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...

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...

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...

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...

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...

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...

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...

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

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...

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…

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...

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...

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...

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...

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...

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

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

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

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...

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...

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...

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...

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...

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.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

29 CFR 1915.152 - General requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) for the eyes, face, head, extremities, torso, and respiratory system, including protective clothing... section, to use PPE (exception: training in the use of personal fall arrest systems and positioning device systems training is covered in §§ 1915.159 and 1915.160). Each employee shall be trained to understand at...

29 CFR 1915.152 - General requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) for the eyes, face, head, extremities, torso, and respiratory system, including protective clothing... section, to use PPE (exception: training in the use of personal fall arrest systems and positioning device systems training is covered in §§ 1915.159 and 1915.160). Each employee shall be trained to understand at...

29 CFR 1915.152 - General requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) for the eyes, face, head, extremities, torso, and respiratory system, including protective clothing... section, to use PPE (exception: training in the use of personal fall arrest systems and positioning device systems training is covered in §§ 1915.159 and 1915.160). Each employee shall be trained to understand at...

Is Your School Truly Fire-Safe?

ERIC Educational Resources Information Center

Saunders, Carol Silverman

1995-01-01

Though most people assume that their schools are protected by smoke alarms and sprinkler systems, many are not. Older schools can fall through fire-code loopholes. Some schools have insufficient fire detection systems. Sprinkler systems can be too expensive for schools. Parents should educate themselves and insist on fire safety. (SM)

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.

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.

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...

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...

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.

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

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.

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...

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...

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...

Commissioning of the synchrotron radiation protection system and beamlines frontends at NSLS-II

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

Seletskiy, S., E-mail: seletskiy@bnl.gov; Amundsen, C.; Choi, J.

2016-07-27

The first eight insertion devices (IDs) at the NSLS-II were commissioned during the fall run of 2014. In this paper we discuss commissioning of the synchrotron radiation protection (SRP) system and beamline frontends (FE) for the respective IDs. We describe the diagnostics utilized if FE commissioning and a procedure that was used for the alignment of the photon beam from insertion devices in the beamline frontends. Then we discuss the current status of the SRP system and operation of the commissioned frontends.

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.

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.

75 FR 8111 - Notice of Proposed Withdrawal Extension and Opportunity for Public Meeting; Alaska

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-23

... National Forest System land from surface entry and mining, but not from mineral leasing laws, to protect... the Juneau Falls Recreation Area. This withdrawal comprises approximately 320 acres of National Forest System land located in the Chugach National Forest, within T. 5 N., R. 4 W., Seward Meridian, as...

Safety and the Human Factor.

ERIC Educational Resources Information Center

Smith, Ann

1982-01-01

Discusses four elements of safety programs: (1) safety training; (2) safety inspections; (3) accident investigations; and (4) protective safety equipment. Also discusses safety considerations in water/wastewater treatment facilities focusing on falls, drowning hazards, trickling filters, confined space entry, collection/distribution system safety,…

Femtosecond Laser Eyewear Protection: Measurements and Precautions

PubMed Central

Stromberg, Christopher J.; Hadler, Joshua A.; Alberding, Brian G.; Heilweil, Edwin J.

2018-01-01

Ultrafast laser systems are becoming more widespread throughout the research and industrial communities yet eye protection for these high power, bright pulsed sources still require scrupulous characterization and testing before use. Femtosecond lasers, with pulses naturally possessing broad-bandwidth and high average power with variable repetition rate, can exhibit spectral side-bands and subtly changing center wavelengths, which may unknowingly affect eyewear safety protection. Pulse spectral characterization and power diagnostics are presented for a 80 MHz, Ti+3:Sapphire, ≈ 800 nm, ≈40 femtosecond oscillator system. Power and spectral transmission for 22 test samples are measured to determine whether they fall within manufacturer specifications. PMID:29353984

Femtosecond Laser Eyewear Protection: Measurements and Precautions.

PubMed

Stromberg, Christopher J; Hadler, Joshua A; Alberding, Brian G; Heilweil, Edwin J

2017-11-01

Ultrafast laser systems are becoming more widespread throughout the research and industrial communities yet eye protection for these high power, bright pulsed sources still require scrupulous characterization and testing before use. Femtosecond lasers, with pulses naturally possessing broad-bandwidth and high average power with variable repetition rate, can exhibit spectral side-bands and subtly changing center wavelengths, which may unknowingly affect eyewear safety protection. Pulse spectral characterization and power diagnostics are presented for a 80 MHz, Ti +3 :Sapphire, ≈ 800 nm, ≈40 femtosecond oscillator system. Power and spectral transmission for 22 test samples are measured to determine whether they fall within manufacturer specifications.

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

ESTABLISHMENT OF A COMMUNITY MODELING AND ANALYSIS SUPPORT MECHANISM

EPA Science Inventory

During the fall of 2001, a Cooperative Research Agreement between the U.S. Environmental Protection Agency and MCNC began a Community Modeling and Analysis System (CMAS) center. The CMAS will foster development, distribution, and use of the Models-3/CMAQ (Community Multiscale ...

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.

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.

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.

Automatic recognition of falls in gait-slip training: Harness load cell based criteria.

PubMed

Yang, Feng; Pai, Yi-Chung

2011-08-11

Over-head-harness systems, equipped with load cell sensors, are essential to the participants' safety and to the outcome assessment in perturbation training. The purpose of this study was to first develop an automatic outcome recognition criterion among young adults for gait-slip training and then verify such criterion among older adults. Each of 39 young and 71 older subjects, all protected by safety harness, experienced 8 unannounced, repeated slips, while walking on a 7m walkway. Each trial was monitored with a motion capture system, bilateral ground reaction force (GRF), harness force, and video recording. The fall trials were first unambiguously indentified with careful visual inspection of all video records. The recoveries without balance loss (in which subjects' trailing foot landed anteriorly to the slipping foot) were also first fully recognized from motion and GRF analyses. These analyses then set the gold standard for the outcome recognition with load cell measurements. Logistic regression analyses based on young subjects' data revealed that the peak load cell force was the best predictor of falls (with 100% accuracy) at the threshold of 30% body weight. On the other hand, the peak moving average force of load cell across 1s period, was the best predictor (with 100% accuracy) separating recoveries with backward balance loss (in which the recovery step landed posterior to slipping foot) from harness assistance at the threshold of 4.5% body weight. These threshold values were fully verified using the data from older adults (100% accuracy in recognizing falls). Because of the increasing popularity in the perturbation training coupling with the protective over-head-harness system, this new criterion could have far reaching implications in automatic outcome recognition during the movement therapy. Copyright © 2011 Elsevier Ltd. All rights reserved.

AUTOMATIC RECOGNITION OF FALLS IN GAIT-SLIP: A HARNESS LOAD CELL BASED CRITERION

PubMed Central

Yang, Feng; Pai, Yi-Chung

2012-01-01

Over-head-harness systems, equipped with load cell sensors, are essential to the participants’ safety and to the outcome assessment in perturbation training. The purpose of this study was to first develop an automatic outcome recognition criterion among young adults for gait-slip training and then verify such criterion among older adults. Each of 39 young and 71 older subjects, all protected by safety harness, experienced 8 unannounced, repeated slips, while walking on a 7-m walkway. Each trial was monitored with a motion capture system, bilateral ground reaction force (GRF), harness force and video recording. The fall trials were first unambiguously indentified with careful visual inspection of all video records. The recoveries without balance loss (in which subjects’ trailing foot landed anteriorly to the slipping foot) were also first fully recognized from motion and GRF analyses. These analyses then set the gold standard for the outcome recognition with load cell measurements. Logistic regression analyses based on young subjects’ data revealed that peak load cell force was the best predictor of falls (with 100% accuracy) at the threshold of 30% body weight. On the other hand, the peak moving average force of load cell across 1-s period, was the best predictor (with 100% accuracy) separating recoveries with backward balance loss (in which the recovery step landed posterior to slipping foot) from harness assistance at the threshold of 4.5% body weight. These threshold values were fully verified using the data from older adults (100% accuracy in recognizing falls). Because of the increasing popularity in the perturbation training coupling with the protective over-head-harness system, this new criterion could have far reaching implications in automatic outcome recognition during the movement therapy. PMID:21696744

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.

Development of an Integrated Data Acquisition System for a Small Flight Probe

NASA Technical Reports Server (NTRS)

Swanson, Gregory T.; Empey, Daniel M.; Skokova, Kristina A.; Venkatapathy, Ethiraj

2012-01-01

In support of the SPRITE concept, an integrated data acquisition system has been developed and fabricated for preliminary testing. The data acquisition system has been designed to condition traditional thermal protection system sensors, store their data to an on-board memory card, and in parallel, telemeter to an external system. In the fall of 2010, this system was integrated into a 14 in. diameter, 45 degree sphere cone probe instrumented with thermal protection system sensors. This system was then tested at the NASA Ames Research Center Aerodynamic Heating Facility's arc jet at approximately 170 W/sq. cm. The first test in December 2010 highlighted hardware design issues that were redesigned and implemented leading to a successful test in February 2011.

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...

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...

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.

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.

29 CFR 1915.151 - Scope, application and definitions.

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) § 1915.151 Scope, application and definitions. (a) Scope and application. This..., shoulders, chest and pelvis with means for attaching it to other components of a personal fall arrest system...

29 CFR 1915.151 - Scope, application and definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., DEPARTMENT OF LABOR (CONTINUED) OCCUPATIONAL SAFETY AND HEALTH STANDARDS FOR SHIPYARD EMPLOYMENT Personal Protective Equipment (PPE) § 1915.151 Scope, application and definitions. (a) Scope and application. This..., shoulders, chest and pelvis with means for attaching it to other components of a personal fall arrest system...

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] ...

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] ...

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] ...

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...

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...

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...

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...

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...

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...

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.

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

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.

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.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

The fall and redemption of people and systems: potential lessons from the "star wars" saga.

PubMed

Guerrero, Anthony P S; Jamora, Maria Jasmin

2007-01-01

Through an analysis of the fall and redemption of Anakin Skywalker and the Galactic Republic of the Star Wars saga, educators may be able to convey valuable lessons to students learning about child and adolescent psychiatry and to junior psychiatrists learning about psychiatric administration and liaison. Specifically, educators may be able to convey that 1) when caring for patients who have succumbed or are at risk of succumbing to "darkness" in the modern psychiatric sense (e.g., violence and criminal behavior), it is important to recognize risk factors as well as protective factors that can lead to successful "salvation"; and 2) when administering or serving as a liaison to systems of care, it is important to acknowledge and heal dysfunctions in the relevant "system."

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.

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

United States-Russian Federation Workshop on Responses to Radiation Accidents, November 12-14, 1996 Falls Church, VA

DTIC Science & Technology

1996-01-01

Russia, by was someone higher up in the security that didn’t want to Austria, or by anyone else. But, I do believe that we must provide it. The Civil...Center to develop informed protective action the national security of many states, including Russia. recommendations to protect public health and...part played by the RSDM in the systems mentioned above). of the national security . The next, also very important role of the RSDM, is First, the

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

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.

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.

29 CFR 1926.502 - Fall protection systems criteria and practices.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... prevent unintentional disengagement of the snaphook by depression of the snaphook keeper by the connected... the snaphook by depression of the snaphook keeper by the connected member, or shall be a locking type...

29 CFR 1926.502 - Fall protection systems criteria and practices.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... prevent unintentional disengagement of the snaphook by depression of the snaphook keeper by the connected... the snaphook by depression of the snaphook keeper by the connected member, or shall be a locking type...

29 CFR 1926.502 - Fall protection systems criteria and practices.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... prevent unintentional disengagement of the snaphook by depression of the snaphook keeper by the connected... the snaphook by depression of the snaphook keeper by the connected member, or shall be a locking type...

29 CFR 1926.502 - Fall protection systems criteria and practices.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... prevent unintentional disengagement of the snaphook by depression of the snaphook keeper by the connected... the snaphook by depression of the snaphook keeper by the connected member, or shall be a locking type...

29 CFR 1926.501 - Duty to have fall protection.

Code of Federal Regulations, 2010 CFR

2010-07-01

... criteria set forth in § 1926.502 of this subpart. (2) The employer shall determine if the walking/working... strength and structural integrity. (b)(1) Unprotected sides and edges. Each employee on a walking/working... particular workplace situation, in lieu of implementing any of those systems. (ii) Each employee on a walking...

Self-actuating reactor shutdown system

DOEpatents

Barrus, Donald M.; Brummond, Willian A; Peterson, Leslie F.

1988-01-01

A control system for the automatic or self-actuated shutdown or "scram" of a nuclear reactor. The system is capable of initiating scram insertion by a signal from the plant protection system or by independent action directly sensing reactor conditions of low-flow or over-power. Self-actuation due to a loss of reactor coolant flow results from a decrease of pressure differential between the upper and lower ends of an absorber element. When the force due to this differential falls below the weight of the element, the element will fall by gravitational force to scram the reactor. Self-actuation due to high neutron flux is accomplished via a valve controlled by an electromagnet and a thermionic diode. In a reactor over-power, the diode will be heated to a change of state causing the electromagnet to be shorted thereby actuating the valve which provides the changed flow and pressure conditions required for scramming the absorber element.

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

[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.

Application of the SHOALS survey system to fisheries investigations in the Columbia River

USGS Publications Warehouse

Tiffan, Kenneth F.; Wagner, Paul G.; Wolf, Keith S.; Hoffarth , Paul A.

2009-01-01

We used a Scanning Hydrographic Operational Airborne LiDAR (Light Detection and Ranging) Survey (SHOALS) system to collect high-resolution bathymetry for 33 km of the Hanford Reach. Data were used in conjunction with hydrodynamic and predictive habitat models within a GIS (Geographical Information System) framework to evaluate the effects of a varying hydrograph on juvenile fall Chinook salmon rearing habitat and risk from stranding and entrapment. Furthermore, we were able to estimate the number of juvenile fish that were stranded and entrapped in pools when operations at Priest Rapids Dam caused rapid decreases in river flows. Our findings were ultimately used to estimate impacts of power generation operations at Priest Rapids Dam and develop long-term policy and operational guidelines to protect juvenile fall Chinook salmon during the spring rearing period.

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

The role of ATP-sensitive potassium channels in cellular function and protection in the cardiovascular system.

PubMed

Tinker, Andrew; Aziz, Qadeer; Thomas, Alison

2014-01-01

ATP-sensitive potassium channels (K(ATP)) are widely distributed and present in a number of tissues including muscle, pancreatic beta cells and the brain. Their activity is regulated by adenine nucleotides, characteristically being activated by falling ATP and rising ADP levels. Thus, they link cellular metabolism with membrane excitability. Recent studies using genetically modified mice and genomic studies in patients have implicated K(ATP) channels in a number of physiological and pathological processes. In this review, we focus on their role in cellular function and protection particularly in the cardiovascular system. © 2013 The British Pharmacological Society.

Cleaning the IceMole: collection of englacial samples from Blood Falls, Antarctica

NASA Astrophysics Data System (ADS)

Mikucki, J.; Digel, I.; Chua, M.; Davis, J.; Ghosh, D.; Lyons, W. B.; Welch, K. A.; Purcell, A.; Francke, G.; Feldmann, M.; Espe, C.; Heinen, D.; Dachwald, B.; Kowalski, J.; Tulaczyk, S. M.

2016-12-01

The Minimally Invasive Direct Glacial Access project (MIDGE) used a maneuverable thermoelectric melting probe called the IceMole to collect the first englacial samples of brine from Blood Falls, Antarctica. In order to maintain the scientific integrity of samples collected and minimize impact to this specially protected ecosystem, microbial and chemical contamination of the IceMole needed to be minimized. Guidelines have been established for research in Antarctic subglacial systems by the scientific and regulatory community and have been detailed by the "Code of Conduct for the Exploration and Research of Subglacial Aquatic Environments" put forth by the Scientific Committee on Antarctic Research (SCAR) Action Group, and was submitted to the Antarctic Treaty System. This Code of Conduct (CoC) recognizes the ecological importance and pristine nature of subglacial habitats and recommends a path forward towards clean exploration. Similarly, the US and European space agencies (NASA and ESA) have detailed instrument preparation protocols for the exploration of icy worlds in our solar system for planetary protection. Given the synergistic aims of these two groups we have adopted protocols from both subglacial and space exploration approaches. Here we present our approach to cleaning the IceMole in the field and report on ability to reduce the bioload inherent on the melter. Specifically our protocol reduced the exterior bio-load by an order of magnitude, to levels common in most clean rooms, and 1-3 orders of magnitude below that of Taylor Glacier ice surrounding Blood Falls. Our results indicate that the collection of englacial samples for microbiological analysis is feasible with melting probes.

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.

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

Cellular self-defense: how cell-autonomous immunity protects against pathogens.

PubMed

Randow, Felix; MacMicking, John D; James, Leo C

2013-05-10

Our prevailing view of vertebrate host defense is strongly shaped by the notion of a specialized set of immune cells as sole guardians of antimicrobial resistance. Yet this view greatly underestimates a capacity for most cell lineages-the majority of which fall outside the traditional province of the immune system-to defend themselves against infection. This ancient and ubiquitous form of host protection is termed cell-autonomous immunity and operates across all three domains of life. Here, we discuss the organizing principles that govern cellular self-defense and how intracellular compartmentalization has shaped its activities to provide effective protection against a wide variety of microbial pathogens.

Characterization of the protective capacity of flooring systems using force-deflection profiling.

PubMed

Glinka, Michal N; Karakolis, Thomas; Callaghan, Jack P; Laing, Andrew C

2013-01-01

'Safety floors' aim to decrease the risk of fall-related injuries by absorbing impact energy during falls. Ironically, excessive floor deflection during walking or standing may increase fall risk. In this study we used a materials testing system to characterize the ability of a range of floors to absorb energy during simulated head and hip impacts while resisting deflection during simulated single-leg stance. We found that energy absorption for all safety floors (mean (SD)=14.8 (4.9)J) and bedside mats (25.1 (9.3)J) was 3.2- to 5.4-fold greater than the control condition (commercial carpet). While footfall deflections were not significantly different between safety floors (1.8 (0.7)mm) and the control carpet (3.7 (0.6)mm), they were significantly higher for two bedside mats. Finally, all of the safety floors, and two bedside mats, displayed 3-10 times the energy-absorption-to-deflection ratios observed for the baseline carpet. Overall, these results suggest that the safety floors we tested effectively addressed two competing demands required to reduce fall-related injury risk; namely the ability to absorb substantial impact energy without increasing footfall deflections. This study contributes to the literature suggesting that safety floors are a promising intervention for reducing fall-related injury risk in older adults. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

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...

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...

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...

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...

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...

29 CFR 1926.502 - Fall protection systems criteria and practices.

Code of Federal Regulations, 2011 CFR

2011-07-01

... constitute a projection hazard. (8) Steel banding and plastic banding shall not be used as top rails or... thickness to prevent cuts and lacerations. If wire rope is used for top rails, it shall be flagged at not... paragraph (e) of this section. (1) Connectors shall be drop forged, pressed or formed steel, or made of...

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.

Flexible Foam Protection Materials for Portable Life Support System Packaging Study

NASA Technical Reports Server (NTRS)

Tang,Henry H.; Dillon, Paul A.; Thomas, Gretchen A.

2009-01-01

This paper discusses the phase I effort in evaluating and selecting a light weight impact protection material for the Constellation Space Suit Element (CSSE) Portable Life Support System (PLSS) conceptual packaging study. A light weight material capable of holding and protecting the components inside the PLSS is required to demonstrate the viability of the flexible PLSS packaging concept. The material needs to distribute, dissipate, and absorb the impact energy of the PLSS falling on the lunar surface. It must also be robust to consistently perform over several Extravehicular Activity (EVA) missions in the extreme lunar thermal vacuum environment. This paper documents the performance requirements for selecting a foam protection material, and the methodologies for evaluating some commercial off-the-shelf (COTS) foam material candidates. It also presents the mechanical properties and impact drop tests results of the foam material candidates. The results of this study suggest that a foam based flexible protection system is a viable solution for PLSS packaging. However, additional works are needed to optimize COTS foam or to develop a composite foam system that will meet all the performance requirements for the CSSE PLSS flexible packaging.

Mechanical attachments for flexible blanket TPS

NASA Astrophysics Data System (ADS)

Newquist, Charles W.; Anderson, David M.; Shorey, Mark W.; Preedy, Kristina S.

1998-01-01

The operability of a flexible blanket thermal protection system for a reusable launch vehicle can be improved by using mechanical attachments instead of adhesive bonding to fasten the thermal protection system to the vehicle structure. Mechanical attachments offer specific benefits by (1) permitting the use of composite or metal structures at or near their maximum temperatures (above the adhesive temperature limit) thereby reducing the required TPS thickness and weight, (2) significantly reducing both the frequency and time for TPS replacement, (3) providing easy access to hatches and the underlying structure, and (4) allowing the attachment of flexible TPS to integral cryotanks, where the TPS/structure interface temperature may fall below the lower temperature of the silicone adhesives.

KSC-2010-4941

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, the rotating service structure (RSS) on Launch Pad 39B is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4942

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, crews are dismantling the rotating service structure (RSS) on Launch Pad 39B. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4946

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, crews are dismantling the rotating service structure (RSS) on Launch Pad 39B. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4944

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, crews are dismantling the rotating service structure (RSS) on Launch Pad 39B. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4943

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, the rotating service structure (RSS) on Launch Pad 39B is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4945

NASA Image and Video Library

2010-09-30

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, the rotating service structure (RSS) on Launch Pad 39B is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jim Grossmann

KSC-2010-4987

NASA Image and Video Library

2010-10-04

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, crews continue dismantling the rotating service structure (RSS) on Launch Pad 39B. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jack Pfaller

The rise and fall of an opt-out system.

PubMed

Nordfalk, Francisca; Hoeyer, Klaus

2018-04-01

In Denmark, citizens participate in register-based research without the possibility of opting out. However, in 1995 it was made possible for Danish citizens to register an opt-out called 'researcher protection' [ forskerbeskyttelse], which implied that researchers could not contact people to invite them to participate in research projects, such as clinical trials or questionnaries, based on their registrations in national registers. Data already registered could still be used for research. In 2014, this possibility of opt-out was revoked by law. The aims of this paper are to understand how the Danish researcher protection system came about, why it was terminated and what we can we learn from this example. We conducted a descriptive analysis of a copy of the former researcher protection register along with policies and media debate surrounding the rise and revocation of the researcher protection system. Our results show how both the inception and the abolishment of researcher protection appear to be ad hoc and without specified criteria of success. An examination of the recorded entries in the researcher protection registry could have led to changes in its administration as an alternative to its total abolition. In future opt-out systems, there should be focus on monitoring register practices and the purpose and criteria for evaluation must be defined prior to implementation.

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...

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...

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...

Effects of weld damage on the dynamics of energy-absorbing lanyards.

PubMed

Katona, David N; Bennett, Charlie R; McKoryk, Michael; Brisson, Andre L; Sparrey, Carolyn J

2017-12-01

Manufacturers recommend removing fall protection system components from service for any indication of weld spatter or tool damage; however, little is known about the specific effects of lanyard damage on fall arrest dynamics. Thirty-two energy-absorbing lanyards were drop tested after being damaged with weld spatter, plasma torches and cutting tools and compared with new, undamaged lanyards. Two lanyards damaged with a plasma torch failed completely without deploying the energy absorber while weld spatter damage and tool cuts, up to two-thirds through the width of the webbing, had no effect on fall arrest dynamics. The results highlight the catastrophic implications of high-temperature damage to lanyard webbing resulting from plasma torches - which require immediate removal from service. In addition, the integrated energy absorber design in bungee-style lanyards makes them more susceptible to damage anywhere along the length. We therefore recommended against bungee lanyards for ironworkers and welders.

Integrating Safety with Science,Technology and Innovation at Los Alamos National Laboratory

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

Rich, Bethany M

2012-04-02

The mission of Los Alamos National Laboratory (LANL) is to develop and apply science, technology and engineering solutions to ensure the safety, security, and reliability of the U.S. nuclear deterrent; reduce global threats; and solve emerging national security challenges. The most important responsibility is to direct and conduct efforts to meet the mission with an emphasis on safety, security, and quality. In this article, LANL Environmental, Safety, and Health (ESH) trainers discuss how their application and use of a kinetic learning module (learn by doing) with a unique fall arrest system is helping to address one the most common industrialmore » safety challenges: slips and falls. A unique integration of Human Performance Improvement (HPI), Behavior Based Safety (BBS) and elements of the Voluntary Protection Program (VPP) combined with an interactive simulator experience is being used to address slip and fall events at Los Alamos.« less

29 CFR Appendix G to Subpart R of... - § 1926.502 (b)-(e) Fall Protection Systems Criteria and Practices

Code of Federal Regulations, 2014 CFR

2014-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... depression of the snaphook keeper by the connected member, or shall be a locking type snaphook designed and... member to which they are connected to prevent unintentional disengagement of the snaphook by depression...

29 CFR Appendix G to Subpart R of... - § 1926.502 (b)-(e) Fall Protection Systems Criteria and Practices

Code of Federal Regulations, 2012 CFR

2012-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... depression of the snaphook keeper by the connected member, or shall be a locking type snaphook designed and... member to which they are connected to prevent unintentional disengagement of the snaphook by depression...

29 CFR Appendix G to Subpart R of... - § 1926.502 (b)-(e) Fall Protection Systems Criteria and Practices

Code of Federal Regulations, 2010 CFR

2010-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... depression of the snaphook keeper by the connected member, or shall be a locking type snaphook designed and... member to which they are connected to prevent unintentional disengagement of the snaphook by depression...

29 CFR Appendix G to Subpart R of... - § 1926.502 (b)-(e) Fall Protection Systems Criteria and Practices

Code of Federal Regulations, 2013 CFR

2013-07-01

..., whenever relocated, after major repair, and at 6-month intervals if left in one place. The drop-test shall... depression of the snaphook keeper by the connected member, or shall be a locking type snaphook designed and... member to which they are connected to prevent unintentional disengagement of the snaphook by depression...

78 FR 65305 - Coleman Hydro, LLC; Notice of Application Ready for Environmental Analysis and Soliciting...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-31

... Geosense, 2742 Saint Charles Avenue, Idaho Falls, ID 83404; (208) 528-6152; email_ [email protected]net. i.../docs-filing/efiling.asp . Commenters can submit brief comments up to 6,000 characters, without prior registration, using the eComment system at http://www.ferc.gov/docs-filing/ecomment.asp . You must include your...

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

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...

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...

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...

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...

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...

Retention of the "first-trial effect" in gait-slip among community-living older adults.

PubMed

Liu, Xuan; Bhatt, Tanvi; Wang, Shuaijie; Yang, Feng; Pai, Yi-Chung Clive

2017-02-01

"First-trial effect" characterizes the rapid adaptive behavior that changes the performance outcome (from fall to non-fall) after merely a single exposure to postural disturbance. The purpose of this study was to investigate how long the first-trial effect could last. Seventy-five (≥ 65 years) community-dwelling older adults, who were protected by an overhead full body harness system, were retested for a single slip 6-12 months after their initial exposure to a single gait-slip. Subjects' body kinematics that was used to compute their proactive (feedforward) and reactive (feedback) control of stability was recorded by an eight-camera motion analysis system. We found the laboratory falls of subjects on their retest slip were significantly lower than that on the novel initial slip, and the reactive stability of these subjects was also significantly improved. However, the proactive stability of subjects remains unchanged between their initial slip and retest slip. The fall rates and stability control had no difference among the 6-, 9-, and 12-month retest groups, which indicated a maximum retention on 12 months after a single slip in the laboratory. These results highlighted the importance of the "first-trial effect" and suggested that perturbation training is effective for fall prevention, with lower trial doses for a long period (up to 1 year). Therefore, single slip training might benefit those older adults who could not tolerate larger doses in reality.

Solar concentrator protective system

NASA Technical Reports Server (NTRS)

Selcuk, M. K. (Inventor)

1984-01-01

A mechanism that blocks concentrated sunlight from reaching a receiver, in the event of a tracking failure or loss of coolant is described. Sunlight is normally concentrated by a dish reflector onto the opening of a receiver. A faceplate surrounds the opening, and coolant carrying tubes, line the receiver. If the concentrated sunlight wanders so it begins to fall on the faceplate, then the sunlight will melt a portion of a fuse wire portion will break. The wire is attached to a flange on a shutter frame, and breaking of the fuse wire allows the frame to fall. Normally, the shutter frame supports shutter elements that are held open by cam followers that bear against cams.

The upgraded data acquisition system for beam loss monitoring at the Fermilab Tevatron and Main Injector

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

Baumbaugh, A.; Briegel, C.; Brown, B.C.

2011-11-01

A VME-based data acquisition system for beam-loss monitors has been developed and is in use in the Tevatron and Main Injector accelerators at the Fermilab complex. The need for enhanced beam-loss protection when the Tevatron is operating in collider-mode was the main driving force for the new design. Prior to the implementation of the present system, the beam-loss monitor system was disabled during collider operation and protection of the Tevatron magnets relied on the quench protection system. The new Beam-Loss Monitor system allows appropriate abort logic and thresholds to be set over the full set of collider operating conditions. Themore » system also records a history of beam-loss data prior to a beam-abort event for post-abort analysis. Installation of the Main Injector system occurred in the fall of 2006 and the Tevatron system in the summer of 2007. Both systems were fully operation by the summer of 2008. In this paper we report on the overall system design, provide a description of its normal operation, and show a number of examples of its use in both the Main Injector and Tevatron.« less

The upgraded data acquisition system for beam loss monitoring at the Fermilab Tevatron and Main Injector

NASA Astrophysics Data System (ADS)

Baumbaugh, A.; Briegel, C.; Brown, B. C.; Capista, D.; Drennan, C.; Fellenz, B.; Knickerbocker, K.; Lewis, J. D.; Marchionni, A.; Needles, C.; Olson, M.; Pordes, S.; Shi, Z.; Still, D.; Thurman-Keup, R.; Utes, M.; Wu, J.

2011-11-01

A VME-based data acquisition system for beam-loss monitors has been developed and is in use in the Tevatron and Main Injector accelerators at the Fermilab complex. The need for enhanced beam-loss protection when the Tevatron is operating in collider-mode was the main driving force for the new design. Prior to the implementation of the present system, the beam-loss monitor system was disabled during collider operation and protection of the Tevatron magnets relied on the quench protection system. The new Beam-Loss Monitor system allows appropriate abort logic and thresholds to be set over the full set of collider operating conditions. The system also records a history of beam-loss data prior to a beam-abort event for post-abort analysis. Installation of the Main Injector system occurred in the fall of 2006 and the Tevatron system in the summer of 2007. Both systems were fully operation by the summer of 2008. In this paper we report on the overall system design, provide a description of its normal operation, and show a number of examples of its use in both the Main Injector and Tevatron.

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...

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...

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

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...

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...

29 CFR Appendix G to Subpart R of... - § 1926.502 (b)-(e) Fall Protection Systems Criteria and Practices

Code of Federal Regulations, 2011 CFR

2011-07-01

... members (such as balusters), when used between posts, shall be not more than 19 inches (48 cm) apart. (iv... the top edge. (4) When the 200 pound (890 N) test load specified in paragraph (b)(3) of this section... overhang the terminal posts, except where such overhang does not constitute a projection hazard. (8) Steel...

Chasing the European Dream: Unaccompanied African Youths' Educational Experience in a Canary Islands' Reception Centre and Beyond

ERIC Educational Resources Information Center

Auger-Voyer, Valérie; Montero-Sieburth, Martha; Perez, Lidia Cabrera

2014-01-01

In the last two decades, Spain's Canary Islands have received thousands of undocumented migrants arriving by boat from the coasts of North and West Africa. The sharp increase of unaccompanied minors has presented a particular challenge, as these minors fall under the State's protection system and are entitled to an education and other rights, once…

CAN STABILITY REALLY PREDICT AN IMPENDING SLIP-RELATED FALL AMONG OLDER ADULTS?

PubMed Central

Yang, Feng; Pai, Yi-Chung

2015-01-01

The primary purpose of this study was to systematically evaluate and compare the predictive power of falls for a battery of stability indices, obtained during normal walking among community-dwelling older adults. One hundred and eighty seven community-dwelling older adults participated in the study. After walking regularly for 20 strides on a walkway, participants were subjected to an unannounced slip during gait under the protection of a safety harness. Full body kinematics and kinetics were monitored during walking using a motion capture system synchronized with force plates. Stability variables, including feasible-stability-region measurement, margin of stability, the maximum Floquet multiplier, the Lyapunov exponents (short- and long-term), and the variability of gait parameters (including the step length, step width, and step time) were calculated for each subject. Accuracy of predicting slip outcome (fall vs. recovery) was examined for each stability variable using logistic regression. Results showed that the feasible-stability-region measurement predicted fall incidence among these subjects with the highest accuracy (68.4%). Except for the step width (with an accuracy of 60.2%), no other stability variables could differentiate fallers from those who did not fall for the sample studied in this study. The findings from the present study could provide guidance to identify individuals at increased risk of falling using the feasible-stability-region measurement or variability of the step width. PMID:25458148

KSC-2010-4984

NASA Image and Video Library

2010-10-04

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, this image shows the progress of the rotating service structure (RSS) on Launch Pad 39B as it is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jack Pfaller

KSC-2010-4988

NASA Image and Video Library

2010-10-04

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, this long range view shows the progress of the rotating service structure (RSS) on Launch Pad 39B as it is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jack Pfaller

KSC-2010-4986

NASA Image and Video Library

2010-10-04

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, this image shows the progress of the rotating service structure (RSS) on Launch Pad 39B as it is being dismantled. Sand, reinforcing steel and large wooden mats were put down under the RSS 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. The new lightning protection system, consisting of three lightning towers and a wire catenary system will remain. Photo credit: NASA/Jack Pfaller

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...

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...

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.

The Water Level Fall of Lake Megali Prespa (N Greece): an Indicator of Regional Water Stress Driven by Climate Change and Amplified by Water Extraction?

NASA Astrophysics Data System (ADS)

van der Schriek, Tim; Giannakopoulos, Christos

2014-05-01

The Mediterranean stands out globally due to its sensitivity to (future) climate change, with future projections predicting an increase in excessive drought events and declining rainfall. Regional freshwater ecosystems are particularly threatened: precipitation decreases, while extreme droughts increase and human impacts intensify (e.g. water extraction, drainage, pollution and dam-building). Many Mediterranean lake-wetland systems have shrunk or disappeared over the past two decades. Protecting the remaining systems is extremely important for supporting global biodiversity and for ensuring sustainable water availability. This protection should be based on a clear understanding of lake-wetland hydrological responses to natural and human-induced changes, which is currently lacking in many parts of the Mediterranean. The interconnected Prespa-Ohrid Lake system is a global hotspot of biodiversity and endemism. The unprecedented fall in water level (~8m) of Lake Megali Prespa threatens this system, but causes remain debated. Modelling suggests that the S Balkan will experience rainfall and runoff decreases of ~30% by 2050. However, projections revealing the potential impact of these changes on future lake level are unavailable as lake regime is not understood. A further drop in lake level may have serious consequences. The Prespa Lakes contribute ~25% of the total inflow into Lake Ohrid through underground karst channels; falling lake levels decrease this discharge. Lake Ohrid, in turn, feeds the Drim River. This entire catchment may therefore be affected by falling lake levels; its water resources are of great importance for Greece, Albania, FYROM and Montenegro (e.g. tourism, agriculture, hydro-energy, urban & industrial use). This new work proves that annual water level fluctuations of Lake Megali Prespa are predominantly related to precipitation during the first 7 months (Oct-Apr) of the hydrological year (Oct-Sep). Lake level is very sensitive to regional and Mediterranean wet-dry events during this period. There are robust indications for a link between lake level and the North Atlantic Oscillation, which is known to strongly influence Mediterranean winter precipitation. Hydro-climatic records show a complicated picture, but tentatively support the conclusion that the unprecedented lake level fall is principally related to climate change. The available fluvial discharge record and most existing snowfall records show statistically significant decreases in annual averages. Annual rainfall only shows a statistically significant decrease of the 25th percentile; 7-month rainfall (Oct-Apr) additionally shows a statistically significant but non-robust decrease of the mean. The modest amount of water extraction (annually: ~14*103m3, ~0.004% of total lake volume) exerts a progressive and significant impact on lake level over the longer term, accounting for ~25% of the observed fall. Lake level lowering ends when lake-surface area shrinkage has led to a decrease in lake-surface evaporation that is equivalent to the amount of water extracted. The adjustment of lake level to stable extraction rates requires two to three decades. This work aims to steer adaptation and mitigation strategies by informing on lake response under different climate change and extraction scenarios. Lake protection is a cost effective solution for supporting global biodiversity and for providing sustainable water resources.

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

Work-related nonfatal injuries in Alaska’s aviation industry, 2000–2013

PubMed Central

Case, Samantha L.; Moller, Kyle M.; Nix, Nancy A.; Lucas, Devin L.; Snyder, Elizabeth H.; O’Connor, Mary B.

2018-01-01

Aviation is a critical component of life in Alaska, connecting communities off the road system across the state. Crash-related fatalities in the state are well understood and many intervention efforts have been aimed at reducing aircraft crashes and resulting fatalities; however, nonfatal injuries among workers who perform aviation-related duties have not been studied in Alaska. This study aimed to characterize hospitalized nonfatal injuries among these workers using data from the Alaska Trauma Registry. During 2000–2013, 28 crash-related and 89 non-crash injuries were identified, spanning various occupational groups. Falls were a major cause of injuries, accounting for over half of non-crash injuries. Based on the study findings, aviation stakeholders should review existing policies and procedures regarding aircraft restraint systems, fall protection, and other injury prevention strategies. To supplement these findings, further study describing injuries that did not result in hospitalization is recommended. PMID:29606800

Work-related nonfatal injuries in Alaska's aviation industry, 2000-2013.

PubMed

Case, Samantha L; Moller, Kyle M; Nix, Nancy A; Lucas, Devin L; Snyder, Elizabeth H; O'Connor, Mary B

2018-04-01

Aviation is a critical component of life in Alaska, connecting communities off the road system across the state. Crash-related fatalities in the state are well understood and many intervention efforts have been aimed at reducing aircraft crashes and resulting fatalities; however, nonfatal injuries among workers who perform aviation-related duties have not been studied in Alaska. This study aimed to characterize hospitalized nonfatal injuries among these workers using data from the Alaska Trauma Registry. During 2000-2013, 28 crash-related and 89 non-crash injuries were identified, spanning various occupational groups. Falls were a major cause of injuries, accounting for over half of non-crash injuries. Based on the study findings, aviation stakeholders should review existing policies and procedures regarding aircraft restraint systems, fall protection, and other injury prevention strategies. To supplement these findings, further study describing injuries that did not result in hospitalization is recommended.

Internship Progress Summary: Fall 2016

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

Wiser, Ralph S.; Valencia, Matthew John

2016-12-13

This fall I had the opportunity to work at Los Alamos National Laboratory for the Technology Applications engineering group. I assisted two main projects during my appointment, both related to the Lab’s mission statement: “To solve national security challenges through scientific excellence.” My first project, a thermal source transfer unit, involved skills such as mechanical design, heat transfer simulation, and design analysis. The goal was to create a container that could protect a heat source and regulate its temperature during transit. I generated several designs, performed heat transfer simulations, and chose a design for prototyping. The second project was amore » soil drying unit for use in post blast sample analysis. To ensure fast and accurate sample processing, agents in the field wanted a system that could process wet dirt and turn it into dry powder. We designed a system of commercially available parts, and we tested the systems to determine the best methods and processes.« less

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

Flexible Foam Protection Materials for Constellation Space Suit Element Portable Life Support Subsystem Packaging Study

NASA Technical Reports Server (NTRS)

Tang, Henry H.; Orndoff, Evelyne S.; Thomas, Gretchen A.

2009-01-01

This paper discusses the effort in evaluating and selecting a light weight impact protection material for the Constellation Space Suit Element (CSSE) Portable Life Support Subsystem (PLSS) conceptual packaging study. A light weight material capable of holding and protecting the components inside the PLSS is required to demonstrate the viability of the flexible PLSS packaging concept. The material needs to distribute, dissipate, and absorb the impact energy of the PLSS falling on the lunar surface. It must also be very robust and function in the extreme lunar thermal vacuum environment for up to one hundred Extravehicular Activity (EVA) missions. This paper documents the performance requirements for selecting a foam protection material, and the methodologies for evaluating commercial off-the-shelf (COTS) foam protection materials. It also presents the materials properties test results and impact drop test results of the various foam materials evaluated in the study. The findings from this study suggest that a foam based flexible protection system is a viable solution for PLSS packaging. However, additional works are needed to optimize COTS foam properties or to develop a composite foam system that will meet all the performance requirements for the CSSE PLSS flexible packaging.

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.

Distribution System Stability, Reliability and Protective Relaying due to Incorporation of Dispersed Energy Sources.

DTIC Science & Technology

1984-01-01

6 II. PURPA REQUIREMENTS General Discussion .......... . ... .... ...... 13 The Act ....................... 15 III. DISPERSED...Congress passed Public Law 95-617. The Public Util- ity Regulatory Policy Act ( PURPA ) is a part of this law*. The purpose of PURPA is to encourage... PURPA in detail. There are many types of generating facilities which fall under PURPA . Primarily, the Act is concerned with ensuring that whatever

Breeding Double-crested Cormorants and Wading Birds on Isla Alcatraz, Sonora, México

Treesearch

Jennifer N. Duberstein; Virginia Jimenez-Serrania; Tad A. Pfister; Kirsten E. Lindquist; Lorayne Meltzer

2005-01-01

Isla Alcatraz is a small volcanic island in the Eastern Midriff Island region of the Gulf of California, approximately 1.4 km from the fishing community of Bahía de Kino, Sonora, México. The island falls under the protection of the Gulf Island Reserve system for wildlife and migratory birds. Isla Alcatraz is home to one of the largest Double-crested Cormorant (

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.

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...

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...

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...

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...

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...

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...

Drinking water systems, hydrology, and childhood gastrointestinal illness in Central and Northern Wisconsin.

PubMed

Uejio, Christopher K; Yale, Steven H; Malecki, Kristen; Borchardt, Mark A; Anderson, Henry A; Patz, Jonathan A

2014-04-01

This study investigated if the type of drinking water source (treated municipal, untreated municipal, and private well water) modifies the effect of hydrology on childhood (aged < 5 years) gastrointestinal illness. We conducted a time series study to assess the relationship between hydrologic and weather conditions with childhood gastrointestinal illness from 1991 to 2010. The Central and Northern Wisconsin study area includes households using all 3 types of drinking water systems. Separate time series models were created for each system and half-year period (winter/spring, summer/fall). More precipitation (summer/fall) systematically increased childhood gastrointestinal illness in municipalities accessing untreated water. The relative risk of contracting gastrointestinal illness was 1.4 in weeks with 3 centimeters of precipitation and 2.4 in very wet weeks with 12 centimeters of precipitation. By contrast, gastrointestinal illness in private well and treated municipal areas was not influenced by hydrologic conditions, although warmer winter temperatures slightly increased incidence. Our study suggests that improved drinking water protection, treatment, and delivery infrastructure may improve public health by specifically identifying municipal water systems lacking water treatment that may transmit waterborne disease.

Avoiding fraud risks associated with EHRs.

PubMed

Helton, Jeffrey R

2010-07-01

Fraud associated with electronic health records (EHRs) generally falls into two categories: inappropriate billing by healthcare providers and inappropriate access by a system's users. A provider's EHR system requires controls to be of any significant help in detecting such fraudulent activity, or in gathering transactional evidence should such activity be identified. To protect against potential EHR-related healthcare fraud, providers should follow the recommendations established in 2007 by RTI International for the Office of the National Coordinator for Health Information Technology of the U.S. Department of Health and Human Services.

Strengthening governance for intertidal ecosystems requires a consistent definition of boundaries between land and sea.

PubMed

Rog, Stefanie M; Cook, Carly N

2017-07-15

The protection of intertidal ecosystems is complex because they straddle both marine and terrestrial realms. This leads to inconsistent characterisation as marine and/or terrestrial systems, or neither. Vegetated intertidal ecosystems are especially complex to classify because they can have an unclear border with terrestrial vegetation, causing confusion around taxonomy (e.g., mangrove-like plants). This confusion and inconsistency in classification can impact these systems through poor governance and incomplete protection. Using Australian mangrove ecosystems as a case study, we explore the complexity of how land and sea boundaries are defined among jurisdictions and different types of legislation, and how these correspond to ecosystem boundaries. We demonstrate that capturing vegetated intertidal ecosystems under native vegetation laws and prioritizing the mitigation of threats with a terrestrial origin offers the greatest protection to these systems. We also show the impact of inconsistent boundaries on the inclusion of intertidal ecosystems within protected areas. The evidence presented here highlights problems within the Australian context, but most of these issues are also challenges for the management of intertidal ecosystems around the world. Our study demonstrates the urgent need for a global review of legislation governing the boundaries of land and sea to determine whether the suggestions we offer may provide global solutions to ensuring these critical systems do not fall through the cracks in ecosystem protection and management. Copyright © 2017 Elsevier Ltd. All rights reserved.

International Space Station (ISS) Meteoroid/Orbital Debris Shielding

NASA Technical Reports Server (NTRS)

Christiansen, Eric L.

1999-01-01

Design practices to provide protection for International Space Station (ISS) crew and critical equipment from meteoroid and orbital debris (M/OD) Impacts have been developed. Damage modes and failure criteria are defined for each spacecraft system. Hypervolocity Impact -1 - and analyses are used to develop ballistic limit equations (BLEs) for each exposed spacecraft system. BLEs define Impact particle sizes that result in threshold failure of a particular spacecraft system as a function of Impact velocity, angles and particle density. The BUMPER computer code Is used to determine the probability of no penetration (PNP) that falls the spacecraft shielding based on NASA standard meteoroid/debris models, a spacecraft geometry model, and the BLEs. BUMPER results are used to verify spacecraft shielding requirements Low-weight, high-performance shielding alternatives have been developed at the NASA Johnson Space Center (JSC) Hypervelocity Impact Technology Facility (HITF) to meet spacecraft protection requirements.

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...

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 ...

A Priori Design of Optimal Electro-Optic Materials for Laser Eye Protection

DTIC Science & Technology

2008-12-01

Jacquemin et al., 2008) In this paper, we have also used the recently proposed BNL functional (Livshits and Baer, 2007). The BNL functional falls...systems. Recently, the BNL functional was implemented in the highly parallel NWChem program (Andzelm et al., 2008), and was optimized for several...βijj) / |μ| The static hyperpolarizability β was calculated using a finite-field method. 2.1 LC-DFT calculations The BNL functional

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.

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].

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...

Fighting Corrosion

NASA Technical Reports Server (NTRS)

2004-01-01

Reinforced concrete structures such as bridges, parking decks, and balconies are designed to have a service life of over 50 years. All too often, however, many structures fall short of this goal, requiring expensive repairs and protection work earlier than anticipated. The corrosion of reinforced steel within the concrete infrastructure is a major cause for this premature deterioration. Such corrosion is a particularly dangerous problem for the facilities at NASA s Kennedy Space Center. Located near the Atlantic Ocean in Florida, Kennedy is based in one of the most corrosive-prone areas in the world. In order to protect its launch support structures, highways, pipelines, and other steel-reinforced concrete structures, Kennedy engineers developed the Galvanic Liquid Applied Coating System. The system utilizes an inorganic coating material that slows or stops the corrosion of reinforced steel members inside concrete structures. Early tests determined that the coating meets the criteria of the National Association of Corrosion Engineers for complete protection of steel rebar embedded in concrete. Testing is being continued at the Kennedy's Materials Science Beach Corrosion Test Site.

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.

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 ...

[Association between hip fractures and risk factors for osteoporosis. Multivariate analysis].

PubMed

Masoni, Ana; Morosano, Mario; Tomat, María Florencia; Pezzotto, Stella M; Sánchez, Ariel

2007-01-01

In this observational, case-control study, 376 inpatients were evaluated in order to determine the association of risk factors (RF) and hip fracture; 151 patients had osteoporotic hip fracture (cases); the remaining were controls. Data were obtained from medical charts, and through a standardized questionnaire about RF. Mean age of the sample (+/- SD) was 80.6 +/- 8.1 years, without statistically significant difference between cases and controls; the female:male ratio was 3:1 in both groups. Fractured women were older than men (82.5 +/- 8.1 vs. 79.7 +/- 7.2 years, respectively; p < 0.01). Physical activity, intake of alcohol and tobacco, and sun exposure were low in all patients. Falls among cases happened predominantly at home (p < 0.001). Among female cases, time spent in household duties was a RF (p = 0.007), which was absent in males. In multivariate analysis, the following RF were significantly more frequent: Cognitive impairment (p = 0.001), and previous falls (p < 0.0001); whereas the following protective factors were significantly different from controls: Calcium intake during youth (p < 0.0001), current calcium intake (p < 0.0001), and mechanical aid for walking (p < 0.0001). Evaluation of RF and protective factors may contribute to diminish the probability of hip fracture, through a modification of personal habits, and measures to prevent falls among elderly adults. Present information can help to develop local and national population-based strategies to diminish the burden of hip fractures for the health system.

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).

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...

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

Efficacy of Fluensulfone in a Tomato–Cucumber Double Cropping System

PubMed Central

Morris, Kelly A.; Langston, David B.; Dickson, Donald W.; Davis, Richard F.; Timper, Patricia; Noe, James P.

2015-01-01

Vegetable crops in the southeastern United States are commonly grown on plastic mulch with two crop cycles produced on a single mulch application. Field trials were conducted in 2013 and 2014 in two locations to evaluate the efficacy of fluensulfone for controlling Meloidogyne spp. when applied through drip irrigation to cucumber in a tomato–cucumber double-cropping system. In the spring tomato crop, 1,3-dichloropropene (1,3-D), fluensulfone, and a resistant cultivar significantly decreased root galling by 91%, 73%, and 97%, respectively, compared to the untreated control. Tomato plots from the spring were divided into split plots for the fall where the main plots were the spring treatment and the subplots were cucumber either treated with fluensulfone (3.0 kg a.i./ha. via drip irrigation) or left untreated. The fall application of fluensulfone improved cucumber vigor and reduced gall ratings compared to untreated subplots. Fluensulfone reduced damage from root-knot nematodes when applied to the first crop as well as provided additional protection to the second crop when it was applied through a drip system. PMID:26941459

Trends in penicillin and macrolide resistance among pneumococci in the UK and the Republic of Ireland in relation to antibiotic sales to pharmacies and dispensing doctors.

PubMed

Livermore, David M; Reynolds, Rosy; Stephens, Peter; Duckworth, Georgia; Felmingham, David; Johnson, Alan P; Murchan, Stephen; Murphy, Olive; Gungabissoon, Usha; Waight, Pauline; Pebody, Richard; Shackcloth, Jemma; Warner, Marina; Williams, Laura; George, Robert C

2006-10-01

It is widely believed that reducing antimicrobial usage should reduce resistance, although observational evidence is mixed. Pneumococci make ideal subjects to test this belief as they are widely surveyed and lack an animal reservoir. Accordingly, susceptibility data for pneumococci in the UK and Ireland were retrieved from the Health Protection Agency's LabBase/CoSurv system and from the European Antimicrobial Resistance Surveillance System (EARSS) and British Society for Antimicrobial Chemotherapy (BSAC) databases. The BSAC surveillance examines respiratory pneumococci; the other systems focus upon invasive organisms only, with the LabBase/CoSurv system being the most comprehensive, capturing data on most bacteraemias in England and Wales. National pharmacy sales data were obtained from the IMS Health MIDAS database and were modelled to the resistance data by logistic and linear regression analysis. All systems except for the BSAC respiratory surveillance data indicated that penicillin resistance has fallen significantly since 1999 in the UK, whereas macrolide resistance has been essentially stable, or has risen slightly. The data for Ireland were based on smaller sample sizes but suggested a fall in penicillin non-susceptibility from 1999 to 2004, with conflicting evidence for macrolide resistance. The recent decreasing trend in penicillin resistance is in contrast to a rising trend in England and Wales until (at least) 1997 and strongly rising macrolide resistance from 1989 to 1993. UK pharmacy sales of macrolides and oral beta-lactams fell by ca. 30% in the late 1990s following increased concern about resistance, before stabilising or rising weakly; sales in Ireland were stable or rose slightly in the study period. We conclude that falling penicillin resistance in pneumococci followed reduced sales of oral beta-lactams to pharmacies in the UK, but a similar fall in macrolide sales was not associated with any fall in resistance. Stabilisation or decline in penicillin resistance has occurred in Ireland despite stable or increasing oral beta-lactam sales.

Replacing The Engine In Your Car While You Are Still Driving It [PowerPoint

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

Bjorklund, Eric A.

The scope of the project included the following: install new network backbone, replace 201 MHz rf tubes, replace low-level rf system, replace timing system, replace industrial I/O system, replace beam synchronous data acquisition system, replace fast protect reporting system, new wire scanner hardware, and new beam position/phase monitor hardware--all of this to be done while continuing to deliver beam to users. Lessons learned, for anyone contemplating a similarly ambitious upgrade: You can’t replace the whole system at once. Some compatibility must be maintained between the old and new systems. Always have a way to fall back. Have sympathy for themore » operations staff. You will be surprised.« less

Response of an Impact Test Apparatus for Fall Protective Headgear Testing Using a Hybrid-III Head/Neck Assembly

PubMed Central

Caccese, V.; Ferguson, J.; Lloyd, J.; Edgecomb, M.; Seidi, M.; Hajiaghamemar, M.

2017-01-01

A test method based upon a Hybrid-III head and neck assembly that includes measurement of both linear and angular acceleration is investigated for potential use in impact testing of protective headgear. The test apparatus is based upon a twin wire drop test system modified with the head/neck assembly and associated flyarm components. This study represents a preliminary assessment of the test apparatus for use in the development of protective headgear designed to prevent injury due to falls. By including angular acceleration in the test protocol it becomes possible to assess and intentionally reduce this component of acceleration. Comparisons of standard and reduced durometer necks, various anvils, front, rear, and side drop orientations, and response data on performance of the apparatus are provided. Injury measures summarized for an unprotected drop include maximum linear and angular acceleration, head injury criteria (HIC), rotational injury criteria (RIC), and power rotational head injury criteria (PRHIC). Coefficient of variation for multiple drops ranged from 0.4 to 6.7% for linear acceleration. Angular acceleration recorded in a side drop orientation resulted in highest coefficient of variation of 16.3%. The drop test apparatus results in a reasonably repeatable test method that has potential to be used in studies of headgear designed to reduce head impact injury. PMID:28216804

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 ( ...

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

PubMed

Rajagopalan, Ramesh; Litvan, Irene; Jung, Tzyy-Ping

2017-11-01

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems.

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…

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.

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.

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.

The influence of body mass index and gender on the impact attenuation properties of flooring systems.

PubMed

Bhan, Shivam; Levine, Iris; Laing, Andrew C

2013-12-01

The biomechanical effectiveness of safety floors has never been assessed during sideways falls with human volunteers. Furthermore, the influence of body mass index (BMI) and gender on the protective capacity of safety floors is unknown. The purpose of this study was to test whether safety floors provide greater impact attenuation compared with traditional flooring, and whether BMI and gender modify their impact attenuation properties. Thirty participants (7 men and 7 women of low BMI; 7 men and 9 women of high BMI) underwent lateral pelvis release trials on 2 common floors and 4 safety floors. As a group, the safety floors reduced peak force (by up to 11.7%), and increased the time to peak force (by up to 25.5%) compared with a traditional institutional grade floor. Force attenuation was significantly higher for the low BMI group, and for males. Force attenuation was greatest for the low BMI males, averaging 26.5% (SD = 3.0) across the safety floors. These findings demonstrate an overall protective effect of safety floors during lateral falls on the pelvis, but also suggest augmented benefits for frail older adults (often with low body mass) who are at an increased risk of hip fracture.

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.

Drinking Water Systems, Hydrology, and Childhood Gastrointestinal Illness in Central and Northern Wisconsin

PubMed Central

Uejio, Christopher K.; Yale, Steven H.; Malecki, Kristen; Borchardt, Mark A.; Anderson, Henry A.; Patz, Jonathan A.

2014-01-01

Objectives. This study investigated if the type of drinking water source (treated municipal, untreated municipal, and private well water) modifies the effect of hydrology on childhood (aged < 5 years) gastrointestinal illness. Methods. We conducted a time series study to assess the relationship between hydrologic and weather conditions with childhood gastrointestinal illness from 1991 to 2010. The Central and Northern Wisconsin study area includes households using all 3 types of drinking water systems. Separate time series models were created for each system and half-year period (winter/spring, summer/fall). Results. More precipitation (summer/fall) systematically increased childhood gastrointestinal illness in municipalities accessing untreated water. The relative risk of contracting gastrointestinal illness was 1.4 in weeks with 3 centimeters of precipitation and 2.4 in very wet weeks with 12 centimeters of precipitation. By contrast, gastrointestinal illness in private well and treated municipal areas was not influenced by hydrologic conditions, although warmer winter temperatures slightly increased incidence. Conclusions. Our study suggests that improved drinking water protection, treatment, and delivery infrastructure may improve public health by specifically identifying municipal water systems lacking water treatment that may transmit waterborne disease. PMID:24524509

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions

PubMed Central

Rajagopalan, Ramesh; Jung, Tzyy-Ping

2017-01-01

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems. PMID:29104256

[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%.

Estimation of the kinetic energy dissipation in fall-arrest system and manikin during fall impact.

PubMed

Wu, John Z; Powers, John R; Harris, James R; Pan, Christopher S

2011-04-01

Fall-arrest systems (FASs) have been widely applied to provide a safe stop during fall incidents for occupational activities. The mechanical interaction and kinetic energy exchange between the human body and the fall-arrest system during fall impact is one of the most important factors in FAS ergonomic design. In the current study, we developed a systematic approach to evaluate the energy dissipated in the energy absorbing lanyard (EAL) and in the harness/manikin during fall impact. The kinematics of the manikin and EAL during the impact were derived using the arrest-force time histories that were measured experimentally. We applied the proposed method to analyse the experimental data of drop tests at heights of 1.83 and 3.35 m. Our preliminary results indicate that approximately 84-92% of the kinetic energy is dissipated in the EAL system and the remainder is dissipated in the harness/manikin during fall impact. The proposed approach would be useful for the ergonomic design and performance evaluation of an FAS. STATEMENT OF RELEVANCE: Mechanical interaction, especially kinetic energy exchange, between the human body and the fall-arrest system during fall impact is one of the most important factors in the ergonomic design of a fall-arrest system. In the current study, we propose an approach to quantify the kinetic energy dissipated in the energy absorbing lanyard and in the harness/body system during fall impact.

Highly Portable, Sensor-Based System for Human Fall Monitoring.

PubMed

Mao, Aihua; Ma, Xuedong; He, Yinan; Luo, Jie

2017-09-13

Falls are a very dangerous situation especially among elderly people, because they may lead to fractures, concussion, and other injuries. Without timely rescue, falls may even endanger their lives. The existing optical sensor-based fall monitoring systems have some disadvantages, such as limited monitoring range and inconvenience to carry for users. Furthermore, the fall detection system based only on an accelerometer often mistakenly determines some activities of daily living (ADL) as falls, leading to low accuracy in fall detection. We propose a human fall monitoring system consisting of a highly portable sensor unit including a triaxis accelerometer, a triaxis gyroscope, and a triaxis magnetometer, and a mobile phone. With the data from these sensors, we obtain the acceleration and Euler angle (yaw, pitch, and roll), which represents the orientation of the user's body. Then, a proposed fall detection algorithm was used to detect falls based on the acceleration and Euler angle. With this monitoring system, we design a series of simulated falls and ADL and conduct the experiment by placing the sensors on the shoulder, waist, and foot of the subjects. Through the experiment, we re-identify the threshold of acceleration for accurate fall detection and verify the best body location to place the sensors by comparing the detection performance on different body segments. We also compared this monitoring system with other similar works and found that better fall detection accuracy and portability can be achieved by our system.

Highly Portable, Sensor-Based System for Human Fall Monitoring

PubMed Central

Mao, Aihua; Ma, Xuedong; He, Yinan; Luo, Jie

2017-01-01

Falls are a very dangerous situation especially among elderly people, because they may lead to fractures, concussion, and other injuries. Without timely rescue, falls may even endanger their lives. The existing optical sensor-based fall monitoring systems have some disadvantages, such as limited monitoring range and inconvenience to carry for users. Furthermore, the fall detection system based only on an accelerometer often mistakenly determines some activities of daily living (ADL) as falls, leading to low accuracy in fall detection. We propose a human fall monitoring system consisting of a highly portable sensor unit including a triaxis accelerometer, a triaxis gyroscope, and a triaxis magnetometer, and a mobile phone. With the data from these sensors, we obtain the acceleration and Euler angle (yaw, pitch, and roll), which represents the orientation of the user’s body. Then, a proposed fall detection algorithm was used to detect falls based on the acceleration and Euler angle. With this monitoring system, we design a series of simulated falls and ADL and conduct the experiment by placing the sensors on the shoulder, waist, and foot of the subjects. Through the experiment, we re-identify the threshold of acceleration for accurate fall detection and verify the best body location to place the sensors by comparing the detection performance on different body segments. We also compared this monitoring system with other similar works and found that better fall detection accuracy and portability can be achieved by our system. PMID:28902149

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.

Protection, Profit, or Privacy: Exploring Strategic Solutions for Integrating Unmanned Aerial Systems (UAS) and the Delicate Balance Between Commercial Opportunity and Public Safety

DTIC Science & Technology

2016-12-01

United States v. Knotts.9 Analysis of previous cases provides a starting point for discussion between government officials and the public they...authorized under this ordinance to deploy this technology. At the start of the legislative session in the fall of 2015, Senator John Kavanagh, a...2015, through April 30, 2016 (a span of approximately 15 months). The start date of this query is intended to correspond with the operational

Development of novel algorithm and real-time monitoring ambulatory system using Bluetooth module for fall detection in the elderly.

PubMed

Hwang, J Y; Kang, J M; Jang, Y W; Kim, H

2004-01-01

Novel algorithm and real-time ambulatory monitoring system for fall detection in elderly people is described. Our system is comprised of accelerometer, tilt sensor and gyroscope. For real-time monitoring, we used Bluetooth. Accelerometer measures kinetic force, tilt sensor and gyroscope estimates body posture. Also, we suggested algorithm using signals which obtained from the system attached to the chest for fall detection. To evaluate our system and algorithm, we experimented on three people aged over 26 years. The experiment of four cases such as forward fall, backward fall, side fall and sit-stand was repeated ten times and the experiment in daily life activity was performed one time to each subject. These experiments showed that our system and algorithm could distinguish between falling and daily life activity. Moreover, the accuracy of fall detection is 96.7%. Our system is especially adapted for long-time and real-time ambulatory monitoring of elderly people in emergency situation.

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...

Assessment of groundwater quality using geographical information system (GIS), at north-east Cairo, Egypt.

PubMed

El-Shahat, M F; Sadek, M A; Mostafa, W M; Hagagg, K H

2016-04-01

The present investigation has been conducted to delineate the hydrogeochemical and environmental factors that control the water quality of the groundwater resources in the north-east of Cairo. A complementary approach based on hydrogeochemistry and a geographical information system (GIS) based protectability index has been employed for conducting this work. The results from the chemical analysis revealed that the groundwater of the Quaternary aquifer is less saline than that of the Miocene aquifer and the main factors that control the groundwater salinity in the studied area are primarily related to the genesis of the original recharging water modified after by leaching, dissolution, cation exchange, and fertilizer leachate. The computed groundwater quality index (WQI) falls into two categories: fair for almost all the Miocene groundwater samples, while the Quaternary groundwater samples are all have a good quality. The retarded flow and non-replenishment of the Miocene aquifer compared to the renewable active recharge of the Quaternary aquifer can explain this variation of WQI. The index and overlay approach exemplified by the DUPIT index has been used to investigate the protectability of the study aquifers against diffuse pollutants. Three categories (highly protectable less vulnerable, moderately protectable moderately vulnerable and less protectable highly vulnerable) have been determined and areally mapped.

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

Archeological treasures protection based on early forest wildfire multi-band imaging detection system

NASA Astrophysics Data System (ADS)

Gouverneur, B.; Verstockt, S.; Pauwels, E.; Han, J.; de Zeeuw, P. M.; Vermeiren, J.

2012-10-01

Various visible and infrared cameras have been tested for the early detection of wildfires to protect archeological treasures. This analysis was possible thanks to the EU Firesense project (FP7-244088). Although visible cameras are low cost and give good results during daytime for smoke detection, they fall short under bad visibility conditions. In order to improve the fire detection probability and reduce the false alarms, several infrared bands are tested ranging from the NIR to the LWIR. The SWIR and the LWIR band are helpful to locate the fire through smoke if there is a direct Line Of Sight. The Emphasis is also put on the physical and the electro-optical system modeling for forest fire detection at short and longer ranges. The fusion in three bands (Visible, SWIR, LWIR) is discussed at the pixel level for image enhancement and for fire detection.

KSC-2011-6091

NASA Image and Video Library

2011-08-03

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, cleanup of Launch Pad 39B is in progress beside the pad's flame trench. The trench is 450 feet long, 58 feet wide and 42 feet deep with an inner inverted V-shaped steel flame deflector. Sand, reinforcing steel and large wooden mats were placed over the pad's concrete surfaces during deconstruction to protect them from falling debris. In the distance is the 525-foot-tall Vehicle Assembly Building. 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 rockets and spacecraft. The lightning protection system, consisting of three lightning towers and a wire catenary system, will remain. For information on NASA's future plans, visit http://www.nasa.gov/exploration. Photo credit: NASA/Kim Shiflett

KSC-2011-6090

NASA Image and Video Library

2011-08-03

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, cleanup of Launch Pad 39B is in progress beside the pad's flame trench. The trench is 450 feet long, 58 feet wide and 42 feet deep with an inner inverted V-shaped steel flame deflector. Sand, reinforcing steel and large wooden mats were placed over the pad's concrete surfaces during deconstruction to protect them from falling debris. 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 rockets and spacecraft. The lightning protection system, consisting of three lightning towers and a wire catenary system, will remain. For information on NASA's future plans, visit http://www.nasa.gov/exploration. Photo credit: NASA/Kim Shiflett

KSC-2011-6088

NASA Image and Video Library

2011-08-03

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, cleanup of Launch Pad 39B is in progress beside the pad's flame trench. The trench is 450 feet long, 58 feet wide and 42 feet deep with an inner inverted V-shaped steel flame deflector. Sand, reinforcing steel and large wooden mats were placed over the pad's concrete surfaces during deconstruction to protect them from falling debris. In the distance is the 525-foot-tall Vehicle Assembly Building. 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 rockets and spacecraft. The lightning protection system, consisting of three lightning towers and a wire catenary system, will remain. For information on NASA's future plans, visit http://www.nasa.gov/exploration. Photo credit: NASA/Kim Shiflett

KSC-2011-6089

NASA Image and Video Library

2011-08-03

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, cleanup of Launch Pad 39B is in progress beside the pad's flame trench. The trench is 450 feet long, 58 feet wide and 42 feet deep with an inner inverted V-shaped steel flame deflector. Sand, reinforcing steel and large wooden mats were placed over the pad's concrete surfaces during deconstruction to protect them from falling debris. In the distance is the 525-foot-tall Vehicle Assembly Building. 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 rockets and spacecraft. The lightning protection system, consisting of three lightning towers and a wire catenary system, will remain. For information on NASA's future plans, visit http://www.nasa.gov/exploration. Photo credit: NASA/Kim Shiflett

Effectiveness of an automatic manual wheelchair braking system in the prevention of falls.

PubMed

Martorello, Laura; Swanson, Edward

2006-01-01

The purpose of this study was to evaluate the effectiveness of an automatic manual wheelchair braking system in the reduction of falls for patients at high risk of falls while transferring to and from a manual wheelchair. The study design was a normative survey carried out through the use of a written questionnaire sent to 60 skilled nursing facilities to collect data from the medical charts, which identified patients at high risk for falls who used an automatic wheelchair braking system. The facilities participating in the study identified a frequency of falls of high-risk patients while transferring to and from the wheelchair ranging from 2 to 10 per year, with a median fall rate per facility of 4 falls. One year after the installation of the automatic wheelchair braking system, participating facilities demonstrated a reduction of zero to three falls during transfers by high-risk patients, with a median fall rate of zero falls. This represents a statistically significant reduction of 78% in the fall rate of high-risk patients while transferring to and from the wheelchair, t (18) = 6.39, p < .0001. Incident reports of falls to and from manual wheelchairs were reviewed retrospectively for a 1-year period. This study suggests that high-risk fallers transferring to or from manual wheelchairs sustained significantly fewer falls when the Steddy Mate automatic braking system for manual wheelchairs was installed. The application of the automatic braking system allows clients, families/caregivers, and facility personnel an increased safety factor for the reduction of falls from the wheelchair.

The design and development of a long-term fall detection system incorporated into a custom vest for the elderly.

PubMed

Bourke, Alan K; van de Ven, Pepijn W J; Chaya, Amy E; OLaighin, Gearóid M; Nelson, John

2008-01-01

A fall detection system and algorithm, incorporated into a custom designed garment has been developed. The developed fall detection system uses a tri-axial accelerometer, microcontroller, battery and Bluetooth module. This sensor is attached to a custom designed vest, designed to be worn by the elderly person under clothing. The fall detection algorithm was developed and incorporates both impact and posture detection capability. The vest and fall algorithm was tested on young healthy subjects performing normal activities of daily living (ADL) and falls onto crash mats, while wearing the best and sensor. Results show that falls can de distinguished from normal activities with a sensitivity >90% and a specificity of >99%, from a total data set of 264 falls and 165 normal ADL. By incorporating the fall-detection sensor into a custom designed garment it is anticipated that greater compliance when wearing a fall-detection system can be achieved and will help reduce the incidence of the long-lie, when falls occur in the elderly population. However further long-term testing using elderly subjects is required to validate the systems performance.

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.

Quantifying flow-dependent changes in subyearling fall chinook salmon rearing habitat using two-dimensional spatially explicit modeling

USGS Publications Warehouse

Tiffan, K.F.; Garland, R.D.; Rondorf, D.W.

2002-01-01

We used an analysis based on a geographic information system (GIS) to determine the amount of rearing habitat and stranding area for subyearling fall chinook salmon Oncorhynchus tshawytscha in the Hanford Reach of the Columbia River at steady-state flows ranging from 1,416 to 11,328 m3/s. High-resolution river channel bathymetry was used in conjunction with a two-dimensional hydrodynamic model to estimate water velocities, depths, and lateral slopes throughout our 33-km study area. To relate the probability of fish presence in nearshore habitats to measures of physical habitat, we developed a logistic regression model from point electrofishing data. We only considered variables that were compatible with a GIS and therefore excluded other variables known to be important to juvenile salmonids. Water velocity and lateral slope were the only two variables included in our final model. The amount of available rearing habitat generally decreased as flow increased, with the greatest decreases occurring between 1,416 and 4,814 m3/s. When river discharges were between 3,682 and 7,080 m3/s, flow fluctuations of 566 m3/s produced the smallest change in available rearing area (from -6.3% to +6.8% of the total). Stranding pool area was greatly reduced at steady-state flows exceeding 4,531 m3/s, but the highest net gain in stranding area was produced by 850 m3/s decreases in flow when river discharges were between 5,381 and 5,664 m3/s. Current measures to protect rearing fall chinook salmon include limiting flow fluctuations at Priest Rapids Dam to 850 m3/s when the dam is spilling water and when the weekly flows average less than 4,814 m3/s. We believe that limiting flow fluctuations at all discharges would further protect subyearling fall chinook salmon.

A Multimodal Database for a Home Remote Medical Care Application

NASA Astrophysics Data System (ADS)

Medjahed, Hamid; Istrate, Dan; Boudy, Jerome; Steenkeste, François; Baldinger, Jean-Louis; Dorizzi, Bernadette

The home remote monitoring systems aim to make a protective contribution to the well being of individuals (patients, elderly persons) requiring moderate amounts of support for independent living spaces, and improving their everyday life. Existing researches of these systems suffer from lack of experimental data and a standard medical database intended for their validation and improvement. This paper presents a multi-sensors environment for acquiring and recording a multimodal medical database, which includes physiological data (cardiac frequency, activity or agitation, posture, fall), environment sounds and localization data. It provides graphical interface functions to manage, process and index these data. The paper focuses on the system implementation, its usage and it points out possibilities for future work.

The design of a purpose-built exergame for fall prediction and prevention for older people.

PubMed

Marston, Hannah R; Woodbury, Ashley; Gschwind, Yves J; Kroll, Michael; Fink, Denis; Eichberg, Sabine; Kreiner, Karl; Ejupi, Andreas; Annegarn, Janneke; de Rosario, Helios; Wienholtz, Arno; Wieching, Rainer; Delbaere, Kim

2015-01-01

Falls in older people represent a major age-related health challenge facing our society. Novel methods for delivery of falls prevention programs are required to increase effectiveness and adherence to these programs while containing costs. The primary aim of the Information and Communications Technology-based System to Predict and Prevent Falls (iStoppFalls) project was to develop innovative home-based technologies for continuous monitoring and exercise-based prevention of falls in community-dwelling older people. The aim of this paper is to describe the components of the iStoppFalls system. The system comprised of 1) a TV, 2) a PC, 3) the Microsoft Kinect, 4) a wearable sensor and 5) an assessment and training software as the main components. The iStoppFalls system implements existing technologies to deliver a tailored home-based exercise and education program aimed at reducing fall risk in older people. A risk assessment tool was designed to identify fall risk factors. The content and progression rules of the iStoppFalls exergames were developed from evidence-based fall prevention interventions targeting muscle strength and balance in older people. The iStoppFalls fall prevention program, used in conjunction with the multifactorial fall risk assessment tool, aims to provide a comprehensive and individualised, yet novel fall risk assessment and prevention program that is feasible for widespread use to prevent falls and fall-related injuries. This work provides a new approach to engage older people in home-based exercise programs to complement or provide a potentially motivational alternative to traditional exercise to reduce the risk of falling.

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.

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.

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.

Exploring user experience and technology acceptance for a fall prevention system: results from a randomized clinical trial and a living lab.

PubMed

Vaziri, Daryoush D; Aal, Konstantin; Ogonowski, Corinna; Von Rekowski, Thomas; Kroll, Michael; Marston, Hannah R; Poveda, Rakel; Gschwind, Yves J; Delbaere, Kim; Wieching, Rainer; Wulf, Volker

2016-01-01

Falls are common in older adults and can result in serious injuries. Due to demographic changes, falls and related healthcare costs are likely to increase over the next years. Participation and motivation of older adults in fall prevention measures remain a challenge. The iStoppFalls project developed an information and communication technology (ICT)-based system for older adults to use at home in order to reduce common fall risk factors such as impaired balance and muscle weakness. The system aims at increasing older adults' motivation to participate in ICT-based fall prevention measures. This article reports on usability, user-experience and user-acceptance aspects affecting the use of the iStoppFalls system by older adults. In the course of a 16-week international multicenter study, 153 community-dwelling older adults aged 65+ participated in the iStoppFalls randomized controlled trial, of which half used the system in their home to exercise and assess their risk of falling. During the study, 60 participants completed questionnaires regarding the usability, user experience and user acceptance of the iStoppFalls system. Usability was measured with the System Usability Scale (SUS). For user experience the Physical Activity Enjoyment Scale (PACES) was applied. User acceptance was assessed with the Dynamic Acceptance Model for the Re-evaluation of Technologies (DART). To collect more detailed data on usability, user experience and user acceptance, additional qualitative interviews and observations were conducted with participants. Participants evaluated the usability of the system with an overall score of 62 (Standard Deviation, SD 15.58) out of 100, which suggests good usability. Most users enjoyed the iStoppFalls games and assessments, as shown by the overall PACES score of 31 (SD 8.03). With a score of 0.87 (SD 0.26), user acceptance results showed that participants accepted the iStoppFalls system for use in their own home. Interview data suggested that certain factors such as motivation, complexity or graphical design were different for gender and age. The results suggest that the iStoppFalls system has good usability, user experience and user acceptance. It will be important to take these along with factors such as motivation, gender and age into consideration when designing and further developing ICT-based fall prevention systems.

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...

Doppler radar sensor positioning in a fall detection system.

PubMed

Liu, Liang; Popescu, Mihail; Ho, K C; Skubic, Marjorie; Rantz, Marilyn

2012-01-01

Falling is a common health problem for more than a third of the United States population over 65. We are currently developing a Doppler radar based fall detection system that already has showed promising results. In this paper, we study the sensor positioning in the environment with respect to the subject. We investigate three sensor positions, floor, wall and ceiling of the room, in two experimental configurations. Within each system configuration, subjects performed falls towards or across the radar sensors. We collected 90 falls and 341 non falls for the first configuration and 126 falls and 817 non falls for the second one. Radar signature classification was performed using a SVM classifier. Fall detection performance was evaluated using the area under the ROC curves (AUCs) for each sensor deployment. We found that a fall is more likely to be detected if the subject is falling toward or away from the sensor and a ceiling Doppler radar is more reliable for fall detection than a wall mounted one.

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

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...

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...

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...

Testing of a long-term fall detection system incorporated into a custom vest for the elderly.

PubMed

Bourke, Alan K; van de Ven, Pepijn W J; Chaya, Amy E; OLaighin, Gearóid M; Nelson, John

2008-01-01

A fall detection system and algorithm, incorporated into a custom designed garment has been developed. The developed fall detection system uses a tri-axial accelerometer to detect impacts and monitor posture. This sensor is attached to a custom designed vest, designed to be worn by the elderly person under clothing. The fall detection algorithm was developed and incorporates both impact and posture detection capability. The vest and fall algorithm was tested by two teams of 5 elderly subjects who wore the sensor system in turn for 2 week each and were monitored for 8 hours a day. The system previously achieved sensitivity of >90% and a specificity of >99%, using young healthy subjects performing falls and normal activities of daily living (ADL). In this study, over 833 hours of monitoring was performed over the course of the four weeks from the elderly subjects, during normal daily activity. In this time no actual falls were recorded, however the system registered a total of the 42 fall-alerts however only 9 were received at the care taker site. A fall detection system incorporated into a custom designed garment has been developed which will help reduce the incidence of the long-lie, when falls occur in the elderly population. However further development is required to reduce the number of false-positives and improve the transmission of messages.

An Unobtrusive Fall Detection and Alerting System Based on Kalman Filter and Bayes Network Classifier.

PubMed

He, Jian; Bai, Shuang; Wang, Xiaoyi

2017-06-16

Falls are one of the main health risks among the elderly. A fall detection system based on inertial sensors can automatically detect fall event and alert a caregiver for immediate assistance, so as to reduce injuries causing by falls. Nevertheless, most inertial sensor-based fall detection technologies have focused on the accuracy of detection while neglecting quantization noise caused by inertial sensor. In this paper, an activity model based on tri-axial acceleration and gyroscope is proposed, and the difference between activities of daily living (ADLs) and falls is analyzed. Meanwhile, a Kalman filter is proposed to preprocess the raw data so as to reduce noise. A sliding window and Bayes network classifier are introduced to develop a wearable fall detection system, which is composed of a wearable motion sensor and a smart phone. The experiment shows that the proposed system distinguishes simulated falls from ADLs with a high accuracy of 95.67%, while sensitivity and specificity are 99.0% and 95.0%, respectively. Furthermore, the smart phone can issue an alarm to caregivers so as to provide timely and accurate help for the elderly, as soon as the system detects a fall.

Design requirements, challenges, and solutions for high-temperature falling particle receivers

NASA Astrophysics Data System (ADS)

Christian, Joshua; Ho, Clifford

2016-05-01

Falling particle receivers (FPR) utilize small particles as a heat collecting medium within a cavity receiver structure. Previous analysis for FPR systems include computational fluid dynamics (CFD), analytical evaluations, and experiments to determine the feasibility and achievability of this CSP technology. Sandia National Laboratories has fabricated and tested a 1 MWth FPR that consists of a cavity receiver, top hopper, bottom hopper, support structure, particle elevator, flux target, and instrumentation. Design requirements and inherent challenges were addressed to enable continuous operation of flowing particles under high-flux conditions and particle temperatures over 700 °C. Challenges include being able to withstand extremely high temperatures (up to 1200°C on the walls of the cavity), maintaining particle flow and conveyance, measuring temperatures and mass flow rates, filtering out debris, protecting components from direct flux spillage, and measuring irradiance in the cavity. Each of the major components of the system is separated into design requirements, associated challenges and corresponding solutions. The intent is to provide industry and researchers with lessons learned to avoid pitfalls and technical problems encountered during the development of Sandia's prototype particle receiver system at the National Solar Thermal Test Facility (NSTTF).

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.

Design a Learning-Oriented Fall Event Reporting System Based on Kirkpatrick Model.

PubMed

Zhou, Sicheng; Kang, Hong; Gong, Yang

2017-01-01

Patient fall has been a severe problem in healthcare facilities around the world due to its prevalence and cost. Routine fall prevention training programs are not as effective as expected. Using event reporting systems is the trend for reducing patient safety events such as falls, although some limitations of the systems exist at current stage. We summarized these limitations through literature review, and developed an improved web-based fall event reporting system. The Kirkpatrick model, widely used in the business area for training program evaluation, has been integrated during the design of our system. Different from traditional event reporting systems that only collect and store the reports, our system automatically annotates and analyzes the reported events, and provides users with timely knowledge support specific to the reported event. The paper illustrates the design of our system and how its features are intended to reduce patient falls by learning from previous errors.

33 CFR 150.619 - What are the fall arrest system requirements?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false What are the fall arrest system... SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: OPERATIONS Workplace Safety and Health Fall Arrest § 150.619 What are the fall arrest system requirements? (a) The deepwater port operator must ensure that...

33 CFR 150.619 - What are the fall arrest system requirements?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false What are the fall arrest system... SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: OPERATIONS Workplace Safety and Health Fall Arrest § 150.619 What are the fall arrest system requirements? (a) The deepwater port operator must ensure that...

33 CFR 150.619 - What are the fall arrest system requirements?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false What are the fall arrest system... SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: OPERATIONS Workplace Safety and Health Fall Arrest § 150.619 What are the fall arrest system requirements? (a) The deepwater port operator must ensure that...

33 CFR 150.619 - What are the fall arrest system requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false What are the fall arrest system... SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: OPERATIONS Workplace Safety and Health Fall Arrest § 150.619 What are the fall arrest system requirements? (a) The deepwater port operator must ensure that...

33 CFR 150.619 - What are the fall arrest system requirements?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false What are the fall arrest system... SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: OPERATIONS Workplace Safety and Health Fall Arrest § 150.619 What are the fall arrest system requirements? (a) The deepwater port operator must ensure that...

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...

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...

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...

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...

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.

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.

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.

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.

Improving the Capture of Fall Events in Hospitals: Combining a Service for Evaluating Inpatient Falls with an Incident Report System

PubMed Central

Shorr, Ronald I.; Mion, Lorraine C.; Chandler, A. Michelle; Rosenblatt, Linda C.; Lynch, Debra; Kessler, Lori A.

2008-01-01

OBJECTIVES To determine the utility of a fall evaluation service to improve the ascertainment of falls in acute care. DESIGN Six-month observational study. SETTING Sixteen adult nursing units (349 beds) in an urban, academically affiliated, community hospital. PARTICIPANTS Patients admitted to the study units during the study period. INTERVENTION Nursing staff identifying falls were instructed to notify, using a pager, a trained nurse ‘‘fall evaluator.’’ Fall evaluators provided 24-hour-per-day 7-day-per-week coverage throughout the study. Data on patient falls gathered by fall evaluators were compared with falls data obtained through the hospital’s incident reporting system. RESULTS During 51,180 patient-days of observation, 191 falls were identified according to incident reports (3.73 falls/1,000 patient-days), whereas the evaluation service identified 228 falls (4.45 falls/1,000 patient-days). Combining falls reported from both data sources yielded 266 falls (5.20 falls/1,000 patient-days), a 39% relative rate increase compared with incident reports alone (P<.001). For falls with injury, combining data from both sources yielded 79 falls (1.54 injurious falls/1,000 patient-days), compared with 57 falls (1.11 injurious falls/1,000 patient-days) filed in incident reports—a 28% increase (P = .06). In the 16 nursing units, the relative percentage increase of captured fall events using the combined data sources versus the incident reporting system alone ranged from 13% to 125%. CONCLUSION Incident reports significantly underestimate both injurious and noninjurious falls in acute care settings and should not be used as the sole source of data for research or quality improvement initiatives. PMID:18205761

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.

Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.

PubMed

Zecevic, Aleksandra A; Salmoni, Alan W; Lewko, John H; Vandervoort, Anthoney A; Speechley, Mark

2009-10-01

As a highly heterogeneous group, seniors live in complex environments influenced by multiple physical and social structures that affect their safety. Until now, the major approach to falls research has been person centered. However, in industrial settings, the individuals involved in an accident are seen as the inheritors of system defects. The objective of the present study was to investigate safety deficiencies that contributed to falls in community-dwelling seniors using a systems approach. The investigations were conducted using the Seniors Falls Investigation Methodology (SFIM), an adapted version of a method used to examine transportation accidents, such as airplane crashes. Fifteen seniors, who experienced a fall or near fall, participated in multiple case studies. A cross-case synthesis was used to summarize findings and identify common patterns of causes and safety deficiencies. Falls and near falls are a result of latent unsafe conditions, and unsafe acts and decisions combined in a diverse set of circumstances. If not identified and removed, these unsafe conditions can cause falls for other seniors. This study provided compelling evidence that causes of falling are systemic and develop over time. It demonstrated that the systems approach is needed to expand the focus from the individual to multilayered organizational and supervisory causes. The SFIM demonstrated capability to identify causes of falls that will allow better prevention and management programs, hence advancing seniors' safety. SFIM shows great potential for implementation in organized settings, such as hospitals and long-term care homes.

[Establishment and application effect of fall prevention and control information system in elderly community].

PubMed

Zhao, Ting; Pi, Hong-Ying; Ku, Hong-An; Pan, Li; Gong, Zhu-Yun

2018-02-08

To investigate establishing, applying and evaluating the fall prevention and control information system in elderly community. Relying on internet technology and informatization means, the fall comprehensive prevention and control strategy of elderly was guided into online from offline. The fall prevention and control information system which was a collection of risk assessment, remote education and feedback was established. One hundred and twenty-six elderly (over 60 years old) in community were screened in this study and 84 high-risk elders who were involved in the remote continuous comprehensive intervention were screened out. Intervening measures included distributing propaganda album, making mission slides and video used to play with the interpretation remotely. Then fall related situation before and after intervention was analyzed and the effectiveness of system evaluated. After remote intervention, the fall incidence of high-risk group decreased from 21.43% to 4.76%( P <0.01). The body balance and gait stability improved clearly( P <0. 01). The rate of taking proper prevention and control behavior significantly improved( P <0.01). They believed in themselves not to fall down with more confidence when taking complex behaviors( P <0.01). The security of environment at home significantly enhanced( P <0. 01). Fall prevention and control information system in elderly community was innovative and convenient. The system could roundly assess the status related to fall and accurately screen out high-risk group. The system could implement the remote continuous comprehensive intervention so that the incident of fall was decrease. In conclusion, the system is stable and effective, can be further popularization and application as a successful pilot.

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...

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

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

Demonstration of Ice-Free Cathodic Protection Systems for Water Storage Tanks at Fort Drum: Final Report on Project AR-F-318 for FY05

DTIC Science & Technology

2007-06-01

and immovable with fingers. Body side rivet base and outside rivet burr should be flat against the material. Bent rivets will fail under stress ...such as using knots, tying around sharp edges, etc.) and maximum permitted free fall distance. Also, to be stressed are the importance of inspections...limitations; e. Application limits; f. Proper hook -up, anchoring and tie-off techniques, including the proper dee-ring or other attachment point to use on

78 FR 38311 - Broad River Electric Cooperative and Cherokee Falls Associates; Aquenergy Systems, Inc.; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-26

... Electric Cooperative and Cherokee Falls Associates; Aquenergy Systems, Inc.; Notice of Application for... Electric Cooperative and Cherokee Falls Associates (transferors) and Aquenergy Systems, Inc. (transferee... 15222. Transferee: Mr. Steve Champagne, Executive Vice President and General Counsel, Aquenergy Systems...

Automated Technology for In-home Fall Risk Assessment and Detection Sensor System

PubMed Central

Rantz, Marilyn J.; Skubic, Marjorie; Abbott, Carmen; Galambos, Colleen; Pak, Youngju; Ho, Dominic K.C.; Stone, Erik E.; Rui, Liyang; Back, Jessica; Miller, Steven J.

2013-01-01

Falls are a major problem for older adults. A continuous, unobtrusive, environmentally mounted in-home monitoring system that automatically detects when falls have occurred or when the risk of falling is increasing could alert health care providers and family members so they could intervene to improve physical function or mange illnesses that are precipitating falls. Researchers at the University of Missouri (MU)Center for Eldercare and Rehabilitation Technology are testing such sensor systems for fall risk assessment and detection in older adults’ apartments in a senior living community. Initial results comparing ground truth fall risk assessment data and GAITRite gait parameters with gait parameters captured from Mircosoft Kinect and Pulse-Dopplar radar are reported. PMID:23675644

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

Evaluation of Sensor Technology to Detect Fall Risk and Prevent Falls in Acute Care.

PubMed

Potter, Patricia; Allen, Kelly; Costantinou, Eileen; Klinkenberg, William Dean; Malen, Jill; Norris, Traci; O'Connor, Elizabeth; Roney, Wilhemina; Tymkew, Heidi Hahn; Wolf, Laurie

2017-08-01

Sensor technology that dynamically identifies hospitalized patients' fall risk and detects and alerts nurses of high-risk patients' early exits out of bed has potential for reducing fall rates and preventing patient harm. During Phase 1 (August 2014-January 2015) of a previously reported performance improvement project, an innovative depth sensor was evaluated on two inpatient medical units to study fall characteristics. In Phase 2 (April 2015-January 2016), a combined depth and bed sensor system designed to assign patient fall probability, detect patient bed exits, and subsequently prevent falls was evaluated. Fall detection depth sensors remained in place on two medicine units; bed sensors used to detect patient bed exits were added on only one of the medicine units. Fall rates and fall with injury rates were evaluated on both units. During Phase 2, the designated evaluation unit had 14 falls, for a fall rate of 2.22 per 1,000 patient-days-a 54.1% reduction compared with the Phase 1 fall rate. The difference in rates from Phase 1 to Phase 2 was statistically significant (z = 2.20; p = 0.0297). The comparison medicine unit had 30 falls-a fall rate of 4.69 per 1,000 patient-days, representing a 57.9% increase as compared with Phase 1. A fall detection sensor system affords a level of surveillance that standard fall alert systems do not have. Fall prevention remains a complex issue, but sensor technology is a viable fall prevention option. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

Fall prevention intervention technologies: A conceptual framework and survey of the state of the art.

PubMed

Hamm, Julian; Money, Arthur G; Atwal, Anita; Paraskevopoulos, Ioannis

2016-02-01

In recent years, an ever increasing range of technology-based applications have been developed with the goal of assisting in the delivery of more effective and efficient fall prevention interventions. Whilst there have been a number of studies that have surveyed technologies for a particular sub-domain of fall prevention, there is no existing research which surveys the full spectrum of falls prevention interventions and characterises the range of technologies that have augmented this landscape. This study presents a conceptual framework and survey of the state of the art of technology-based fall prevention systems which is derived from a systematic template analysis of studies presented in contemporary research literature. The framework proposes four broad categories of fall prevention intervention system: Pre-fall prevention; Post-fall prevention; Fall injury prevention; Cross-fall prevention. Other categories include, Application type, Technology deployment platform, Information sources, Deployment environment, User interface type, and Collaborative function. After presenting the conceptual framework, a detailed survey of the state of the art is presented as a function of the proposed framework. A number of research challenges emerge as a result of surveying the research literature, which include a need for: new systems that focus on overcoming extrinsic falls risk factors; systems that support the environmental risk assessment process; systems that enable patients and practitioners to develop more collaborative relationships and engage in shared decision making during falls risk assessment and prevention activities. In response to these challenges, recommendations and future research directions are proposed to overcome each respective challenge. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

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.

Flexible Packaging Concept for a Space Suit Portable Life Support Subsystem

NASA Technical Reports Server (NTRS)

Thomas, Gretchen; Dillon, Paul; Oliver, Joe; Zapata, Felipe

2009-01-01

Neither the Shuttle Extravehicular Mobility Unit (EMU), the space suit currently used for space shuttle and International Space Station (ISS) missions, nor the Apollo EMU, the space suit successfully used on previous lunar missions, will satisfy the requirements for the next generation Constellation Program (CxP) lunar suit. The CxP system or Constellation Space Suit Element (CSSE) must be able to tolerate more severe environmental and use conditions than any previous system. These conditions include missions to the severely cold lunar poles and up to 100 Extravehicular Activity (EVA) excursions without ground maintenance. Much effort is focused on decreasing the mass and volume of the Portable Life Support Subsystem (PLSS) over previous suit designs in order to accommodate the required increase in functionality. This paper documents the progress of a conceptual packaging effort of a flexible backpack for the CSSE PLSS. The flexible backpack concept relies on a foam protection system to absorb, distribute, and dissipate the energy from falls on the lunar surface. Testing and analysis of the foam protection system concept that was conducted during this effort indicates that this method of system packaging is a viable solution.

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

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

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...

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...

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…

In-home fall risk assessment and detection sensor system.

PubMed

Rantz, Marilyn J; Skubic, Marjorie; Abbott, Carmen; Galambos, Colleen; Pak, Youngju; Ho, Dominic K C; Stone, Erik E; Rui, Liyang; Back, Jessica; Miller, Steven J

2013-07-01

Falls are a major problem in older adults. A continuous, unobtrusive, environmentally mounted (i.e., embedded into the environment and not worn by the individual), in-home monitoring system that automatically detects when falls have occurred or when the risk of falling is increasing could alert health care providers and family members to intervene to improve physical function or manage illnesses that may precipitate falls. Researchers at the University of Missouri Center for Eldercare and Rehabilitation Technology are testing such sensor systems for fall risk assessment (FRA) and detection in older adults' apartments in a senior living community. Initial results comparing ground truth (validated measures) of FRA data and GAITRite System parameters with data captured from Microsoft(®) Kinect and pulse-Doppler radar are reported. Copyright 2013, SLACK Incorporated.

[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.

"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.

Assurance: the power behind PCASSO security.

PubMed Central

Baker, D. B.; Masys, D. R.; Jones, R. L.; Barnhart, R. M.

1999-01-01

The need for security protection in Internet-based healthcare applications is generally acknowledged. Most healthcare applications that use the Internet have at least implemented some kind of encryption. Most applications also enforce user authentication and access control policies, and many audit user actions. However, most fall short on providing strong assurances that the security mechanisms are behaving as expected and that they cannot be subverted. While no system can claim to be totally "bulletproof," PCASSO provides assurance of correct operation through formal, disciplined design and development methodologies, as well as through functional and penetration testing. Through its security mechanisms, backed by strong system assurances, PCASSO is demonstrating "safe" use of public data networks for health care. PMID:10566443

Health insurance, patient protection and Affordable Care Act, and young adults.

PubMed

Dodich, Colleen; Patel, Dilip

2013-12-01

In summary, the ACA aims to correct some of the shortcomings of our current health insurance systems. It aims to make health insurance more affordable and more accessible and the health insurance systems easier to navigate. For the young adult population, it aims to protect more individuals by allowing them to stay on their parent's insurance longer and by making it easier to choose an insurance plan that is right for them. Those with preexisting medical conditions do not have to worry about being excluded from a health plan because of their medical history. The law is also making health insurance mandatory, which may help prevent young adults who fall ill from incurring large medical bills. Initial outcomes from the implementation of the ACA have shown both positive and negative responses. All in all, it is giving young adults more options when it comes to obtaining health insurance. As part of discussion with adolescents and young adults, physicians may take into consideration key points summarized in Table 4.

[Changes in workers' rehabilitation procedures under the Brazilian social security system: modernization or undermining of social protection?].

PubMed

Takahashi, Mara Alice Batista Conti; Iguti, Aparecida Mari

2008-11-01

This article describes the changes in workers' rehabilitation practices under the Brazilian National Social Security Institute (INSS) in the 1990s, in the context of neoliberal economic adjustment measures, based on an analysis of INSS documents from 1992 to 1997. The INSS plan for "modernization" of workers' rehabilitation led to: (1) dismantling of multidisciplinary teams; (2) induction of workers to accept proportional retirement pensions and voluntary layoffs; (3) under-utilization of the remaining INSS professional staff; (4) elimination of treatment programs for workers' rehabilitation; and (5) dismantling of INSS rehabilitation centers and clinics. The changes in the Brazilian social security system undermined the county's social security project and hegemony and reduced social security reform to a mere management and fiscal issue. Current "rehabilitation" falls far short of the institution's original purpose of social protection for workers, while aiming at economic regulation of the system to contain costs of workers' benefits. Workers that suffer work-related accidents are denied occupational rehabilitation, which aggravates their social disadvantage when they return to work.

Comparison and characterization of Android-based fall detection systems.

PubMed

Luque, Rafael; Casilari, Eduardo; Morón, María-José; Redondo, Gema

2014-10-08

Falls are a foremost source of injuries and hospitalization for seniors. The adoption of automatic fall detection mechanisms can noticeably reduce the response time of the medical staff or caregivers when a fall takes place. Smartphones are being increasingly proposed as wearable, cost-effective and not-intrusive systems for fall detection. The exploitation of smartphones' potential (and in particular, the Android Operating System) can benefit from the wide implantation, the growing computational capabilities and the diversity of communication interfaces and embedded sensors of these personal devices. After revising the state-of-the-art on this matter, this study develops an experimental testbed to assess the performance of different fall detection algorithms that ground their decisions on the analysis of the inertial data registered by the accelerometer of the smartphone. Results obtained in a real testbed with diverse individuals indicate that the accuracy of the accelerometry-based techniques to identify the falls depends strongly on the fall pattern. The performed tests also show the difficulty to set detection acceleration thresholds that allow achieving a good trade-off between false negatives (falls that remain unnoticed) and false positives (conventional movements that are erroneously classified as falls). In any case, the study of the evolution of the battery drain reveals that the extra power consumption introduced by the Android monitoring applications cannot be neglected when evaluating the autonomy and even the viability of fall detection systems.

Comparison and Characterization of Android-Based Fall Detection Systems

PubMed Central

Luque, Rafael; Casilari, Eduardo; Morón, María-José; Redondo, Gema

2014-01-01

Falls are a foremost source of injuries and hospitalization for seniors. The adoption of automatic fall detection mechanisms can noticeably reduce the response time of the medical staff or caregivers when a fall takes place. Smartphones are being increasingly proposed as wearable, cost-effective and not-intrusive systems for fall detection. The exploitation of smartphones' potential (and in particular, the Android Operating System) can benefit from the wide implantation, the growing computational capabilities and the diversity of communication interfaces and embedded sensors of these personal devices. After revising the state-of-the-art on this matter, this study develops an experimental testbed to assess the performance of different fall detection algorithms that ground their decisions on the analysis of the inertial data registered by the accelerometer of the smartphone. Results obtained in a real testbed with diverse individuals indicate that the accuracy of the accelerometry-based techniques to identify the falls depends strongly on the fall pattern. The performed tests also show the difficulty to set detection acceleration thresholds that allow achieving a good trade-off between false negatives (falls that remain unnoticed) and false positives (conventional movements that are erroneously classified as falls). In any case, the study of the evolution of the battery drain reveals that the extra power consumption introduced by the Android monitoring applications cannot be neglected when evaluating the autonomy and even the viability of fall detection systems. PMID:25299953

Falling-incident detection and throughput enhancement in a multi-camera video-surveillance system.

PubMed

Shieh, Wann-Yun; Huang, Ju-Chin

2012-09-01

For most elderly, unpredictable falling incidents may occur at the corner of stairs or a long corridor due to body frailty. If we delay to rescue a falling elder who is likely fainting, more serious consequent injury may occur. Traditional secure or video surveillance systems need caregivers to monitor a centralized screen continuously, or need an elder to wear sensors to detect falling incidents, which explicitly waste much human power or cause inconvenience for elders. In this paper, we propose an automatic falling-detection algorithm and implement this algorithm in a multi-camera video surveillance system. The algorithm uses each camera to fetch the images from the regions required to be monitored. It then uses a falling-pattern recognition algorithm to determine if a falling incident has occurred. If yes, system will send short messages to someone needs to be noticed. The algorithm has been implemented in a DSP-based hardware acceleration board for functionality proof. Simulation results show that the accuracy of falling detection can achieve at least 90% and the throughput of a four-camera surveillance system can be improved by about 2.1 times. Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.

Novel Hierarchical Fall Detection Algorithm Using a Multiphase Fall Model.

PubMed

Hsieh, Chia-Yeh; Liu, Kai-Chun; Huang, Chih-Ning; Chu, Woei-Chyn; Chan, Chia-Tai

2017-02-08

Falls are the primary cause of accidents for the elderly in the living environment. Reducing hazards in the living environment and performing exercises for training balance and muscles are the common strategies for fall prevention. However, falls cannot be avoided completely; fall detection provides an alarm that can decrease injuries or death caused by the lack of rescue. The automatic fall detection system has opportunities to provide real-time emergency alarms for improving the safety and quality of home healthcare services. Two common technical challenges are also tackled in order to provide a reliable fall detection algorithm, including variability and ambiguity. We propose a novel hierarchical fall detection algorithm involving threshold-based and knowledge-based approaches to detect a fall event. The threshold-based approach efficiently supports the detection and identification of fall events from continuous sensor data. A multiphase fall model is utilized, including free fall, impact, and rest phases for the knowledge-based approach, which identifies fall events and has the potential to deal with the aforementioned technical challenges of a fall detection system. Seven kinds of falls and seven types of daily activities arranged in an experiment are used to explore the performance of the proposed fall detection algorithm. The overall performances of the sensitivity, specificity, precision, and accuracy using a knowledge-based algorithm are 99.79%, 98.74%, 99.05% and 99.33%, respectively. The results show that the proposed novel hierarchical fall detection algorithm can cope with the variability and ambiguity of the technical challenges and fulfill the reliability, adaptability, and flexibility requirements of an automatic fall detection system with respect to the individual differences.

Novel Hierarchical Fall Detection Algorithm Using a Multiphase Fall Model

PubMed Central

Hsieh, Chia-Yeh; Liu, Kai-Chun; Huang, Chih-Ning; Chu, Woei-Chyn; Chan, Chia-Tai

2017-01-01

Falls are the primary cause of accidents for the elderly in the living environment. Reducing hazards in the living environment and performing exercises for training balance and muscles are the common strategies for fall prevention. However, falls cannot be avoided completely; fall detection provides an alarm that can decrease injuries or death caused by the lack of rescue. The automatic fall detection system has opportunities to provide real-time emergency alarms for improving the safety and quality of home healthcare services. Two common technical challenges are also tackled in order to provide a reliable fall detection algorithm, including variability and ambiguity. We propose a novel hierarchical fall detection algorithm involving threshold-based and knowledge-based approaches to detect a fall event. The threshold-based approach efficiently supports the detection and identification of fall events from continuous sensor data. A multiphase fall model is utilized, including free fall, impact, and rest phases for the knowledge-based approach, which identifies fall events and has the potential to deal with the aforementioned technical challenges of a fall detection system. Seven kinds of falls and seven types of daily activities arranged in an experiment are used to explore the performance of the proposed fall detection algorithm. The overall performances of the sensitivity, specificity, precision, and accuracy using a knowledge-based algorithm are 99.79%, 98.74%, 99.05% and 99.33%, respectively. The results show that the proposed novel hierarchical fall detection algorithm can cope with the variability and ambiguity of the technical challenges and fulfill the reliability, adaptability, and flexibility requirements of an automatic fall detection system with respect to the individual differences. PMID:28208694

Social-aware Event Handling within the FallRisk Project.

PubMed

De Backere, Femke; Van den Bergh, Jan; Coppers, Sven; Elprama, Shirley; Nelis, Jelle; Verstichel, Stijn; Jacobs, An; Coninx, Karin; Ongenae, Femke; De Turck, Filip

2017-01-09

With the uprise of the Internet of Things, wearables and smartphones are moving to the foreground. Ambient Assisted Living solutions are, for example, created to facilitate ageing in place. One example of such systems are fall detection systems. Currently, there exists a wide variety of fall detection systems using different methodologies and technologies. However, these systems often do not take into account the fall handling process, which starts after a fall is identified or this process only consists of sending a notification. The FallRisk system delivers an accurate analysis of incidents occurring in the home of the older adults using several sensors and smart devices. Moreover, the input from these devices can be used to create a social-aware event handling process, which leads to assisting the older adult as soon as possible and in the best possible way. The FallRisk system consists of several components, located in different places. When an incident is identified by the FallRisk system, the event handling process will be followed to assess the fall incident and select the most appropriate caregiver, based on the input of the smartphones of the caregivers. In this process, availability and location are automatically taken into account. The event handling process was evaluated during a decision tree workshop to verify if the current day practices reflect the requirements of all the stakeholders. Other knowledge, which is uncovered during this workshop can be taken into account to further improve the process. The FallRisk offers a way to detect fall incidents in an accurate way and uses context information to assign the incident to the most appropriate caregiver. This way, the consequences of the fall are minimized and help is at location as fast as possible. It could be concluded that the current guidelines on fall handling reflect the needs of the stakeholders. However, current technology evolutions, such as the uptake of wearables and smartphones, enables the improvement of these guidelines, such as the automatic ordering of the caregivers based on their location and availability.

Fall Detection System for the Elderly Based on the Classification of Shimmer Sensor Prototype Data

PubMed Central

Ahmed, Moiz; Mehmood, Nadeem; Mehmood, Amir; Rizwan, Kashif

2017-01-01

Objectives Falling in the elderly is considered a major cause of death. In recent years, ambient and wireless sensor platforms have been extensively used in developed countries for the detection of falls in the elderly. However, we believe extra efforts are required to address this issue in developing countries, such as Pakistan, where most deaths due to falls are not even reported. Considering this, in this paper, we propose a fall detection system prototype that s based on the classification on real time shimmer sensor data. Methods We first developed a data set, ‘SMotion’ of certain postures that could lead to falls in the elderly by using a body area network of Shimmer sensors and categorized the items in this data set into age and weight groups. We developed a feature selection and classification system using three classifiers, namely, support vector machine (SVM), K-nearest neighbor (KNN), and neural network (NN). Finally, a prototype was fabricated to generate alerts to caregivers, health experts, or emergency services in case of fall. Results To evaluate the proposed system, SVM, KNN, and NN were used. The results of this study identified KNN as the most accurate classifier with maximum accuracy of 96% for age groups and 93% for weight groups. Conclusions In this paper, a classification-based fall detection system is proposed. For this purpose, the SMotion data set was developed and categorized into two groups (age and weight groups). The proposed fall detection system for the elderly is implemented through a body area sensor network using third-generation sensors. The evaluation results demonstrate the reasonable performance of the proposed fall detection prototype system in the tested scenarios. PMID:28875049

Concurrent validation of an index to estimate fall risk in community dwelling seniors through a wireless sensor insole system: A pilot study.

PubMed

Di Rosa, Mirko; Hausdorff, Jeff M; Stara, Vera; Rossi, Lorena; Glynn, Liam; Casey, Monica; Burkard, Stefan; Cherubini, Antonio

2017-06-01

Falls are a major health problem for older adults with immediate effects, such as fractures and head injuries, and longer term effects including fear of falling, loss of independence, and disability. The goals of the WIISEL project were to develop an unobtrusive, self-learning and wearable system aimed at assessing gait impairments and fall risk of older adults in the home setting; assessing activity and mobility in daily living conditions; identifying decline in mobility performance and detecting falls in the home setting. The WIISEL system was based on a pair of electronic insoles, able to transfer data to a commercially available smartphone, which was used to wirelessly collect data in real time from the insoles and transfer it to a backend computer server via mobile internet connection and then onwards to a gait analysis tool. Risk of falls was calculated by the system using a novel Fall Risk Index (FRI) based on multiple gait parameters and gait pattern recognition. The system was tested by twenty-nine older users and data collected by the insoles were compared with standardized functional tests with a concurrent validity approach. The results showed that the FRI captures the risk of falls with accuracy that is similar to that of conventional performance-based tests of fall risk. These preliminary findings support the idea that theWIISEL system can be a useful research tool and may have clinical utility for long-term monitoring of fall risk at home and in the community setting. Copyright © 2017 Elsevier B.V. All rights reserved.

A ZigBee-Based Location-Aware Fall Detection System for Improving Elderly Telecare

PubMed Central

Huang, Chih-Ning; Chan, Chia-Tai

2014-01-01

Falls are the primary cause of accidents among the elderly and frequently cause fatal and non-fatal injuries associated with a large amount of medical costs. Fall detection using wearable wireless sensor nodes has the potential of improving elderly telecare. This investigation proposes a ZigBee-based location-aware fall detection system for elderly telecare that provides an unobstructed communication between the elderly and caregivers when falls happen. The system is based on ZigBee-based sensor networks, and the sensor node consists of a motherboard with a tri-axial accelerometer and a ZigBee module. A wireless sensor node worn on the waist continuously detects fall events and starts an indoor positioning engine as soon as a fall happens. In the fall detection scheme, this study proposes a three-phase threshold-based fall detection algorithm to detect critical and normal falls. The fall alarm can be canceled by pressing and holding the emergency fall button only when a normal fall is detected. On the other hand, there are three phases in the indoor positioning engine: path loss survey phase, Received Signal Strength Indicator (RSSI) collection phase and location calculation phase. Finally, the location of the faller will be calculated by a k-nearest neighbor algorithm with weighted RSSI. The experimental results demonstrate that the fall detection algorithm achieves 95.63% sensitivity, 73.5% specificity, 88.62% accuracy and 88.6% precision. Furthermore, the average error distance for indoor positioning is 1.15 ± 0.54 m. The proposed system successfully delivers critical information to remote telecare providers who can then immediately help a fallen person. PMID:24743841

Feasibility of using the International Classification of Functioning, Disability and Health Core Set for evaluation of fall-related risk factors in acute rehabilitation settings.

PubMed

Huang, Shih W; Lin, Li F; Chou, Lin C; Wu, Mei J; Liao, Chun D; Liou, Tsan H

2016-04-01

Previously, we reported the use of an International Classification of Functioning (ICF) core set that can provide a holistic framework for evaluating the risk factors of falls; however, data on the feasibility of applying this core set are lacking. To investigate the feasibility of applying the fall-related ICF risk-factor core set in the case of patients in an acute-rehabilitation setting. A cross-sectional and descriptive correlational design. Acute-rehabilitation ward. A total of 273 patients who experienced fall at acute-rehabilitation ward. The data on falls were collected from the hospital's Nursing Information System (NIS) and the fall-reporting system (Adverse Event Reporting System, AERS) between 2010 and 2013. The relationship of both systems to the fall-related ICF core set was analyzed to assess the feasibility of their clinical application. We evaluated the feasibility of using the fall-related ICF risk-factor core set by using the frequency and the percentage of the fall patients in of the listed categories. The fall-related ICF risk-factor core set category b735 (muscle tone functions) exhibited a high feasibility (85.95%) for clinical application, and the category b730 (muscle power functions) covered 77.11% of the patients. The feasibility of application of the category d410 (change basic body position) was also high in the case of all fall patients (81.69%). In the acute-rehabilitation setting, the feasibility of application of the fall-related ICF risk-factor core set is high. The fall-related ICF risk-factor core set can help multidisciplinary teams develop fall-prevention strategies in acute rehabilitation wards.

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.

Automatic Fall Detection System Based on the Combined Use of a Smartphone and a Smartwatch.

PubMed

Casilari, Eduardo; Oviedo-Jiménez, Miguel A

2015-01-01

Due to their widespread popularity, decreasing costs, built-in sensors, computing power and communication capabilities, Android-based personal devices are being seen as an appealing technology for the deployment of wearable fall detection systems. In contrast with previous solutions in the existing literature, which are based on the performance of a single element (a smartphone), this paper proposes and evaluates a fall detection system that benefits from the detection performed by two popular personal devices: a smartphone and a smartwatch (both provided with an embedded accelerometer and a gyroscope). In the proposed architecture, a specific application in each component permanently tracks and analyses the patient's movements. Diverse fall detection algorithms (commonly employed in the literature) were implemented in the developed Android apps to discriminate falls from the conventional activities of daily living of the patient. As a novelty, a fall is only assumed to have occurred if it is simultaneously and independently detected by the two Android devices (which can interact via Bluetooth communication). The system was systematically evaluated in an experimental testbed with actual test subjects simulating a set of falls and conventional movements associated with activities of daily living. The tests were repeated by varying the detection algorithm as well as the pre-defined mobility patterns executed by the subjects (i.e., the typology of the falls and non-fall movements). The proposed system was compared with the cases where only one device (the smartphone or the smartwatch) is considered to recognize and discriminate the falls. The obtained results show that the joint use of the two detection devices clearly increases the system's capability to avoid false alarms or 'false positives' (those conventional movements misidentified as falls) while maintaining the effectiveness of the detection decisions (that is to say, without increasing the ratio of 'false negatives' or actual falls that remain undetected).

iFall: an Android application for fall monitoring and response.

PubMed

Sposaro, Frank; Tyson, Gary

2009-01-01

Injuries due to falls are among the leading causes of hospitalization in elderly persons, often resulting in a rapid decline in quality of life or death. Rapid response can improve the patients outcome, but this is often lacking when the injured person lives alone and the nature of the injury complicates calling for help. This paper presents an alert system for fall detection using common commercially available electronic devices to both detect the fall and alert authorities. We use an Android-based smart phone with an integrated tri-axial accelerometer. Data from the accelerometer is evaluated with several threshold based algorithms and position data to determine a fall. The threshold is adaptive based on user provided parameters such as: height, weight, and level of activity. The algorithm adapts to unique movements that a phone experiences as opposed to similar systems which require users to mount accelerometers to their chest or trunk. If a fall is suspected a notification is raised requiring the user's response. If the user does not respond, the system alerts pre-specified social contacts with an informational message via SMS. If a contact responds the system commits an audible notification, automatically connects, and enables the speakerphone. If a social contact confirms a fall, an appropriate emergency service is alerted. Our system provides a realizable, cost effective solution to fall detection using a simple graphical interface while not overwhelming the user with uncomfortable sensors.

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

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

Full pillar extraction at the Kathleen Mine with mobile roof supports

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

Grimm, E.S.

1994-12-31

The Voest Alpine Breaker Line Supports (ABLS) resemble self-propelled longwall shields. Each individual unit consists of four hydraulic legs extending from the base of the unit, pressing a solid flat canopy against the mine roof. Each support unit is capable of exerting 606 tons of force against the roof. A chain curtain on the sides and rear protects the interior of the support from falling rock. The internal scissoring lemniscate design allows for parallel movement of the canopy as it is raised or lowered. Each ABLS has 750 feet of 4 AWG trailing cable to supply 480 volts AC tomore » a permissible controller and a 40 hp explosion-proof electrical motor. The hydraulic pump and reservoir are self-contained and protected with an automatic fire suppression system.« less

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

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

78 FR 25406 - Proposed Modification of Class E Airspace; Twin Falls, ID

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-01

...) Global Positioning System (GPS) and the Instrument Landing System (ILS) or Localizer (LOC) standard... the earth. * * * * * ANM ID E5 Twin Falls, ID [Modified] Twin Falls Joslin Field-Magic Valley Regional...

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...

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.

Decision support for mitigating the risk of tree induced transmission line failure in utility rights-of-way.

PubMed

Poulos, H M; Camp, A E

2010-02-01

Vegetation management is a critical component of rights-of-way (ROW) maintenance for preventing electrical outages and safety hazards resulting from tree contact with conductors during storms. Northeast Utility's (NU) transmission lines are a critical element of the nation's power grid; NU is therefore under scrutiny from federal agencies charged with protecting the electrical transmission infrastructure of the United States. We developed a decision support system to focus right-of-way maintenance and minimize the potential for a tree fall episode that disables transmission capacity across the state of Connecticut. We used field data on tree characteristics to develop a system for identifying hazard trees (HTs) in the field using limited equipment to manage Connecticut power line ROW. Results from this study indicated that the tree height-to-diameter ratio, total tree height, and live crown ratio were the key characteristics that differentiated potential risk trees (danger trees) from trees with a high probability of tree fall (HTs). Products from this research can be transferred to adaptive right-of-way management, and the methods we used have great potential for future application to other regions of the United States and elsewhere where tree failure can disrupt electrical power.

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)

Graduation and Persistence Rates: University of Hawaii Community Colleges, Fall 1987-Fall 1995 Cohorts. A Summary of Selected Data from the NCHEMS/University of Hawaii System Longitudinal Database Project. Special Report.

ERIC Educational Resources Information Center

Hawaii Univ., Honolulu. Institutional Research Office.

This report details graduation and persistence rates for degree-seeking students at the seven University of Hawaii Community Colleges (UHCC) from Fall 1987-Fall 1995. The data are from the National Center for Higher Education Management Systems/University of Hawaii System Longitudinal Database Project. The report focuses on full-time and part-time…

The Influence of Body Mass Index, Sex, & Muscle Activation on Pressure Distribution During Lateral Falls on the Hip.

PubMed

Pretty, Steven P; Martel, Daniel R; Laing, Andrew C

2017-12-01

Hip fracture incidence rates are influenced by body mass index (BMI) and sex, likely through mechanistic pathways that influence dynamics of the pelvis-femur system during fall-related impacts. The goal of this study was to extend our understanding of these impact dynamics by investigating the effects of BMI, sex, and local muscle activation on pressure distribution over the hip region during lateral impacts. Twenty participants underwent "pelvis-release experiments" (which simulate a lateral fall onto the hip), including muscle-'relaxed' and 'contracted' trials. Males and low-BMI individuals exhibited 44 and 55% greater peak pressure, as well as 66 and 56% lower peripheral hip force, compared to females and high-BMI individuals, respectively. Local muscle activation increased peak force by 10%, contact area by 17%, and peripheral hip force by 11% compared to relaxed trials. In summary, males and low-BMI individuals exhibited more concentrated loading over the greater trochanter. Muscle activation increased peak force, but this force was distributed over a larger area, preventing increased localized loading over the greater trochanter. These findings suggest potential value in incorporating sex, gender, and muscle activation-specific force distributions as inputs into computational tissue-level models, and have implications for the design of personalized protective devices including wearable hip protectors.

A Novel Detection Model and Its Optimal Features to Classify Falls from Low- and High-Acceleration Activities of Daily Life Using an Insole Sensor System

PubMed Central

Cates, Benjamin; Sim, Taeyong; Heo, Hyun Mu; Kim, Bori; Kim, Hyunggun; Mun, Joung Hwan

2018-01-01

In order to overcome the current limitations in current threshold-based and machine learning-based fall detectors, an insole system and novel fall classification model were created. Because high-acceleration activities have a high risk for falls, and because of the potential damage that is associated with falls during high-acceleration activities, four low-acceleration activities, four high-acceleration activities, and eight types of high-acceleration falls were performed by twenty young male subjects. Encompassing a total of 800 falls and 320 min of activities of daily life (ADLs), the created Support Vector Machine model’s Leave-One-Out cross-validation provides a fall detection sensitivity (0.996), specificity (1.000), and accuracy (0.999). These classification results are similar or superior to other fall detection models in the literature, while also including high-acceleration ADLs to challenge the classification model, and simultaneously reducing the burden that is associated with wearable sensors and increasing user comfort by inserting the insole system into the shoe. PMID:29673165

Fall Risk Assessment and Early-Warning for Toddler Behaviors at Home

PubMed Central

Yang, Mau-Tsuen; Chuang, Min-Wen

2013-01-01

Accidental falls are the major cause of serious injuries in toddlers, with most of these falls happening at home. Instead of providing immediate fall detection based on short-term observations, this paper proposes an early-warning childcare system to monitor fall-prone behaviors of toddlers at home. Using 3D human skeleton tracking and floor plane detection based on depth images captured by a Kinect system, eight fall-prone behavioral modules of toddlers are developed and organized according to four essential criteria: posture, motion, balance, and altitude. The final fall risk assessment is generated by a multi-modal fusion using either a weighted mean thresholding or a support vector machine (SVM) classification. Optimizations are performed to determine local parameter in each module and global parameters of the multi-modal fusion. Experimental results show that the proposed system can assess fall risks and trigger alarms with an accuracy rate of 92% at a speed of 20 frames per second. PMID:24335727

Fall risk assessment and early-warning for toddler behaviors at home.

PubMed

Yang, Mau-Tsuen; Chuang, Min-Wen

2013-12-10

Accidental falls are the major cause of serious injuries in toddlers, with most of these falls happening at home. Instead of providing immediate fall detection based on short-term observations, this paper proposes an early-warning childcare system to monitor fall-prone behaviors of toddlers at home. Using 3D human skeleton tracking and floor plane detection based on depth images captured by a Kinect system, eight fall-prone behavioral modules of toddlers are developed and organized according to four essential criteria: posture, motion, balance, and altitude. The final fall risk assessment is generated by a multi-modal fusion using either a weighted mean thresholding or a support vector machine (SVM) classification. Optimizations are performed to determine local parameter in each module and global parameters of the multi-modal fusion. Experimental results show that the proposed system can assess fall risks and trigger alarms with an accuracy rate of 92% at a speed of 20 frames per second.

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.

Combatant eye protection: an introduction to the blue light hazard

NASA Astrophysics Data System (ADS)

Lattimore, Morris R.

2016-05-01

Emerging evidence of metabolic vulnerability to visible blue light is vitally important, as it is indicative of a scalable threshold effect. Added stressors (e.g., increased altitude or contact lens wear) could shift the wavelength effects toward a more damaging clinical picture. Recent reports have indicated rod photo-pigment damage resulting from solar blue-light exposures, adversely affecting unaided night vision, a militarily important performance decrement. The activation wavelength for the daily synchronous setting of the Circadian Clock, which regulates the synchronization of all hormonal and organ systems throughout the body, falls within this blue light perceptual range.

Blind-Side, High-Temperature Fastener Lock

NASA Technical Reports Server (NTRS)

Matza, E. C.; While, D. M.

1985-01-01

Formed-in-place staple provides positive mechanical lock. Post-supported, advanced carbon/carbon standoff panels, currently under consideration as alternate thermal protection system for Shuttle orbiter, locking feature applicable to temperatures of 1,600 degrees F (870 degrees C) and higher and employable after panel installed, resulting in blind application. Blind-side locking technique employs wire staple inserted into grooves in post, formed in place by ramped portion of post grooves. This splays out wire ends that move into castellated end of grommet, mechanically locking post and grommet against relative rotation. Splayed ends provide mechanical lock to prevent wire from falling out.

In-Line Filtration Improves Hygiene and Reduces Expense

NASA Technical Reports Server (NTRS)

2008-01-01

MRLB International Inc., of Fergus Falls, Minnesota, designed the DentaPure waterline purification cartridge using water purification research conducted by Umpqua Research Company, of Myrtle Creek, Oregon, as part of SBIR contracts from Johnson Space Center. Various models now address a variety of needs, and are used in dental offices and dental schools across the country. Currently the only waterline system recognized by the FDA as a medical device which meets all known standards and by the U.S. Environmental Protection Agency (EPA) as an antimicrobial device, DentaPure has also been utilized by the U.S. Air Force.

Network security.

PubMed

Chang, Kyle

2006-01-01

As you can see, there are a number of different ways to protect your network with different protocols, all of which can be very confusing to people whose core business process is not technology. This article is only a brief synopsis of the dangers that lurk in the corners of the technology world. Therefore, the best course of action is to do as much research as possible rather than falling into a situation of risk and vulnerability by implementing a system or network that does not work with your business. Remember, the technology is there to support your business; the business should not have to work around the technology.

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.

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

Fall detection of elderly through floor vibrations and sound.

PubMed

Litvak, Dima; Zigel, Yaniv; Gannot, Israel

2008-01-01

Falls are very prevalent among the elderly especially in their home. The statistics show that approximately one in every three adults 65 years old or older falls each year. Almost 30% of those falls result in serious injuries. Studies have shown that the medical outcome of a fall is largely dependent upon the response and rescue time. Therefore, reliable and immediate fall detection system is important so that adequate medical support could be delivered. We have developed a unique and inexpensive solution that does not require subjects to wear anything. The solution is based on floor vibration and acoustic sensing, and uses a pattern recognition algorithm to discriminate between human or inanimate object fall events. Using the proposed system we can detect human falls with a sensitivity of 95% and specificity of 95%.

Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review.

PubMed

Choi, Young-Seon; Lawler, Erin; Boenecke, Clayton A; Ponatoski, Edward R; Zimring, Craig M

2011-12-01

This paper reports a review that assessed the effectiveness and characteristics of fall prevention interventions implemented in hospitals. A multi-systemic fall prevention model that establishes a practical framework was developed from the evidence. Falls occur through complex interactions between patient-related and environmental risk factors, suggesting a need for multifaceted fall prevention approaches that address both factors. We searched Medline, CINAHL, PsycInfo and the Web of Science databases for references published between January 1990 and June 2009 and scrutinized secondary references from acquired papers. Due to the heterogeneity of interventions and populations, we conducted a quantitative systematic review without a meta-analysis and used a narrative summary to report findings. From the review, three distinct characteristics of fall prevention interventions emerged: (1) the physical environment, (2) the care process and culture and (3) technology. While clinically significant evidence shows the efficacy of environment-related interventions in reducing falls and fall-related injuries, the literature identified few hospitals that had introduced environment-related interventions in their multifaceted fall intervention strategies. Using the multi-systemic fall prevention model, hospitals should promote a practical strategy that benefits from the collective effects of the physical environment, the care process and culture and technology to prevent falls and fall-related injuries. By doing so, they can more effectively address the various risk factors for falling and therefore, prevent falls. Studies that test the proposed model need to be conducted to establish the efficacy of the model in practice. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Automatic Fall Detection System Based on the Combined Use of a Smartphone and a Smartwatch

PubMed Central

Casilari, Eduardo; Oviedo-Jiménez, Miguel A.

2015-01-01

Due to their widespread popularity, decreasing costs, built-in sensors, computing power and communication capabilities, Android-based personal devices are being seen as an appealing technology for the deployment of wearable fall detection systems. In contrast with previous solutions in the existing literature, which are based on the performance of a single element (a smartphone), this paper proposes and evaluates a fall detection system that benefits from the detection performed by two popular personal devices: a smartphone and a smartwatch (both provided with an embedded accelerometer and a gyroscope). In the proposed architecture, a specific application in each component permanently tracks and analyses the patient’s movements. Diverse fall detection algorithms (commonly employed in the literature) were implemented in the developed Android apps to discriminate falls from the conventional activities of daily living of the patient. As a novelty, a fall is only assumed to have occurred if it is simultaneously and independently detected by the two Android devices (which can interact via Bluetooth communication). The system was systematically evaluated in an experimental testbed with actual test subjects simulating a set of falls and conventional movements associated with activities of daily living. The tests were repeated by varying the detection algorithm as well as the pre-defined mobility patterns executed by the subjects (i.e., the typology of the falls and non-fall movements). The proposed system was compared with the cases where only one device (the smartphone or the smartwatch) is considered to recognize and discriminate the falls. The obtained results show that the joint use of the two detection devices clearly increases the system’s capability to avoid false alarms or ‘false positives’ (those conventional movements misidentified as falls) while maintaining the effectiveness of the detection decisions (that is to say, without increasing the ratio of ‘false negatives’ or actual falls that remain undetected). PMID:26560737

Use of the Dynamic Visual Acuity Test as a screener for community-dwelling older adults who fall.

PubMed

Honaker, Julie A; Shepard, Neil T

2011-01-01

Adequate function of the peripheral vestibular system, specifically the vestibulo-ocular reflex (VOR; a network of neural connections between the peripheral vestibular system and the extraocular muscles) is essential for maintaining stable vision during head movements. Decreased visual acuity resulting from an impaired peripheral vestibular system may impede balance and postural control and place an individual at risk of falling. Therefore, sensitive measures of the vestibular system are warranted to screen for the tendency to fall, alerting clinicians to recommend further risk of falling assessment and referral to a falling risk reduction program. Dynamic Visual Acuity (DVA) testing is a computerized VOR assessment method to evaluate the peripheral vestibular system during head movements; reduced visual acuity as documented with DVA testing may be sensitive to screen for falling risk. This study examined the sensitivity and specificity of the computerized DVA test with yaw plane head movements for identifying community-dwelling adults (58-78 years) who are prone to falling. A total of 16 older adults with a history of two or more unexplained falls in the previous twelve months and 16 age and gender matched controls without a history of falls in the previous twelve months participated. Computerized DVA with horizontal head movements at a fixed velocity of 120 deg/sec was measured and compared with the Dynamic Gait Index (DGI) a gold standard gait assessment measurement for identifying falling risk. Receiver operating characteristics (ROC) curve analysis and area under the ROC curve (AUC) were used to assess the sensitivity and specificity of the computerized DVA as a screening measure for falling risk as determined by the DGI. Results suggested a link between computerized DVA and the propensity to fall; DVA in the yaw plane was found to be a sensitive (92%) and accurate screening measure when using a cutoff logMAR value of >0.25.

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.

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.

Fall prevention walker during rehabilitation

NASA Astrophysics Data System (ADS)

Tee, Kian Sek; E, Chun Zhi; Saim, Hashim; Zakaria, Wan Nurshazwani Wan; Khialdin, Safinaz Binti Mohd; Isa, Hazlita; Awad, M. I.; Soon, Chin Fhong

2017-09-01

This paper proposes on the design of a walker for the prevention of falling among elderlies or patients during rehabilitation whenever they use a walker to assist them. Fall happens due to impaired balance or gait problem. The assistive device is designed by applying stability concept and an accelerometric fall detection system is included. The accelerometric fall detection system acts as an alerting device that acquires body accelerometric data and detect fall. Recorded accelerometric data could be useful for further assessment. Structural strength of the walker was verified via iterations of simulation using finite element analysis, before being fabricated. Experiments were conducted to identify the fall patterns using accelerometric data. The design process and detection of fall pattern demonstrates the design of a walker that could support the user without fail and alerts the helper, thus salvaging the users from injuries due to fall and unattended situation.

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.

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.

Development and evaluation of an automated fall risk assessment system.

PubMed

Lee, Ju Young; Jin, Yinji; Piao, Jinshi; Lee, Sun-Mi

2016-04-01

Fall risk assessment is the first step toward prevention, and a risk assessment tool with high validity should be used. This study aimed to develop and validate an automated fall risk assessment system (Auto-FallRAS) to assess fall risks based on electronic medical records (EMRs) without additional data collected or entered by nurses. This study was conducted in a 1335-bed university hospital in Seoul, South Korea. The Auto-FallRAS was developed using 4211 fall-related clinical data extracted from EMRs. Participants included fall patients and non-fall patients (868 and 3472 for the development study; 752 and 3008 for the validation study; and 58 and 232 for validation after clinical application, respectively). The system was evaluated for predictive validity and concurrent validity. The final 10 predictors were included in the logistic regression model for the risk-scoring algorithm. The results of the Auto-FallRAS were shown as high/moderate/low risk on the EMR screen. The predictive validity analyzed after clinical application of the Auto-FallRAS was as follows: sensitivity = 0.95, NPV = 0.97 and Youden index = 0.44. The validity of the Morse Fall Scale assessed by nurses was as follows: sensitivity = 0.68, NPV = 0.88 and Youden index = 0.28. This study found that the Auto-FallRAS results were better than were the nurses' predictions. The advantage of the Auto-FallRAS is that it automatically analyzes information and shows patients' fall risk assessment results without requiring additional time from nurses. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Can we make a carpet smart enough to detect falls?

PubMed

Muheidat, Fadi; Tyrer, Harry W

2016-08-01

In this paper, we have enhanced smart carpet, which is a floor based personnel detector system, to detect falls using a faster but low cost processor. Our hardware front end reads 128 sensors, with sensors output a voltage due to a person walking or falling on the carpet. The processor is Jetson TK1, which provides more computing power than before. We generated a dataset with volunteers who walked and fell to test our algorithms. Data obtained allowed examining data frames (a frame is a single scan of the carpet sensors) read from the data acquisition system. We used different algorithms and techniques, and varied the windows size of number of frames (WS ≥ 1) and threshold (TH) to build our data set, which later used machine learning to help decide a fall or no fall. We then used the dataset obtained from applying a set of fall detection algorithms and the video recorded for the fall pattern experiments to train a set of classifiers using multiple test options using the Weka framework. We measured the sensitivity and specificity of the system and other metrics for intelligent detection of falls. Results showed that Computational Intelligence techniques detect falls with 96.2% accuracy and 81% sensitivity and 97.8% specificity. In addition to fall detection, we developed a database system and web applications to retain these data for years. We can display this data in realtime and for all activities in the carpet for extensive data analysis any time in the future.

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…

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...

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...

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...

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...

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...

Fall detection in homes of older adults using the Microsoft Kinect.

PubMed

Stone, Erik E; Skubic, Marjorie

2015-01-01

A method for detecting falls in the homes of older adults using the Microsoft Kinect and a two-stage fall detection system is presented. The first stage of the detection system characterizes a person's vertical state in individual depth image frames, and then segments on ground events from the vertical state time series obtained by tracking the person over time. The second stage uses an ensemble of decision trees to compute a confidence that a fall preceded on a ground event. Evaluation was conducted in the actual homes of older adults, using a combined nine years of continuous data collected in 13 apartments. The dataset includes 454 falls, 445 falls performed by trained stunt actors and nine naturally occurring resident falls. The extensive data collection allows for characterization of system performance under real-world conditions to a degree that has not been shown in other studies. Cross validation results are included for standing, sitting, and lying down positions, near (within 4 m) versus far fall locations, and occluded versus not occluded fallers. The method is compared against five state-of-the-art fall detection algorithms and significantly better results are achieved.

Falls prevention for the elderly.

PubMed

Balzer, Katrin; Bremer, Martina; Schramm, Susanne; Lühmann, Dagmar; Raspe, Heiner

2012-01-01

An ageing population, a growing prevalence of chronic diseases and limited financial resources for health care underpin the importance of prevention of disabling health disorders and care dependency in the elderly. A wide variety of measures is generally available for the prevention of falls and fall-related injuries. The spectrum ranges from diagnostic procedures for identifying individuals at risk of falling to complex interventions for the removal or reduction of identified risk factors. However, the clinical and economic effectiveness of the majority of recommended strategies for fall prevention is unclear. Against this background, the literature analyses in this HTA report aim to support decision-making for effective and efficient fall prevention. The pivotal research question addresses the effectiveness of single interventions and complex programmes for the prevention of falls and fall-related injuries. The target population are the elderly (> 60 years), living in their own housing or in long term care facilities. Further research questions refer to the cost-effectiveness of fall prevention measures, and their ethical, social and legal implications. Systematic literature searches were performed in 31 databases covering the publication period from January 2003 to January 2010. While the effectiveness of interventions is solely assessed on the basis of randomised controlled trials (RCT), the assessment of the effectiveness of diagnostic procedures also considers prospective accuracy studies. In order to clarify social, ethical and legal aspects all studies deemed relevant with regard to content were taken into consideration, irrespective of their study design. Study selection and critical appraisal were conducted by two independent assessors. Due to clinical heterogeneity of the studies no meta-analyses were performed. Out of 12,000 references retrieved by literature searches, 184 meet the inclusion criteria. However, to a variable degree the validity of their results must be rated as compromised due to different biasing factors. In summary, it appears that the performance of tests or the application of parameters to identify individuals at risk of falling yields little or no clinically relevant information. Positive effects of exercise interventions may be expected in relatively young and healthy seniors, while studies indicate opposite effects in the fragile elderly. For this specific vulnerable population the modification of the housing environment shows protective effects. A low number of studies, low quality of studies or inconsistent results lead to the conclusion that the effectiveness of the following interventions has to be rated unclear yet: correction of vision disorders, modification of psychotropic medication, vitamin D supplementation, nutritional supplements, psychological interventions, education of nursing personnel, multiple and multifactorial programs as well as the application of hip protectors. For the context of the German health care system the economic evaluations of fall prevention retrieved by the literature searches yield very few useful results. Cost-effectiveness calculations of fall prevention are mostly based on weak effectiveness data as well as on epidemiological and cost data from foreign health care systems. Ethical analysis demonstrates ambivalent views of the target population concerning fall risk and the necessity of fall prevention. The willingness to take up preventive measures depends on a variety of personal factors, the quality of information, guidance and decision-making, the prevention program itself and social support. THE ANALYSIS OF PAPERS REGARDING LEGAL ISSUES SHOWS THREE MAIN CHALLENGES: the uncertainty of which standard of care has to be expected with regard to fall prevention, the necessity to consider the specific conditions of every single case when measures for fall prevention are applied, and the difficulty to balance the rights to autonomous decision making and physical integrity. The assessment of clinical effectiveness of interventions for fall prevention is complicated by inherent methodological problems (esp. absence of blinding) and meaningful clinical heterogeneity of available studies. Therefore meta-analyses are not appropriate, and single study results are difficult to interpret. Both problems also impair the informative value of economic analyses. With this background it has to be stated that current recommendations regarding fall prevention in the elderly are not fully supported by scientific evidence. In particular, for the generation of new recommendations the dependency of probable effects on specific characteristics of the target populations or care settings should be taken into consideration. This also applies to the variable factors influencing the willingness of the target population to take up and pursue preventive measures. In the planning of future studies equal weight should be placed on methodological rigour (freedom from biases) and transferability of results into routine care. Economic analyses require input of German data, either in form of a "piggy back study" or in form of a modelling study that reflects the structures of the German health care system and is based on German epidemiological and cost data.

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.

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).

Autoregressive-moving-average hidden Markov model for vision-based fall prediction-An application for walker robot.

PubMed

Taghvaei, Sajjad; Jahanandish, Mohammad Hasan; Kosuge, Kazuhiro

2017-01-01

Population aging of the societies requires providing the elderly with safe and dependable assistive technologies in daily life activities. Improving the fall detection algorithms can play a major role in achieving this goal. This article proposes a real-time fall prediction algorithm based on the acquired visual data of a user with walking assistive system from a depth sensor. In the lack of a coupled dynamic model of the human and the assistive walker a hybrid "system identification-machine learning" approach is used. An autoregressive-moving-average (ARMA) model is fitted on the time-series walking data to forecast the upcoming states, and a hidden Markov model (HMM) based classifier is built on the top of the ARMA model to predict falling in the upcoming time frames. The performance of the algorithm is evaluated through experiments with four subjects including an experienced physiotherapist while using a walker robot in five different falling scenarios; namely, fall forward, fall down, fall back, fall left, and fall right. The algorithm successfully predicts the fall with a rate of 84.72%.

Masculinity and preventing falls: insights from the fall experiences of men aged 70 years and over.

PubMed

Liddle, J L M; Lovarini, Meryl; Clemson, Lindy M; Jang, Haeyoung; Lord, Stephen R; Sherrington, Catherine; Willis, Karen

2018-01-11

To explore men's fall experiences through the lens of masculine identities so as to assist health professionals better engage men in fall prevention programs. Twenty-five men, aged 70-93 years who had experienced a recent fall, participated in a qualitative semi-structured interview. Men's willingness to engage in fall prevention programs taking account of individual contexts and expressions of masculinity, were conceptualised using constant comparative methods. Men's willingness to engage in fall prevention programs was related to their perceptions of the preventability of falls; personal relevance of falls; and age, health, and capability as well as problem-solving styles to prevent falls. Fall prevention advice was rarely given when men accessed the health system at the time of a fall. Contrary to dominant expectations about masculine identity, many men acknowledged fall vulnerability indicating they would attend or consider attending, a fall prevention program. Health professionals can better engage men by providing consistent messages that falls can be prevented; tailoring advice, understanding men are at different stages in their awareness of fall risk and preferences for action; and by being aware of their own assumptions that can act as barriers to speaking with men about fall prevention. Implications for rehabilitation Men accessing the health system at the time of the fall, and during rehabilitation following a fall represent prime opportunities for health professionals to speak with men about preventing falls and make appropriate referrals to community programs. Tailored advice will take account of individual men's perceptions of preventability; personal relevance; perceptions of age, health and capability; and problem-solving styles.

Survey on fall detection and fall prevention using wearable and external sensors.

PubMed

Delahoz, Yueng Santiago; Labrador, Miguel Angel

2014-10-22

According to nihseniorhealth.gov (a website for older adults), falling represents a great threat as people get older, and providing mechanisms to detect and prevent falls is critical to improve people's lives. Over 1.6 million U.S. adults are treated for fall-related injuries in emergency rooms every year suffering fractures, loss of independence, and even death. It is clear then, that this problem must be addressed in a prompt manner, and the use of pervasive computing plays a key role to achieve this. Fall detection (FD) and fall prevention (FP) are research areas that have been active for over a decade, and they both strive for improving people's lives through the use of pervasive computing. This paper surveys the state of the art in FD and FP systems, including qualitative comparisons among various studies. It aims to serve as a point of reference for future research on the mentioned systems. A general description of FD and FP systems is provided, including the different types of sensors used in both approaches. Challenges and current solutions are presented and described in great detail. A 3-level taxonomy associated with the risk factors of a fall is proposed. Finally, cutting edge FD and FP systems are thoroughly reviewed and qualitatively compared, in terms of design issues and other parameters.

A novel wearable smart button system for fall detection

NASA Astrophysics Data System (ADS)

Zhuang, Wei; Sun, Xiang; Zhi, Yueyan; Han, Yue; Mao, Hande

2017-05-01

Fall has been the second most cause of accidental injury to death in the world. It has been a serious threat to the physical and mental health of the elders. Therefore, developing wearable node system with fall detecting ability has become increasingly pressing at present. A novel smart button for long-term fall detection is proposed in this paper, which is able to accurately monitor the falling behavior, and sending warning message online as well. The smart button is based on the tri-axis acceleration sensor which is used to collect the body motion signals. By using the statistical metrics of acceleration characteristics, a new SVM classification algorithm with high positive accuracy and stability is proposed so as to classify the falls and activities of daily living, and the results can be real-time displayed on Android based mobile phone. The experiments show that our wearable node system can continuously monitor the falling behavior with positive rate 94.8%.

Automated In-Home Fall Risk Assessment and Detection Sensor System for Elders.

PubMed

Rantz, Marilyn; Skubic, Marjorie; Abbott, Carmen; Galambos, Colleen; Popescu, Mihail; Keller, James; Stone, Erik; Back, Jessie; Miller, Steven J; Petroski, Gregory F

2015-06-01

Falls are a major problem for the elderly people leading to injury, disability, and even death. An unobtrusive, in-home sensor system that continuously monitors older adults for fall risk and detects falls could revolutionize fall prevention and care. A fall risk and detection system was developed and installed in the apartments of 19 older adults at a senior living facility. The system includes pulse-Doppler radar, a Microsoft Kinect, and 2 web cameras. To collect data for comparison with sensor data and for algorithm development, stunt actors performed falls in participants' apartments each month for 2 years and participants completed fall risk assessments (FRAs) using clinically valid, standardized instruments. The FRAs were scored by clinicians and recorded by the sensing modalities. Participants' gait parameters were measured as they walked on a GAITRite mat. These data were used as ground truth, objective data to use in algorithm development and to compare with radar and Kinect generated variables. All FRAs are highly correlated (p < .01) with the Kinect gait velocity and Kinect stride length. Radar velocity is correlated (p < .05) to all the FRAs and highly correlated (p < .01) to most. Real-time alerts of actual falls are being sent to clinicians providing faster responses to urgent situations. The in-home FRA and detection system has the potential to help older adults remain independent, maintain functional ability, and live at home longer. © 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.

Screen of FDA-approved drug library reveals compounds that protect hair cells from aminoglycosides and cisplatin

PubMed Central

Vlasits, Anna L.; Simon, Julian A.; Raible, David W.; Rubel, Edwin W; Owens, Kelly N.

2012-01-01

Loss of mechanosensory hair cells in the inner ear accounts for many hearing loss and balance disorders. Several beneficial pharmaceutical drugs cause hair cell death as a side effect. These include aminoglycoside antibiotics, such as neomycin, kanamycin and gentamicin, and several cancer chemotherapy drugs, such as cisplatin. Discovering new compounds that protect mammalian hair cells from toxic insults is experimentally difficult because of the inaccessibility of the inner ear. We used the zebrafish lateral line sensory system as an in vivo screening platform to survey a library of FDA-approved pharmaceuticals for compounds that protect hair cells from neomycin, gentamicin, kanamycin and cisplatin. Ten compounds were identified that provide protection from at least two of the four toxins. The resulting compounds fall into several drug classes, including serotonin and dopamine-modulating drugs, adrenergic receptor ligands, and estrogen receptor modulators. The protective compounds show different effects against the different toxins, supporting the idea that each toxin causes hair cell death by distinct, but partially overlapping, mechanisms. Furthermore, some compounds from the same drug classes had different protective properties, suggesting that they might not prevent hair cell death by their known target mechanisms. Some protective compounds blocked gentamicin uptake into hair cells, suggesting that they may block mechanotransduction or other routes of entry. The protective compounds identified in our screen will provide a starting point for studies in mammals as well as further research discovering the cellular signaling pathways that trigger hair cell death. PMID:22967486

'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.

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.

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

Phylogenetic diversity meets conservation policy: small areas are key to preserving eucalypt lineages.

PubMed

Pollock, Laura J; Rosauer, Dan F; Thornhill, Andrew H; Kujala, Heini; Crisp, Michael D; Miller, Joseph T; McCarthy, Michael A

2015-02-19

Evolutionary and genetic knowledge is increasingly being valued in conservation theory, but is rarely considered in conservation planning and policy. Here, we integrate phylogenetic diversity (PD) with spatial reserve prioritization to evaluate how well the existing reserve system in Victoria, Australia captures the evolutionary lineages of eucalypts, which dominate forest canopies across the state. Forty-three per cent of remaining native woody vegetation in Victoria is located in protected areas (mostly national parks) representing 48% of the extant PD found in the state. A modest expansion in protected areas of 5% (less than 1% of the state area) would increase protected PD by 33% over current levels. In a recent policy change, portions of the national parks were opened for development. These tourism development zones hold over half the PD found in national parks with some species and clades falling entirely outside of protected zones within the national parks. This approach of using PD in spatial prioritization could be extended to any clade or area that has spatial and phylogenetic data. Our results demonstrate the relevance of PD to regional conservation policy by highlighting that small but strategically located areas disproportionally impact the preservation of evolutionary lineages.

Spring cleaning: rural water impacts, valuation, and property rights institutions.

PubMed

Kremer, Michael; Leino, Jessica; Miguel, Edward; Zwane, Alix Peterson

2011-01-01

Using a randomized evaluation in Kenya, we measure health impacts of spring protection, an investment that improves source water quality. We also estimate households' valuation of spring protection and simulate the welfare impacts of alternatives to the current system of common property rights in water, which limits incentives for private investment. Spring infrastructure investments reduce fecal contamination by 66%, but household water quality improves less, due to recontamination. Child diarrhea falls by one quarter. Travel-cost based revealed preference estimates of households' valuations are much smaller than both stated preference valuations and health planners' valuations, and are consistent with models in which the demand for health is highly income elastic. We estimate that private property norms would generate little additional investment while imposing large static costs due to above-marginal-cost pricing, private property would function better at higher income levels or under water scarcity, and alternative institutions could yield Pareto improvements.

The impact of effective patents on future innovations in nanomedicine.

PubMed

Bosetti, Rita; Vereeck, Lode

2012-03-01

The success of nanomedicine is dependent upon an effective protection of IP rights. Unfortunately, the US nanomedicine patent system is dysfunctional because long R&D procedures as well as the patent pendency are insufficiently taken into account. This could be solved by changing the patent-protection starting point and increasing the capacity of the US PTO. The nanotechnology industry also suffers from overlapping patents. This could be avoided by improving the expertise of the PTO, using a more accurate definition of nanotechnology and devising a generally accepted nomenclature that enhances prior-art searches. To avoid disputes, inference practices and strategic patenting can be used. In the case of a dispute, parties can fall back on re-examination, cross-licensing and patent litigation. Cross-licensing agreements are recommended since they allows parties to access technology, create synergies and exclude third-party competitors. Solving the patent problems in the nanotechnology industry is a necessary step for future success.

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

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.

Challenges, issues and trends in fall detection systems

PubMed Central

2013-01-01

Since falls are a major public health problem among older people, the number of systems aimed at detecting them has increased dramatically over recent years. This work presents an extensive literature review of fall detection systems, including comparisons among various kinds of studies. It aims to serve as a reference for both clinicians and biomedical engineers planning or conducting field investigations. Challenges, issues and trends in fall detection have been identified after the reviewing work. The number of studies using context-aware techniques is still increasing but there is a new trend towards the integration of fall detection into smartphones as well as the use of machine learning methods in the detection algorithm. We have also identified challenges regarding performance under real-life conditions, usability, and user acceptance as well as issues related to power consumption, real-time operations, sensing limitations, privacy and record of real-life falls. PMID:23829390

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...

Towards a social and context-aware multi-sensor fall detection and risk assessment platform.

PubMed

De Backere, F; Ongenae, F; Van den Abeele, F; Nelis, J; Bonte, P; Clement, E; Philpott, M; Hoebeke, J; Verstichel, S; Ackaert, A; De Turck, F

2015-09-01

For elderly people fall incidents are life-changing events that lead to degradation or even loss of autonomy. Current fall detection systems are not integrated and often associated with undetected falls and/or false alarms. In this paper, a social- and context-aware multi-sensor platform is presented, which integrates information gathered by a plethora of fall detection systems and sensors at the home of the elderly, by using a cloud-based solution, making use of an ontology. Within the ontology, both static and dynamic information is captured to model the situation of a specific patient and his/her (in)formal caregivers. This integrated contextual information allows to automatically and continuously assess the fall risk of the elderly, to more accurately detect falls and identify false alarms and to automatically notify the appropriate caregiver, e.g., based on location or their current task. The main advantage of the proposed platform is that multiple fall detection systems and sensors can be integrated, as they can be easily plugged in, this can be done based on the specific needs of the patient. The combination of several systems and sensors leads to a more reliable system, with better accuracy. The proof of concept was tested with the use of the visualizer, which enables a better way to analyze the data flow within the back-end and with the use of the portable testbed, which is equipped with several different sensors. Copyright © 2014 Elsevier Ltd. All rights reserved.

Bridging the gap between real-life data and simulated data by providing a highly realistic fall dataset for evaluating camera-based fall detection algorithms.

PubMed

Baldewijns, Greet; Debard, Glen; Mertes, Gert; Vanrumste, Bart; Croonenborghs, Tom

2016-03-01

Fall incidents are an important health hazard for older adults. Automatic fall detection systems can reduce the consequences of a fall incident by assuring that timely aid is given. The development of these systems is therefore getting a lot of research attention. Real-life data which can help evaluate the results of this research is however sparse. Moreover, research groups that have this type of data are not at liberty to share it. Most research groups thus use simulated datasets. These simulation datasets, however, often do not incorporate the challenges the fall detection system will face when implemented in real-life. In this Letter, a more realistic simulation dataset is presented to fill this gap between real-life data and currently available datasets. It was recorded while re-enacting real-life falls recorded during previous studies. It incorporates the challenges faced by fall detection algorithms in real life. A fall detection algorithm from Debard et al. was evaluated on this dataset. This evaluation showed that the dataset possesses extra challenges compared with other publicly available datasets. In this Letter, the dataset is discussed as well as the results of this preliminary evaluation of the fall detection algorithm. The dataset can be downloaded from www.kuleuven.be/advise/datasets.

Distinguishing the causes of falls in humans using an array of wearable tri-axial accelerometers.

PubMed

Aziz, Omar; Park, Edward J; Mori, Greg; Robinovitch, Stephen N

2014-01-01

Falls are the number one cause of injury in older adults. Lack of objective evidence on the cause and circumstances of falls is often a barrier to effective prevention strategies. Previous studies have established the ability of wearable miniature inertial sensors (accelerometers and gyroscopes) to automatically detect falls, for the purpose of delivering medical assistance. In the current study, we extend the applications of this technology, by developing and evaluating the accuracy of wearable sensor systems for determining the cause of falls. Twelve young adults participated in experimental trials involving falls due to seven causes: slips, trips, fainting, and incorrect shifting/transfer of body weight while sitting down, standing up from sitting, reaching and turning. Features (means and variances) of acceleration data acquired from four tri-axial accelerometers during the falling trials were input to a linear discriminant analysis technique. Data from an array of three sensors (left ankle+right ankle+sternum) provided at least 83% sensitivity and 89% specificity in classifying falls due to slips, trips, and incorrect shift of body weight during sitting, reaching and turning. Classification of falls due to fainting and incorrect shift during rising was less successful across all sensor combinations. Furthermore, similar classification accuracy was observed with data from wearable sensors and a video-based motion analysis system. These results establish a basis for the development of sensor-based fall monitoring systems that provide information on the cause and circumstances of falls, to direct fall prevention strategies at a patient or population level. Copyright © 2013 Elsevier B.V. All rights reserved.

Rockfall hazard and risk assessment: an example from a high promontory at the historical site of Monemvasia, Greece

NASA Astrophysics Data System (ADS)

Saroglou, H.; Marinos, V.; Marinos, P.; Tsiambaos, G.

2012-06-01

The paper presents the kinematics of rock instability of a high limestone promontory, where the Monemvasia historical site is situated, in Peloponnese in Southern Greece. The instability phenomena poses a significant threat to the town located at the base of the slope. Rockfall episodes occurred in the past due to the relaxation of the high cliff, whereas significant undermining of the castle frontiers has been observed at the slope crest. The predominant types of instability are of planar, wedge and toppling failure of medium to large blocks. In order to investigate the existing stability conditions and decide upon the protection measures, stability and rockfall analyses were carried out for numerous slope sections under different loading conditions and protection measures were suggested. A rock-fall risk rating system is proposed, which is based on morphological and structural criteria of the rock mass and on vulnerability and consequences. The rating system is applied for individual sections along the slope and a risk map was produced, which depicted areas having different degree of risk against rockfall occurrences.

ICT-based system to predict and prevent falls (iStoppFalls): study protocol for an international multicenter randomized controlled trial.

PubMed

Gschwind, Yves J; Eichberg, Sabine; Marston, Hannah R; Ejupi, Andreas; Rosario, Helios de; Kroll, Michael; Drobics, Mario; Annegarn, Janneke; Wieching, Rainer; Lord, Stephen R; Aal, Konstantin; Delbaere, Kim

2014-08-20

Falls are very common, especially in adults aged 65 years and older. Within the current international European Commission's Seventh Framework Program (FP7) project 'iStoppFalls' an Information and Communication Technology (ICT) based system has been developed to regularly assess a person's risk of falling in their own home and to deliver an individual and tailored home-based exercise and education program for fall prevention. The primary aims of iStoppFalls are to assess the feasibility and acceptability of the intervention program, and its effectiveness to improve balance, muscle strength and quality of life in older people. This international, multicenter study is designed as a single-blinded, two-group randomized controlled trial. A total of 160 community-dwelling older people aged 65 years and older will be recruited in Germany (n = 60), Spain (n = 40), and Australia (n = 60) between November 2013 and May 2014. Participants in the intervention group will conduct a 16-week exercise program using the iStoppFalls system through their television set at home. Participants are encouraged to exercise for a total duration of 180 minutes per week. The training program consists of a variety of balance and strength exercises in the form of video games using exergame technology. Educational material about a healthy lifestyle will be provided to each participant. Final reassessments will be conducted after 16 weeks. The assessments include physical and cognitive tests as well as questionnaires assessing health, fear of falling, quality of life and psychosocial determinants. Falls will be followed up for six months by monthly falls calendars. We hypothesize that the regular use of this newly developed ICT-based system for fall prevention at home is feasible for older people. By using the iStoppFalls sensor-based exercise program, older people are expected to improve in balance and strength outcomes. In addition, the exercise training may have a positive impact on quality of life by reducing the risk of falls. Taken together with expected cognitive improvements, the individual approach of the iStoppFalls program may provide an effective model for fall prevention in older people who prefer to exercise at home. Australian New Zealand Clinical Trials Registry Trial ID: ACTRN12614000096651.International Standard Randomised Controlled Trial Number: ISRCTN15932647.

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

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.

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.

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.

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

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...

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...

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...

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...

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 ...

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.

Entropy Based Classifier Combination for Sentence Segmentation

DTIC Science & Technology

2007-01-01

speaker diarization system to divide the audio data into hypothetical speakers [17...the prosodic feature also includes turn-based features which describe the position of a word in relation to diarization seg- mentation. The speaker ...ro- bust speaker segmentation: the ICSI-SRI fall 2004 diarization system,” in Proc. RT-04F Workshop, 2004. [18] “The rich transcription fall 2003,” http://nist.gov/speech/tests/rt/rt2003/fall/docs/rt03-fall-eval- plan-v9.pdf.

Survey on Fall Detection and Fall Prevention Using Wearable and External Sensors

PubMed Central

Delahoz, Yueng Santiago; Labrador, Miguel Angel

2014-01-01

According to nihseniorhealth.gov (a website for older adults), falling represents a great threat as people get older, and providing mechanisms to detect and prevent falls is critical to improve people's lives. Over 1.6 million U.S. adults are treated for fall-related injuries in emergency rooms every year suffering fractures, loss of independence, and even death. It is clear then, that this problem must be addressed in a prompt manner, and the use of pervasive computing plays a key role to achieve this. Fall detection (FD) and fall prevention (FP) are research areas that have been active for over a decade, and they both strive for improving people's lives through the use of pervasive computing. This paper surveys the state of the art in FD and FP systems, including qualitative comparisons among various studies. It aims to serve as a point of reference for future research on the mentioned systems. A general description of FD and FP systems is provided, including the different types of sensors used in both approaches. Challenges and current solutions are presented and described in great detail. A 3-level taxonomy associated with the risk factors of a fall is proposed. Finally, cutting edge FD and FP systems are thoroughly reviewed and qualitatively compared, in terms of design issues and other parameters. PMID:25340452

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.

[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.

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.

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.

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.

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : functional requirements, working paper #4

DOT National Transportation Integrated Search

1997-06-18

This paper is the fourth in a series that together will comprise an Intelligent Transportation System (ITS) Study for the Buffalo / Niagara Falls region. This document presents the market packages for the deployment of the Buffalo/Niagara Falls area ...

Plant protection means used in organic farming throughout the European Union.

PubMed

Matyjaszczyk, Ewa

2018-03-01

Following the obligatory implementation of integrated pest management in the European Union (EU), the plant protection means suitable for application in organic agriculture attracted the attention of quite a wide group of potential users. In spite of the common rules of organic production, as well as the uniform principles of placing plant protection products on the market, the availability of products that can be legally used in organic crop protection differs significantly among the Member States. There is a uniform list of 10 basic substances that can be used in the protection of organic crops throughout the entire EU. Twelve Member States have official registers of plant protection products for use in organic agriculture, and the total number of qualified products per country varies from 11 in Lithuania to 576 in Italy. Some products that improve plant vigour or resistance and may be of use in protection of organic crops are placed on the market as biostimulants. They fall under the law that governs fertilisers and the systems of their registration vary widely among the Member States. In addition, there exist a number of products that have been legally introduced onto the markets of some Member States without registration as a consequence of a loophole in the law. The use of unregistered products in organic agriculture raises some doubts, but currently it seems that there is no legal basis on which to explicitly prohibit the practice. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

ICT-based system to predict and prevent falls (iStoppFalls): study protocol for an international multicenter randomized controlled trial

PubMed Central

2014-01-01

Background Falls are very common, especially in adults aged 65 years and older. Within the current international European Commission’s Seventh Framework Program (FP7) project ‘iStoppFalls’ an Information and Communication Technology (ICT) based system has been developed to regularly assess a person’s risk of falling in their own home and to deliver an individual and tailored home-based exercise and education program for fall prevention. The primary aims of iStoppFalls are to assess the feasibility and acceptability of the intervention program, and its effectiveness to improve balance, muscle strength and quality of life in older people. Methods/Design This international, multicenter study is designed as a single-blinded, two-group randomized controlled trial. A total of 160 community-dwelling older people aged 65 years and older will be recruited in Germany (n = 60), Spain (n = 40), and Australia (n = 60) between November 2013 and May 2014. Participants in the intervention group will conduct a 16-week exercise program using the iStoppFalls system through their television set at home. Participants are encouraged to exercise for a total duration of 180 minutes per week. The training program consists of a variety of balance and strength exercises in the form of video games using exergame technology. Educational material about a healthy lifestyle will be provided to each participant. Final reassessments will be conducted after 16 weeks. The assessments include physical and cognitive tests as well as questionnaires assessing health, fear of falling, quality of life and psychosocial determinants. Falls will be followed up for six months by monthly falls calendars. Discussion We hypothesize that the regular use of this newly developed ICT-based system for fall prevention at home is feasible for older people. By using the iStoppFalls sensor-based exercise program, older people are expected to improve in balance and strength outcomes. In addition, the exercise training may have a positive impact on quality of life by reducing the risk of falls. Taken together with expected cognitive improvements, the individual approach of the iStoppFalls program may provide an effective model for fall prevention in older people who prefer to exercise at home. Trial registration Australian New Zealand Clinical Trials Registry Trial ID: ACTRN12614000096651. International Standard Randomised Controlled Trial Number: ISRCTN15932647. PMID:25141850

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

A comparison of accuracy of fall detection algorithms (threshold-based vs. machine learning) using waist-mounted tri-axial accelerometer signals from a comprehensive set of falls and non-fall trials.

PubMed

Aziz, Omar; Musngi, Magnus; Park, Edward J; Mori, Greg; Robinovitch, Stephen N

2017-01-01

Falls are the leading cause of injury-related morbidity and mortality among older adults. Over 90 % of hip and wrist fractures and 60 % of traumatic brain injuries in older adults are due to falls. Another serious consequence of falls among older adults is the 'long lie' experienced by individuals who are unable to get up and remain on the ground for an extended period of time after a fall. Considerable research has been conducted over the past decade on the design of wearable sensor systems that can automatically detect falls and send an alert to care providers to reduce the frequency and severity of long lies. While most systems described to date incorporate threshold-based algorithms, machine learning algorithms may offer increased accuracy in detecting falls. In the current study, we compared the accuracy of these two approaches in detecting falls by conducting a comprehensive set of falling experiments with 10 young participants. Participants wore waist-mounted tri-axial accelerometers and simulated the most common causes of falls observed in older adults, along with near-falls and activities of daily living. The overall performance of five machine learning algorithms was greater than the performance of five threshold-based algorithms described in the literature, with support vector machines providing the highest combination of sensitivity and specificity.

Individual researcher liability for clinical research on humans.

PubMed

Miller, Ruth K

2003-01-01

Despite international guidelines and federal regulations, a recent rash of problems in clinical trials have highlighted weaknesses in the oversight process. The federal regulatory system depends on self-policing by researchers and institutions. Because the existing system is overworked, applying common law forms of liability to clinical researchers may encourage improvements in this self-regulation. While research necessarily involves uncertainties, researchers have the greatest direct control over the implementation of the research protocol and the most extensive direct contact with subjects, and must bear corresponding responsibility for acts which fall below the standard of care. This paper argues that the existing FDA patient protections should be adopted as the standards of care for researchers. It examines the possible application of negligence, negligence per se, and fraud and misrepresentation claims against researchers.

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

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...

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.

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.

Enhancing Home Health Mobile Phone App Usability Through General Smartphone Training: Usability and Learnability Case Study

PubMed Central

Harte, Richard; Hall, Tony; Glynn, Liam; Rodríguez-Molinero, Alejandro; Scharf, Thomas; ÓLaighin, Gearóid

2018-01-01

Background Each year, millions of older adults fall, with more than 1 out of 4 older people experiencing a fall annually, thereby causing a major social and economic impact. Falling once doubles one’s chances of falling again, making fall prediction an important aspect of preventative strategies. In this study, 22 older adults aged between 65 and 85 years were trained in the use of a smartphone-based fall prediction system. The system is designed to continuously assess fall risk by measuring various gait and balance parameters using a smart insole and smartphone, and is also designed to detect falls. The use case of the fall prediction system in question required the users to interact with the smartphone via an app for device syncing, data uploads, and checking system status. Objective The objective of this study was to observe the effect that basic smartphone training could have on the user experience of a group that is not technically proficient with smartphones when using a new connected health system. It was expected that even short rudimentary training could have a large effect on user experience and therefore increase the chances of the group accepting the new technology. Methods All participants received training on how to use the system smartphone app; half of the participants (training group) also received extra training on how to use basic functions of the smartphone, such as making calls and sending text messages, whereas the other half did not receive this extra training (no extra training group). Comparison of training group and no extra training group was carried out using metrics such as satisfaction rating, time taken to complete tasks, cues required to complete tasks, and errors made during tasks. Results The training group fared better in the first 3 days of using the system. There were significant recorded differences in number of cues required and errors committed between the two groups. By the fourth and fifth day of use, both groups were performing at the same level when using the system. Conclusions Supplementary basic smartphone training may be critical in trials where a smartphone app–based system for health intervention purposes is being introduced to a population that is not proficient with technology. This training could prevent early technology rejection and increase the engagement of older participants and their overall user experience with the system. PMID:29699969

EEG-based emergency braking intention prediction for brain-controlled driving considering one electrode falling-off.

PubMed

Huikang Wang; Luzheng Bi; Teng Teng

2017-07-01

This paper proposes a novel method of electroencephalography (EEG)-based driver emergency braking intention detection system for brain-controlled driving considering one electrode falling-off. First, whether one electrode falls off is discriminated based on EEG potentials. Then, the missing signals are estimated by using the signals collected from other channels based on multivariate linear regression. Finally, a linear decoder is applied to classify driver intentions. Experimental results show that the falling-off discrimination accuracy is 99.63% on average and the correlation coefficient and root mean squared error (RMSE) between the estimated and experimental data are 0.90 and 11.43 μV, respectively, on average. Given one electrode falls off, the system accuracy of the proposed intention prediction method is significantly higher than that of the original method (95.12% VS 79.11%) and is close to that (95.95%) of the original system under normal situations (i. e., no electrode falling-off).

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

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.

Optimization and evaluation of the human fall detection system

NASA Astrophysics Data System (ADS)

Alzoubi, Hadeel; Ramzan, Naeem; Shahriar, Hasan; Alzubi, Raid; Gibson, Ryan; Amira, Abbes

2016-10-01

Falls are the most critical health problem for elderly people, which are often, cause significant injuries. To tackle a serious risk that made by the fall, we develop an automatic wearable fall detection system utilizing two devices (mobile phone and wireless sensor) based on three axes accelerometer signals. The goal of this study is to find an effective machine learning method that distinguish falls from activities of daily living (ADL) using only a single triaxial accelerometer. In addition, comparing the performance results for wearable sensor and mobile device data .The proposed model detects the fall by using seven different classifiers and the significant performance is demonstrated using accuracy, recall, precision and F-measure. Our model obtained accuracy over 99% on wearable device data and over 97% on mobile phone data.

A posture recognition based fall detection system for monitoring an elderly person in a smart home environment.

PubMed

Yu, Miao; Rhuma, Adel; Naqvi, Syed Mohsen; Wang, Liang; Chambers, Jonathon

2012-11-01

We propose a novel computer vision based fall detection system for monitoring an elderly person in a home care application. Background subtraction is applied to extract the foreground human body and the result is improved by using certain post-processing. Information from ellipse fitting and a projection histogram along the axes of the ellipse are used as the features for distinguishing different postures of the human. These features are then fed into a directed acyclic graph support vector machine (DAGSVM) for posture classification, the result of which is then combined with derived floor information to detect a fall. From a dataset of 15 people, we show that our fall detection system can achieve a high fall detection rate (97.08%) and a very low false detection rate (0.8%) in a simulated home environment.

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.

Is there a link between the hospital-acquired injurious fall rates in US acute care hospitals and these institutions' implementation levels of computerized systems?

PubMed

Tzeng, Huey-Ming; Hu, Hsou Mei; Yin, Chang-Yi

2011-12-01

Medicare no longer reimburses acute care hospitals for the costs of additional care required due to hospital-acquired injuries. Consequently, this study explored the effective computerized systems to inform practice for better interventions to reduce fall risk. It provided a correlation between type of computerized system and hospital-acquired injurious fall rates at acute care hospitals in California, Florida, and New York. It used multiple publicly available data sets, with the hospital as the unit of analysis. Descriptive and Pearson correlation analyses were used. The analysis included 462 hospitals. Significant correlations could be categorized into two groups: (1) meaningful computerized systems that were associated with lower injurious fall rates: the decision support systems for drug allergy alerts, drug-drug interaction alerts, and drug-laboratory interaction alerts; and (2) computerized systems that were associated with higher injurious fall rates: the decision support system for drug-drug interaction alerts and the computerized provider order entry system for radiology tests. Future research may include additional states, multiple years of data, and patient-level data to validate this study's findings. This effort may further inform policy makers and the public about effective clinical computerized systems provided to clinicians to improve their practice decisions and care outcomes.

Commercial Sexual Exploitation of Children and State Child Welfare Systems.

PubMed

Bounds, Dawn; Julion, Wrenetha A; Delaney, Kathleen R

2015-01-01

In several states, commercial sexual exploitation of children (CSEC) is now a reportable child abuse offense. Illinois has taken the lead in tackling the issue and the Illinois experience illuminates valuable lessons. This article delineates the protection, practice, and policy implications that evolve when CSEC falls under a state child welfare system. The specific aims are to (a) discuss CSEC, its victims, risks, harms, and challenges inherent in providing effective care; (b) use Illinois as an exemplar to explicate the consequences and implementation challenges of establishing a state reporting system that frames CSEC as a child welfare issue; (c) recommend strategies for developing effective state reporting models, and (d) demonstrate how nurses are well poised to advocate for victims of human trafficking on both state and national levels. Recommendations for improving the identification of CSEC victims and overcoming challenges to state implementation are offered. © The Author(s) 2015.

Photosynthethic carbon reduction by seagrasses exposed to ultraviolet b radiation. Final technical report

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

Not Available

1979-03-15

The species of seagrasses were selected on the basis of their dominance in the marine system, contribution to total productivity, and importance to the life histories of organisms in the Indian River lagoon system along the central Florida east coast. The three seagrasses were Halophilia engelmannii, Halodule wrightii, and Syringodium filiforme. These seagrasses form an excellent experimental system as their areas of dominance fall more or less along a natural gradient of UV-B and photosynthetically active radiation (PAR) penetration. The sensitivity of photosynthesis in the seagrasses was determined and their photosynthetic response to levels of UV-B simulating atmospheric ozone depletionmore » was monitored. Further experiments explore the possible attenuation or repair of UV-B induced photosynthetic inhibition by PAR, the role of epiphytic growth upon seagrasses as a protective UV-B shield, and the inhibition of photosynthesis in response to UV-A is studied.« less

Photosynthethic carbon reduction by seagrasses exposed to ultraviolet B radiation

NASA Technical Reports Server (NTRS)

1979-01-01

The species of seagrasses were selected on the basis of their dominance in the marine system, contribution to total productivity, and importance to the life histories of organisms in the Indian River lagoon system along the central Florida east coast. The three seagrasses were Halophilia engelmannii, Halodule wrightii, and Syringodium filiforme. These seagrasses form an excellent experimental system as their areas of dominance fall more or less along a natural gradient of UV-B and photosynthetically active radiation (PAR) penetration. The sensitivity of photosynthesis in the seagrasses was determined and their photosynthetic response to levels of UV-B simulating atmospheric ozone depletion was monitored. Further experiments explore the possible attenuation or repair of UV-B induced photosynthetic inhibition by PAR, the role of epiphytic growth upon seagrasses as a protective UV-B shield, and the inhibition of photosynthesis in response to UV-A is studied.

Community service provider perceptions of implementing older adult fall prevention in Ontario, Canada: a qualitative study.

PubMed

Dykeman, Catherine S; Markle-Reid, Maureen F; Boratto, Lorna J; Bowes, Chris; Gagné, Hélène; McGugan, Jennifer L; Orr-Shaw, Sarah

2018-02-01

Despite evidence for effective fall prevention interventions, measurable reductions in older adult (≥ 65 years) fall rates remain unrealized. This study aimed to describe the perceived barriers to and effective strategies for the implementation of evidence-based fall prevention practices within and across diverse community organizations. This study is unique in that it included community service providers who are not generally thought to provide fall prevention services to older adults, such as retail business, community support, volunteer services, community foundations, recreation centres, and various emergency services. Interviews and focus groups were conducted with a purposive sampling of providers (n = 84) in varied roles within diverse community-based organizations across disparate geographical settings. Community service providers experience significant multi-level barriers to fall prevention within and across organizations and settings. The overall challenge of serving dispersed populations in adverse environmental conditions was heightened in northern rural areas. Barriers across the system, within organizations and among providers themselves emerged along themes of Limited Coordination of Communication, Restrictive Organizational Mandates and Policies, Insufficient Resources, and Beliefs about Aging and Falls. Participants perceived that Educating Providers, Working Together, and Changing Policies and Legislation were strategies that have worked or would work well in implementing fall prevention. An unintentional observation was made that several participants in this extremely varied sample identified expanded roles in fall prevention for themselves during the interview process. Community service providers experience disabling contexts for implementing fall prevention on many levels: their specific geography, their service systems, their organizations and themselves. A systemic lack of fit between the older adult and fall prevention services limits access, making fall prevention inaccessible, unaccommodating, unavailable, unaffordable, and unacceptable. Educating Providers, Working Together, and Changing Policies and Legislation offers promise to create more enabling contexts for community stakeholders, including those who do not initially see their work as preventing falls.

Fixing bad links. Preventing misconnections in your hospital.

PubMed

2009-07-01

Misconnecting lines and cables can have deadly consequences. Equipment designs that reduce the risks are gradually becoming available, but much of the burden for safe connections still falls on the hospital. Read our current recommendations for protecting your patients.

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

Code of Federal Regulations, 2011 CFR

2011-07-01

... of Part 1926-Criteria for Determining the Feasibility of Providing Safe Access and Fall Protection for Scaffold Erectors and Dismantlers Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR...

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

Code of Federal Regulations, 2010 CFR

2010-07-01

... of Part 1926-Criteria for Determining the Feasibility of Providing Safe Access and Fall Protection for Scaffold Erectors and Dismantlers Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR...

42 CFR 136.403 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...

42 CFR 136.403 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...

42 CFR 136.403 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...

42 CFR 136.403 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...

History of falls, gait, balance, and fall risks in older cancer survivors living in the community.

PubMed

Huang, Min H; Shilling, Tracy; Miller, Kara A; Smith, Kristin; LaVictoire, Kayle

2015-01-01

Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A "faller" was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher's exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with P<0.15 were included in a forward logistic regression model to identify factors predictive of falls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was P<0.05. During follow-up, 59% of participants had one or more falls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594-29.074) (P<0.05). Sensitivity and specificity for correctly identifying a faller using the positive history of falls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may help detect individuals at risk of falling.

History of falls, gait, balance, and fall risks in older cancer survivors living in the community

PubMed Central

Huang, Min H; Shilling, Tracy; Miller, Kara A; Smith, Kristin; LaVictoire, Kayle

2015-01-01

Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A “faller” was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher’s exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with P<0.15 were included in a forward logistic regression model to identify factors predictive of falls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was P<0.05. During follow-up, 59% of participants had one or more falls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594–29.074) (P<0.05). Sensitivity and specificity for correctly identifying a faller using the positive history of falls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may help detect individuals at risk of falling. PMID:26425079

Planning and executing motions for multibody systems in free-fall. Ph.D. Thesis

NASA Technical Reports Server (NTRS)

Cameron, Jonathan M.

1991-01-01

The purpose of this research is to develop an end-to-end system that can be applied to a multibody system in free-fall to analyze its possible motions, save those motions in a database, and design a controller that can execute those motions. A goal is for the process to be highly automated and involve little human intervention. Ideally, the output of the system would be data and algorithms that could be put in ROM to control the multibody system in free-fall. The research applies to more than just robots in space. It applies to any multibody system in free-fall. Mathematical techniques from nonlinear control theory were used to study the nature of the system dynamics and its possible motions. Optimization techniques were applied to plan motions. Image compression techniques were proposed to compress the precomputed motion data for storage. A linearized controller was derived to control the system while it executes preplanned trajectories.

Analysis of Android Device-Based Solutions for Fall Detection

PubMed Central

Casilari, Eduardo; Luque, Rafael; Morón, María-José

2015-01-01

Falls are a major cause of health and psychological problems as well as hospitalization costs among older adults. Thus, the investigation on automatic Fall Detection Systems (FDSs) has received special attention from the research community during the last decade. In this area, the widespread popularity, decreasing price, computing capabilities, built-in sensors and multiplicity of wireless interfaces of Android-based devices (especially smartphones) have fostered the adoption of this technology to deploy wearable and inexpensive architectures for fall detection. This paper presents a critical and thorough analysis of those existing fall detection systems that are based on Android devices. The review systematically classifies and compares the proposals of the literature taking into account different criteria such as the system architecture, the employed sensors, the detection algorithm or the response in case of a fall alarms. The study emphasizes the analysis of the evaluation methods that are employed to assess the effectiveness of the detection process. The review reveals the complete lack of a reference framework to validate and compare the proposals. In addition, the study also shows that most research works do not evaluate the actual applicability of the Android devices (with limited battery and computing resources) to fall detection solutions. PMID:26213928

Analysis of Android Device-Based Solutions for Fall Detection.

PubMed

Casilari, Eduardo; Luque, Rafael; Morón, María-José

2015-07-23

Falls are a major cause of health and psychological problems as well as hospitalization costs among older adults. Thus, the investigation on automatic Fall Detection Systems (FDSs) has received special attention from the research community during the last decade. In this area, the widespread popularity, decreasing price, computing capabilities, built-in sensors and multiplicity of wireless interfaces of Android-based devices (especially smartphones) have fostered the adoption of this technology to deploy wearable and inexpensive architectures for fall detection. This paper presents a critical and thorough analysis of those existing fall detection systems that are based on Android devices. The review systematically classifies and compares the proposals of the literature taking into account different criteria such as the system architecture, the employed sensors, the detection algorithm or the response in case of a fall alarms. The study emphasizes the analysis of the evaluation methods that are employed to assess the effectiveness of the detection process. The review reveals the complete lack of a reference framework to validate and compare the proposals. In addition, the study also shows that most research works do not evaluate the actual applicability of the Android devices (with limited battery and computing resources) to fall detection solutions.

The influence of headform orientation and flooring systems on impact dynamics during simulated fall-related head impacts.

PubMed

Wright, Alexander D; Laing, Andrew C

2012-10-01

Novel compliant flooring systems are a promising approach for reducing fall-related injuries in seniors, as they may provide up to 50% attenuation in peak force during simulated hip impacts while eliciting only minimal influences on balance. This study aimed to determine the protective capacity of novel compliant floors during simulated 'high severity' head impacts compared to common flooring systems. A headform was impacted onto a common Commercial-Carpet at 1.5, 2.5, and 3.5 m/s in front, back, and side orientations using a mechanical drop tower. Peak impact force applied to the headform (F(max)), peak linear acceleration of the headform (g(max)) and Head Injury Criterion (HIC) were determined. For the 3.5 m/s trials, backwards-oriented impacts were associated with the highest F(max) and HIC values (p<0.001); accordingly, this head orientation was used to complete additional trials on three common floors (Resilient Rubber, Residential-Loop Carpet, Berber Carpet) and six novel compliant floors at each impact velocity. ANOVAs indicated that flooring type was associated with all parameters at each impact velocity (p<0.001). Compared to impacts on the Commercial Carpet, Dunnett's post hoc indicated all variables were smaller (25-80%) for the novel compliant floors (p<0.001), but larger for Resilient Rubber (31-159%, p<0.01). This study demonstrates that during 'high severity' simulated impacts, novel compliant floors can substantially reduce the forces and accelerations applied to a headform compared to common floors including carpet and resilient rubber. In combination with reports of minimal balance impairments, these findings support the promise of novel compliant floors as a biomechanically effective strategy for reducing fall-related injuries including traumatic brain injuries and skull fractures. Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.

Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults.

PubMed

Carty, Christopher P; Cronin, Neil J; Nicholson, Deanne; Lichtwark, Glen A; Mills, Peter M; Kerr, Graham; Cresswell, Andrew G; Barrett, Rod S

2015-01-01

a fall occurs when an individual experiences a loss of balance from which they are unable to recover. Assessment of balance recovery ability in older adults may therefore help to identify individuals at risk of falls. The purpose of this 12-month prospective study was to assess whether the ability to recover from a forward loss of balance with a single step across a range of lean magnitudes was predictive of falls. two hundred and one community-dwelling older adults, aged 65-90 years, underwent baseline testing of sensori-motor function and balance recovery ability followed by 12-month prospective falls evaluation. Balance recovery ability was defined by whether participants required either single or multiple steps to recover from forward loss of balance from three lean magnitudes, as well as the maximum lean magnitude participants could recover from with a single step. forty-four (22%) participants experienced one or more falls during the follow-up period. Maximal recoverable lean magnitude and use of multiple steps to recover at the 15% body weight (BW) and 25%BW lean magnitudes significantly predicted a future fall (odds ratios 1.08-1.26). The Physiological Profile Assessment, an established tool that assesses variety of sensori-motor aspects of falls risk, was also predictive of falls (Odds ratios 1.22 and 1.27, respectively), whereas age, sex, postural sway and timed up and go were not predictive. reactive stepping behaviour in response to forward loss of balance and physiological profile assessment are independent predictors of a future fall in community-dwelling older adults. Exercise interventions designed to improve reactive stepping behaviour may protect against future falls. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Department of Labor. Challenges in Ensuring Workforce Development and Worker Protection. Testimony before the Subcommittee on Human Resources, Committee on Government Reform and Oversight, House of Representatives.

ERIC Educational Resources Information Center

Joyner, Carlotta C.

In Fiscal Year 1997, the U.S. Department of Labor (DOL) has an estimated budget of $34.4 billion and is authorized 16,614 full-time-equivalent staff-years. DOL's many programs fall into two major categories: enhancing workers' skills through job training and ensuring worker protection. The DOL's work force development mission is being challenged…

Timing paradox of stepping and falls in ageing: not so quick and quick(er) on the trigger

PubMed Central

Mille, Marie‐Laure

2016-01-01

Abstract Physiological and degenerative changes affecting human standing balance are major contributors to falls with ageing. During imbalance, stepping is a powerful protective action for preserving balance that may be voluntarily initiated in recognition of a balance threat, or be induced by an externally imposed mechanical or sensory perturbation. Paradoxically, with ageing and falls, initiation slowing of voluntary stepping is observed together with perturbation‐induced steps that are triggered as fast as or faster than for younger adults. While age‐associated changes in sensorimotor conduction, central neuronal processing and cognitive functions are linked to delayed voluntary stepping, alterations in the coupling of posture and locomotion may also prolong step triggering. It is less clear, however, how these factors may explain the accelerated triggering of induced stepping. We present a conceptual model that addresses this issue. For voluntary stepping, a disruption in the normal coupling between posture and locomotion may underlie step‐triggering delays through suppression of the locomotion network based on an estimation of the evolving mechanical state conditions for stability. During induced stepping, accelerated step initiation may represent an event‐triggering process whereby stepping is released according to the occurrence of a perturbation rather than to the specific sensorimotor information reflecting the evolving instability. In this case, errors in the parametric control of induced stepping and its effectiveness in stabilizing balance would be likely to occur. We further suggest that there is a residual adaptive capacity with ageing that could be exploited to improve paradoxical triggering and other changes in protective stepping to impact fall risk. PMID:26915664

Keeping children safe at home: protocol for three matched case–control studies of modifiable risk factors for falls

PubMed Central

Kendrick, Denise; Stewart, Jane; Clacy, Rose; Coffey, Frank; Cooper, Nicola; Coupland, Carol; Hayes, Mike; McColl, Elaine; Reading, Richard; Sutton, Alex; M L Towner, Elizabeth; Craig Watson, Michael

2012-01-01

Background Childhood falls result in considerable morbidity, mortality and health service use. Despite this, little evidence exists on protective factors or effective falls prevention interventions in young children. Objectives To estimate ORs for three types of medically attended fall injuries in young children in relation to safety equipment, safety behaviours and hazard reduction and explore differential effects by child and family factors and injury severity. Design Three multicentre case–control studies in UK hospitals with validation of parental reported exposures using home observations. Cases are aged 0–4 years with a medically attended fall injury occurring at home, matched on age and sex with community controls. Children attending hospital for other types of injury will serve as unmatched hospital controls. Matched analyses will use conditional logistic regression to adjust for potential confounding variables. Unmatched analyses will use unconditional logistic regression, adjusted for age, sex, deprivation and distance from hospital in addition to other confounders. Each study requires 496 cases and 1984 controls to detect an OR of 0.7, with 80% power, 5% significance level, a correlation between cases and controls of 0.1 and a range of exposure prevalences. Main outcome measures Falls on stairs, on one level and from furniture. Discussion As the largest in the field to date, these case control studies will adjust for potential confounders, validate measures of exposure and investigate modifiable risk factors for specific falls injury mechanisms. Findings should enhance the evidence base for falls prevention for young children. PMID:22628151

Deficient limb support is a major contributor to age differences in falling.

PubMed

Pavol, Michael J; Pai, Yi-Chung

2007-01-01

Older adults are more likely than young to fall upon a loss of balance, yet the factors responsible for this difference are not well understood. This study investigated whether age-related differences in movement stability, limb support, and protective stepping contribute to the greater likelihood of falling among older adults. Sixty young and 41 older, safety-harnessed, healthy adults were exposed to a novel and unexpected forward slip during a sit-to-stand task. More older than young adults fell (76% vs. 30%). Falls in both age groups were related to lesser stability and lower hip height at first step touchdown, with 97.1% of slip outcomes correctly classified based on these variables. Decreases in hip height at touchdown had over 20 times greater effect on the odds of falling than equivalent decreases in stability. Three age differences placed older adults at greater risk of falling: older adults had lower and more slowly rising hips at slip onset, they were less likely to respond to slipping with ample limb support, and they placed their stepping foot less posterior to their center of mass. The first two differences, each associated with deficient limb support, reduced hip ascent and increased hip descent. The third difference resulted in lesser stability at step touchdown. These results suggest that deficient limb support in normal movement patterns and in the reactive response to a perturbation is a major contributor to the high incidence of falls in older adults. Improving proactive and reactive limb support should be a focus of fall prevention efforts.

Personal Protective Equipment Supply Chain: Lessons Learned from Recent Public Health Emergency Responses.

PubMed

Patel, Anita; D'Alessandro, Maryann M; Ireland, Karen J; Burel, W Greg; Wencil, Elaine B; Rasmussen, Sonja A

Personal protective equipment (PPE) that protects healthcare workers from infection is a critical component of infection control strategies in healthcare settings. During a public health emergency response, protecting healthcare workers from infectious disease is essential, given that they provide clinical care to those who fall ill, have a high risk of exposure, and need to be assured of occupational safety. Like most goods in the United States, the PPE market supply is based on demand. The US PPE supply chain has minimal ability to rapidly surge production, resulting in challenges to meeting large unexpected increases in demand that might occur during a public health emergency. Additionally, a significant proportion of the supply chain is produced off-shore and might not be available to the US market during an emergency because of export restrictions or nationalization of manufacturing facilities. Efforts to increase supplies during previous public health emergencies have been challenging. During the 2009 H1N1 influenza pandemic and the 2014 Ebola virus epidemic, the commercial supply chain of pharmaceutical and healthcare products quickly became critical response components. This article reviews lessons learned from these responses from a PPE supply chain and systems perspective and examines ways to improve PPE readiness for future responses.

The inescapable smart impact detection system (ISIS): An ubiquitous and personalized fall detector based on a distributed 'divide and conquer strategy'.

PubMed

Prado-Velasco, Manuel; del Rio-Cidoncha, Maria Gloria; Ortiz-Marin, Rafael

2008-01-01

Despite the intense research in the last decade with the aim of developing a reliable solution for fall detection in the elderly and other risk populations, it can be asserted that the diffusion of fall detectors in the geriatric practice is near null. This scenario is similar to the very scarce use of telemedicine in healthcare. The present work begins analyzing why fall detectors have not achieved to permeate the industry. That road is used to know the drawbacks of current devices and systems, besides to allow studying several important concepts underlying the principles of fall detection. A novel smart detection system based on that survey is finally briefly presented. The design of this device is founded on the experience and results obtained by an earlier device that was designed in the framework of the thesis of one of the authors.

Designing and evaluating an electronic patient falls reporting system: perspectives for the implementation of health information technology in long-term residential care facilities.

PubMed

Mei, Yi You; Marquard, Jenna; Jacelon, Cynthia; DeFeo, Audrey L

2013-11-01

Patient falls are the leading cause of unintentional injury and death among older adults. In 2000, falls resulted in over 10,300 elderly deaths, costing the United States approximately $179 million in incidence and medical costs. Furthermore, non-fatal injuries caused by falls cost the United States $19 billion annually. Health information technology (IT) applications, specifically electronic falls reporting systems, can aid quality improvement efforts to prevent patient falls. Yet, long-term residential care facilities (LTRCFs) often do not have the financial resources to implement health IT, and workers in these settings are often not ready to adopt such systems. Additionally, most health IT evaluations are conducted in large acute-care settings, so LTRCF administrators currently lack evidence to support the value of health IT. In this paper, we detail the development of a novel, easy-to-use system to facilitate electronic patient falls reporting within a LTRCF using off-the-shelf technology that can be inexpensively implemented in a wide variety of settings. We report the results of four complimentary system evaluation measures that take into consideration varied organizational stakeholders' perspectives: (1) System-level benefits and costs, (2) system usability, via scenario-based use cases, (3) a holistic assessment of users' physical, cognitive, and marcoergonomic (work system) challenges in using the system, and (4) user technology acceptance. We report the viability of collecting and analyzing data specific to each evaluation measure and detail the relative merits of each measure in judging whether the system is acceptable to each stakeholder. The electronic falls reporting system was successfully implemented, with 100% reporting at 3-months post-implementation. The system-level benefits and costs approach showed that the electronic system required no initial investment costs aside from personnel costs and significant benefits accrued from user time savings. The usability analysis revealed several fixable design flaws and demonstrated the importance of scenario-based user training. The technology acceptance model showed that users perceived the reporting system to be useful and easy to use, even more so after implementation. Finally, the holistic human factors evaluation identified challenges encountered when nurses used the system as a part of their daily work, guiding further system redesign. The four-pronged evaluation framework accounted for varied stakeholder perspectives and goals and is a highly scalable framework that can be easily applied to health IT implementations in other LTRCFs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

A long-recommended but seldom-used method of analysis for fall injuries found a unique pattern of risk factors in the youngest-old.

PubMed

Legrand, Helen; Pihlsgård, Mats; Nordell, Eva; Elmståhl, Sölve

2015-08-01

Few studies on fall risk factors use long-recommended methods for analysis of recurrent events. Previous falls are the biggest risk factor for future falls, but few fall studies focus on the youngest-old. This study's objective was to apply Cox regression for recurrent events to identify factors associated with injurious falls in the youngest-old. Participants were community-dwelling residents of southern Sweden (n = 1,133), aged 59-67 at baseline (median 61.2), from the youngest cohorts of the larger Good Aging in Skåne (GÅS) study. Exposure variable data were collected from baseline study visits and medical records. Injurious falls, defined as emergency, inpatient, or specialist visits associated with ICD-10 fall codes during the follow-up period (2001-2011), were gathered from national and regional registries. Analysis was conducted using time to event Cox Regression for recurrent events. A majority (77.1 %) of injurious falls caused serious injuries such as fractures and open wounds. Exposure to nervous system medications [hazard ratio (HR) 1.40, 95 % confidence interval (CI) 1.03-1.89], central nervous system disease (HR 1.79, CI 1.18-2.70), and previous injurious fall(s) (HR 2.00, CI 1.50-2.68) were associated with increased hazard of injurious fall. Regression for recurrent events is feasible with typical falls' study data. The association of certain exposures with increased hazard of injurious falls begins earlier than previously studied. Different patterns of risk factors by age can provide insight into the progression of frailty. Tailored fall prevention screening and intervention may be of value in populations younger than those traditionally screened.

Fall Prevention in a Neurological Care Unit

ERIC Educational Resources Information Center

Jeffrey, Claudeth

2017-01-01

Patient falls are an ongoing concern for health systems in the US and in the setting where this project took place. Inpatient falls affect consumers and health providers because falls often result in patient morbidity and mortality, legal risk, increased length of stay, and increased costs. The purpose of this project was to evaluate the existing…

Epidemiology of Falls in Older Age

ERIC Educational Resources Information Center

Peel, Nancye May

2011-01-01

Worldwide, falls among older people are a public health concern because of their frequency and adverse consequences in terms of morbidity, mortality, and quality of life, as well as their impact on health system services and costs. This epidemiological review outlines the public health burden of falls and fall-related injuries and the impact of…

Real-time monitoring system for elderly people in detecting falling movement using accelerometer and gyroscope

NASA Astrophysics Data System (ADS)

Siregar, B.; Andayani, U.; Bahri, R. P.; Seniman; Fahmi, F.

2018-03-01

Most of the elderly people is experiencing a decrease in physical quality, especially the weakness in the legs. This will cause elderly easy to fall and can have a serious impact on their health if not getting help very quickly. It is, therefore, necessary to take immediate action against the falling cases experienced by the elderly. One such action is by developing supervision and detecting of falling movements in real-time, which is then the connection to a member of the family. In this research, we used Arduino Uno as a microcontroller, sensor accelerometer, and gyroscope that serves to measure falling movement of the elderly person and supported by GPS technology Ublox Neo 6M to provide information about coordinates. The result was the high accuracy of delivering notification data to server and accuracy of data delivery to family notification equal to 93,75%. The system successfully detects the direction of falling: forward, backward, left or right and able to distinguish between unintentional falling and conscious falling like a bow or prostrate position.

System reliability analysis of granular filter for protection against piping in dams

NASA Astrophysics Data System (ADS)

Srivastava, A.; Sivakumar Babu, G. L.

2015-09-01

Granular filters are provided for the safety of water retaining structure for protection against piping failure. The phenomenon of piping triggers when the base soil to be protected starts migrating in the direction of seepage flow under the influence of seepage force. To protect base soil from migration, the voids in the filter media should be small enough but it should not also be too small to block smooth passage of seeping water. Fulfilling these two contradictory design requirements at the same time is a major concern for the successful performance of granular filter media. Since Terzaghi era, conventionally, particle size distribution (PSD) of granular filters is designed based on particle size distribution characteristics of the base soil to be protected. The design approach provides a range of D15f value in which the PSD of granular filter media should fall and there exist infinite possibilities. Further, safety against the two critical design requirements cannot be ensured. Although used successfully for many decades, the existing filter design guidelines are purely empirical in nature accompanied with experience and good engineering judgment. In the present study, analytical solutions for obtaining the factor of safety with respect to base soil particle migration and soil permeability consideration as proposed by the authors are first discussed. The solution takes into consideration the basic geotechnical properties of base soil and filter media as well as existing hydraulic conditions and provides a comprehensive solution to the granular filter design with ability to assess the stability in terms of factor of safety. Considering the fact that geotechnical properties are variable in nature, probabilistic analysis is further suggested to evaluate the system reliability of the filter media that may help in risk assessment and risk management for decision making.

Testing the Predictive Validity of the Hendrich II Fall Risk Model.

PubMed

Jung, Hyesil; Park, Hyeoun-Ae

2018-03-01

Cumulative data on patient fall risk have been compiled in electronic medical records systems, and it is possible to test the validity of fall-risk assessment tools using these data between the times of admission and occurrence of a fall. The Hendrich II Fall Risk Model scores assessed during three time points of hospital stays were extracted and used for testing the predictive validity: (a) upon admission, (b) when the maximum fall-risk score from admission to falling or discharge, and (c) immediately before falling or discharge. Predictive validity was examined using seven predictive indicators. In addition, logistic regression analysis was used to identify factors that significantly affect the occurrence of a fall. Among the different time points, the maximum fall-risk score assessed between admission and falling or discharge showed the best predictive performance. Confusion or disorientation and having a poor ability to rise from a sitting position were significant risk factors for a fall.

Enhancing Home Health Mobile Phone App Usability Through General Smartphone Training: Usability and Learnability Case Study.

PubMed

Harte, Richard; Hall, Tony; Glynn, Liam; Rodríguez-Molinero, Alejandro; Scharf, Thomas; Quinlan, Leo R; ÓLaighin, Gearóid

2018-04-26

Each year, millions of older adults fall, with more than 1 out of 4 older people experiencing a fall annually, thereby causing a major social and economic impact. Falling once doubles one’s chances of falling again, making fall prediction an important aspect of preventative strategies. In this study, 22 older adults aged between 65 and 85 years were trained in the use of a smartphone-based fall prediction system. The system is designed to continuously assess fall risk by measuring various gait and balance parameters using a smart insole and smartphone, and is also designed to detect falls. The use case of the fall prediction system in question required the users to interact with the smartphone via an app for device syncing, data uploads, and checking system status. The objective of this study was to observe the effect that basic smartphone training could have on the user experience of a group that is not technically proficient with smartphones when using a new connected health system. It was expected that even short rudimentary training could have a large effect on user experience and therefore increase the chances of the group accepting the new technology. All participants received training on how to use the system smartphone app; half of the participants (training group) also received extra training on how to use basic functions of the smartphone, such as making calls and sending text messages, whereas the other half did not receive this extra training (no extra training group). Comparison of training group and no extra training group was carried out using metrics such as satisfaction rating, time taken to complete tasks, cues required to complete tasks, and errors made during tasks. The training group fared better in the first 3 days of using the system. There were significant recorded differences in number of cues required and errors committed between the two groups. By the fourth and fifth day of use, both groups were performing at the same level when using the system. Supplementary basic smartphone training may be critical in trials where a smartphone app–based system for health intervention purposes is being introduced to a population that is not proficient with technology. This training could prevent early technology rejection and increase the engagement of older participants and their overall user experience with the system. ©Richard Harte, Tony Hall, Liam Glynn, Alejandro Rodríguez-Molinero, Thomas Scharf, Leo R Quinlan, Gearóid ÓLaighin. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 26.04.2018.

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.

The functional assessment Berg Balance Scale is better capable of estimating fall risk in the elderly than the posturographic Balance Stability System.

PubMed

Pereira, Vanessa Vieira; Maia, Roberto Alcantara; Silva, Sonia Maria Cesar de Azevedo

2013-01-01

The purpose of this study was to verify which instrument better identifies recurrent falls in the elderly. Ninety-eight old people, with an average age of 80 ± 4 years, were submitted to an assessment of balance and fall risk by means of the Berg Balance Scale (BBS) and the posturographic Balance Stability System (BSS). The BBS was correlated with the BSS (r=-0.27; p=0.008), age (r=-0.38; p<0.001) and number of falls (r=-0.25; p=0.013) and the analysis of logistical regression showed that the elderly classified with fall risk on the BBS presented 2.5 (95%CI 1.08-5.78) more chance of identifying who had two falls or more over the last year. The BBS identified that the greater the age the worse the functional balance and demonstrated a greater capacity to identify falls risk suffered over the last year when compared with the BSS.

Fall incidents unraveled: a series of 26 video-based real-life fall events in three frail older persons

PubMed Central

2013-01-01

Background For prevention and detection of falls, it is essential to unravel the way in which older people fall. This study aims to provide a description of video-based real-life fall events and to examine real-life falls using the classification system by Noury and colleagues, which divides a fall into four phases (the prefall, critical, postfall and recovery phase). Methods Observational study of three older persons at high risk for falls, residing in assisted living or residential care facilities: a camera system was installed in each participant’s room covering all areas, using a centralized PC platform in combination with standard Internet Protocol (IP) cameras. After a fall, two independent researchers analyzed recorded images using the camera position with the clearest viewpoint. Results A total of 30 falls occurred of which 26 were recorded on camera over 17 months. Most falls happened in the morning or evening (62%), when no other persons were present (88%). Participants mainly fell backward (initial fall direction and landing configuration) on the pelvis or torso and none could get up unaided. In cases where a call alarm was used (54%), an average of 70 seconds (SD=64; range 15–224) was needed to call for help. Staff responded to the call after an average of eight minutes (SD=8.4; range 2–33). Mean time on the ground was 28 minutes (SD=25.4; range 2–59) without using a call alarm compared to 11 minutes (SD=9.2; range 3–38) when using a call alarm (p=0.445). The real life falls were comparable with the prefall and recovery phase of Noury’s classification system. The critical phase, however, showed a prolonged duration in all falls. We suggest distinguishing two separate phases: a prolonged loss of balance phase and the actual descending phase after failure to recover balance, resulting in the impact of the body on the ground. In contrast to the theoretical description, the postfall phase was not typically characterized by inactivity; this depended on the individual. Conclusions This study contributes to a better understanding of the fall process in private areas of assisted living and residential care settings in older persons at high risk for falls. PMID:24090211

Impact of Diabetic Complications on Balance and Falls: Contribution of the Vestibular System

PubMed Central

Lin, James; Staecker, Hinrich; Whitney, Susan L.; Kluding, Patricia M.

2016-01-01

Diabetes causes many complications, including retinopathy and peripheral neuropathy, which are well understood as contributing to gait instability and falls. A less understood complication of diabetes is the effect on the vestibular system. The vestibular system contributes significantly to balance in static and dynamic conditions by providing spatially orienting information. It is noteworthy that diabetes has been reported to affect vestibular function in both animal and clinical studies. Pathophysiological changes in peripheral and central vestibular structures due to diabetes have been noted. Vestibular dysfunction is associated with impaired balance and a higher risk of falls. As the prevalence of diabetes increases, so does the potential for falls due to diabetic complications. The purpose of this perspective article is to present evidence on the pathophysiology of diabetes-related complications and their influence on balance and falls, with specific attention to emerging evidence of vestibular dysfunction due to diabetes. Understanding this relationship may be useful for screening (by physical therapists) for possible vestibular dysfunction in people with diabetes and for further developing and testing the efficacy of interventions to reduce falls in this population. PMID:26251477

Output-increasing, protective cover for a solar cell

DOEpatents

Hammerbacher, Milfred D.

1995-11-21

A flexible cover (14) for a flexible solar cell (12) protects the cell from the ambient and increases the cell's efficiency. The cell(12)includes silicon spheres (16) held in a flexible aluminum sheet matrix (20,22). The cover (14) is a flexible, protective layer (60) of light-transparent material having a relatively flat upper, free surface (64) and an irregular opposed surface (66). The irregular surface (66) includes first portions (68) which conform to the polar regions (31R) of the spheres (16) and second convex (72) or concave (90) portions (72 or 90) which define spaces (78) in conjunction with the reflective surface (20T) of one aluminum sheet (20). Without the cover (14) light (50) falling on the surface (20T) between the spheres (16) is wasted, that is, it does not fall on a sphere (16). The surfaces of the second portions are non-parallel to the direction of the otherwise wasted light (50), which fact, together with a selected relationship between the refractive indices of the cover and the spaces, result in sufficient diffraction of the otherwise wasted light (50) so that about 25% of it is reflected from the surface (20T) onto a sphere (16).

Compensation of research-related injuries in the European Union.

PubMed

Avilds, Miguelangel Ramiro

2014-12-01

The planned reform of the Clinical Trials Directive has re-opened the debate over how to implement and interpret research-related injuries regulation. In the European Union (EU), clinical trials are currently regulated by Directive 2001/20/EC, which establishes the provision of mandatory insurance before clinical trials commence but is silent on the system of liability. The proposed new Regulation will impact biomedical research assurance in all EU Member States because it points to insurance costs as being one of the causes of the fall in the number of clinical trials carried out in the EU. Despite the adoption of a risk-balance approach, the proposed new Regulation does not include a no-fault compensation system to protect subjects participating in clinical trials. An adequate protection of the rights and wellbeing of trial subjects would require not only mandatory insurance for clinical trials but also a no-fault compensation system. The new regulation should include a general clause requiring mandatory insurance and establishing liability insurance based on no-fault compensation; an exception clause, enabling the performance of clinical trials without insurance in the case of low-risk interventions or non-commercial clinical trials; and an exclusion clause, excluding compensation when there is no causal connection between injuries and clinical trial.

Qudit quantum computation on matrix product states with global symmetry

NASA Astrophysics Data System (ADS)

Wang, Dongsheng; Stephen, David; Raussendorf, Robert

Resource states that contain nontrivial symmetry-protected topological order are identified for universal measurement-based quantum computation. Our resource states fall into two classes: one as the qudit generalizations of the qubit cluster state, and the other as the higher-symmetry generalizations of the spin-1 Affleck-Kennedy-Lieb-Tasaki (AKLT) state, namely, with unitary, orthogonal, or symplectic symmetry. The symmetry in cluster states protects information propagation (identity gate), while the higher symmetry in AKLT-type states enables nontrivial gate computation. This work demonstrates a close connection between measurement-based quantum computation and symmetry-protected topological order.

Qudit quantum computation on matrix product states with global symmetry

NASA Astrophysics Data System (ADS)

Wang, Dong-Sheng; Stephen, David T.; Raussendorf, Robert

2017-03-01

Resource states that contain nontrivial symmetry-protected topological order are identified for universal single-qudit measurement-based quantum computation. Our resource states fall into two classes: one as the qudit generalizations of the one-dimensional qubit cluster state, and the other as the higher-symmetry generalizations of the spin-1 Affleck-Kennedy-Lieb-Tasaki (AKLT) state, namely, with unitary, orthogonal, or symplectic symmetry. The symmetry in cluster states protects information propagation (identity gate), while the higher symmetry in AKLT-type states enables nontrivial gate computation. This work demonstrates a close connection between measurement-based quantum computation and symmetry-protected topological order.

Body mass index, falls, and injurious falls among U.S. adults: Findings from the 2014 Behavioral Risk Factor Surveillance System.

PubMed

Ylitalo, Kelly R; Karvonen-Gutierrez, Carrie A

2016-10-01

Falls are an important health concern because they are associated with loss of independence and disability, particularly among women. We determined the age- and sex-specific prevalence of injurious falls among adults in the United States and examined the impact of obesity on fall risk. Self-reported falls, injurious falls, and health histories were obtained from 280,035 adults aged 45-79years in the 2014 Behavioral Risk Factor Surveillance System. Body mass index was categorized as underweight (<18.5kg/m 2 ), normal weight (18.5-24.9kg/m 2 ), overweight 25-29.9kg/m 2 ), class I obesity (30.0-34.9kg/m 2 ), or class II/III obesity (≥35.0kg/m 2 ) based on self-reported height and weight. Data were analyzed using weighted age- and sex-specific prevalence rates and Poisson regression. Overall, 11.0% reported ≥1 injurious fall in the previous 12months. Mid-life women 55-59years reported the highest prevalence of injurious falls (15.4%). Among mid-life women, overweight was associated with injurious falls (RR=1.17; 95% CI: 1.08, 1.28), but overweight was not associated with falling among other age-sex groups. Class II/III obesity was associated with injurious falls among all age-sex groups. After considering the mediators like health conditions (depression, cardiovascular disease, diabetes, arthritis) and behaviors (physical activity, sleep), the association of class II/III obesity and injurious fall risk persisted only among mid-life women (RR=1.23; 95% CI: 1.12, 1.36). Not only are mid-life women at high risk for falls, but the class II/III obesity is a risk factor for injurious falls. Targeting mid-life women for fall and injury prevention is an important aim for practitioners, particularly given unique correlates of falling for this group. Copyright © 2016 Elsevier Inc. All rights reserved.