=.82). Also, in sideways falling strategies, martial arts rolling (g=2.70) and forward rotation (g=.82) were the most efficient strategies to reduce impact load. The results showed that landing strategies have a significant effect on reducing impact load during a fall and might be effective to reduce the impact load of falling. The current study also highlighted limitations of the previous studies that focused on a young population and self-initiated falls. Further investigation with elderly individuals and unexpected falls is necessary to verify the effectiveness and suitability of the strategies for at-risk populations in real-life falls. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  15. 40 CFR 600.104-78 - Section numbering, construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Section numbering, construction. 600.104-78 Section 600.104-78 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) ENERGY POLICY FUEL ECONOMY AND CARBON-RELATED EXHAUST EMISSIONS OF MOTOR VEHICLES Fuel Economy Regulations for...

  16. 40 CFR 600.304-77 - Section numbering, construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Section numbering, construction. 600.304-77 Section 600.304-77 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) ENERGY POLICY FUEL ECONOMY AND CARBON-RELATED EXHAUST EMISSIONS OF MOTOR VEHICLES Fuel Economy Regulations for...

  17. 40 CFR 600.004-77 - Section numbering, construction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Section numbering, construction. 600.004-77 Section 600.004-77 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) ENERGY POLICY FUEL ECONOMY AND CARBON-RELATED EXHAUST EMISSIONS OF MOTOR VEHICLES Fuel Economy Regulations for...

  18. Radiation Protection Enrollments and Degrees. Enrollments--Fall 1973. Degrees Granted July 1965-June 1973.

    ERIC Educational Resources Information Center

    Atomic Energy Commission, Washington, DC. Div. of Labor Relations.

    The demand for radiation protection personnel has increased during the past several years and can be expected to continue to increase for several years to come. This document gives the results of the latest survey of institutions offering degree programs in this field. Such a small segment of the total college enrollment is represented in health…

  19. Characteristics of summer and fall diurnal resting habitat used by American martens in coastal northwestern California

    Treesearch

    K. M. Slauson; W. J. Zielinski

    2009-01-01

    American martens use resting habitat between periods of activity to provide both thermal refugia and protection from predators. Maintenance or restoration of key elements of marten resting habitat, such as resting structures, requires that managers recognize their characteristics to protect them, or manage for their creation. We measured resting habitat at 4 scales: (1...

  20. 24 CFR 3280.301 - Scope.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Body and Frame Construction Requirements § 3280.301 Scope...) Protection against corrosion, decay, insects and other similar destructive forces, (c) Protection against...

  1. Environmental Assessment for the Construction and Operation of an Indoor Small Arms Range at Niagara Falls Air Reserve Station, New York

    DTIC Science & Technology

    2009-08-01

    Name Northern flicker Colaptes auratus Northern harrier2 Circus cyaneus Northern mockingbird Mimus polyglottos Northern rough-winged swallow...Installation operations impact wildlife habitat. Disturbance of vegetation by construction. Displacement and potential to kill or injure...Unless otherwise permitted by regulations, the MBTA makes it unlawful to pursue, hunt, take, capture, or kill ; attempt to take, capture or kill

  2. 36 CFR 331.3 - Hunting and trapping.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE CONSERVATION AREA...: (a) The hunting, trapping, catching, molesting, killing, or having in possession any wild animal or...

  3. 36 CFR 331.3 - Hunting and trapping.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE CONSERVATION AREA...: (a) The hunting, trapping, catching, molesting, killing, or having in possession any wild animal or...

  4. 36 CFR 331.3 - Hunting and trapping.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE CONSERVATION AREA...: (a) The hunting, trapping, catching, molesting, killing, or having in possession any wild animal or...

  5. 36 CFR 331.3 - Hunting and trapping.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... GOVERNING THE PROTECTION, USE AND MANAGEMENT OF THE FALLS OF THE OHIO NATIONAL WILDLIFE CONSERVATION AREA...: (a) The hunting, trapping, catching, molesting, killing, or having in possession any wild animal or...

  6. Analysis of Construction Accidents in Turkey and Responsible Parties

    PubMed Central

    GÜRCANLI, G. Emre; MÜNGEN, Uğur

    2013-01-01

    Construction is one of the world’s biggest industry that includes jobs as diverse as building, civil engineering, demolition, renovation, repair and maintenance. Construction workers are exposed to a wide variety of hazards. This study analyzes 1,117 expert witness reports which were submitted to criminal and labour courts. These reports are from all regions of the country and cover the period 1972–2008. Accidents were classified by the consequence of the incident, time and main causes of the accident, construction type, occupation of the victim, activity at time of the accident and party responsible for the accident. Falls (54.1%), struck by thrown/falling object (12.9%), structural collapses (9.9%) and electrocutions (7.5%) rank first four places. The accidents were most likely between the hours 15:00 and 17:00 (22.6%), 10:00–12:00 (18.7%) and just after the lunchtime (9.9%). Additionally, the most common accidents were further divided into sub-types. Expert-witness assessments were used to identify the parties at fault and what acts of negligence typically lead to accidents. Nearly two thirds of the faulty and negligent acts are carried out by the employers and employees are responsible for almost one third of all cases. PMID:24077446

  7. National Dam Safety Program. Wappingers Falls Dam (I.D. Number N.Y. 3, D.E.C. 613A), Hudson River Basin, Dutchess County, New York. Phase 1 Inspection Report

    DTIC Science & Technology

    1980-09-30

    Classification 2I e. Ownership 2f. Purpose of Dam 2 g. Design and Construction History 2h. Normal Operating Procedure 2 1.3 PERTINENT DATA 2 a. Drainage...4 2.2 SUBSURFACE INVESTIGATION 4 2.3 DAM AND APPURTENANT STRUCTURES 4 2.4 CONSTRUCTION RECORDS 4 2.5 OPERATION RECORDS 2.6 EVALUATION OF DATA 5 4...12 a. Visual Observations 12 b. Design and Construction Data 12 c. Stability Analysis 12 d. Operating Records 13 e. Post- Construction Changes 13 f

  8. Spawning Habitat Studies of Hanford Reach Fall Chinook Salmon (Oncorhynchus tshawytscha), Final Report.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Geist, David R.; Arntzen, Evan V.; Chien, Yi-Ju

    2009-03-02

    The Pacific Northwest National Laboratory conducted this study for the Bonneville Power Administration (BPA) with funding provided through the Northwest Power and Conservation Council(a) and the BPA Fish and Wildlife Program. The study was conducted in the Hanford Reach of the Columbia River. The goal of study was to determine the physical habitat factors necessary to define the redd capacity of fall Chinook salmon that spawn in large mainstem rivers like the Hanford Reach and Snake River. The study was originally commissioned in FY 1994 and then recommissioned in FY 2000 through the Fish and Wildlife Program rolling review ofmore » the Columbia River Basin projects. The work described in this report covers the period from 1994 through 2004; however, the majority of the information comes from the last four years of the study (2000 through 2004). Results from the work conducted from 1994 to 2000 were covered in an earlier report. More than any other stock of Pacific salmon, fall Chinook salmon (Oncorhynchus tshawytscha) have suffered severe impacts from the hydroelectric development in the Columbia River Basin. Fall Chinook salmon rely heavily on mainstem habitats for all phases of their life cycle, and mainstem hydroelectric dams have inundated or blocked areas that were historically used for spawning and rearing. The natural flow pattern that existed in the historic period has been altered by the dams, which in turn have affected the physical and biological template upon which fall Chinook salmon depend upon for successful reproduction. Operation of the dams to produce power to meet short-term needs in electricity (termed power peaking) produces unnatural fluctuations in flow over a 24-hour cycle. These flow fluctuations alter the physical habitat and disrupt the cues that salmon use to select spawning sites, as well as strand fish in near-shore habitat that becomes dewatered. The quality of spawning gravels has been affected by dam construction, flood protection, and agricultural and industrial development. In some cases, the riverbed is armored such that it is more difficult for spawners to move, while in other cases the intrusion of fine sediment into spawning gravels has reduced water flow to sensitive eggs and young fry. Recovery of fall Chinook salmon populations may involve habitat restoration through such actions as dam removal and reservoir drawdown. In addition, habitat protection will be accomplished through set-asides of existing high-quality habitat. A key component to evaluating these actions is quantifying the salmon spawning habitat potential of a given river reach so that realistic recovery goals for salmon abundance can be developed. Quantifying salmon spawning habitat potential requires an understanding of the spawning behavior of Chinook salmon, as well as an understanding of the physical habitat where these fish spawn. Increasingly, fish biologists are recognizing that assessing the physical habitat of riverine systems where salmon spawn goes beyond measuring microhabitat like water depth, velocity, and substrate size. Geomorphic features of the river measured over a range of spatial scales set up the physical template upon which the microhabitat develops, and successful assessments of spawning habitat potential incorporate these geomorphic features. We had three primary objectives for this study. The first objective was to determine the relationship between physical habitats at different spatial scales and fall Chinook salmon spawning locations. The second objective was to estimate the fall Chinook salmon redd capacity for the Reach. The third objective was to suggest a protocol for determining preferable spawning reaches of fall Chinook salmon. To ensure that we collected physical data within habitat that was representative of the full range of potential spawning habitat, the study area was stratified based on geomorphic features of the river using a two-dimensional river channel index that classified the river cross section into one of four shapes based on channel symmetry, depth, and width. We found that this river channel classification system was a good predictor at the scale of a river reach ({approx}1 km) of where fall Chinook salmon would spawn. Using this two-dimensional river channel index, we selected study areas that were representative of the geomorphic classes. A total of nine study sites distributed throughout the middle 27 km of the Reach (study area) were investigated. Four of the study sites were located between river kilometer 575 and 580 in a section of the river where fall Chinook salmon have not spawned since aerial surveys were initiated in the 1940s; four sites were located in the spawning reach (river kilometer [rkm] 590 to 603); and one site was located upstream of the spawning reach (rkm 605).« less

  9. Influences of a Church-Based Intervention on Falls Risk Among Seniors.

    PubMed

    Briggs, Morgan; Morzinski, Jeffrey A; Ellis, Julie

    2017-08-01

    Prior studies illustrate that community-based programs effectively decrease falls risk in older adults and that faith-based programs improve health behaviors. The literature is unclear whether faith-based initiatives reduce seniors' fall risks. To tackle this gap, a long-term partnership led by 10 urban churches, a nearby nursing school, and a medical school developed a study with 3 objectives: determine baseline health concerns associated with falls (eg, depression, polypharmacy), implement a nurse-led, faith-based health education initiative for community-dwelling African American seniors at-risk of hospitalization, and assess pre- to post -program fall frequency. The 100 Healthy, At-Risk Families study team implemented 8 monthly educational health sessions promoting self-care and social support. Community nurses led the 60- to 90-minute sessions at each of 10 churches. To collect study data, nurses interviewed enrolled seniors pre- and post-intervention. Descriptive and comparison statistics were analyzed in Excel and Statistical Package for Social Sciences. Senior data at baseline found high rates of polypharmacy and physical imbalance, and no significant depression or gaps in social support. There was not a statistically significant change pre- to post-program in fall frequency "in prior year." Study findings reveal insights about African American senior health and fall risks. Church settings may provide a protective, psychosocial buffer for seniors, while polypharmacy and mobility/balance concerns indicate need for continued attention to fall risks. No increase in pre- to post-program falls was encouraging.

  10. Temporal association between hospitalization and rate of falls after discharge.

    PubMed

    Mahoney, J E; Palta, M; Johnson, J; Jalaluddin, M; Gray, S; Park, S; Sager, M

    2000-10-09

    Evidence suggests that acute illness and hospitalization may increase the risk for falls. To evaluate the rate of falls, and associated risk factors, for 90 days following hospital discharge. We consecutively enrolled 311 patients, aged 65 years and older, discharged from the hospital after an acute medical illness and receiving home-nursing services. Patients were assessed within 5 days of discharge for prehospital and current functioning by self-report, and balance, vision, cognition, and delirium by objective measures. Patients were followed up weekly for 13 weeks for falls, injuries, and health care use. The rate of falls was significantly higher in the first 2 weeks after hospitalization (8.0 per 1000 person-days) compared with 3 months later (1.7 per 1000 person-days) (P =.002). Fall-related injuries accounted for 15% of all hospitalizations in the first month after discharge. Independent prehospital risk factors significantly associated with falls included dependency in activities of daily living, use of a standard walker, 2 or more falls, and more hospitalizations in the year prior. Posthospital risk factors included use of a tertiary amine tricyclic antidepressant, probable delirium, and poorer balance, while use of a cane was protective. The rate of falls is substantially increased in the first month after medical hospitalization, and is an important cause of injury and morbidity. Posthospital risk factors may be potentially modifiable. Efforts to assess and modify risk factors should be integral to the hospital and posthospital care of older adults (those aged >/=65 years).

  11. Psychometric validation of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool for older Chinese inpatients.

    PubMed

    Zhang, Junhong; Wang, Min; Liu, Yu

    2016-10-01

    To culturally adapt and evaluate the reliability and validity of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool among older inpatients in the mainland of China. Patient falls are an important safety consideration within hospitals among older inpatients. Nurses need specific risk assessment tools for older inpatients to reliably identify at-risk populations and guide interventions that highlight fixable risk factors for falls and consequent injuries. In China, a few tools have been developed to measure fall risk. However, they lack the solid psychometric development necessary to establish their validity and reliability, and they are not widely used for elderly inpatients. A cross-sectional study. A convenient sampling was used to recruit 201 older inpatients from two tertiary-level hospitals in Beijing and Xiamen, China. The Johns Hopkins Fall Risk Assessment Tool was translated using forward and backward translation procedures and was administered to these 201 older inpatients. Reliability of the tool was calculated by inter-rater reliability and Cronbach's alpha. Validity was analysed through content validity index and construct validity. The Inter-rater reliability of Chinese version of Johns Hopkins Fall Risk Assessment Tool was 97·14% agreement with Cohen's Kappa of 0·903. Cronbach's α was 0·703. Content of Validity Index was 0·833. Two factors represented intrinsic and extrinsic risk factors were explored that together explained 58·89% of the variance. This study provided evidence that Johns Hopkins Fall Risk Assessment Tool is an acceptable, valid and reliable tool to identify older inpatients at risk of falls and falls with injury. Further psychometric testing on criterion validity and evaluation of its advanced utility in geriatric clinical settings are warranted. The Chinese version of Johns Hopkins Fall Risk Assessment Tool may be useful for health care personnel to identify older Chinese inpatients at risk of falls and falls with injury. © 2016 John Wiley & Sons Ltd.

  12. Electronic construction collaboration system : phase III.

    DOT National Transportation Integrated Search

    2011-12-01

    This phase of the electronic collaboration project involved two major efforts: 1) implementation of AEC Sync (formerly known as Attolist), a web-based project management system (WPMS), on the Broadway Viaduct Bridge Project and the Iowa Falls Arch Br...

  13. Evaluation of Chem-Crete : final report.

    DOT National Transportation Integrated Search

    1982-01-01

    Two test sections, one on new construction and the other on a maintenance resurfacing project, were installed in the fall of 1980 to evaluate the proprietary product Chem-Crete. Laboratory tests and dynaflect and density measurements were performed o...

  14. Generalized mathematical model of red muds’ thickener of alumina production

    NASA Astrophysics Data System (ADS)

    Fedorova, E. R.; Vinogradova, A. A.

    2018-03-01

    The article describes the principle of a generalized mathematical model of the red mud’s thickener construction. The model of the red muds’ thickener of alumina production consists of sub-models of flocculation zones containing solid fraction feed slurry, free-fall and cramped sedimentation zones or effective sedimentation zones, bleaching zones. The generalized mathematical model of thickener allows predicting the content of solid fraction in the condensed product and in the upper discharge. The sub-model of solid phase aggregation allows one to count up average size of floccules, which is created during the flocculation process in feedwell. The sub-model of the free-fall and cramped sedimentation zone allows one to count up the concentration profile taking into account the variable cross-sectional area of the thickener. The sub-model of the bleaching zone is constructed on the basis of the theory of the precipitation of Kinc, supplemented by correction factors.

  15. Radiated emissions comparison of seven-stage modal filter constructions for Ethernet 100Base-T network protection

    NASA Astrophysics Data System (ADS)

    Khazhibekov, R. R.; Zabolotsky, A. M.

    2018-05-01

    The authors consider Ethernet protection devices based on modal filtering. Radiated emission measurement results for three modal filter constructions are presented. It is shown that the improved construction of a non-resistive filter has lower emission levels than the original one.

  16. 'Balancing risk' after fall-induced hip fracture: the older person's need for information.

    PubMed

    McMillan, Laura; Booth, Joanne; Currie, Kay; Howe, Tracey

    2014-12-01

    Hip fracture is a significant cause of morbidity and mortality in older people. Healthcare professionals have a role to identify and respond to challenges and concerns that older people face as they strive to manage risk of future falls and rebuild confidence and independence after discharge. This study aimed to explore the postdischarge concerns of older people after fall-induced hip fracture. Glaser's approach to the grounded theory method guided qualitative interviews conducted with 19 older people in their own homes up to 3 months post discharge, in two health authority areas. A theory of 'taking control' was generated. 'Balancing risk' emerged as a key strategy that older people employed to help them to take control after discharge home. Older people attempted to control or 'balance' their risk of future falls and dependence by implementing two further strategies: 'protective guarding' and 'following orders'. The instinctive strategy of protective guarding and the learned strategy of following orders were implemented simultaneously and were characterised by older people aiming to pace their progress and balance risk safely and appropriately. To apply these strategies, older people required information from healthcare professionals. In circumstances where older people did not receive or did not understand the information provided, they were left 'grasping to understand' and were more likely to miscalculate risk. This leads to damaged confidence and in some cases further falls. The concept of balancing risk aims to help healthcare professionals understand the older person's perspective of hip fracture and to recognise the efforts that people make to guard against further injury and dependence in the early postdischarge period. © 2013 Blackwell Publishing Ltd.

  17. Neural correlates of gait variability in people with multiple sclerosis with fall history.

    PubMed

    Kalron, Alon; Allali, Gilles; Achiron, Anat

    2018-05-28

    Investigate the association between step time variability and related brain structures in accordance with fall status in people with multiple sclerosis (PwMS). The study included 225 PwMS. A whole-brain MRI was performed by a high-resolution 3.0-Telsa MR scanner in addition to volumetric analysis based on 3D T1-weighted images using the FreeSurfer image analysis suite. Step time variability was measured by an electronic walkway. Participants were defined as "fallers" (at least two falls during the previous year) and "non-fallers". One hundred and five PwMS were defined as fallers and had a greater step time variability compared to non-fallers (5.6% (S.D.=3.4) vs. 3.4% (S.D.=1.5); p=0.001). MS fallers exhibited a reduced volume in the left caudate and both cerebellum hemispheres compared to non-fallers. By using a linear regression analysis no association was found between gait variability and related brain structures in the total cohort and non-fallers group. However, the analysis found an association between the left hippocampus and left putamen volumes with step time variability in the faller group; p=0.031, 0.048, respectively, controlling for total cranial volume, walking speed, disability, age and gender. Nevertheless, according to the hierarchical regression model, the contribution of these brain measures to predict gait variability was relatively small compared to walking speed. An association between low left hippocampal, putamen volumes and step time variability was found in PwMS with a history of falls, suggesting brain structural characteristics may be related to falls and increased gait variability in PwMS. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  18. Risk and protective factors for falls on stairs in young children: multicentre case–control study

    PubMed Central

    Kendrick, D; Zou, K; Ablewhite, J; Watson, M; Coupland, C; Kay, B; Hawkins, A; Reading, R

    2016-01-01

    Aim To investigate risk and protective factors for stair falls in children aged <5 years. Methods Multicentre case–control study at hospitals, minor injury units and general practices in and around four UK study centres. Cases were children with medically attended stair fall injuries. Controls were matched on age, sex, calendar time and study centre. A total of 610 cases and 2658 controls participated. Results Cases’ most common injuries were bangs on the head (66%), cuts/grazes not requiring stitches (14%) and fractures (12%). Parents of cases were significantly more likely not to have stair gates (adjusted OR (AOR) 2.50, 95% CI 1.90 to 3.29; population attributable fraction (PAF) 21%) or to leave stair gates open (AOR 3.09, 95% CI 2.39 to 4.00; PAF 24%) both compared with having closed stair gates. They were more likely not to have carpeted stairs (AOR 1.52, 95% CI 1.09 to 2.10; PAF 5%) and not to have a landing part-way up their stairs (AOR 1.34, 95% CI 1.08 to 1.65; PAF 18%). They were more likely to consider their stairs unsafe to use (AOR 1.46, 95% CI 1.07 to 1.99; PAF 5%) or to be in need of repair (AOR 1.71, 95% CI 1.16 to 2.50; PAF 5%). Conclusion Structural factors including having landings part-way up the stairs and keeping stairs in good repair were associated with reduced stair fall injury risk. Family factors including having stair gates, not leaving gates open and having stair carpets were associated with reduced injury risk. If these associations are causal, addressing these factors in housing policy and routine child health promotion could reduce stair fall injuries. PMID:26662926

  19. Simultaneous aortic and tricuspid valve rupture after fall injury

    PubMed Central

    Sabzi, Feridoun; Niazi, Mojtaba; Ahmadi, Alireza

    2013-01-01

    Abstract: This case study concerns a patient with disruption of both tricuspid and aortic valves: a previously healthy, adult man, who sustained a 5-meter fall from a building under construction. The mechanism of the injury was acceleration and deceleration, acting in two different phases of the cardiac cycle, i.e. systole and diastole. Simultaneous occurrence of these injuries is exceedingly rare and in a careful literature review, we did not find any such combination of injury. The possible mechanisms of this injury, as well as surgical techniques are discussed. PMID:23511124

  20. Simultaneous aortic and tricuspid valve rupture after fall injury.

    PubMed

    Sabzi, Feridoun; Niazi, Mojtaba; Ahmadi, Alireza

    2013-07-01

    This case study concerns a patient with disruption of both tricuspid and aortic valves: a previously healthy, adult man, who sustained a 5-meter fall from a building under construction. The mechanism of the injury was acceleration and deceleration, acting in two different phases of the cardiac cycle, i.e. systole and diastole. Simultaneous occurrence of these injuries is exceedingly rare and in a careful literature review, we did not find any such combination of injury. The possible mechanisms of this injury, as well as surgical techniques are discussed.

  1. Comorbid Parkinson's disease, falls and fractures in the 2010 National Emergency Department Sample

    PubMed Central

    Beydoun, Hind A.; Beydoun, May A.; Mishra, Nishant K.; Rostant, Ola S.; Zonderman, Alan B.; Eid, Shaker M.

    2017-01-01

    Introduction Parkinson's disease (PD) is a progressive, neurodegenerative disorder of multifactorial etiology affecting ~1% of older adults. Research focused on linking PD to falls and bone fractures has been limited in Emergency Department (ED) settings, where most injuries are identified. We assessed whether injured U.S. ED admissions with PD diagnoses were more likely to exhibit comorbid fall- or non-fall related bone fractures and whether a PD diagnosis with a concomitant fall or bone fracture is linked to worse prognosis. Methods We performed secondary analyses of 2010 Healthcare Utilization Project National ED Sample from 4,253,987 admissions to U.S. EDs linked to injured elderly patients. ED discharges with ICD-9-CM code (332.0) were identified as PD and those with ICD-9-CM code (800.0–829.0) were used to define bone fracture location. Linear and logistic regression models were constructed to estimate slopes (B) and odds ratios (OR) with 95% confidence intervals (CI). Results PD admissions had 28% increased adjusted prevalence of bone fracture. Non-fall injuries showed stronger relationship between PD and bone fracture (ORadj = 1.33, 95% CI: 1.22–1.45) than fall injuries (ORadj = 1.06, 95% CI: 1.01–1.10). PD had the strongest impact on hospitalization length when bone fracture and fall co-occurred, and total charges were directly associated with PD only for fall injuries. Finally, PD status was not related to in-hospital death in this population. Conclusions Among injured U.S. ED elderly patient visits, those with PD had higher bone fracture prevalence and more resource utilization especially among fall-related injuries. No association of PD with in-hospital death was noted. PMID:27887896

  2. Design and Implementation of Green Construction Scheme for a High-rise Residential Building Project

    NASA Astrophysics Data System (ADS)

    Zhou, Yong; Huang, You Zhen

    2018-06-01

    This paper mainly studies the green construction scheme of a high-rise residential building project. From "four sections one environmental protection", saving material, water saving, energy saving, economical use of land and environmental protection conduct analysis and research. Adopting scientific, advanced, reasonable and economical construction technology measures, implementing green construction method. Promoting energy-saving technologies in buildings, ensuring the sustainable use of resources, Maximum savings of resources and energy, increase energy efficiency, to reduce pollution, reducing the adverse environmental impact of construction activities, ensure construction safety, build sustainable buildings.

  3. Corrosion of connectors used in equipment protecting against falls from a height

    PubMed Central

    Jachowicz, Marcin

    2015-01-01

    Connectors are commonly found in personal equipment protecting against falls from a height. They are typically used outdoors and exposed to atmospheric factors, which can result in corrosion. This article presents the results of a study involving exposure of connectors to experimental corrosive media – neutral salt spray (NSS), acid salt spray (ASS), and seawater mist (for elements made of carbon steel and non-ferrous metals) – and to experimental conditions simulating the processes of pitting, stress, and intercrystalline corrosion (for equipment made of s`tainless steel). The results indicate that the main effects of corrosion on connectors include impaired operation and reduced strength of their mobile elements. The article presents methods of testing connector operation developed for this purpose. Corrosive damage to connectors has been presented in relation to potential hazards for their users. PMID:26647950

  4. Postural stability effects of random vibration at the feet of construction workers in simulated elevation.

    PubMed

    Simeonov, P; Hsiao, H; Powers, J; Ammons, D; Kau, T; Amendola, A

    2011-07-01

    The risk of falls from height on a construction site increases under conditions which degrade workers' postural control. At elevation, workers depend heavily on sensory information from their feet to maintain balance. The study tested two hypotheses: "sensory enhancement"--sub-sensory (undetectable) random mechanical vibrations at the plantar surface of the feet can improve worker's balance at elevation; and "sensory suppression"--supra-sensory (detectable) random mechanical vibrations can have a degrading effect on balance in the same experimental settings. Six young (age 20-35) and six aging (age 45-60) construction workers were tested while standing in standard and semi-tandem postures on instrumented gel insoles. The insoles applied sub- or supra-sensory levels of random mechanical vibrations to the feet. The tests were conducted in a surround-screen virtual reality system, which simulated a narrow plank at elevation on a construction site. Upper body kinematics was assessed with a motion-measurement system. Postural stability effects were evaluated by conventional and statistical mechanics sway measures, as well as trunk angular displacement parameters. Analysis of variance did not confirm the "sensory enhancement" hypothesis, but provided evidence for the "sensory suppression" hypothesis. The supra-sensory vibration had a destabilizing effect, which was considerably stronger in the semi-tandem posture and affected most of the sway variables. Sensory suppression associated with elevated vibration levels on a construction site may increase the danger of losing balance. Construction workers at elevation, e.g., on a beam or narrow plank might be at increased risk of fall if they can detect vibrations under their feet. To reduce the possibility of losing balance, mechanical vibration to supporting structures used as walking/working surfaces should be minimized when performing construction tasks at elevation. Published by Elsevier Ltd.

  5. Executive Function and Falls in Older Adults: New Findings from a Five-Year Prospective Study Link Fall Risk to Cognition

    PubMed Central

    Mirelman, Anat; Herman, Talia; Brozgol, Marina; Dorfman, Moran; Sprecher, Elliot; Schweiger, Avraham; Giladi, Nir; Hausdorff, Jeffrey M.

    2012-01-01

    Background Recent findings suggest that executive function (EF) plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk. Methodology/Main Results We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women) who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR). After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74–.98, p = .021), the attention index (RR: .84; CI: .75–.94, p = .002) and dual tasking gait variability (RR: 1.11; CI: 1.01–1.23; p = .027) were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02). Conclusions/Significance These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk. PMID:22768271

  6. Evaluation of Animal Hazard to Spot-Seeded White Ash In Central Tennessee

    Treesearch

    T.E. Russell

    1976-01-01

    Screen protection of seedspots more than doubled white ash seedling establishnient on forested sites of the Cumberland Plateau. For 3 years seeds were sown in fall and spring and given either no protection, or covered with 1-inch mesh screen, or covered with ¼-inch mesh hardware cloth. Unprotected seeds and those covered with 1-inch mesh screen suffered heavy...

  7. Shop Projects.

    ERIC Educational Resources Information Center

    Patton, Bob

    Vocational agriculture teachers in Oklahoma prepared the shop project drawings which comprise the document. Seventy-one projects, with lists of required materials, diagrams, and measurements, are included. Construction projects fall into six categories (number of projects in parentheses): Trailers (5), racks (3), livestock production projects…

  8. Directional Gila River crossing saves construction, mitigation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Saylor, L.A.

    1994-12-01

    Directional drilled river crossing technology gained a new convert this fall as El Paso Natural Gas Co. (EPNG) replaced a washed out 10 3/4-in. line that crossed the Gila River and two irrigation canals near Yuma, Ariz. The 1,650-ft bore, the company's first drilled river crossing, saved both construction costs and environmental reporting and mitigation expenses. This paper reviews the planning, engineering, and equipment used to install this river pipeline crossing.

  9. 30 CFR 28.40 - Construction and performance requirements; general.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-CIRCUIT PROTECTION FOR TRAILING CABLES IN COAL MINES Construction, Performance, and Testing Requirements... for use with direct current in providing short-circuit protection for trailing cables, when such fuses...

  10. 14 CFR 33.17 - Fire protection.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... STANDARDS: AIRCRAFT ENGINES Design and Construction; General § 33.17 Fire protection. (a) The design and... addition, the design and construction of turbine engines must minimize the probability of the occurrence of...

  11. Protecting privacy in a clinical data warehouse.

    PubMed

    Kong, Guilan; Xiao, Zhichun

    2015-06-01

    Peking University has several prestigious teaching hospitals in China. To make secondary use of massive medical data for research purposes, construction of a clinical data warehouse is imperative in Peking University. However, a big concern for clinical data warehouse construction is how to protect patient privacy. In this project, we propose to use a combination of symmetric block ciphers, asymmetric ciphers, and cryptographic hashing algorithms to protect patient privacy information. The novelty of our privacy protection approach lies in message-level data encryption, the key caching system, and the cryptographic key management system. The proposed privacy protection approach is scalable to clinical data warehouse construction with any size of medical data. With the composite privacy protection approach, the clinical data warehouse can be secure enough to keep the confidential data from leaking to the outside world. © The Author(s) 2014.

  12. The development of a multidisciplinary fall risk evaluation tool for demented nursing home patients in the Netherlands.

    PubMed

    Neyens, Jacques C L; Dijcks, Béatrice P J; van Haastregt, Jolanda C M; de Witte, Luc P; van den Heuvel, Wim J A; Crebolder, Harry F J M; Schols, Jos M G A

    2006-03-21

    Demented nursing home patients are at high risk for falls. Falls and associated injuries can have a considerable influence on the autonomy and quality of life of patients. The prevention of falls among demented patients is therefore an important issue. In order to intervene in an efficient way in this group of patients, it is important to systematically evaluate the fall risk profile of each individual patient so that for each patient tailor-made preventive measures can be taken. Therefore, the objective of the present study is to develop a feasible and evidence based multidisciplinary fall risk evaluation tool to be used for tailoring preventive interventions to the needs of individual demented patients. To develop this multidisciplinary fall risk evaluation tool we have chosen to combine scientific evidence on the one hand and experts' opinions on the other hand. Firstly, relevant risk factors for falling in elderly persons were gathered from the literature. Secondly, a group of Dutch experts in the field of falls and fall prevention in the elderly were consulted to judge the suitability of these risk factors for use in a multidisciplinary fall risk evaluation tool for demented nursing home patients. Thirdly, in order to generate a compact list of the most relevant risk factors for falling in demented elderly, all risk factors had to fulfill a set of criteria indicating their relevance for this specific target population. Lastly the final list of risk factors resulting from the above mentioned procedure was presented to the expert group. The members were also asked to give their opinion about the practical use of the tool. The multidisciplinary fall risk evaluation tool we developed includes the following items: previous falls, use of medication, locomotor functions, and (correct) choice and use of assistive and protective devices. The tool is developed for the multidisciplinary teams of the nursing homes. This evidence and practice based multidisciplinary fall risk evaluation tool targets the preventive interventions aimed to prevent falls and their negative consequences in demented nursing home patients.

  13. Leg preference associated with protective stepping responses in older adults.

    PubMed

    Young, Patricia M; Whitall, Jill; Bair, Woei-Nan; Rogers, Mark W

    2013-10-01

    Asymmetries in dynamic balance stability have been previously observed. The goal of this study was to determine whether leg preference influenced the stepping response to a waist-pull perturbation in older adult fallers and non-fallers. 39 healthy, community-dwelling, older adult (>65 years) volunteers participated. Participants were grouped into non-faller and faller cohorts based on fall history in the 12 months prior to the study. Participants received 60 lateral waist-pull perturbations of varying magnitude towards their preferred and non-preferred sides during quiet standing. Outcome measures included balance tolerance limit, number of recovery steps taken and type of recovery step taken for perturbations to each side. No significant differences in balance tolerance limit (P ≥ 0.102) or number of recovery steps taken (η(2)partial ≤ 0.027; P ≥ 0.442) were observed between perturbations towards the preferred and non-preferred legs. However, non-faller participants more frequently responded with a medial step when pulled towards their non-preferred side and cross-over steps when pulled towards their preferred side (P=0.015). Leg preference may influence the protective stepping response to standing balance perturbations in older adults at risk for falls, particularly with the type of recovery responses used. Such asymmetries in balance stability recovery may represent a contributing factor for falls among older individuals and should be considered for rehabilitation interventions aimed at improving balance stability and reducing fall risk. © 2013.

  14. Leg preference associated with protective stepping responses in older adults

    PubMed Central

    Young, Patricia M.; Whitall, Jill; Bair, Woei-Nan; Rogers, Mark W.

    2014-01-01

    Background Asymmetries in dynamic balance stability have been previously observed. The goal of this study was to determine whether leg preference influenced the stepping response to a waist-pull perturbation in older adult fallers and non-fallers. Methods 39 healthy, community-dwelling, older adult (>65 years) volunteers participated. Participants were grouped into non-faller and faller cohorts based on fall history in the 12 months prior to the study. Participants received 60 lateral waist-pull perturbations of varying magnitude towards their preferred and non-preferred sides during quiet standing. Outcome measures included balance tolerance limit, number of recovery steps taken and type of recovery step taken for perturbations to each side. Findings No significant differences in balance tolerance limit (P ≥ 0.102) or number of recovery steps taken (η2partial ≤ 0.027; P ≥ 0.442) were observed between perturbations towards the preferred and non-preferred legs. However, non-faller participants more frequently responded with a medial step when pulled towards their non-preferred side and cross-over steps when pulled towards their preferred side (P = 0.015). Interpretation Leg preference may influence the protective stepping response to standing balance perturbations in older adults at risk for falls, particularly with the type of recovery responses used. Such asymmetries in balance stability recovery may represent a contributing factor for falls among older individuals and should be considered for rehabilitation interventions aimed at improving balance stability and reducing fall risk. PMID:23962655

  15. 48 CFR 28.102 - Performance and payment bonds and alternative payment protections for construction contracts.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... INSURANCE Bonds and Other Financial Protections 28.102 Performance and payment bonds and alternative payment... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Performance and payment bonds and alternative payment protections for construction contracts. 28.102 Section 28.102 Federal...

  16. Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults.

    PubMed

    Tomita, Machiko R; Saharan, Sumandeep; Rajendran, Sheela; Nochajski, Susan M; Schweitzer, Jo A

    2014-01-01

    OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults. METHOD. We tested content validity, test-retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change. RESULTS. The content validity index was .98, the intraclass correlation coefficient for test-retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57). CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety. Copyright © 2014 by the American Occupational Therapy Association, Inc.

  17. 29 CFR 1910.430 - Equipment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... a ventilated area and protected from excessive heat; (3) Be secured from falling; and (4) Have shut... pull force of the line over the diver's body. [39 FR 23502, June 27, 1974, as amended at 49 FR 18295...

  18. 29 CFR 1910.430 - Equipment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... a ventilated area and protected from excessive heat; (3) Be secured from falling; and (4) Have shut... pull force of the line over the diver's body. [39 FR 23502, June 27, 1974, as amended at 49 FR 18295...

  19. 29 CFR 1910.430 - Equipment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... a ventilated area and protected from excessive heat; (3) Be secured from falling; and (4) Have shut... pull force of the line over the diver's body. [39 FR 23502, June 27, 1974, as amended at 49 FR 18295...

  20. 29 CFR 1910.430 - Equipment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... a ventilated area and protected from excessive heat; (3) Be secured from falling; and (4) Have shut... pull force of the line over the diver's body. [39 FR 23502, June 27, 1974, as amended at 49 FR 18295...

  1. Osteoporosis in Aging: Protect Your Bones with Exercise

    MedlinePlus

    ... foods you eat—including milk and milk products, dark green leafy vegetables like kale and collard greens— ... are in the environment. The kind of fall matters, too. Wrist fractures often occur when a person ...

  2. Pesticide Registration Manual: Chapter 3 - Additional Considerations for Biopesticide Products

    EPA Pesticide Factsheets

    Biopesticides are certain types of pesticides derived from such natural materials as animals, plants, bacteria, and certain minerals that fall into three major classes: microbial pesticides, plant-incorporated protectants, and biochemical pesticides.

  3. Cultural Resource Protection Plan for the Remote-Handled Low-Level Waste Disposal Facility at the Idaho National Laboratory

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Pace, Brenda Ringe; Gilbert, Hollie Kae

    2015-05-01

    This plan addresses cultural resource protection procedures to be implemented during construction of the Remote Handled Low Level Waste project at the Idaho National Laboratory. The plan proposes pre-construction review of proposed ground disturbing activities to confirm avoidance of cultural resources. Depending on the final project footprint, cultural resource protection strategies might also include additional survey, protective fencing, cultural resource mapping and relocation of surface artifacts, collection of surface artifacts for permanent curation, confirmation of undisturbed historic canal segments outside the area of potential effects for construction, and/or archaeological test excavations to assess potential subsurface cultural deposits at known culturalmore » resource locations. Additionally, all initial ground disturbing activities will be monitored for subsurface cultural resource finds, cultural resource sensitivity training will be conducted for all construction field personnel, and a stop work procedure will be implemented to guide assessment and protection of any unanticipated discoveries after initial monitoring of ground disturbance.« less

  4. Perturbation training can reduce community-dwelling older adults' annual fall risk: a randomized controlled trial.

    PubMed

    Pai, Yi-Chung; Bhatt, Tanvi; Yang, Feng; Wang, Edward

    2014-12-01

    Previous studies indicated that a single session of repeated-slip exposure can reduce over 40% of laboratory-induced falls among older adults. The purpose of this study was to determine to what degree such perturbation training translated to the reduction of older adults' annual falls risk in their everyday living. Two hundred and twelve community-dwelling older adults (≥65 years old) were randomly assigned to either the training group (N = 109), who then were exposed to 24 unannounced repeated slips, or the control group (N = 103), who merely experienced one slip during the same walking in the same protective laboratory environment. We recorded their falls in the preceding year (through self-reported history) and during the next 12 months (through falls diary and monitored with phone calls). With this single session of repeated-slip exposure, training cut older adults' annual risk of falls by 50% (from 34% to 15%, p < .05). Those who experienced merely a single slip were 2.3 times more likely to fall during the same 12-month follow-up period (p < .05) than those who experienced the 24 repeated slips. Such training effect was especially prominent among those who had history of falls. A single session of repeated-slip exposure could improve community-dwelling older adults' resilience to postural disturbances and, hence, significantly reduce their annual risk of falls. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. [Statin and risk of falls in the elderly: A sytematic review of the literature].

    PubMed

    Venegas Sanabria, Luis Carlos; Barbosa Balaquera, Stephany; Suarez Acosta, Ana María; García Peña, Ángel Alberto; Cano Gutiérrez, Carlos Alberto

    With the high incidence of cardiovascular events in the elderly population the effectiveness of statins in reducing mortality from coronary events has been demonstrated. However, there have been adverse effects, such as myalgia, myopathy, myonecrosis, not to mention the falls as a result of muscle damage with statin use. The purpose of this study is to conduct a systematic review to assess the literature on the association between statin use and the risk of falls. The databases that were included PUBMED AND SCOPUS, with articles published from January 2000 to May 2016. The MESH terms used for the search were "FALLS" AND "STATIN". Selected studies included cohort populations from the community (>50 years old), and analysed using the Scottish Intercollegiate (SIGN) methodology guidelines, as no randomised controlled study was found. In the study by Ham et al., statin use was shown to be a protective factor for presence of falls. In the second study by Scott et al., there was an increased risk of falls (P=.029) and an impairment in muscle strength and quality muscle (P=.033 and P=.046, respectively). In the third study Haerer et al., found an increased risk of falls (P=.63). The association between use of statins and risk of falls could not be determined with the available evidence, although an association with the involvement of some determinants of muscular function was found. Copyright © 2017 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Exposure to fall hazards and safety climate in the aircraft maintenance industry.

    PubMed

    Neitzel, Richard L; Seixas, Noah S; Harris, Michael J; Camp, Janice

    2008-01-01

    Falls represent a significant occupational hazard, particularly in industries with dynamic work environments. This paper describes rates of noncompliance with fall hazard prevention requirements, perceived safety climate and worker knowledge and beliefs, and the association between fall exposure and safety climate measures in commercial aircraft maintenance activities. Walkthrough observations were conducted on aircraft mechanics at two participating facilities (Sites A and B) to ascertain the degree of noncompliance. Mechanics at each site completed questionnaires concerning fall hazard knowledge, personal safety beliefs, and safety climate. Questionnaire results were summarized into safety climate and belief scores by workgroup and site. Noncompliance rates observed during walkthroughs were compared to the climate-belief scores, and were expected to be inversely associated. Important differences were seen in fall safety performance between the sites. The study provided a characterization of aircraft maintenance fall hazards, and also demonstrated the effectiveness of an objective hazard assessment methodology. Noncompliance varied by height, equipment used, location of work on the aircraft, shift, and by safety system. Although the expected relationship between safety climate and noncompliance was seen for site-average climate scores, workgroups with higher safety climate scores had greater observed noncompliance within Site A. Overall, use of engineered safety systems had a significant impact on working safely, while safety beliefs and climate also contributed, though inconsistently. The results of this study indicate that safety systems are very important in reducing noncompliance with fall protection requirements in aircraft maintenance facilities. Site-level fall safety compliance was found to be related to safety climate, although an unexpected relationship between compliance and safety climate was seen at the workgroup level within site. Finally, observed fall safety compliance was found to differ from self-reported compliance.

  7. Endogenous hormones, muscle strength, and risk of fall-related fractures in older women.

    PubMed

    Sipilä, Sarianna; Heikkinen, Eino; Cheng, Sulin; Suominen, Harri; Saari, Päivi; Kovanen, Vuokko; Alén, Markku; Rantanen, Taina

    2006-01-01

    Among older people, fracture-causing fall often leads to health deterioration. The role of endogenous hormone status and muscle strength on fall-related fracture risk is unclear. This study investigates if, after adjustment for bone density, endogenous hormones and muscle strength would predict fall-related limb fracture incidence in older community-dwelling women followed-up over 10 years. As a part of a prospective population-based study, 187 75-year-old women were investigated. Serum estradiol, testosterone, sex hormone binding globulin, and dehydroepiandrosterone sulfate concentrations were analyzed, and isometric muscle strength and bone mineral density were assessed. Fall-related limb fractures were gathered from patient records. Serum estradiol concentration was a significant predictor of fall-related limb fractures. Women with serum estradiol concentrations less than 0.022 nmol/L had a 3-fold risk (relative risk 3.05; 95% confidence interval, 1.26-7.36), and women with estradiol concentrations between 0.022 and 0.066 nmol/L doubled the risk (relative risk 2.24; 95% confidence interval, 0.97-5.19) of fall-related limb fracture compared to the women with estradiol concentrations ()above 0.066 nmol/L. Adjustment for muscle strength and bone mineral density did not materially change the risk estimates. High muscle strength was associated with a low incidence of fall-related limb fractures. This study showed that in 75-year-old women higher serum estradiol concentration and greater muscle strength were independently associated with a low incidence of fall-related limb fractures even after adjustment for bone density. Our results suggest that hormonal status and muscle strength have their own separate mechanisms protecting from fall-related fractures. This finding is of importance in developing preventive strategies, but calls for further study.

  8. Understanding temporal relationships between depression, falls, and physical activity in a cohort of post-hospitalized older adults - a breakthrough or a conundrum?

    PubMed

    Lee, Den-Ching A; Lalor, Aislinn F; Russell, Grant; Stolwyk, Rene; Brown, Ted; McDermott, Fiona; Haines, Terry P

    2017-10-01

    Clinical depression affects approximately 15% of community-dwelling older adults, of which half of these cases present in later life. Falls and depressive symptoms are thought to co-exist, while physical activity may protect an older adult from developing depressive symptoms. This study investigates the temporal relationships between depressive symptoms, falls, and participation in physical activities amongst older adults recently discharged following extended hospitalization. A prospective cohort study in which 311 older adults surveyed prior to hospital discharge were assessed monthly post-discharge for six months. N = 218 completed the six-month follow-up. Participants were recruited from hospitals in Melbourne, Australia. The survey instrument used was designed based on Fiske's behavioral model depicting onset and maintenance of depression. The baseline survey collected data on self-reported falls, physical activity levels, and depressive symptoms. The monthly follow-up surveys repeated measurement of these outcomes. At any assessment point, falls were positively associated with depressive symptoms; depressive symptoms were negatively associated with physical activity levels; and, physical activity levels were negatively associated with falls. When compared with data in the subsequent assessment point, depressive symptoms were positively associated with falls reported over the next month (unadjusted OR: 1.20 (1.12, 1.28)), and physical activity levels were negatively associated with falls reported over the next month (unadjusted OR: 0.97 (0.96, 0.99) household and recreational), both indicating a temporal relationship. Falls, physical activity, and depressive symptoms were inter-associated, and depressive symptoms and low physical activity levels preceded falls. Clear strategies for management of these interconnected problems remain elusive.

  9. Incidence and prediction of falls in dementia: a prospective study in older people.

    PubMed

    Allan, Louise M; Ballard, Clive G; Rowan, Elise N; Kenny, Rose Anne

    2009-01-01

    Falls are a major cause of morbidity and mortality in dementia, but there have been no prospective studies of risk factors for falling specific to this patient population, and no successful falls intervention/prevention trials. This prospective study aimed to identify modifiable risk factors for falling in older people with mild to moderate dementia. 179 participants aged over 65 years were recruited from outpatient clinics in the UK (38 Alzheimer's disease (AD), 32 Vascular dementia (VAD), 30 Dementia with Lewy bodies (DLB), 40 Parkinson's disease with dementia (PDD), 39 healthy controls). A multifactorial assessment of baseline risk factors was performed and fall diaries were completed prospectively for 12 months. Dementia participants experienced nearly 8 times more incident falls (9118/1000 person-years) than controls (1023/1000 person-years; incidence density ratio: 7.58, 3.11-18.5). In dementia, significant univariate predictors of sustaining at least one fall included diagnosis of Lewy body disorder (proportional hazard ratio (HR) adjusted for age and sex: 3.33, 2.11-5.26), and history of falls in the preceding 12 months (HR: 2.52, 1.52-4.17). In multivariate analyses, significant potentially modifiable predictors were symptomatic orthostatic hypotension (HR: 2.13, 1.19-3.80), autonomic symptom score (HR per point 0-36: 1.055, 1.012-1.099), and Cornell depression score (HR per point 0-40: 1.053, 1.01-1.099). Higher levels of physical activity were protective (HR per point 0-9: 0.827, 0.716-0.956). The management of symptomatic orthostatic hypotension, autonomic symptoms and depression, and the encouragement of physical activity may provide the core elements for the most fruitful strategy to reduce falls in people with dementia. Randomised controlled trials to assess such a strategy are a priority.

  10. Electronic construction collaboration system -- final phase.

    DOT National Transportation Integrated Search

    2014-09-01

    This phase of the research project involved two major efforts: (1) Complete the implementation of AEC-Sync (formerly known as : Attolist) on the Iowa Falls Arch Bridge project and (2) develop a WPMS for projects under $10 million. : For the first maj...

  11. Mystery #7 Answer

    Atmospheric Science Data Center

    2013-04-22

    ... China and Russia. The large lakes apparent in the image form geographic   reference points and fall on or near political boundaries. ... but have not yet been constructed.   C.   Mammoth fossils have been discovered here.   D.   Railway passengers can cross ...

  12. Research notes : new guidance on managing rockfall.

    DOT National Transportation Integrated Search

    2001-11-01

    Hundreds of millions of dollars are spent annually in the U.S. to construct and maintain rock slopes and reduce rockfall hazards along highways. Rockfall occurs on slopes where rocks may free fall, bounce, roll or slide. Many factors cause rockfall, ...

  13. EVALUATION OF HADWACO MVR EVAPORATOR, ETV REPORT& STATEMENT

    EPA Science Inventory

    Hadwaco US, Inc., manufactures a commercial ready mechanical vapor recompression (MVR) evaporator for use in the metal finishing industry. The evaporator utilizes proven MVR and falling film principles, with the key innovation being the construction material of the heat transfer ...

  14. Numerical Estimation of Balanced and Falling States for Constrained Legged Systems

    NASA Astrophysics Data System (ADS)

    Mummolo, Carlotta; Mangialardi, Luigi; Kim, Joo H.

    2017-08-01

    Instability and risk of fall during standing and walking are common challenges for biped robots. While existing criteria from state-space dynamical systems approach or ground reference points are useful in some applications, complete system models and constraints have not been taken into account for prediction and indication of fall for general legged robots. In this study, a general numerical framework that estimates the balanced and falling states of legged systems is introduced. The overall approach is based on the integration of joint-space and Cartesian-space dynamics of a legged system model. The full-body constrained joint-space dynamics includes the contact forces and moments term due to current foot (or feet) support and another term due to altered contact configuration. According to the refined notions of balanced, falling, and fallen, the system parameters, physical constraints, and initial/final/boundary conditions for balancing are incorporated into constrained nonlinear optimization problems to solve for the velocity extrema (representing the maximum perturbation allowed to maintain balance without changing contacts) in the Cartesian space at each center-of-mass (COM) position within its workspace. The iterative algorithm constructs the stability boundary as a COM state-space partition between balanced and falling states. Inclusion in the resulting six-dimensional manifold is a necessary condition for a state of the given system to be balanced under the given contact configuration, while exclusion is a sufficient condition for falling. The framework is used to analyze the balance stability of example systems with various degrees of complexities. The manifold for a 1-degree-of-freedom (DOF) legged system is consistent with the experimental and simulation results in the existing studies for specific controller designs. The results for a 2-DOF system demonstrate the dependency of the COM state-space partition upon joint-space configuration (elbow-up vs. elbow-down). For both 1- and 2-DOF systems, the results are validated in simulation environments. Finally, the manifold for a biped walking robot is constructed and illustrated against its single-support walking trajectories. The manifold identified by the proposed framework for any given legged system can be evaluated beforehand as a system property and serves as a map for either a specified state or a specific controller's performance.

  15. Guide to School Renovation and Construction: What You Need To Know To Protect Child and Adult Environmental Health.

    ERIC Educational Resources Information Center

    Healthy Schools Network, Inc., Albany, NY.

    This guide presents cautionary tips for protecting children's health during school renovation and construction projects, the New York state laws regarding school renovation and construction, and the steps the laws require to eliminate dangerous conditions for children during these projects. Included is a checklist of uniform safety standards…

  16. Pattern extraction for high-risk accidents in the construction industry: a data-mining approach.

    PubMed

    Amiri, Mehran; Ardeshir, Abdollah; Fazel Zarandi, Mohammad Hossein; Soltanaghaei, Elahe

    2016-09-01

    Accidents involving falls and falling objects (group I) are highly frequent accidents in the construction industry. While being hit by a vehicle, electric shock, collapse in the excavation and fire or explosion accidents (group II) are much less frequent, they make up a considerable proportion of severe accidents. In this study, multiple-correspondence analysis, decision tree, ensembles of decision tree and association rules methods are employed to analyse a database of construction accidents throughout Iran between 2007 and 2011. The findings indicate that in group I, there is a significant correspondence among these variables: time of accident, place of accident, body part affected, final consequence of accident and lost workdays. Moreover, the frequency of accidents in the night shift is less than others, and the frequency of injury to the head, back, spine and limbs are more. In group II, the variables time of accident and body part affected are mostly related and the frequency of accidents among married and older workers is more than single and young workers. There was a higher frequency in the evening, night shifts and weekends. The results of this study are totally in line with the previous research.

  17. Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors

    PubMed Central

    Mazur, Katarzyna; Wilczyński, Krzysztof; Szewieczek, Jan

    2016-01-01

    Background Inpatient geriatric falls are a frequent complication of hospital care that results in significant morbidity and mortality. Objective Evaluate factors associated with falls in geriatric inpatients after implementation of the fall prevention program. Methods Prospective observational study comprised of 788 consecutive patients aged 79.5±7.6 years ( χ¯ ± standard deviation) (66% women and 34% men) admitted to the subacute geriatric ward. Comprehensive geriatric assessment (including Mini-Mental State Examination, Barthel Index of Activities of Daily Living, and modified Get-up and Go Test) was performed. Confusion Assessment Method was used for diagnosis of delirium. Patients were categorized into low, moderate, or high fall risk groups after clinical and functional assessment. Results About 15.9%, 21.1%, and 63.1% of participants were classified into low, moderate, and high fall risk groups, respectively. Twenty-seven falls were recorded in 26 patients. Increased fall probability was associated with age ≥76 years (P<0.001), body mass index (BMI) <23.5 (P=0.007), Mini-Mental State Examination <20 (P=0.004), Barthel Index <65 (P=0.002), hemoglobin <7.69 mmol/L (P=0.017), serum protein <70 g/L (P=0.008), albumin <32 g/L (P=0.001), and calcium level <2.27 mmol/L. Four independent factors associated with fall risk were included in the multivariate logistic regression model: delirium (odds ratio [OR] =7.33; 95% confidence interval [95% CI] =2.76–19.49; P<0.001), history of falls (OR =2.55; 95% CI =1.05–6.19; P=0.039), age (OR =1.14; 95% CI =1.05–1.23; P=0.001), and BMI (OR =0.91; 95% CI =0.83–0.99; P=0.034). Conclusion Delirium, history of falls, and advanced age seem to be the primary risk factors for geriatric falls in the context of a hospital fall prevention program. Higher BMI appears to be associated with protection against inpatient geriatric falls. PMID:27695303

  18. 40 CFR 281.30 - New UST system design, construction, installation, and notification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 27 2011-07-01 2011-07-01 false New UST system design, construction, installation, and notification. 281.30 Section 281.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) APPROVAL OF STATE UNDERGROUND STORAGE TANK PROGRAMS Criteria for No-Less-Stringent § 281.30 New UST...

  19. 40 CFR 281.30 - New UST system design, construction, installation, and notification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 26 2010-07-01 2010-07-01 false New UST system design, construction, installation, and notification. 281.30 Section 281.30 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) APPROVAL OF STATE UNDERGROUND STORAGE TANK PROGRAMS Criteria for No-Less-Stringent § 281.30 New UST...

  20. Work-related falls from ladders--a follow-back study of US emergency department cases.

    PubMed

    Lombardi, David A; Smith, Gordon S; Courtney, Theodore K; Brennan, Melanye J; Kim, Jae Young; Perry, Melissa J

    2011-11-01

    Ladder falls comprise 16% of all US workplace fall-related fatalities, and ladder use may be particularly hazardous among older workers. This follow-back study of injured workers from a nationally representative sample of US emergency departments (ED) focused on factors related to ladder falls in three domains of the work environment: work equipment, work practices, and worker-related factors. Risk factors for fractures, the most frequent and severe outcome, were also evaluated. Workers injured from a ladder fall, treated in one of the 65 participating ED in the occupational National Electronic Injury Surveillance System (NEISS) were asked to participate. The questionnaire included worker demographics, injury, ladder and work equipment and environment characteristics, work tasks, and activities. Multivariate logistic regression models estimated odds ratios and 95% confidence intervals of a work-related fracture. Three-hundred and six workers experiencing an injury from an--on average--7.5-foot-fall from a step, extension, or straight ladder were interviewed primarily from construction, installation, maintenance, and repair professions. Injuries were most frequently to the arm, elbow or shoulder; head, neck, or face with diagnoses were primarily fracture, strain, sprain, contusion or abrasion. Workers were most frequently standing or sitting on the ladder while installing, hanging an item, or performing a repair when they fell. Ladder movement was the mechanism in 40% of falls. Environmental conditions played a role in <10% of cases. There was a significant association between fracture risk and fall height while working on the ladder that was also influenced by older work age. This study advances knowledge of falls from ladders to support those who specify means and methods, select equipment, and plan, supervise, or manage the performance of employees working at heights.

  1. The Search for Legitimacy: Interventions Under the Responsibility to Protect

    DTIC Science & Technology

    2012-03-22

    the international community bears a responsibility to take action to protect civilians from mass murder, ethnic cleansing , or genocide irrespective...or large scale ‘ethnic cleansing ’ actual or apprehended, whether carried out by killing, forced expulsion, acts of terror or rape.24 The ICISS...temptation to identify as a ground for military intervention human rights violations falling short of outright killing or ethnic cleansing ”26 and did

  2. Community involvement in planning and management for outdoor recreation in New Zealand protected areas

    Treesearch

    Steve Sutton; Gordon Cessford

    2007-01-01

    Managing New Zealand’s protected natural and historic heritage falls largely on the Department of Conservation (DOC), which manages close to a third of the country’s land area and increasing proportions of the coastal/marine setting. Providing public access to this shared heritage through a range of recreation opportunities is a key management outcome for DOC. This...

  3. Smart Clothing for Falls Protection and Detection: User-Centred Co-Design and Feasibility Study.

    PubMed

    Easton, Katherine; Burton, Thomas; Ariss, Steven; Bradburn, Mike; Hawley, Mark

    2017-01-01

    The prevalence and impact of hip fractures on the health and wealth of nations is a global problem and source of health inequalities. This paper reports on the co-design and feasibility testing of a new range of protective, smart clothing. The feasibility of research in a population of older adults in supported living is explored, as are the conceptualisation and measurement of adherence.

  4. The Guardian. Volume 9, Number 2, Fall 2007

    DTIC Science & Technology

    2007-01-01

    Working Group, the National Institute of Occupational Safety and Health , the National Institute of Justice, the National Fire Protection Association...protection under the SAFETY Act. The CEO refused to resubmit the bid without the caveat. He stated, “I can’t bet my corporation on the possibility...guide drivers to the inspection site, which can include under -vehicle screening and cargo inspection systems. Vehicle occupants will be directed to

  5. Development of a helmet-mounted PLZT thermal/flash protection system. [Protective goggles

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harris, J.O. Jr.; Cutchen, J.T.; Pfoff, B.J.

    1976-01-01

    Sandia Laboratories is developing PLZT thermal/flash protective devices (TFPD's) goggles to prevent exposure and resultant eye damage from nuclear weapon detonations. The primary emphasis of the present program is to transfer technology and establish production capability for helmet-mounted PLZT/TFPD goggles for USAF flight crews, with a non-helmet-mounted configuration to follow. The first production units are anticipated in the fall of 1977. The operating principles of the PLZT/TFPD goggle device are briefly outlined, and the device configuration and operational characteristics are described.

  6. Determining infants' age for measles vaccination based on persistence of protective level of maternal measles antibody.

    PubMed

    Shilpi, Tanjida; Sattar, Humayun; Miah, Md Ruhul Amin

    2009-12-01

    The present study was conducted over a period of one year to find the right time for measles vaccination when maternal antibody titer in infants was decayed rendering them susceptible to wild virus infection. Blood samples were collected from the cord of new born (147), 2-5 months (47) and 5 to 7.5 months (24) of age. The mean measles IgG antibody titer detected in cord blood at birth (0 months) was 348.8 mlU/mL which steeply decreased to 155.6 mlU/mL by the age of 2-3 months. After that the fall in antibody becomes relatively slower and decreased to 101.6 mIU/mL by the age of 3-5 months and 38.8 mlU/mL by the age of 5-6 months and to 19.2 mIU/mL between the age of 6 to 7.5 months. The fall in antibody level with the advance of age was statistically significant (p < 0.001 ). Majority of the subjects (97.6%) exhibited protective level of antibody at birth. But only a little above one-quarter (25.5%) of them persisted the protective level between the age of 2-5 months and none had protective level from 5 months onwards.

  7. Rockfall hazard assessment, risk quantification, and mitigation options for reef cove resort development, False Cape, Queensland, Australia

    NASA Astrophysics Data System (ADS)

    Schlotfeldt, P.

    2009-04-01

    GIS and 2-D rock fall simulations were used as the primary tools during a rock fall hazard assessment and analyses for a major resort and township development near Cairns, Queensland in Australia. The methods used included 1) the development of a digital elevation model (DEM); undertaking rock fall trajectory analyses to determine the end points of rockfalls, the distribution of kinetic energy for identified rock fall runout Zones, and 3) undertaking event tree analyses based on a synthesis of all data in order to establish Zones with the highest risk of fatalities. This paper describes the methodology used and the results of this work. Recommendations to mitigate the hazard included having exclusions zones with no construction, scaling (including trim blasting), construction of berms and rockfall catch fences. Keywords: GIS, rockfall simulation, rockfall runout Zones, mitigation options INTRODUCTION False Cape is located on the east side of the Trinity inlet near Cairns (Figure 1). Construction is underway for a multi-million dollar development close the beach front. The development will ultimately cover about 1.5 km of prime coast line. The granite slopes above the development are steep and are covered with a number of large, potentially unstable boulders. Sheet jointing is present in the in-situ bedrock and these combined with other tectonic joint sets have provided a key mechanism for large side down slope on exposed bedrock. With each rock fall (evidence by boulders strew in gullies, over the lower parts of the slope, and on the beach) the failure mechanism migrates upslope. In order for the Developer to proceed with construction he needs to mitigate the identified rock fall hazard. The method used to study the hazard and key finding are presented in this paper. Discussion is provided in the conclusion on mitigation options. KEY METHODS USED TO STUDY THE HAZARD In summary the methods used to study the hazard for the False Cape project include; 1. The development of a digital elevation model (DEM) used to delineate rock fall runout Zones [1] that included the spatial location of boulder fields mapped within Zones(Figure 2). A Zone is defined as an area above the development on steep sided slopes where falling rocks are channeled into gullies / and or are contained between topographic features such as ridges and spurs that extend down the mountainside. These natural barriers generally ensure that falling rocks do not fall or roll into adjacent Zones; 2. The use of ‘Flow Path Tracing Tool' in Arc GIS spatial analyst to confirm typical descents of boulders in Zones. These were shown to correlated strongly with the endpoints of boulders observed within the development and major clusters of boulders on the beach front; 3. The use of 2-D rockfall trajectory analyses [2] using sections cut along typical 3-D trajectory paths mapped out in ARC GIS per Zone. Sections along typical paths in Zones simulated, to some degree, the 3-D affect or path of rocks as they bounce roll down slope (Figure 3); 4. The calibration of rockfall input parameters (coefficients of normal and tangential restitution, slope roughness, friction angle, etc.) using field identified endpoints and size of fallen rock and boulder; and 5. Undertaking risk evolutions in order to quantify the potential risk for each independent rockfall Zone. KEY FINDINGS FROM THE STUDIES The key findings from the study include; 1. Multiple potentially unstable in-situ boulders (some in excess of several thousand tonnes) are present above the development. 2. Similar geological structures (dykes, jointing, etc.) are present in the boulders on the beach front and within the development exposed in-situ bedrock located above the development. Measurement and comparison of the orientation of these geological structures present in boulders with that observed in the in-situ bedrock provided strong evidence that that the boulders have mitigated down slope. 3. Eight discrete Rockfall Runout Zones were identified using the digital elevation model set up in ARC GIS (Figure 4). The boundaries were field verified as far as possible. The identified Zones formed the basis of all subsequent work. 4. Once calibrated the rockfall trajectory modeling showed that only between 1% and in the worst case 28% of falling rocks (percentage of 1000 seeding events) per Zones would actually reach the development. While this indicated a reduced likelihood of an incident and hence the risk, the kinetic energy in the case of an impact in most Zones was so high (for the given design block size) that the consequence would be untenable without some form of mitigation. 5. An event tree analysis showed that five out of the eight Zones identified had risk profiles that fell above or very close to what was considered to be an acceptable annual probability of occurrence of a fatality or fatalities. CONCLUSIONS Each Zone has unique characteristics that influence the risk profile associated with the rock fall hazard to the development. Mitigation options and recommendations needed to be adjusted accordingly to fit the physical characteristics and assessed risk profile of each Zone. These included: 1. The possible implantation of exclusion zones (no build areas); 2. Scaling (including controlled blasting) to reduce the potential kinetic energy associated with identified potentially unstable boulders; and 3. The design and construction of Berms and rockfall catch fences.

  8. I-55 OGFC field permeability testing.

    DOT National Transportation Integrated Search

    2009-12-01

    An OGFC test section was constructed on I-55 in Copiah County, MS during the : spring/summer of 2007. As part of the study, literature was reviewed and a falling head : permeability device was identified that has been used in laboratory and field stu...

  9. The Emergence of Postculturalism.

    ERIC Educational Resources Information Center

    Nucci, Larry; Neblo, Michael A.

    1998-01-01

    Argues that Baumrind's (1998) postculturalist stance reflects the direction of developmental psychology research, but her efforts to construct a complementary ethical theory fall short. Argues that her position suffers from internal contradictions and that her project can be salvaged by accommodation with elements of communicative discourse theory…

  10. The Fall of Parity.

    ERIC Educational Resources Information Center

    Forman, Paul

    1982-01-01

    Physicists had assumed that the world is distinguishable from its mirror image and constructed theories to ensure that the corresponding mathematical property (parity) is conserved in all subatomic processes. However, a scientific experiment demonstrated an intrinsic handedness to at least one physical process. The experiment, equipment, and…

  11. 7 CFR 58.424 - Monorail.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Monorail. 58.424 Section 58.424 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards....424 Monorail. The monorail shall be constructed so as to prevent foreign material from falling on the...

  12. Implementation of a pilot continuous monitoring system : Iowa Falls Arch Bridge : [tech transfer summary].

    DOT National Transportation Integrated Search

    2015-06-01

    As part of designing, constructing, and maintaining the bridge infrastructure in : Iowa, the Iowa Department of Transportation (DOT) has, in recent years, focused : efforts on investigating the use of new high-performance materials, new design : conc...

  13. Analysis of pavement response data and use of nondestructive testing for improving pavement design.

    DOT National Transportation Integrated Search

    2006-08-01

    The first fully instrumented flexible pavement test section in Maine was constructed in Fall, 2005. This paper presents : the description of the instruments, their installation, and analysis of temperature and stress-strain data collected so far. : T...

  14. Fall risk factors analysis based on sample entropy of plantar kinematic signal during stance phase.

    PubMed

    Shengyun Liang; Huiyu Jia; Zilong Li; Huiqi Li; Xing Gao; Zuchang Ma; Yingnan Ma; Guoru Zhao

    2016-08-01

    Falls are a multi-causal phenomenon with a complex interaction. The aim of our research is to study the effect of multiple variables for potential risk of falls and construct an elderly fall risk assessment model based on demographics data and gait characteristics. A total of 101 subjects, whom belong to Malianwa Street, aged above 50 years old and participated in questionnaire survey. Participants were classified into three groups (high, medium and low risk group) according to the score of elderly fall risk assessment scale. In addition, the data of ground reaction force (GRF) and ground reaction moment (GRM) was record when they performed walking at comfortable state. The demographic variables, sample entropy of GRF and GRM, and impulse difference of bilateral foot were considered as potential explanatory variables of risk assessment model. Firstly, we investigated whether different groups could present difference in every variable. Statistical differences were found for the following variables: age (p=2.28e-05); impulse difference (p=0.02036); sample entropy of GRF in vertical direction (p=0.0144); sample entropy of GRM in anterior-posterior direction (p=0.0387). Finally, the multiple regression analysis results indicated that age, impulse difference and sample entropy of resultant GRM could identify individuals who had different levels of fall risk. Therefore, those results could potentially be useful in the fall risk assessment and monitor the state of physical function in elderly population.

  15. [Pohoda no. I (death on music festival)].

    PubMed

    Straka, I; Stuller, F; Krajcovic, J; Novomeský, F

    2011-07-01

    A fatal accident of a young man, visitor of the summer music festival, shocked the whole Slovak society. Many unanswered questions concerned a causality of the incident arose immediately. Altough most questions have been focused to technical experts concerning the cause of a tent fall, the forensic medicine can bring some important reflections and conclusions, too. An absence of natural defense mechanisms of the accident's victim should be explained only through malignant affection of the body reflectoris reactions by exogenous substance, which might depress natural senzoric or motoric response while being in acute danger from falling tent's construction.

  16. De sitter space and perpetuum mobile

    NASA Astrophysics Data System (ADS)

    Akhmedov, Emil T.; Buividovich, P. V.; Singleton, Douglas A.

    2012-04-01

    The general arguments that any interacting nonconformal classical field theory in de Sitter space leads to the possibility of constructing a perpetuum mobile is given. The arguments are based on the observation that massive free falling particles can radiate other massive particles on the classical level as seen by the free falling observer. The intensity of the radiation process is not zero even for particles with any finite mass, i.e., with a wavelength which is within causal domain. Hence, we conclude that either de Sitter space cannot exist eternally or that one can build a perpetuum mobile.

  17. De sitter space and perpetuum mobile

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Akhmedov, Emil T.; Buividovich, P. V.; Singleton, Douglas A.

    2012-04-15

    The general arguments that any interacting nonconformal classical field theory in de Sitter space leads to the possibility of constructing a perpetuum mobile is given. The arguments are based on the observation that massive free falling particles can radiate other massive particles on the classical level as seen by the free falling observer. The intensity of the radiation process is not zero even for particles with any finite mass, i.e., with a wavelength which is within causal domain. Hence, we conclude that either de Sitter space cannot exist eternally or that one can build a perpetuum mobile.

  18. Pontomedullary lacerations in falls from a height--a retrospective autopsy study.

    PubMed

    Zivković, Vladimir; Nikolić, Slobodan; Babić, Dragan; Djonić, Danijela; Atanasijević, Tatjana; Djurić, Marija

    2012-05-01

    Brainstem pontomedullary laceration (PML) in falls from a height appears as isolated cases and usually in feet-first impacts with a ring fracture. The aim of this study was to determine the frequency of PML in falls from a height, as well as the frequency of concomitant head and neck injuries. Out of 261 cases, PML was present in 40. An impact to the chin, as well as a feet- or buttocks-first impact, most often led to PML owing to transmission of the impact force. Also, a lateral, frontal, or posterior head impact, with subsequent hinge fracture, as well as the frontoposterior hyperextension of the head associated with an upper spine fracture, could be possible mechanisms of PML in falls from a height. The jawbone and other facial bones act as shock absorbers, and their fracture diminishes energy transfer toward the skull and protects the brain and brainstem from injury. © 2011 American Academy of Forensic Sciences.

  19. 7. REMAINS OF PLANK WALL WITHIN CANAL CONSTRUCTED TO PROTECT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. REMAINS OF PLANK WALL WITHIN CANAL CONSTRUCTED TO PROTECT OUTSIDE CANAL BANK, LOOKING SOUTHWEST. NOTE CROSS SUPPORT POLES EXTENDING TO HILLSIDE. - Snake River Ditch, Headgate on north bank of Snake River, Dillon, Summit County, CO

  20. Topologically protected gates for quantum computation with non-Abelian anyons in the Pfaffian quantum Hall state

    NASA Astrophysics Data System (ADS)

    Georgiev, Lachezar S.

    2006-12-01

    We extend the topological quantum computation scheme using the Pfaffian quantum Hall state, which has been recently proposed by Das Sarma , in a way that might potentially allow for the topologically protected construction of a universal set of quantum gates. We construct, for the first time, a topologically protected controlled-NOT gate, which is entirely based on quasihole braidings of Pfaffian qubits. All single-qubit gates, except for the π/8 gate, are also explicitly implemented by quasihole braidings. Instead of the π/8 gate we try to construct a topologically protected Toffoli gate, in terms of the controlled-phase gate and CNOT or by a braid-group-based controlled-controlled- Z precursor. We also give a topologically protected realization of the Bravyi-Kitaev two-qubit gate g3 .

Top