Regional ash fall hazard II: Asia-Pacific modelling results and implications

NASA Astrophysics Data System (ADS)

Jenkins, Susanna; McAneney, John; Magill, Christina; Blong, Russell

2012-09-01

In a companion paper (this volume), the authors propose a methodology for assessing ash fall hazard on a regional scale. In this study, the methodology is applied to the Asia-Pacific region, determining the hazard from 190 volcanoes to over one million square kilometre of urban area. Ash fall hazard is quantified for each square kilometre grid cell of urban area in terms of the annual exceedance probability (AEP), and its inverse, the average recurrence interval (ARI), for ash falls exceeding 1, 10 and 100 mm. A surrogate risk variable, the Population-Weighted Hazard Score: the product of AEP and population density, approximates the relative risk for each grid cell. Within the Asia-Pacific region, urban areas in Indonesia are found to have the highest levels of hazard and risk, while Australia has the lowest. A clear demarcation emerges between the hazard in countries close to and farther from major subduction plate boundaries, with the latter having ARIs at least 2 orders of magnitude longer for the same thickness thresholds. Countries with no volcanoes, such as North Korea and Malaysia, also face ash falls from volcanoes in neighbouring countries. Ash falls exceeding 1 mm are expected to affect more than one million people living in urban areas within the study region; in Indonesia, Japan and the Philippines, this situation could occur with ARIs less than 40 years.

127. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, ...

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

127. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, IDAHO; NORTH VIEW. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

Rock falls landslides in Abruzzo (Central Italy) after recent earthquakes: morphostructural control

NASA Astrophysics Data System (ADS)

Piacentini, T.; Miccadei, E.; Di Michele, R.; Esposito, G.

2012-04-01

Recent earthquakes show that damages due to collateral effects could, in some cases exceed the economic and social losses directly connected to the seismic shaking. The earthquake heavily damaged urban areas and villages and induced several coseismic deformations and geomorphologic effects, including different types of instability such as: rock falls, debris falls, sink holes, ground collapses, liquefaction, etc. Among the effects induced by the seismic energy release, landslides are one of the most significant in terms of hazard and related risk, owing to the occurrence of exposed elements. This work analyzes the geomorphological effects, and particularly the rock falls, which occurred in the L'Aquila area during and immediately after the April 2009 earthquake. The analysis is focused mainly on the rock fall distribution related to the local morphostructural setting. Rock falls occurred mostly on calcareous bedrock slopes or on scarps developed on conglomerates and breccias of Quaternary continental deposits. Geological and geomorphological surveys have outlined different types of rock falls on different morpho-structural settings, which can be summarized as follow: 1)rock falls on calcareous faulted homoclinal ridges; 2)rock falls on calcareous rock slopes of karst landforms; 3)rock falls on structural scarps on conglomerates and breccias of Quaternary continental deposits. The first type of rockfall occurred particularly along main gorges carved on calcareous rocks and characterised by very steep fault slopes and structural slopes (i.e. San Venanzio Gorges, along the Aterno river). In these cases already unstable slopes due to lithological and structural control were triggered as rockfalls also at high distance from the epicentre area. These elements provide useful indications both at local scale, for seismic microzonation studies and seismic risk prevention, and at regional scale, for updating studies and inventory of landslides.

125. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, ...

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

125. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, IDAHO; SOUTH VIEW OF CANAL. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

Solid images generated from UAVs to analyze areas affected by rock falls

NASA Astrophysics Data System (ADS)

Giordan, Daniele; Manconi, Andrea; Allasia, Paolo; Baldo, Marco

2015-04-01

The study of rock fall affected areas is usually based on the recognition of principal joints families and the localization of potential instable sectors. This requires the acquisition of field data, although as the areas are barely accessible and field inspections are often very dangerous. For this reason, remote sensing systems can be considered as suitable alternative. Recently, Unmanned Aerial Vehicles (UAVs) have been proposed as platform to acquire the necessary information. Indeed, mini UAVs (in particular in the multi-rotors configuration) provide versatility for the acquisition from different points of view a large number of high resolution optical images, which can be used to generate high resolution digital models relevant to the study area. By considering the recent development of powerful user-friendly software and algorithms to process images acquired from UAVs, there is now a need to establish robust methodologies and best-practice guidelines for correct use of 3D models generated in the context of rock fall scenarios. In this work, we show how multi-rotor UAVs can be used to survey areas by rock fall during real emergency contexts. We present two examples of application located in northwestern Italy: the San Germano rock fall (Piemonte region) and the Moneglia rock fall (Liguria region). We acquired data from both terrestrial LiDAR and UAV, in order to compare digital elevation models generated with different remote sensing approaches. We evaluate the volume of the rock falls, identify the areas potentially unstable, and recognize the main joints families. The use on is not so developed but probably this approach can be considered the better solution for a structural investigation of large rock walls. We propose a methodology that jointly considers the Structure from Motion (SfM) approach for the generation of 3D solid images, and a geotechnical analysis for the identification of joint families and potential failure planes.

Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in elderly care units: study protocol.

PubMed

Drahota, Amy; Gal, Diane; Windsor, Julie; Dixon, Simon; Udell, Julie; Ward, Derek; Soilemezi, Dia; Dean, Taraneh; Severs, Martin

2011-12-01

Falls are an issue disproportionately affecting older people who are at increased risk of falls and injury. This protocol describes a pilot study investigating shock-absorbing flooring for fall-related injuries in wards for older people. To inform future research by evaluating fall-related injuries on the intervention and existing flooring, assessing the sustainability of the flooring in ward environments, estimating the cost-effectiveness of the floor and assessing how the floor affects patients and other users. This study uses mixed methods a pilot cluster randomised controlled trial, observation via mechanical testing and interviews. Eight participating wards (clusters) are randomised using a computer-generated list. No blinding is incorporated into the study. Each site has a baseline period of approximately 6 months. Then, four sites receive the intervention floor, while four continue using standard floors. Sites are then followed up for approximately 1 year. Any person admitted to a bed in the 'study area' of a participating ward can be entered into the trial. Orientated patients, visitors and any hospital staff who use the floor in a study area are eligible for inclusion in an interview. An 8.3 mm thick vinyl floor covering with polyvinyl chloride foam backing (Tarkett Omnisports EXCEL). The primary outcome is fall-related injuries. Severity of injuries, falls, cost-effectiveness, user views and mechanical performance (shock absorbency and slip resistance) are also being assessed.

Reduction in Fall Rate in Dementia Managed Care Through Video Incident Review: Pilot Study.

PubMed

Bayen, Eleonore; Jacquemot, Julien; Netscher, George; Agrawal, Pulkit; Tabb Noyce, Lynn; Bayen, Alexandre

2017-10-17

Falls of individuals with dementia are frequent, dangerous, and costly. Early detection and access to the history of a fall is crucial for efficient care and secondary prevention in cognitively impaired individuals. However, most falls remain unwitnessed events. Furthermore, understanding why and how a fall occurred is a challenge. Video capture and secure transmission of real-world falls thus stands as a promising assistive tool. The objective of this study was to analyze how continuous video monitoring and review of falls of individuals with dementia can support better quality of care. A pilot observational study (July-September 2016) was carried out in a Californian memory care facility. Falls were video-captured (24×7), thanks to 43 wall-mounted cameras (deployed in all common areas and in 10 out of 40 private bedrooms of consenting residents and families). Video review was provided to facility staff, thanks to a customized mobile device app. The outcome measures were the count of residents' falls happening in the video-covered areas, the acceptability of video recording, the analysis of video review, and video replay possibilities for care practice. Over 3 months, 16 falls were video-captured. A drop in fall rate was observed in the last month of the study. Acceptability was good. Video review enabled screening for the severity of falls and fall-related injuries. Video replay enabled identifying cognitive-behavioral deficiencies and environmental circumstances contributing to the fall. This allowed for secondary prevention in high-risk multi-faller individuals and for updated facility care policies regarding a safer living environment for all residents. Video monitoring offers high potential to support conventional care in memory care facilities. ©Eleonore Bayen, Julien Jacquemot, George Netscher, Pulkit Agrawal, Lynn Tabb Noyce, Alexandre Bayen. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 17.10.2017.

Youth Attitude Tracking Study; Fall 1979.

DTIC Science & Technology

1980-03-01

II - KEY RESULTS BY TRACKING AREA 41 2.1 Positive Propensity by Tracking Area 43 2.2 Academic Achievement and Derived Quality Index 55 2.3 Recalled...Fall 1979 wave, a total of 5,187 interviews were completed. 40) Page 3 The survey employed telephone interviewing. Respondents were selected on the...area and allows computation of total U.S. estimates. The 26 tracking areas are as follows: New York City •Albany/Buf falo H larr isburg Washington

120. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, ...

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

120. COTTONWOOD CUT AREA, TWIN FALLS COUNTY, SOUTH OF KIMBERLY, IDAHO; OVERALL VIEW OF THE COTTONWOOD CREEK DRAW, SOUTH VIEW. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

The Stroke Assessment of Fall Risk (SAFR): predictive validity in inpatient stroke rehabilitation.

PubMed

Breisinger, Terry P; Skidmore, Elizabeth R; Niyonkuru, Christian; Terhorst, Lauren; Campbell, Grace B

2014-12-01

To evaluate relative accuracy of a newly developed Stroke Assessment of Fall Risk (SAFR) for classifying fallers and non-fallers, compared with a health system fall risk screening tool, the Fall Harm Risk Screen. Prospective quality improvement study conducted at an inpatient stroke rehabilitation unit at a large urban university hospital. Patients admitted for inpatient stroke rehabilitation (N = 419) with imaging or clinical evidence of ischemic or hemorrhagic stroke, between 1 August 2009 and 31 July 2010. Not applicable. Sensitivity, specificity, and area under the curve for Receiver Operating Characteristic Curves of both scales' classifications, based on fall risk score completed upon admission to inpatient stroke rehabilitation. A total of 68 (16%) participants fell at least once. The SAFR was significantly more accurate than the Fall Harm Risk Screen (p < 0.001), with area under the curve of 0.73, positive predictive value of 0.29, and negative predictive value of 0.94. For the Fall Harm Risk Screen, area under the curve was 0.56, positive predictive value was 0.19, and negative predictive value was 0.86. Sensitivity and specificity of the SAFR (0.78 and 0.63, respectively) was higher than the Fall Harm Risk Screen (0.57 and 0.48, respectively). An evidence-derived, population-specific fall risk assessment may more accurately predict fallers than a general fall risk screen for stroke rehabilitation patients. While the SAFR improves upon the accuracy of a general assessment tool, additional refinement may be warranted. © The Author(s) 2014.

The Crime-Terror Nexus and the Threat to U.S. Homeland Security

DTIC Science & Technology

2015-12-01

described by analysts as falling into the “gray area phenomenon.” The three case studies, the analysis, and conclusion of this thesis support the...sub-national groups are protean in nature; they are best described by analysts as falling into the “gray area phenomenon.” The three case studies, the...1 A. WHY IS THE CRIME-TERROR NEXUS A PROBLEM WORTHY OF RESEARCH

Individual and contextual characteristics of indoor and outdoor falls in older residents of São Paulo, Brazil.

PubMed

do Nascimento, Carla Ferreira; Duarte, Yeda Aparecida Oliveira; Lebrão, Maria Lúcia; Chiavegatto Filho, Alexandre Dias Porto

To analyze a representative sample of older individuals of São Paulo, Brazil, according to outdoor fallers, indoor fallers and non-fallers, and to identify biological and socioeconomic (individual and contextual) factors associated with the occurrence and place of falls. A cross-sectional study was conducted using data (n = 1345) from the 2010 wave of the Health, Wellbeing and Aging (SABE) Study, a representative sample of older residents (60 years and older) of São Paulo, Brazil. Multinomial logistic analysis was performed to identify individual factors associated with the occurrence and place of falls, and multilevel multinomial analysis to identify contextual effects (green areas, violence, presence of slums and income inequality). 29% had a fall in the last 12 months, with 59% occurring in indoor spaces. Individuals who had outdoor falls were overall not statistically different from non-fallers; on the other hand, those who had the last fall indoor had worse health status. Moderate homicide rate was a factor associated with increased presence of indoor falls, compared with non-fallers. Our results describe the importance of falls, a common problem in active and community-dwelling older adults of São Paulo, Brazil. Transforming outdoor spaces into walk-friendly areas is essential to allow socialization and autonomy with safety. Creating strategies that take into account the most vulnerable populations, as those who live in violent areas and the oldest older adults, will be a growing challenge among developing countries. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Fall management in Alzheimer-related dementia: a case study.

PubMed

Mirolsky-Scala, Gail; Kraemer, Theresa

2009-01-01

Nursing home residents with dementia are at an increased risk of falls. This case report describes a physical therapist's approach to fall management in a patient with Alzheimer's disease in a long-term care facility. An 85-year-old female with Alzheimer's disease began to experience impaired balance and weakness resulting in gait deviations and falls. The combination of clinical findings, scores on several clinical measures, and fall history classified her as being at high risk for future falls. The physical therapy fall management program included lower extremity and core therapeutic exercise, balance, gait, and assistive device training, and caregiver instruction in the form of a functional maintenance program (FMP) with focus on activities that activated the implicit memory system while emphasizing aspects of communication that are typically preserved in patients with dementia. After 4 weeks of twelve 30 minute sessions, the patient's Tinetti Assessment Tool score increased from 8/28 to 16/28 and Berg Balance Scale score from 7/56 to 19/56. The number of documented incident reports related to falls decreased from 2 to 0 in a 4-week period of time. On the International Classification of Functioning, Disability, and Health, the patient improved in 4 areas of the Impairments of Body Functions domain, in 12 areas of the Activity Limitations and Participation Restriction domain, and in 3 areas of the Environmental Factors domain. Positive functional outcomes were achieved through a modification of typical fall prevention interventions that took into consideration the patient's decreased cognition, communication deficits, and behavior problems.

Teton Dam flood of June 1976, Idaho Falls South quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Matthai, Howard F.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Idaho Falls South quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Idaho Falls North quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Matthai, Howard F.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Idaho Falls North quadrangle. (Woodard-USGS)

A modified fall risk assessment tool that is specific to physical function predicts falls in community-dwelling elderly people.

PubMed

Hirase, Tatsuya; Inokuchi, Shigeru; Matsusaka, Nobuou; Nakahara, Kazumi; Okita, Minoru

2014-01-01

Developing a practical fall risk assessment tool to predict the occurrence of falls in the primary care setting is important because investigators have reported deterioration of physical function associated with falls. Researchers have used many performance tests to predict the occurrence of falls. These performance tests predict falls and also assess physical function and determine exercise interventions. However, the need for such specialists as physical therapists to accurately conduct these tests limits their use in the primary care setting. Questionnaires for fall prediction offer an easy way to identify high-risk fallers without requiring specialists. Using an existing fall assessment questionnaire, this study aimed to identify items specific to physical function and determine whether those items were able to predict falls and estimate physical function of high-risk fallers. The analysis consisted of both retrospective and prospective studies and used 2 different samples (retrospective, n = 1871; prospective, n = 292). The retrospective study and 3-month prospective study comprised community-dwelling individuals aged 65 years or older and older adults using community day centers. The number of falls, risk factors for falls (15 risk factors on the questionnaire), and physical function determined by chair standing test (CST) and Timed Up and Go Test (TUGT) were assessed. The retrospective study selected fall risk factors related to physical function. The prospective study investigated whether the number of selected risk factors could predict falls. The predictive power was determined using the area under the receiver operating characteristic curve. Seven of the 15 risk factors were related to physical function. The area under the receiver operating characteristic curve for the sum of the selected risk factors of previous falls plus the other risk factors was 0.82 (P = .00). The best cutoff point was 4 risk factors, with sensitivity and specificity of 84% and 68%, respectively. The mean values for the CST and TUGT at the best cutoff point were 12.9 and 12.5 seconds, respectively. In the retrospective study, the values for the CST and TUGT corresponding to the best cutoff point from the prospective study were 13.2 and 11.4 seconds, respectively. This study confirms that a screening tool comprising 7 fall risk factors can be used to predict falls. The values for the CST and TUGT corresponding to the best cutoff point for the selected 7 risk factors determined in our prospective study were similar to the cutoff points for the CST and TUGT in previous studies for fall prediction. We propose that the sum of the selected risk factors of previous falls plus the other risk factors may be identified as the estimated value for physical function. These findings may contribute to earlier identification of high-risk fallers and intervention for fall prevention.

[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.

Exploring the Specifications of Spatial Adjacencies and Weights in Bayesian Spatial Modeling with Intrinsic Conditional Autoregressive Priors in a Small-area Study of Fall Injuries

PubMed Central

Law, Jane

2016-01-01

Intrinsic conditional autoregressive modeling in a Bayeisan hierarchical framework has been increasingly applied in small-area ecological studies. This study explores the specifications of spatial structure in this Bayesian framework in two aspects: adjacency, i.e., the set of neighbor(s) for each area; and (spatial) weight for each pair of neighbors. Our analysis was based on a small-area study of falling injuries among people age 65 and older in Ontario, Canada, that was aimed to estimate risks and identify risk factors of such falls. In the case study, we observed incorrect adjacencies information caused by deficiencies in the digital map itself. Further, when equal weights was replaced by weights based on a variable of expected count, the range of estimated risks increased, the number of areas with probability of estimated risk greater than one at different probability thresholds increased, and model fit improved. More importantly, significance of a risk factor diminished. Further research to thoroughly investigate different methods of variable weights; quantify the influence of specifications of spatial weights; and develop strategies for better defining spatial structure of a map in small-area analysis in Bayesian hierarchical spatial modeling is recommended. PMID:29546147

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : final report, technical summary

DOT National Transportation Integrated Search

1997-06-18

This document provides a technical summary for the seven working papers prepared for the New York State Department of Transportation (NYSDOT) Buffalo and Niagara Falls Intelligent Transportation System (ITS) Study.

Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.

PubMed

Drahota, Amy Kim; Ward, Derek; Udell, Julie E; Soilemezi, Dia; Ogollah, Reuben; Higgins, Bernard; Dean, Taraneh P; Severs, Martin

2013-09-01

falls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site allocated one bay as the 'study area', which was randomised via computer to intervention (8.3-mm thick Tarkett Omnisports EXCEL) or control (2-mm standard in situ flooring). Sites had an intervention period of 1 year. Anybody admitted to the study area was eligible. The primary outcome was the fall-related injury rate. Secondary outcomes were injury severity, fall rate and adverse events. during the intervention period, 226 participants were recruited to each group (219 and 223 were analysed in the intervention and control group, respectively). Of 35 falls (31 fallers) in the intervention group, 22.9% were injurious, compared with 42.4% of 33 falls (22 fallers) in the control group [injury incident rate ratio (IRR) = 0.58, 95% CI = 0.18-1.91]. There were no moderate or major injuries in the intervention group and six in the control group. The fall IRR was 1.07 (95% CI = 0.64-1.81). Staff at intervention sites raised concerns about pushing equipment, documenting one pulled back. future research should assess shock-absorbing flooring with better 'push/pull' properties and explore increased faller risk. We estimate a future trial will need 33,480-52,840 person bed-days per arm.

Occupational fall injuries presenting to the emergency department.

PubMed

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

2014-04-01

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

Disease state fingerprint for fall risk assessment.

PubMed

Similä, Heidi; Immonen, Milla

2014-01-01

Fall prevention is an important and complex multifactorial challenge, since one third of people over 65 years old fall at least once every year. A novel application of Disease State Fingerprint (DSF) algorithm is presented for holistic visualization of fall risk factors and identifying persons with falls history or decreased level of physical functioning based on fall risk assessment data. The algorithm is tested with data from 42 older adults, that went through a comprehensive fall risk assessment. Within the study population the Activities-specific Balance Confidence (ABC) scale score, Berg Balance Scale (BBS) score and the number of drugs in use were the three most relevant variables, that differed between the fallers and non-fallers. This study showed that the DSF visualization is beneficial in inspection of an individual's significant fall risk factors, since people have problems in different areas and one single assessment scale is not enough to expose all the people at risk.

Factors associated with occasional and recurrent falls in Mexican community-dwelling older people.

PubMed

Agudelo-Botero, Marcela; Giraldo-Rodríguez, Liliana; Murillo-González, Juana Catalina; Mino-León, Dolores; Cruz-Arenas, Esteban

2018-01-01

Falls are a frequent event among older adults that can cause wounds, disability, psychological disorders, and premature death. Although the large number of existing studies on the issue, few have been conducted in middle- and low-income countries. The objective of the present study is to identify the sociodemographic, medical, and functional performance factors associated with occasional and recurrent falls in Mexican older adults dwelling in community. Cross-sectional analysis of 9 598 adults ≥60 years old who participated in the fourth round (2015) of the Mexican Health and Aging Study. Bivariate tests were performed to evaluate the differences between covariates by distinct fall groups (no falls, occasional falls, and recurrent falls). Multiple logistic regressions with unadjusted and adjusted models were estimated. Approximately 46% of older adults had had at least one fall during the previous two years (one fall 16% and recurrent falls 30%). Occasional falls were only associated with being a woman; in addition to the sex, recurrent falls were strongly associated with advanced age, rural residence, bad and very bad self-perception of health status, activity-limiting pain, urinary incontinence, depression, arthritis, limitations in basic activities of daily living, and limitations in advanced activities of daily living. Falls, primarily recurrent falls, deserve to be addressed through multifactorial strategies that include different areas of intervention.

FRAT-up, a Web-based fall-risk assessment tool for elderly people living in the community.

PubMed

Cattelani, Luca; Palumbo, Pierpaolo; Palmerini, Luca; Bandinelli, Stefania; Becker, Clemens; Chesani, Federico; Chiari, Lorenzo

2015-02-18

About 30% of people over 65 are subject to at least one unintentional fall a year. Fall prevention protocols and interventions can decrease the number of falls. To be effective, a prevention strategy requires a prior step to evaluate the fall risk of the subjects. Despite extensive research, existing assessment tools for fall risk have been insufficient for predicting falls. The goal of this study is to present a novel web-based fall-risk assessment tool (FRAT-up) and to evaluate its accuracy in predicting falls, within a context of community-dwelling persons aged 65 and up. FRAT-up is based on the assumption that a subject's fall risk is given by the contribution of their exposure to each of the known fall-risk factors. Many scientific studies have investigated the relationship between falls and risk factors. The majority of these studies adopted statistical approaches, usually providing quantitative information such as odds ratios. FRAT-up exploits these numerical results to compute how each single factor contributes to the overall fall risk. FRAT-up is based on a formal ontology that enlists a number of known risk factors, together with quantitative findings in terms of odds ratios. From such information, an automatic algorithm generates a rule-based probabilistic logic program, that is, a set of rules for each risk factor. The rule-based program takes the health profile of the subject (in terms of exposure to the risk factors) and computes the fall risk. A Web-based interface allows users to input health profiles and to visualize the risk assessment for the given subject. FRAT-up has been evaluated on the InCHIANTI Study dataset, a representative population-based study of older persons living in the Chianti area (Tuscany, Italy). We compared reported falls with predicted ones and computed performance indicators. The obtained area under curve of the receiver operating characteristic was 0.642 (95% CI 0.614-0.669), while the Brier score was 0.174. The Hosmer-Lemeshow test indicated statistical significance of miscalibration. FRAT-up is a web-based tool for evaluating the fall risk of people aged 65 or up living in the community. Validation results of fall risks computed by FRAT-up show that its performance is comparable to externally validated state-of-the-art tools. A prototype is freely available through a web-based interface. ClinicalTrials.gov NCT01331512 (The InChianti Follow-Up Study); http://clinicaltrials.gov/show/NCT01331512 (Archived by WebCite at http://www.webcitation.org/6UDrrRuaR).

The nurse as bricoleur in falls prevention: learning from a case study of the implementation of fall prevention best practices.

PubMed

Kirkpatrick, Helen; Boblin, Sheryl; Ireland, Sandra; Robertson, Kim

2014-04-01

Falls prevention in "real-life" clinical practice is a complex undertaking. Nurses play an active and essential role in falls prevention. This discussion paper presents a picture of the nurse as a bricoleur in falls prevention, requiring knowledge in many areas and the ability to perform multiple diverse tasks. Building on a qualitative case study with nurses at various levels in three acute care facilities, this paper posits that the concept of nurse as bricoleur has the potential to broaden our understanding of the complexity of falls prevention. The nurse as bricoleur within the Promoting Action Research in Health Services framework as the provider of person- or patient-centered evidence-based care is conceptualized. Within this framework, the nurse uses his or her professional knowledge or clinical experience while considering research, local data, and information, and the patient's experience and preferences to provide this care, the bricolage. Each of these areas is discussed as well as the impact on the nurse when a fall does occur. Recognizing this complexity of the nurses' world has important implications for both service delivery and education, including preparation of students, and the implementation of new organizational initiatives and supports for nurses when falls do occur despite the best efforts of all involved. © 2014 Sigma Theta Tau International.

Study on Gas-liquid Falling Film Flow in Internal Heat Integrated Distillation Column

NASA Astrophysics Data System (ADS)

Liu, Chong

2017-10-01

Gas-liquid internally heat integrated distillation column falling film flow with nonlinear characteristics, study on gas liquid falling film flow regulation control law, can reduce emissions of the distillation column, and it can improve the quality of products. According to the distribution of gas-liquid mass balance internally heat integrated distillation column independent region, distribution model of heat transfer coefficient of building internal heat integrated distillation tower is obtained liquid distillation falling film flow in the saturated vapour pressure of liquid water balance, using heat transfer equation and energy equation to balance the relationship between the circulating iterative gas-liquid falling film flow area, flow parameter information, at a given temperature, pressure conditions, gas-liquid flow falling film theory makes the optimal parameters to achieve the best fitting value with the measured values. The results show that the geometric gas-liquid internally heat integrated distillation column falling film flow heat exchange area and import column thermostat, the average temperature has significant. The positive correlation between the heat exchanger tube entrance due to temperature difference between inside and outside, the heat flux is larger, with the increase of internal heat integrated distillation column temperature, the slope decreases its temperature rise, which accurately describes the internal gas-liquid heat integrated distillation tower falling film flow regularity, take appropriate measures to promote the enhancement of heat transfer. It can enhance the overall efficiency of the heat exchanger.

The MOBILIZE Boston Study: design and methods of a prospective cohort study of novel risk factors for falls in an older population.

PubMed

Leveille, Suzanne G; Kiel, Douglas P; Jones, Richard N; Roman, Anthony; Hannan, Marian T; Sorond, Farzaneh A; Kang, Hyun G; Samelson, Elizabeth J; Gagnon, Margaret; Freeman, Marcie; Lipsitz, Lewis A

2008-07-18

Falls are the sixth leading cause of death in elderly people in the U.S. Despite progress in understanding risk factors for falls, many suspected risk factors have not been adequately studied. Putative risk factors for falls such as pain, reductions in cerebral blood flow, somatosensory deficits, and foot disorders are poorly understood, in part because they pose measurement challenges, particularly for large observational studies. The MOBILIZE Boston Study (MBS), an NIA-funded Program Project, is a prospective cohort study of a unique set of risk factors for falls in seniors in the Boston area. Using a door-to-door population-based recruitment, we have enrolled 765 persons aged 70 and older. The baseline assessment was conducted in 2 segments: a 3-hour home interview followed within 4 weeks by a 3-hour clinic examination. Measures included pain, cerebral hemodynamics, and foot disorders as well as established fall risk factors. For the falls follow-up, participants return fall calendar postcards to the research center at the end of each month. Reports of falls are followed-up with a telephone interview to assess circumstances and consequences of each fall. A second assessment is performed 18 months following baseline. Of the 2382 who met all eligibility criteria at the door, 1616 (67.8%) agreed to participate and were referred to the research center for further screening. The primary reason for ineligibility was inability to communicate in English. Results from the first 600 participants showed that participants are largely representative of seniors in the Boston area in terms of age, sex, race and Hispanic ethnicity. The average age of study participants was 77.9 years (s.d. 5.5) and nearly two-thirds were women. The study cohort was 78% white and 17% black. Many participants (39%) reported having fallen at least once in the year before baseline. Our results demonstrate the feasibility of conducting comprehensive assessments, including rigorous physiologic measurements, in a diverse population of older adults to study non-traditional risk factors for falls and disability. The MBS will provide an important new data resource for examining novel risk factors for falls and mobility problems in the older population.

Eccentric versus traditional resistance exercise for older adult fallers in the community: a randomized trial within a multi-component fall reduction program.

PubMed

LaStayo, Paul; Marcus, Robin; Dibble, Leland; Wong, Bob; Pepper, Ginette

2017-07-17

Addressing muscle deficits within a multi-component exercise fall reduction program is a priority, especially for the highest risk older adults, i.e., those who have fallen previously. Eccentric resistance exercise with its high-force producing potential, at a low energetic cost, may be ideally-suited to address muscle impairments in this population. The purpose of this study was to compare the effects of resistance exercise via negative, eccentrically-induced, work (RENEW) versus traditional (TRAD) resistance exercise on mobility, balance confidence, muscle power and cross sectional area, as well as the number of days high fall risk older adults survived without a fall event over a 1 year period. Randomized, two group, four time point (over 1 year) clinical trial testing RENEW versus TRAD as part of a 3 month multi-component exercise fall reduction program (MCEFRP). Primary outcomes of mobility, balance confidence, muscle power output and cross sectional area were analyzed using mixed effects modeling. The secondary outcomes of days to fall and days to near-fall were analyzed using survival analysis. The MCEFRP did have an effect on fall risk factors considered reversible with exercise interventions though there was no differential effect of RENEW versus TRAD (p = 0.896) on mobility, balance confidence, muscle power and cross sectional area. There were also no group differences in the number of days survived without a fall (p = 0.565) or near-fall (p = 0.678). Despite 100% of participants having at least one fall in the year prior to the MCEFRP, however, after 3 months of exercise and 9 months of follow-up <50% had experienced a fall or near fall. There were no differential effects of RENEW or TRAD as components of a MCEFRP on the primary or secondary outcomes. The two modes of resistance exercise had identical effects on fall risk and fall-free survival. NCT01080196 ; March 2, 2010 (retrospectively registered).

Changes in seasonality and timing of peak streamflow in snow and semi-arid climates of the north-central United States, 1910–2012

USGS Publications Warehouse

Ryberg, Karen R.; Akyüz, F. Adnan; Wiche, Gregg J.; Lin, Wei

2015-01-01

Changes in the seasonality and timing of annual peak streamflow in the north-central USA are likely because of changes in precipitation and temperature regimes. A source of long-term information about flood events across the study area is the U.S. Geological Survey peak streamflow database. However, one challenge of answering climate-related questions with this dataset is that even in snowmelt-dominated areas, it is a mixed population of snowmelt/spring rain generated peaks and summer/fall rain generated peaks. Therefore, a process was developed to divide the annual peaks into two populations, or seasons, snowmelt/spring, and summer/fall. The two series were then tested for the hypotheses that because of changes in precipitation regimes, the odds of summer/fall peaks have increased and, because of temperature changes, snowmelt/spring peaks happen earlier. Over climatologically and geographically similar regions in the north-central USA, logistic regression was used to model the odds of getting a summer/fall peak. When controlling for antecedent wet and dry conditions and geographical differences, the odds of summer/fall peaks occurring have increased across the study area. With respect to timing within the seasons, trend analysis showed that in northern portions of the study region, snowmelt/spring peaks are occurring earlier. The timing of snowmelt/spring peaks in three regions in the northern part of the study area is earlier by 8.7– 14.3 days. These changes have implications for water interests, such as potential changes in lead-time for flood forecasting or changes in the operation of flood-control dams.

Mobility assessment: Sensitivity and specificity of measurement sets in older adults

PubMed Central

Panzer, Victoria P.; Wakefield, Dorothy B.; Hall, Charles B.; Wolfson, Leslie I.

2011-01-01

Objective To identify quantitative measurement variables that characterize mobility in older adults, meet reliability and validity criteria, distinguish fall-risk and predict future falls. Design Observational study with 1-year weekly falls follow-up Setting Mobility laboratory Participants Community-dwelling volunteers (n=74; 65–94 years old) categorized at entry as 27 ‘Non-fallers’ or 47 ‘Fallers’ by Medicare criteria (1 injury fall or >1 non-injury falls in the previous year). Interventions None Outcome Measures Test-retest and within-subject reliability, criterion and concurrent validity; predictive ability indicated by observed sensitivity and specificity to entry fall-risk group (Falls-status), Tinetti Performance Oriented Mobility Assessment (POMA), Computerized Dynamic Posturography Sensory Organization Test (SOT) and subsequent falls reported weekly. Results Measurement variables were selected that met reliability (ICC > 0.6) and/or discrimination (p<.01) criteria (Clinical variables- Turn- steps, time, Gait- velocity, Step-in-tub-time, and Downstairs- time; Force plate variables- Quiet standing Romberg ratio sway-area, Maximal lean- anterior-posterior excursion, Sit-to-stand medial-lateral excursion and sway-area). Sets were created (3 clinical, 2 force plate) utilizing combinations of variables appropriate for older adults with different functional activity levels and composite scores were calculated. Scores identified entry Falls-status and concurred with POMA and SOT. The Full clinical set (5 measurement variables) produced sensitivity/specificity (.80/.74) to Falls-status. Composite scores were sensitive and specific in predicting subsequent injury falls and multiple falls compared to Falls-status, POMA or SOT. Conclusions Sets of quantitative measurement variables obtained with this mobility battery provided sensitive prediction of future injury falls and screening for multiple subsequent falls using tasks that should be appropriate to diverse participants. PMID:21621667

Factors associated with occasional and recurrent falls in Mexican community-dwelling older people

PubMed Central

Mino-León, Dolores; Cruz-Arenas, Esteban

2018-01-01

Falls are a frequent event among older adults that can cause wounds, disability, psychological disorders, and premature death. Although the large number of existing studies on the issue, few have been conducted in middle- and low-income countries. The objective of the present study is to identify the sociodemographic, medical, and functional performance factors associated with occasional and recurrent falls in Mexican older adults dwelling in community. Cross-sectional analysis of 9 598 adults ≥60 years old who participated in the fourth round (2015) of the Mexican Health and Aging Study. Bivariate tests were performed to evaluate the differences between covariates by distinct fall groups (no falls, occasional falls, and recurrent falls). Multiple logistic regressions with unadjusted and adjusted models were estimated. Approximately 46% of older adults had had at least one fall during the previous two years (one fall 16% and recurrent falls 30%). Occasional falls were only associated with being a woman; in addition to the sex, recurrent falls were strongly associated with advanced age, rural residence, bad and very bad self-perception of health status, activity-limiting pain, urinary incontinence, depression, arthritis, limitations in basic activities of daily living, and limitations in advanced activities of daily living. Falls, primarily recurrent falls, deserve to be addressed through multifactorial strategies that include different areas of intervention. PMID:29462159

75 FR 1587 - Medford-Park Falls Ranger District, Chequamegon-Nicolet National Forest, Park Falls Hardwoods...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-12

... corresponding alternatives within the Park Falls Hardwoods project area. The primary purpose of this proposal is... maintained or recreated. The primary purpose of the Park Falls Hardwoods proposal is to implement activities... reduce the amount of early successional species (primarily aspen) within the project area. For MA 2B...

Falling Less in Kansas: Development of a Fall Risk Reduction Toolkit

PubMed Central

Radebaugh, Teresa S.; Bahner, Candace A.; Ballard-Reisch, Deborah; Epp, Michael; Hale, LaDonna S.; Hanley, Rich; Kendrick, Karen; Rogers, Michael E.; Rogers, Nicole L.

2011-01-01

Falls are a serious health risk for older adults. But for those living in rural and frontier areas of the USA, the risks are higher because of limited access to health care providers and resources. This study employed a community-based participatory research approach to develop a fall prevention toolkit to be used by residents of rural and frontier areas without the assistance of health care providers. Qualitative data were gathered from both key informant interviews and focus groups with a broad range of participants. Data analysis revealed that to be effective and accepted, the toolkit should be not only evidence based but also practical, low-cost, self-explanatory, and usable without the assistance of a health care provider. Materials must be engaging, visually interesting, empowering, sensitive to reading level, and appropriate for low-vision users. These findings should be useful to other researchers developing education and awareness materials for older adults in rural areas. PMID:21941655

FRAT-up, a Web-based Fall-Risk Assessment Tool for Elderly People Living in the Community

PubMed Central

Cattelani, Luca; Palumbo, Pierpaolo; Palmerini, Luca; Bandinelli, Stefania; Becker, Clemens; Chiari, Lorenzo

2015-01-01

Background About 30% of people over 65 are subject to at least one unintentional fall a year. Fall prevention protocols and interventions can decrease the number of falls. To be effective, a prevention strategy requires a prior step to evaluate the fall risk of the subjects. Despite extensive research, existing assessment tools for fall risk have been insufficient for predicting falls. Objective The goal of this study is to present a novel web-based fall-risk assessment tool (FRAT-up) and to evaluate its accuracy in predicting falls, within a context of community-dwelling persons aged 65 and up. Methods FRAT-up is based on the assumption that a subject’s fall risk is given by the contribution of their exposure to each of the known fall-risk factors. Many scientific studies have investigated the relationship between falls and risk factors. The majority of these studies adopted statistical approaches, usually providing quantitative information such as odds ratios. FRAT-up exploits these numerical results to compute how each single factor contributes to the overall fall risk. FRAT-up is based on a formal ontology that enlists a number of known risk factors, together with quantitative findings in terms of odds ratios. From such information, an automatic algorithm generates a rule-based probabilistic logic program, that is, a set of rules for each risk factor. The rule-based program takes the health profile of the subject (in terms of exposure to the risk factors) and computes the fall risk. A Web-based interface allows users to input health profiles and to visualize the risk assessment for the given subject. FRAT-up has been evaluated on the InCHIANTI Study dataset, a representative population-based study of older persons living in the Chianti area (Tuscany, Italy). We compared reported falls with predicted ones and computed performance indicators. Results The obtained area under curve of the receiver operating characteristic was 0.642 (95% CI 0.614-0.669), while the Brier score was 0.174. The Hosmer-Lemeshow test indicated statistical significance of miscalibration. Conclusions FRAT-up is a web-based tool for evaluating the fall risk of people aged 65 or up living in the community. Validation results of fall risks computed by FRAT-up show that its performance is comparable to externally validated state-of-the-art tools. A prototype is freely available through a web-based interface. Trial Registration ClinicalTrials.gov NCT01331512 (The InChianti Follow-Up Study); http://clinicaltrials.gov/show/NCT01331512 (Archived by WebCite at http://www.webcitation.org/6UDrrRuaR). PMID:25693419

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.

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : strategic plan, working paper #7

DOT National Transportation Integrated Search

1997-06-18

This document has been prepared as part of the New York State Department of Transportation (NYSDOT) Buffalo and Niagara Falls Intelligent Transportation System Study. This working paper utilizes input from the previous working papers to generate an o...

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : final report, executive summary

DOT National Transportation Integrated Search

1997-06-18

The primary goals of the Buffalo/Niagara Falls Intelligent Transportation System (ITS) study are to evaluate the transportation needs of the region, assess the ability of ITS to meet those needs and develop a Strategic Plan for ITS implementation.

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : system architecture, working paper #5

DOT National Transportation Integrated Search

1997-06-18

This document has been prepared as part of the New York State Department of Transportation (NYSDOT) Buffalo and Niagara Falls Intelligent Transportation System Study. Working Paper #5 defines the conceptual system architecture that applies to the reg...

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : transportation systems and deficiencies, working paper #1

DOT National Transportation Integrated Search

1997-06-18

This document has been prepared as part of the New York State Department of Transportation (NYSDOT) Buffalo and Niagara Falls Intelligent Transportation Systems Study. The primary objective of this working paper is to define and document transportati...

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

Programs and Place: Risk and Asset Mapping for Fall Prevention

PubMed Central

Smith, Matthew Lee; Towne, Samuel D.; Motlagh, Audry S.; Smith, Donald R.; Boolani, Ali; Horel, Scott A.; Ory, Marcia G.

2017-01-01

Identifying ways to measure access, availability, and utilization of health-care services, relative to at-risk areas or populations, is critical in providing practical and actionable information to key stakeholders. This study identified the prevalence and geospatial distribution of fall-related emergency medical services (EMS) calls in relation to the delivery of an evidence-based fall prevention program in Tarrant County, Texas over a 3-year time period. It aims to educate public health professionals and EMS first respondents about the application of geographic information system programs to identify risk-related “hot spots,” service gaps, and community assets to reduce falls among older adults. On average, 96.09 (±108.65) calls were received per ZIP Code (ranging from 0 calls to 386 calls). On average, EMS calls per ZIP Code increased from 30.80 (±34.70) calls in 2009 to 33.75 (±39.58) calls in 2011, which indicate a modest annual call increase over the 3-year study period. The percent of ZIP Codes offering A Matter of Balance/Volunteer Lay Leader Model (AMOB/VLL) workshops increased from 27.3% in 2009 to 34.5% in 2011. On average, AMOB/VLL workshops were offered in ZIP Codes with more fall-related EMS calls over the 3-year study period. Findings suggest that the study community was providing evidence-based fall prevention programming (AMOB/VLL workshops) in higher-risk areas. Opportunities for strategic service expansion were revealed through the identification of fall-related hot spots and asset mapping. PMID:28361049

Effects of a randomized controlled recurrent fall prevention program on risk factors for falls in frail elderly living at home in rural communities.

PubMed

Jeon, Mi Yang; Jeong, HyeonCheol; Petrofsky, Jerrold; Lee, Haneul; Yim, JongEun

2014-11-14

Falling can lead to severe health issues in the elderly and importantly contributes to morbidity, death, immobility, hospitalization, and early entry to long-term care facilities. The aim of this study was to devise a recurrent fall prevention program for elderly women in rural areas. This study adopted an assessor-blinded, randomized, controlled trial methodology. Subjects were enrolled in a 12-week recurrent fall prevention program, which comprised strength training, balance training, and patient education. Muscle strength and endurance of the ankles and the lower extremities, static balance, dynamic balance, depression, compliance with preventive behavior related to falls, fear of falling, and fall self-efficacy at baseline and immediately after the program were assessed. Sixty-two subjects (mean age 69.2±4.3 years old) completed the program--31 subjects in the experimental group and 31 subjects in the control group. When the results of the program in the 2 groups were compared, significant differences were found in ankle heel rise test, lower extremity heel rise test, dynamic balance, depression, compliance with fall preventative behavior, fear of falling, and fall self-efficacy (p<0.05), but no significant difference was found in static balance. This study shows that the fall prevention program described effectively improves muscle strength and endurance, balance, and psychological aspects in elderly women with a fall history.

Summary of Temperature Data Collected to Improve Emergence Timing Estimates for Chum and Fall Chinook Salmon in the Lower Columbia River, 1998-2004 Progress Report.

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

Arntzen, E.; Geist, D.; Hanrahan, T.

2005-10-01

From 1999 through 2004, Pacific Northwest National Laboratory collected temperature data from within chum and fall Chinook salmon spawning gravels and the overlying river at 21 locations in the Ives Island area approximately 5 km downstream from Bonneville Dam. Sample locations included areas where riverbed temperatures were elevated, potentially influencing alevin development and emergence timing. The study objectives were to (1) collect riverbed and river temperature data each year from the onset of spawning (October) to the end of emergence (June) and (2) provide those data in-season to fisheries management agencies to assist with fall Chinook and chum salmon emergencemore » timing estimates. Three systems were used over the life of the study. The first consisted of temperature sensors deployed inside piezometers that were screened to the riverbed or the river within chum and fall Chinook salmon spawning areas. These sensors required direct access by staff to download data and were difficult to recover during high river discharge. The second system consisted of a similar arrangement but with a wire connecting the thermistor to a data logger attached to a buoy at the water surface. This system allowed for data retrieval at high river discharge but proved relatively unreliable. The third system consisted of temperature sensors installed in piezometers such that real-time data could be downloaded remotely via radio telemetry. After being downloaded, data were posted hourly on the Internet. Several times during the emergence season of each year, temperature data were downloaded manually and provided to management agencies. During 2003 and 2004, the real-time data were made available on the Internet to assist with emergence timing estimates. Examination of temperature data reveals several important patterns. Piezometer sites differ in the direction of vertical flow between surface and subsurface water. Bed temperatures in upwelling areas are more stable during salmon spawning and incubation than they are in downwelling areas. Bed temperatures in downwelling areas generally reflect river temperatures. Chum and fall Chinook salmon spawning is spatially segregated, with chum salmon in upwelling areas and fall Chinook salmon in downwelling areas. Although these general patterns remain similar among the years during which data were collected, differences also exist that are dependent on interannual flow characteristics.« less

Postural stability and history of falls in cognitively able older adults: the Canton Ticino study.

PubMed

Merlo, Andrea; Zemp, Damiano; Zanda, Enrica; Rocchi, Sabrina; Meroni, Fabiano; Tettamanti, Mauro; Recchia, Angela; Lucca, Ugo; Quadri, Pierluigi

2012-09-01

Falls are common events in the elderly and represent the main risk factor for fractures and other injuries. Strategies for fall prevention rely on the multifactorial assessment of the risk of falling. The contribution of instrumented balance assessment to the prediction of falls remains unclear in the literature. In this study, we analyzed the association between the fall-history of a wide sample of older people without dementia and the values of a set of posturographic parameters acquired in different visual, proprioceptive and mental conditions. A consecutive sample of 130 cognitively able elderly subjects, age≥70 years, was analyzed. Based on their fall-history in the last year, subjects were categorized into non-fallers (NF), fallers (F) and recurrent fallers (RF>2 falls). Each subject was assessed by measurements of cognition and functional ability. Static posturography tests were performed in five conditions: with eyes open/close (EO/EC) on a firm/compliant (FS/CS) surface and while performing a cognitive task. The center of pressure (COP) mean position referred to the mid-point of the heels, area of the 95% confidence ellipse, sway mean velocities and RMS displacements in the antero-posterior (AP) and medio-lateral (ML) directions were computed and their association with the fall-history was assessed. The mean position of the COP in the AP direction and the confidence ellipse area were associated with the fall-history in the EOFS, ECFS and EOCS conditions (P<0.05). RMS displacements were also associated with the fall-history in the EOCS condition (P<0.05). Significant group differences (P<0.05) were found in the EOCS conditions, which greatly enhanced the differences among NF, F and RF. The ability to control balance while standing with eyes open on a compliant surface showed a high degree of association with the fall-history of older people with no or mild cognitive impairment. Copyright © 2012 Elsevier B.V. All rights reserved.

Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawtscha) Near Ives and Pierce Island of the Columbia River, 2002-2003 Annual Report.

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

Mueller, Robert

2003-09-01

Pacific Northwest National Laboratory conducted video-based boat surveys to identify fall chinook salmon (Oncorhynchus tshawytscha) spawning areas located in deep water (>1 m) downstream of Bonneville Dam in the fall of 2002. This report documents the number and extent of chinook salmon spawning near Ives and Pierce Islands of the Columbia River, and is the fourth in a series of reports prepared since 1999. The main objective of this study was to find deepwater spawning locations of fall chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates ofmore » adult spawners in the surveyed area. The secondary objective was to document the occurrence of any chum salmon (O. keta) redds located in the deeper sections near below Hamilton Creek. There was a significant increase in the number of fall chinook salmon redds found in the locations surveyed during the 2002 surveys when compared to previous surveys by Pacific Northwest National Laboratory. A total of 192 redds were found in two general locations adjacent to Pierce Island (river km 228.5) encompassing an area of approximately 9.31 ha. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 15, 2002. An estimated 1,768 fall chinook salmon redds at water depths exceeding {approx}1.m ({approx} 125 kcfs) were documented in 2002. This estimate is the expanded number based on the number of redds found within the pre-defined survey area. Fall chinook salmon redds were found at water depths from 0.9 to 8.5 m and were constructed in gravel to large cobble ranging in size from 4.83 to 13.4 cm in diameter. No chum salmon redds were found in areas surveyed during 2002, although several carcasses were found at the mouth of Woodward Creek and in the deeper sections below Hamilton Creek.« less

Investigation and hazard assessment of the 2003 and 2007 Staircase Falls rock falls, Yosemite National Park, California, USA

USGS Publications Warehouse

Wieczorek, G.F.; Stock, Gregory M.; Reichenbach, P.; Snyder, J.B.; Borchers, J.W.; Godt, J.W.

2008-01-01

Since 1857 more than 600 rock falls, rock slides, debris slides, and debris flows have been documented in Yosemite National Park, with rock falls in Yosemite Valley representing the majority of the events. On 26 December 2003, a rock fall originating from west of Glacier Point sent approximately 200 m 3 of rock debris down a series of joint-controlled ledges to the floor of Yosemite Valley. The debris impacted talus near the base of Staircase Falls, producing fragments of flying rock that struck occupied cabins in Curry Village. Several years later on 9 June 2007, and again on 26 July 2007, smaller rock falls originated from the same source area. The 26 December 2003 event coincided with a severe winter storm and was likely triggered by precipitation and/or frost wedging, but the 9 June and 26 July 2007 events lack recognizable triggering mechanisms. We investigated the geologic and hydrologic factors contributing to the Staircase Falls rock falls, including bedrock lithology, weathering, joint spacing and orientations, and hydrologic processes affecting slope stability. We improved upon previous geomorphic assessment of rock-fall hazards, based on a shadow angle approach, by using STONE, a three-dimensional rock-fall simulation computer program. STONE produced simulated rock-fall runout patterns similar to the mapped extent of the 2003 and 2007 events, allowing us to simulate potential future rock falls from the Staircase Falls detachment area. Observations of recent rock falls, mapping of rock debris, and simulations of rock fall runouts beneath the Staircase Falls detachment area suggest that rock-fall hazard zones extend farther downslope than the extent previously defined by mapped surface talus deposits.

Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawytscha) near Ives and Pierce Island of the Columbia River, 2004-2005 Annual Report.

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

Mueller, Robert

2005-10-01

Pacific Northwest National Laboratory conducted video-based boat surveys to identify fall Chinook salmon (Oncorhynchus tshawytscha) spawning areas located in deep water (greater than 1 m) downstream of Bonneville Dam in fall 2004. This report documents the number and extent of Chinook salmon spawning near Ives and Pierce Islands of the Columbia River and is the sixth in a series of reports prepared since 1999. The main objectives of this study were to find deepwater spawning locations of fall Chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates ofmore » adult spawners in the surveyed area. The primary search area was adjacent to the upper portion of Pierce Island, and the secondary search zone was downstream of this area near the lower portion of Pierce Island. A secondary objective was to document the occurrence of any chum salmon (O. keta) redds in the deeper sections downstream of Hamilton Creek (slough zone search area). Fall Chinook salmon redd numbers were down slightly from the record number found during 2003. The number of fall Chinook redds found in the Ives-Pierce Island complex (river km 228.5) during 2004 was 293, which does not include the number of shallow water redds found by visual observation by boat by the Oregon Department of Fish and Wildlife. The redds encompassed an area of 14.6 ha occurring adjacent to the lower part of Ives Island and Pierce Island. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 16, 2004. An expanded redd count based on percentage video coverage in the primary and secondary search zones was 3,198 fall Chinook salmon redds at water depths exceeding approximately 1.0 m (approximately 125 kcfs) with an estimated spawning population of 10,800. Fall Chinook salmon redds were found at water depths from 1.07 to 7.6 m and were constructed predominantly of medium cobbles ranging in size from 7.6 to 15.2 cm in diameter. Near-bed water velocity readings taken in the secondary search ranged from 0.04 to 0.98 m/s (median 0.45 m/s). No chum salmon redds were found in a limited area within the relatively deeper sections of Hamilton Slough below Hamilton Creek. No additional salmon or chum redds were found in other areas searched, including near Woodward, Tanner, and McCord Creeks.« less

Home Safety, Safe Behaviors of Elderly People, and Fall Accidents At Home

ERIC Educational Resources Information Center

Erkal, Sibel

2010-01-01

The present study analyzed home safety and safe behaviors against fall accidents of elderly people living at home. The study group comprised 121 people aged 65+ living in the catchment area of Ankara Mamak Halil Ulgen Health Center. Data were collected via a personal information form and Home-Screen Scale. Statistical analysis used an independent…

Fall survival of American woodcock in the western Great Lakes Region

USGS Publications Warehouse

John G. Bruggink,; Eileen J. Oppelt,; Kevin Doherty,; Andersen, David E.; Jed Meunier,; R. Scott Lutz,

2013-01-01

We estimated fall (10 Sep–8 Nov) survival rates, cause-specific mortality rates, and determined the magnitude and sources of mortality of 1,035 radio-marked American woodcock (Scolopax minor) in Michigan, Minnesota, and Wisconsin during 2001–2004. In all 3 states, we radio-marked woodcock on paired study areas; 1 of which was open to hunting and expected to receive moderate to high hunter use and the other of which was either closed to hunting (Michigan and Minnesota) or was relatively inaccessible to hunters (Wisconsin). We used Program MARK to estimate fall survival rates, to evaluate a set of candidate models to examine the effects of hunting and several covariates (sex, age, year, state) on survival, and to examine the relationship between survival rates and kill rates due to hunting. Hunting accounted for 70% of the 86 woodcock deaths in the hunted areas, followed by predation (20%) and various other sources of mortality (10%). Woodcock deaths that occurred in the non-hunted and lightly hunted areas (n = 50) were caused by predators (46%), hunting (32%), and various other sources (22%). Based on small-sample corrected Akaike's Information Criterion values, variation in fall survival of woodcock was best explained by treatment (i.e., hunted vs. non-hunted), year, and period (pre-hunting season intervals vs. hunting season intervals). The average fall survival estimate from our best model for woodcock in the non-hunted areas (0.893, 95% CI = 0.864–0.923) was greater than the average for the hunted areas (0.820, 95% CI = 0.786–0.854 [this estimate includes data from the lightly hunted area in Wisconsin]), and the average treatment effect (i.e., greater survival rates in non-hunted areas) was 0.074 (95% CI = 0.018–0.129). The kill rate due to hunting was 0.120 (95% CI = 0.090–0.151) when data were pooled among states and years. We detected a negative relationship between hunting kill rates and survival in our hunted areas, which suggests that hunting mortality was at least partially additive during fall. Our results illustrate the influence of hunting relative to other sources of mortality in Michigan, Minnesota, and Wisconsin, and indicate that managers may be able to influence fall survival rates by manipulating hunting regulations or access on public land.

Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study.

PubMed

Kendall, Julie C; Hvid, Lars G; Hartvigsen, Jan; Fazalbhoy, Azharuddin; Azari, Michael F; Skjødt, Mathias; Robinson, Stephen R; Caserotti, Paolo

2017-12-11

In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain. This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain. 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain. Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling. Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.

Effects of a Randomized Controlled Recurrent Fall Prevention Program on Risk Factors for Falls in Frail Elderly Living at Home in Rural Communities

PubMed Central

Jeon, Mi Yang; Jeong, HyeonCheol; Petrofsky, Jerrold; Lee, Haneul; Yim, JongEun

2014-01-01

Background Falling can lead to severe health issues in the elderly and importantly contributes to morbidity, death, immobility, hospitalization, and early entry to long-term care facilities. The aim of this study was to devise a recurrent fall prevention program for elderly women in rural areas. Material/Methods This study adopted an assessor-blinded, randomized, controlled trial methodology. Subjects were enrolled in a 12-week recurrent fall prevention program, which comprised strength training, balance training, and patient education. Muscle strength and endurance of the ankles and the lower extremities, static balance, dynamic balance, depression, compliance with preventive behavior related to falls, fear of falling, and fall self-efficacy at baseline and immediately after the program were assessed. Sixty-two subjects (mean age 69.2±4.3 years old) completed the program – 31 subjects in the experimental group and 31 subjects in the control group. Results When the results of the program in the 2 groups were compared, significant differences were found in ankle heel rise test, lower extremity heel rise test, dynamic balance, depression, compliance with fall preventative behavior, fear of falling, and fall self-efficacy (p<0.05), but no significant difference was found in static balance. Conclusions This study shows that the fall prevention program described effectively improves muscle strength and endurance, balance, and psychological aspects in elderly women with a fall history. PMID:25394805

Epidemiological survey of quantitative ultrasound in risk assessment of falls in middle-aged and elderly people.

PubMed

Ou, Ling-Chun; Sun, Zih-Jie; Chang, Yin-Fan; Chang, Chin-Sung; Chao, Ting-Hsing; Kuo, Po-Hsiu; Lin, Ruey-Mo; Wu, Chih-Hsing

2013-01-01

The risk assessment of falls is important, but still unsatisfactory and time-consuming. Our objective was to assess quantitative ultrasound (QUS) in the risk assessment of falls. Our study was designed as epidemiological cross-sectional study occurring from March 2009 to February 2010 by community survey at a medical center. The participants were collected from systemic sample of 1,200 community-dwelling people (Male/Female = 524/676) 40 years old and over in Yunlin County, Mid-Taiwan. Structural questionnaires including socioeconomic status, living status, smoking and drinking habits, exercise and medical history were completed. Quantitative ultrasound (QUS) at the non-dominant distal radial area (QUS-R) and the left calcaneal area (QUS-C) were measured. The overall prevalence of falls was 19.8%. In men, the independently associated factors for falls were age (OR: 1.04; 95%CI: 1.01~1.06), fracture history (OR: 1.89; 95%CI: 1.12~3.19), osteoarthritis history (OR: 3.66; 95%CI: 1.15~11.64) and speed of sound (OR: 0.99; 95%CI: 0.99~1.00; p<0.05) by QUS-R. In women, the independently associated factors for falls were current drinking (OR: 3.54; 95%CI: 1.35∼9.31) and broadband ultrasound attenuation (OR: 0.98; 95%CI: 0.97~0.99; p<0.01) by QUS-C. The cutoffs at -2.5< T-score<-1 derived using QUS-R (OR: 2.85; 95%CI: 1.64~4.96; p<0.01) in men or T-score ≦-2.5 derived using QUS-C (OR: 2.72; 95%CI: 1.42~5.21; p<0.01) in women showed an independent association with falls. The lowest T-score derived using either QUS-R or QUS-C was also revealed as an independent factor for falls in both men (OR: 2.13; 95%CI: 1.03~4.43; p<0.05) and women (OR: 2.36; 95%CI: 1.13~4.91; p<0.05). Quantitative ultrasounds, measured either at the radial or calcaneal area, are convenient tools by which to assess the risk of falls in middle-aged and elderly people.

Hazardous Waste Cleanup: General Electric - Hudson Falls in Hudson Falls, New York

EPA Pesticide Factsheets

This 25-acre site is within an area of residential and industrial zoning in the Village of Hudson Falls. The site is generally flat, but has a near-vertical drop to the Hudson River along its western boundary. The facility has been divided into four areas

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

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

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

The Diagnostic Accuracy of the Berg Balance Scale in Predicting Falls.

PubMed

Park, Seong-Hi; Lee, Young-Shin

2017-11-01

This study aimed to evaluate the predictive validity of the Berg Balance Scale (BBS) as a screening tool for fall risks among those with varied levels of balance. A total of 21 studies reporting predictive validity of the BBS of fall risk were meta-analyzed. With regard to the overall predictive validity of the BBS, the pooled sensitivity and specificity were 0.72 and 0.73, respectively; the accuracy curve area was 0.84. The findings showed statistical heterogeneity among studies. Among the sub-groups, the age group of those younger than 65 years, those with neuromuscular disease, those with 2+ falls, and those with a cutoff point of 45 to 49 showed better sensitivity with statistically less heterogeneity. The empirical evidence indicates that the BBS is a suitable tool to screen for the risk of falls and shows good predictability when used with the appropriate criteria and applied to those with neuromuscular disease.

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : objectives, performance criteria & user service plan, working paper #3

DOT National Transportation Integrated Search

1997-06-18

This paper is the third in a series that together will comprise an Intelligent Transportation System Study (ITS) for the Buffalo/Niagara Falls region. In this document, the problems identified in Working Paper #1 are critically reviewed to develop go...

In-hospital paediatric accidents: an integrative review of the literature.

PubMed

Da Rin Della Mora, R; Bagnasco, A; Sasso, L

2012-12-01

Paediatric hospitals can be perceived by children, parents, health professionals as 'safe' places, but accidents do occur. To review publications relating to in-hospital paediatric accidents and highlight the state-of-the-science concerning this issue especially in relation to falls, and the evolution of research addressing this issue. Integrative review of papers published before March 2011 on accidents and falls occurred in hospitalized children. Electronic databases (PubMed, Cumulative Index to Nursing and Allied Health Literature and Cochrane Library databases) and further hand searching through references were searched. The inclusion criteria were articles involving observational, quasi-experimental or experimental studies in English or Italian. Exclusion criteria were articles addressing the outcomes of falls caused by suspect violence on children. Thirteen studies in English were included. Of the 13 studies conducted between 1963 and 2010, 10 had been conducted in the last 5 years; 10 in the USA. The studies were divided into two categories: contextualization and prevention of the 'accident' or 'fall' phenomenon (10 studies), and fall risk assessment (three studies). The most frequent type of design was observational explorative/descriptive. Several areas of investigation were explored (hazardous environment, children's characteristics correlated to accidents/falls, characteristics of the accidents/falls and their outcomes, paediatric fall risk factors and risk assessment tools, fall risk prevention programmes, parents' perceptions of accident/fall risks, etc.). No comparable methods were used to investigate the contextualization and prevention of the 'accident' and 'fall' phenomena; proposed fall risk assessment tools were not evaluated for their reliability and validity. Consensus would be needed around the approach to accidents in terms of: the definition of 'accident' and 'fall'; 'fall-related injury' and respective classifications; the frequency and rate calculation methods; the tools used to assess the risk of falls; and evidence-based practice aimed at preventing them. © 2012 The Authors. International Nursing Review © 2012 International Council of Nurses.

Characteristics of outdoor falls among older people: a qualitative study.

PubMed

Nyman, Samuel R; Ballinger, Claire; Phillips, Judith E; Newton, Rita

2013-11-18

Falls are a major threat to older people's health and wellbeing. Approximately half of falls occur in outdoor environments but little is known about the circumstances in which they occur. We conducted a qualitative study to explore older people's experiences of outdoor falls to develop understanding of how they may be prevented. We conducted nine focus groups across the UK (England, Wales, and Scotland). Our sample was from urban and rural settings and different environmental landscapes. Participants were aged 65+ and had at least one outdoor fall in the past year. We analysed the data using framework and content analyses. Forty-four adults aged 65 - 92 took part and reported their experience of 88 outdoor falls. Outdoor falls occurred in a variety of contexts, though reports suggested the following scenarios may have been more frequent: when crossing a road, in a familiar area, when bystanders were around, and with an unreported or unknown attribution. Most frequently, falls resulted in either minor or moderate injury, feeling embarrassed at the time of the fall, and anxiety about falling again. Ten falls resulted in fracture, but no strong pattern emerged in regard to the contexts of these falls. Anxiety about falling again appeared more prevalent among those that fell in urban settings and who made more visits into their neighbourhood in a typical week. This exploratory study has highlighted several aspects of the outdoor environment that may represent risk factors for outdoor falls and associated fear of falling. Health professionals are recommended to consider outdoor environments as well as the home setting when working to prevent falls and increase mobility among older people.

Characteristics of outdoor falls among older people: a qualitative study

PubMed Central

2013-01-01

Background Falls are a major threat to older people’s health and wellbeing. Approximately half of falls occur in outdoor environments but little is known about the circumstances in which they occur. We conducted a qualitative study to explore older people’s experiences of outdoor falls to develop understanding of how they may be prevented. Methods We conducted nine focus groups across the UK (England, Wales, and Scotland). Our sample was from urban and rural settings and different environmental landscapes. Participants were aged 65+ and had at least one outdoor fall in the past year. We analysed the data using framework and content analyses. Results Forty-four adults aged 65 – 92 took part and reported their experience of 88 outdoor falls. Outdoor falls occurred in a variety of contexts, though reports suggested the following scenarios may have been more frequent: when crossing a road, in a familiar area, when bystanders were around, and with an unreported or unknown attribution. Most frequently, falls resulted in either minor or moderate injury, feeling embarrassed at the time of the fall, and anxiety about falling again. Ten falls resulted in fracture, but no strong pattern emerged in regard to the contexts of these falls. Anxiety about falling again appeared more prevalent among those that fell in urban settings and who made more visits into their neighbourhood in a typical week. Conclusions This exploratory study has highlighted several aspects of the outdoor environment that may represent risk factors for outdoor falls and associated fear of falling. Health professionals are recommended to consider outdoor environments as well as the home setting when working to prevent falls and increase mobility among older people. PMID:24245830

IMPACTS OF GEOTHERMAL WATERS ON SELECTED STREAMS IN SOUTHERN IDAHO, 1984-1985

EPA Science Inventory

Four drainage areas were studies in Southern Idaho (17040212, 17040213) to determine the impact of geothermal discharges on area streams. Areas studied included Big Wood River near Ketchum, Mud Creek near Buhl, Salmon Falls Creek near Castleford, and the Snake River from Twin Fa...

Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawtscha) Near Ives and Pierce Island of the Columbia River, 2003-2004 Annual Report.

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

Mueller, Robert

2004-10-01

Pacific Northwest National Laboratory conducted video-based boat surveys in fall 2003 to identify spawning areas for fall Chinook salmon (Oncorhynchus tshawytscha) in deep water (>1 m) downstream of Bonneville Dam. This report documents the number and extent of Chinook salmon spawning near Ives and Pierce islands of the Columbia River, and is the fifth in a series of reports prepared since 1999. The primary objective of this study was to find deepwater spawning locations of fall Chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates of adult spawnersmore » in the surveyed area. The secondary objective was to document the occurrence of any chum salmon (O. keta) redds in the deeper sections near below Hamilton Creek. Results from the 2003 study show a continuing trend upward in the number of fall Chinook salmon redds found within the survey zones. The number of fall Chinook redds found in the Ives Pierce Island complex (river km 228.5) has increased by a factor of five since the surveys began in 1999. The total number of redds found during 2003 was 336, which compares to 192 in 2002, 43 in 2001, 76 in 2000, and 64 in 1999. The redds encompassed an area of 13.7 ha occurring adjacent to the lower part of Ives Island and Pierce Island. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 24, 2003. An expanded redd count based on percentage of video coverage in the primary and secondary search zones was 3,218 fall Chinook salmon redds in water exceeding 1 m deep and flowing at about 125 kcfs. Fall Chinook salmon redds were found at water depths from 1.07 to 7.6 m and were constructed predominantly of medium cobbles ranging from 7.6 to 15.2 cm in diameter. Two chum salmon redds were found in a small location downstream from Hamilton Creek in water depths of approximately 1 m. No salmon redds were found in other areas searched, including near Woodward, Tanner, and McCord creeks.« less

152. Photocopy of drawing (taken from Twin Falls Canal Company ...

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

152. Photocopy of drawing (taken from Twin Falls Canal Company Surveyor's Transit Book #363, Page 1). 1912 CONDITION REPORT OF MILNER DAM AREA, TWIN FALLS COUNTY, MILNER, IDAHO. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

180. Photocopy of Photograph, Twin Falls Canal Company. E. Pettygro, ...

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

180. Photocopy of Photograph, Twin Falls Canal Company. E. Pettygro, Photographer, date unknown. BLASTING TWIN FALLS CANAL, TWIN FALLS COUNTY; BLASTING COTTONWOOD AREA TO REPLACE FLUME BY RUNNING HIGH LINE THROUGH SOLID ROCK. - Milner Dam & Main Canal: Twin Falls Canal Company, On Snake River, 11 miles West of city of Burley, Idaho, Twin Falls, Twin Falls County, ID

Predictive validity of the Hendrich fall risk model II in an acute geriatric unit.

PubMed

Ivziku, Dhurata; Matarese, Maria; Pedone, Claudio

2011-04-01

Falls are the most common adverse events reported in acute care hospitals, and older patients are the most likely to fall. The risk of falling cannot be completely eliminated, but it can be reduced through the implementation of a fall prevention program. A major evidence-based intervention to prevent falls has been the use of fall-risk assessment tools. Many tools have been increasingly developed in recent years, but most instruments have not been investigated regarding reliability, validity and clinical usefulness. This study intends to evaluate the predictive validity and inter-rater reliability of Hendrich fall risk model II (HFRM II) in order to identify older patients at risk of falling in geriatric units and recommend its use in clinical practice. A prospective descriptive design was used. The study was carried out in a geriatric acute care unit of an Italian University hospital. All over 65 years old patients consecutively admitted to a geriatric acute care unit of an Italian University hospital over 8-month period were enrolled. The patients enrolled were screened for the falls risk by nurses with the HFRM II within 24h of admission. The falls occurring during the patient's hospital stay were registered. Inter-rater reliability, area under the ROC curve, sensitivity, specificity, positive and negative predictive values and time for the administration were evaluated. 179 elderly patients were included. The inter-rater reliability was 0.87 (95% CI 0.71-1.00). The administration time was about 1min. The most frequently reported risk factors were depression, incontinence, vertigo. Sensitivity and specificity were respectively 86% and 43%. The optimal cut-off score for screening at risk patients was 5 with an area under the ROC curve of 0.72. The risk factors more strongly associated with falls were confusion and depression. As falls of older patients are a common problem in acute care settings it is necessary that the nurses use specific validate and reliable fall risk assessment tools in order to implement the most effective prevention measures. Our findings provided supporting evidence to the choice of the HFRM II to screen older patients at risk of falling in acute care settings. Copyright © 2010 Elsevier Ltd. All rights reserved.

[REAL AND UNREAL BACKLASHES OF AEROSPACE ACTIVITY FOR THE HEALTH OF POPULATION RESIDING NEAR AREAS OF FALL OF BEING SEPARATED PARTS OF CARRIER ROCKETS].

PubMed

Meshkov, N A; Valtseva, E A; Kharlamova, E N; Kulikova, A Z

2015-01-01

Since the late 1990s, the ongoing debate about the consequences of the rocket-space activities for the health of people residing near areas offall ofseparatingfrom parts of rockets. Some scientists (Kolyado IB et al., 2001, 2013; Shoikhet YN et al., 2005, 2008; Skrebtsova NV 2005, 2006, Sidorov PI et al., 2007) argue that the main cause of morbidity is the effect of unsymmetrical dimethyl hydrazine (UDMH). However, environmentalists find it only in areas offalling fragments of separated parts of carrier rockets. Presented in the article data were obtained as a result of perennial epidemiological and hygienic research. There was performed a hygienic assessment of the content of chemical substances in water soil andfood, nutritional status and health risk near areas of the district of falling 310 and 326. There were studied conditions of work and the health of military personnel at the sites of storage of propellant components. The relationship between revealed diseases and UDMH was not established, but there was their causality due to the influence of environmental factors characteristic of territories and living conditions. In the settlements near the area of falling district 310 the share of extremely anxious persons was shown to be 1.8 times higher than in controls, which is caused by cases of falling fragments stages of carrier rockets in the territory of settlements.

A combined disease management and process modeling approach for assessing and improving care processes: a fall management case-study.

PubMed

Askari, Marjan; Westerhof, Richard; Eslami, Saied; Medlock, Stephanie; de Rooij, Sophia E; Abu-Hanna, Ameen

2013-10-01

To propose a combined disease management and process modeling approach for evaluating and improving care processes, and demonstrate its usability and usefulness in a real-world fall management case study. We identified essential disease management related concepts and mapped them into explicit questions meant to expose areas for improvement in the respective care processes. We applied the disease management oriented questions to a process model of a comprehensive real world fall prevention and treatment program covering primary and secondary care. We relied on interviews and observations to complete the process models, which were captured in UML activity diagrams. A preliminary evaluation of the usability of our approach by gauging the experience of the modeler and an external validator was conducted, and the usefulness of the method was evaluated by gathering feedback from stakeholders at an invitational conference of 75 attendees. The process model of the fall management program was organized around the clinical tasks of case finding, risk profiling, decision making, coordination and interventions. Applying the disease management questions to the process models exposed weaknesses in the process including: absence of program ownership, under-detection of falls in primary care, and lack of efficient communication among stakeholders due to missing awareness about other stakeholders' workflow. The modelers experienced the approach as usable and the attendees of the invitational conference found the analysis results to be valid. The proposed disease management view of process modeling was usable and useful for systematically identifying areas of improvement in a fall management program. Although specifically applied to fall management, we believe our case study is characteristic of various disease management settings, suggesting the wider applicability of the approach. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

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

NASA Astrophysics Data System (ADS)

Hoła, A.; Hoła, B.; Szóstak, M.

2017-10-01

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

Domestic Environmental Risk Factors Associated with Falling in Elderly

PubMed Central

LÖK, Neslihan; AKIN, Belgin

2013-01-01

Background: This is a cross-sectional study aiming at analyzing the relation between falling and domestic environmental –risk factors in community-dwelling elderly. Methods: The study consisted of 243 randomly chosen community-dwelling elderly over 65 years of age living around a health care center in Central Selcuklu, Konya. Data were collected with a questionnaire form including socio-demographic and other characteristics, with the Rivermead Mobility Index for evaluating mobility condition and an Evaluation Form of Domestic Environmental Risk Factors of Falling (EFDERF), which is developed by the researcher to assess domestic environmental risk factors of falling. Results: Based on (EFDERF) high number of problems lived in bathroom/restroom, kitchen, bedroom, sitting room/saloon and in all other areas was a risk factor in terms of domestic falling characteristics while the number of problems lived in hall and stairs was not a significant risk factor. Conclusion: EFDERF may be used by the nurses and health professionals to evaluate risk of falling and collecting data after visits in primary-care of elderly. PMID:23515204

Fall risk in Chinese community-dwelling older adults: A physiological profile assessment study.

PubMed

Siong, Kar-Ho; Kwan, Marcella Mun-San; Lord, Stephen R; Lam, Andrew Kwok-Cheung; Tsang, William Wai-Nam; Cheong, Allen Ming-Yan

2016-02-01

The short-form Physiological Profile Assessment (PPA) is increasingly used in clinical practice for assessing fall risk in older people. However, a normative database is only available for Caucasian populations. The purpose of the present study was to develop a normative database for Hong Kong Chinese older people and examine the fall risk profile of this population. A total of 622 participants aged 60-95 years were recruited. Participants underwent the PPA (containing tests of contrast sensitivity, proprioception, quadriceps strength, reaction time and sway), and composite fall risk scores were computed. Participants were then followed up for falls for 1 year. Quadriceps strength and lower limb proprioception scores were comparable with those reported for Caucasian populations. However, contrast sensitivity, simple reaction time and postural sway scores were relatively poor. The average composite fall risk score was 1.7 ± 1.5, showing a "moderate" fall risk when compared with the Caucasian norms. Despite the relatively poor physical performances and moderately high fall risk scores, the incidence of one plus falls in the 1-year follow-up period was just 16.4%, with just 2.6% reporting two plus falls. The area under the curve for composite fall risk scores in discriminating fallers from non-fallers was 0.53 (95% CI 0.45-0.60). Despite poorer performance in PPA tests, the incidence of prospective falls in a Hong Kong Chinese population was low. In consequence, the PPA could not discriminate well between fallers and non-fallers. The present study provided normality data for short-form PPA measures for older Chinese people as a reference for further studies. © 2015 Japan Geriatrics Society.

Factors Associated with Falls in Community-Dwelling Older People with Focus on Participation in Sport Organizations: The Japan Gerontological Evaluation Study Project

PubMed Central

Hayashi, Takahiro; Kondo, Katsunori; Suzuki, Kayo; Yamada, Minoru; Matsumoto, Daisuke

2014-01-01

Objective. Promoting participation in sport organizations may be a population strategy for preventing falls in older people. In this study, we examined whether participation in sport organizations is associated with fewer falls in older people even after adjusting for multiple individual and environmental factors. Methods. We used the Japan Gerontological Evaluation Study data of 90,610 people (31 municipalities) who were not eligible for public long-term care. Logistic regression analysis was performed, with multiple falls over the past year as the dependent variable and participation in a sport organization as the independent variable, controlling for 13 factors. These included individual factors related to falls, such as age and sex, and environmental factors such as population density of the habitable area. Results. A total of 6,391 subjects (7.1%) had a history of multiple falls. Despite controlling for 13 variables, those who participated in a sport organization at least once a week were approximately ≥20% less likely to fall than those who did not participate at all (once a week; odds ratio = 0.82 and 95% confidence interval = 0.72–0.95). Conclusion. Participation in a sport organization at least once per week might help prevent falls in the community-dwelling older people. PMID:24955360

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

Slope stability susceptibility evaluation parameter (SSEP) rating scheme - An approach for landslide hazard zonation

NASA Astrophysics Data System (ADS)

Raghuvanshi, Tarun Kumar; Ibrahim, Jemal; Ayalew, Dereje

2014-11-01

In this paper a new slope susceptibility evaluation parameter (SSEP) rating scheme is presented which is developed as an expert evaluation approach for landslide hazard zonation. The SSEP rating scheme is developed by considering intrinsic and external triggering parameters that are responsible for slope instability. The intrinsic parameters which are considered are; slope geometry, slope material (rock or soil type), structural discontinuities, landuse and landcover and groundwater. Besides, external triggering parameters such as, seismicity, rainfall and manmade activities are also considered. For SSEP empirical technique numerical ratings are assigned to each of the intrinsic and triggering parameters on the basis of logical judgments acquired from experience of studies of intrinsic and external triggering factors and their relative impact in inducing instability to the slope. Further, the distribution of maximum SSEP ratings is based on their relative order of importance in contributing instability to the slope. Finally, summation of all ratings for intrinsic and triggering parameter based on actual observation will provide the expected degree of landslide in a given land unit. This information may be utilized to develop a landslide hazard zonation map. The SSEP technique was applied in the area around Wurgessa Kebelle of North Wollo Zonal Administration, Amhara National Regional State in northern Ethiopia, some 490 km from Addis Ababa. The results obtained indicates that 8.33% of the area fall under Moderately hazard and 83.33% fall within High hazard whereas 8.34% of the area fall under Very high hazard. Further, in order to validate the LHZ map prepared during the study, active landslide activities and potential instability areas, delineated through inventory mapping was overlain on it. All active landslide activities and potential instability areas fall within very high and high hazard zone. Thus, the satisfactory agreement confirms the rationality of considered governing parameters, the adopted SSEP technique, tools and procedures in developing the landslide hazard map of the study area.

Predictive model for falling in Parkinson disease patients.

PubMed

Custodio, Nilton; Lira, David; Herrera-Perez, Eder; Montesinos, Rosa; Castro-Suarez, Sheila; Cuenca-Alfaro, Jose; Cortijo, Patricia

2016-12-01

Falls are a common complication of advancing Parkinson's disease (PD). Although numerous risk factors are known, reliable predictors of future falls are still lacking. The aim of this study was to develop a multivariate model to predict falling in PD patients. Prospective cohort with forty-nine PD patients. The area under the receiver-operating characteristic curve (AUC) was calculated to evaluate predictive performance of the purposed multivariate model. The median of PD duration and UPDRS-III score in the cohort was 6 years and 24 points, respectively. Falls occurred in 18 PD patients (30%). Predictive factors for falling identified by univariate analysis were age, PD duration, physical activity, and scores of UPDRS motor, FOG, ACE, IFS, PFAQ and GDS ( p -value < 0.001), as well as fear of falling score ( p -value = 0.04). The final multivariate model (PD duration, FOG, ACE, and physical activity) showed an AUC = 0.9282 (correctly classified = 89.83%; sensitivity = 92.68%; specificity = 83.33%). This study showed that our multivariate model have a high performance to predict falling in a sample of PD patients.

Application of LANDSAT imagery for snow mapping in Norway

NASA Technical Reports Server (NTRS)

Odegaard, H. (Principal Investigator); Ostrem, G.

1977-01-01

The author has identified the following significant results. It was shown that if the snow cover extent was determined from all four LANDSAT bands, there were significant differences in results. The MSS 4 gave the largest snow cover, but only slightly more than MSS 5, whereas MSS 6 and 7 gave the smallest snow area. A study was made to show that there was a relationship between the last date of snow fall and the area covered with snow, as determined from different bands. Imagery obtained shortly after a snow fall showed no significant difference in the snow-covered area when the four bans were compared, whereas, pronounced differences in the snow-covered area were found in images taken after a long period without precipitation.

Exercise for falls prevention in older people: assessing the knowledge of exercise science students.

PubMed

Sturnieks, Daina L; Finch, Caroline F; Close, Jacqueline C T; Tiedemann, Anne; Lord, Stephen R; Pascoe, Deborah A

2010-01-01

Participation in appropriate exercise can help reduce the risk of falls and falls injury in older people. Delivery of population-level exercise interventions requires an expert workforce with skills in development and delivery of group exercise programs and prescription of individually targeted exercise. This study assessed the current knowledge of university exercise science students (as future exercise professionals) across different levels of study. A structured survey designed to assess knowledge in relation to falls in older people and exercise prescription for falls prevention was administered during second, third and fourth year lectures in seven Australian universities. Students' knowledge was assessed as the percent of correct responses. Overall, 566 students completed the survey and knowledge levels increased significantly with study year. Mean knowledge levels were significantly <70%, indicating limited knowledge. They were lowest for falls risk factor questions and highest for issue/cost related questions in second and third year students. Fourth year students had best knowledge about falls interventions and this was the only group and topic with a mean score >70%. In conclusion, knowledge about falls and exercise prescription for falls prevention in current students does not meet a desired competency level of 70% and is therefore insufficient to ensure an adequately equipped future workforce in this area. There is a clear need for the development and widespread delivery of an evidence-based "exercise for falls prevention" curriculum module for exercise professionals. Copyright (c) 2009 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

A comparison of burn season effects on nesting birds in North Dakota mixed-grass prairie

USGS Publications Warehouse

Higgins, K.F.

1986-01-01

During 1982-1985, the effects of single spring and fall burn treatments on ground nesting birds and residual cover were studied on five paired areas of native mixed-grass prairie in northwestern Stutsman County, ND. Annually, visual obstruction readings to index the height-density of residual cover were taken once and nest searches were made four times on each area. Residual nesting cover on fall burn plots averaged taller and denser than on spring burn plots during post-fire growing years 2-4. A total of 259 duck nests and 63 nests of non-passerine birds were found during the four years. Duck nesting success was significantly greater (P < 0.05) in fall burn plots than in spring burn plots for all species and years combined. Too few nests of other bird species were found for valid comparisons. Results suggest that vegetation structure and duck nesting response to spring and fall burns became similar again by the third post-fire growing season.

Thinking like a duck: fall lake use and movement patterns of juvenile ring-necked ducks before migration.

PubMed

Roy, Charlotte L; Fieberg, John; Scharenbroich, Christopher; Herwig, Christine M

2014-01-01

The post-fledging period is one of the least studied portions of the annual cycle in waterfowl. Yet, recruitment into the breeding population requires that young birds have sufficient resources to survive this period. We used radio-telemetry and generalized estimating equations to examine support for four hypotheses regarding the drivers of landscape scale habitat use and movements made by juvenile ring-necked ducks between the pre-fledging period and departure for migration. Our response variables included the probability of movement, distances moved, and use of different lake types: brood-rearing lakes, staging lakes, and lakes with low potential for disturbance. Birds increased their use of staging areas and lakes with low potential for disturbance (i.e., without houses or boat accesses, >100 m from roads, or big lakes with areas where birds could sit undisturbed) throughout the fall, but these changes began before the start of the hunting season and their trajectory was not changed by the onset of hunting. Males and females moved similar distances and had similar probabilities of movements each week. However, females were more likely than males to use brood-rearing lakes later in the fall. Our findings suggest juvenile ring-necked ducks require different lake types throughout the fall, and managing solely for breeding habitat will be insufficient for meeting needs during the post-fledging period. Maintaining areas with low potential for disturbance and areas suitable for staging will ensure that ring-necked ducks have access to habitat throughout the fall.

Knowledge, behavioral practices, and experiences of outdoor fallers: Implications for prevention programs.

PubMed

Chippendale, Tracy; Raveis, Victoria

2017-09-01

Although the epidemiology and prevention of falls has been well studied, the focus has been on indoor rather than outdoor falls. Older adults' knowledge of outdoor risk factors and their outdoor fall prevention practices have not been examined. To fill this gap, and to inform the development of a prevention program, we sought to explore the experiences and fall prevention knowledge and practices of older adults who had sustained an outdoor fall. A cross-sectional study using random digit telephone dialing was used to survey community dwelling seniors (N=120) across the five boroughs of New York City. We used the Outdoor Falls Questionnaire (OFQ), a valid and reliable tool as the survey instrument. Perceived outdoor fall risks, strategies used for prevention, and outdoor fall experiences were examined. SPSS version 21 was used for descriptive analysis of participant characteristics and to determine frequencies of perceived outdoor fall risks and strategies used for prevention. Phenomenological analysis was used with the qualitative data. Qualitative and quantitative data were analyzed separately and a mixed methods matrix was used to interpret and integrate the findings. Analysis revealed diverse unmet education and training needs including the importance of using single vision glasses, understanding the fall risks associated with recreational areas and parking lots, safe outdoor walking strategies, safe carrying of items on level and uneven surfaces, as well as when walking up and down stairs, and safety in opening/closing doors. Study findings are informative for outdoor fall prevention programs as well as practice. Copyright © 2017 Elsevier B.V. All rights reserved.

Rock-fall potential in the Yosemite Valley, California

USGS Publications Warehouse

Wieczorek, G.F.; Morrissey, M.M.; Iovine, Giulio; Godt, Jonathan

1999-01-01

We used two methods of estimating rock-fall potential in the Yosemite Valley, California based on (1) physical evidence of previous rock-fall travel, in which the potential extends to the base of the talus, and (2) theoretical potential energy considerations, in which the potential can extend beyond the base of the talus, herein referred to as the rock-fall shadow. Rock falls in the valley commonly range in size from individual boulders of less than 1 m3 to moderate-sized falls with volumes of about 100,000 m3. Larger rock falls exceeding 100,000 m3, referred to as rock avalanches, are considered to be much less likely to occur based on the relatively few prehistoric rock-fall avalanche deposits in the Yosemite Valley. Because the valley has steep walls and is relatively narrow, there are no areas that are absolutely safe from large rock avalanches. The map shows areas of rock-fall potential, but does not predict when or how frequently a rock fall will occur. Consequently, neither the hazard in terms of probability of a rock fall at any specific location, nor the risk to people or facilities to such events can be assessed from this map.

Hydrogeologic characteristics and geospatial analysis of water-table changes in the alluvium of the lower Arkansas River Valley, southeastern Colorado, 2002, 2008, and 2015

USGS Publications Warehouse

Holmberg, Michael J.

2017-05-15

The U.S. Geological Survey in cooperation with the Lower Arkansas Valley Water Conservancy District measures groundwater levels periodically in about 100 wells completed in the alluvial material of the Arkansas River Valley in Pueblo, Crowley, Otero, Bent, and Prowers Counties in southeastern Colorado, of which 95 are used for the analysis in this report. The purpose of this report is to provide information to water-resource administrators, managers, planners, and users about groundwater characteristics in the alluvium of the lower Arkansas Valley extending roughly 150 miles between Pueblo Reservoir and the Colorado-Kansas State line. This report includes three map sheets showing (1) bedrock altitude at the base of the alluvium of the lower Arkansas Valley; (2) estimated spring-to-spring and fall-to-fall changes in water-table altitude between 2002, 2008, and 2015; and (3) estimated saturated thickness in the alluvium during spring and fall of 2002, 2008, and 2015, and thickness of the alluvium in the lower Arkansas Valley. Water-level changes were analyzed by geospatial interpolation methods.Available data included all water-level measurements made between January 1, 2001, and December 31, 2015; however, only data from fall and spring of 2002, 2008, and 2015 are mapped in this report. To account for the effect of John Martin Reservoir in Bent County, Colorado, lake levels at the reservoir were assigned to points along the approximate shoreline and were included in the water-level dataset. After combining the water-level measurements and lake levels, inverse distance weighting was used to interpolate between points and calculate the altitude of the water table for fall and spring of each year for comparisons. Saturated thickness was calculated by subtracting the bedrock surface from the water-table surface. Thickness of the alluvium was calculated by subtracting the bedrock surface from land surface using a digital elevation model.In order to analyze the response of the alluvium to varying environmental and anthropogenic conditions, the percentage of area of the lower Arkansas Valley showing an absolute change of 3 feet or less was calculated for each of the six water-table altitude change maps. For fall water-table altitude change maps, the periods between 2002 and 2008, 2008 and 2015, and 2002 and 2015 showed that 86.5 percent, 85.2 percent, and 66.3 percent of the study area, respectively, showed a net change of 3 feet or less. In the spring water-table altitude change maps these periods showed a net change of 3 feet or less in 94.4 percent, 96.1 percent, and 90.2 percent of the study area, respectively. While the estimated change in water-table altitude was slightly greater and more variable in fall-to-fall comparisons, these high percentages of area with relatively small net changes indicated that, at least in comparisons of the years presented, there was not a large amount of fluctuation in the altitude of the water table.The saturated thickness in the lower Arkansas Valley was between 25 and 50 feet in 34.4 to 35.9 percent of the study area, depending on the season and year. Between 30.2 and 35.6 percent of the area showed saturated thicknesses between 0 and 25 feet. Less than 1 percent of the area showed a saturated thickness greater than 200 feet in all mapped seasons and years.

A two-question tool to assess the risk of repeated falls in the elderly

PubMed Central

Gálvez-Barrón, César; Narvaiza, Leire; Miñarro, Antonio; Ruiz, Jorge; Valldosera, Esther; Gonzalo, Natalia; Ng, Thalia; Sanguino, María Jesús; Yuste, Antonio

2017-01-01

Introduction Older adults’ perception of their own risk of fall has never been included into screening tools. The goal of this study was to evaluate the predictive validity of questions on subjects’ self-perception of their own risk of fall. Methods This prospective study was conducted on a probabilistic sample of 772 Spanish community-dwelling older adults, who were followed-up for a one year period. At a baseline visit, subjects were asked about their recent history of falls (question 1: “Have you fallen in the last 6 months?”), as well as on their perception of their own risk of fall by using two questions (question 2: “Do you think you may fall in the next few months?” possible answers: yes/no; question 3: “What is the probability that you fall in the next few months?” possible answers: low/intermediate/high). The follow-up consisted of quarterly telephone calls, where the number of falls occurred in that period was recorded. Results A short questionnaire built with questions 1 and 3 showed 70% sensitivity (95% CI: 56%-84%), 72% specificity (95% CI: 68%-76%) and 0.74 area under the ROC curve (95% CI: 0.66–0.82) for prediction of repeated falls in the subsequent year. Conclusions The estimation of one’s own risk of fall has predictive validity for the occurrence of repeated falls in older adults. A short questionnaire including a question on perception of one’s own risk of fall and a question on the recent history of falls had good predictive validity. PMID:28489888

Timing of compaction and quartz cementation from integrated petrographic and burial-history analyses, Lower Cretaceous Fall River Formation, Wyoming and South Dakota

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

Dutton, S.P.

1997-01-01

Integrated petrographic and burial-history studies of Fall River sandstones from outcrop and the subsurface provide insight into the timing of compaction and quartz cementation, the two main porosity-reducing processes in quartzose sandstones. Petrographic study of 95 thin sections of Fall River fluvial valley-fill sandstones from outcrop, Donkey Creek field at 2 km burial depth, and Buck Draw field at 3.8 km indicates that reservoir quality differs significantly in these three areas. Fall River sandstones at the surface contain an average of 31% intergranular volume (IGV) and 2% quartz cement. In both Donkey Creek and Buck Draw fields, the sandstones averagemore » 22% IGV, but quartz-cement volume averages 8% in the shallower field and 12% in the deeper. Geometric mean permeability at the surface is 4,700 md, compared with 42 md at 2 km and 2 md at 3.8 km. Burial history of the Fall River sandstone differs greatly in the three areas. The outcropping sandstones were buried to 2 km and had reached 80 C by the end of the Cretaceous. They were then uplifted and have remained at near-surface temperatures since the Paleocene; the calculated time-temperature index (TTI) of these sandstones is 1. Fall River sandstones at Donkey Creek were also buried to 2 km and had reached 80 C by the end of the Cretaceous but remained at that depth during the Tertiary; TTI is 14. In Buck Draw field, Fall River sandstones were buried to 2.5 km during the Cretaceous and then continued to subside during the Tertiary, reaching depths of 4 km and temperatures of 140 C; TTI is 512.« less

Sulfonylureas and risk of falls and fractures: a systematic review.

PubMed

Lapane, Kate L; Yang, Shibing; Brown, Monique J; Jawahar, Rachel; Pagliasotti, Caleb; Rajpathak, Swapnil

2013-07-01

Sulfonylureas have been linked to increased risk of hypoglycemia. Hypoglycemia may lead to falls, and falls may lead to fracture. However, studies quantifying the association between sulfonylureas and fractures are sparse and yield inconsistent results. The purpose of this article was to review the literature regarding sulfonylurea use and falls or fall-related fractures among older adults with type 2 diabetes mellitus and to delineate areas for future research. We searched MEDLINE (1966-March 2012) and CINAHL (1937-March 2012) for studies of patients with type 2 diabetes mellitus living in the community or nursing homes. The search algorithms combined three domains: (1) diabetic patients, (2) sulfonylurea medications, and (3) fractures or falls. We included only publications in English that pertained to human subjects. We found 9 randomized trials and 12 non-experimental studies that met the inclusion criteria. The guidelines provided by the Cochrane handbook or Agency for Healthcare Research and Quality (AHRQ) Methods Guide are too general to distinguish the quality of included non-experimental studies, so we developed several specific domains based on those general guidelines. These domains included study design, study population, follow-up time, comparison group, exposure definition, outcome definition, induction period, confounding adjustment, and attrition or missing data. The data were not amenable to a meta-analysis. No clinical trials included fracture as a primary endpoint. Most clinical trials excluded older adults. Most studies were not designed to evaluate the risk of sulfonylureas on fractures or falls. Studies did not show an increased risk of falls/fractures with sulfonylurea. The data available from existing studies suffer from methodological limitations including insufficient events, lack of primary endpoints, exclusion of older adults, and lack of clarity or inappropriate comparison groups. Future studies are needed to appropriately estimate the effect of sulfonylureas on falls or fall-related fractures in older adults who are at increased risk for hypoglycemia, the hypothesized mechanism for fractures related to sulfonylurea therapy.

Fall Risk is Not Black and White

PubMed Central

Kiely, Dan K.; Kim, Dae Hyun; Gross, Alden L.; Habtemariam, Daniel A.; Leveille, Suzanne G.; Li, Wenjun; Lipsitz, Lewis A.

2015-01-01

Objective To determine whether previously reported racial differences in fall rates between White and Black/African American is explained by differences in health status and neighborhood characteristics. Design Prospective cohort Setting Community Participants The study included 550 White and 116 Black older adults in the Greater Boston area (mean age: 78 years; 36% men) who were English-speaking, able to walk across a room, and without severe cognitive impairment. Measurements Falls were prospectively reported using monthly fall calendars. The location of each fall and fall-related injuries were asked during telephone interviews. At baseline, we assessed risk factors for falls, including sociodemographic characteristics, physiologic risk factors, physical activity, and community-level characteristics. Results Over the mean follow-up of 1,048 days, 1,539 falls occurred (incidence: 806/1,000 person-years). Whites were more likely than Blacks to experience any falls (867 versus 504 falls per 1,000 person-years; RR [95% CI]: 1.77 [1.33, 2.36]), outdoor falls (418 versus 178 falls per 1,000 person-years; 1.78 [1.08, 2.92]), indoor falls (434 versus 320 falls per 1,000 person-years; 1.44 [1.02, 2.05]), and injurious falls (367 versus 205 falls per 1,000 person-years; 1.79 [1.30, 2.46]). With exception of injurious falls, higher fall rates in Whites than Blacks were substantially attenuated with adjustment for risk factors and community-level characteristics: any fall (1.24 [0.81, 1.89]), outdoor fall (1.57 [0.86, 2.88]), indoor fall (1.08 [0.64, 1.81]), and injurious fall (1.77 [1.14, 2.74]). Conclusion Our findings suggest that the racial differences in fall rates may be largely due to confounding by individual-level and community-level characteristics. PMID:26855845

What does it mean to transform knowledge into action in falls prevention research? Perspectives from the Canadian Institutes of Health Research.

PubMed

Tetroe, Jacqueline M; Graham, Ian D; Scott, Vicky

2011-12-01

The concept of knowledge translation as defined by the Canadian Institutes for Health Research and the Knowledge to Action Cycle, described by Graham et al (Graham et al., 2006), are used to make a case for the importance of using a conceptual model to describe moving knowledge into action in the area of falls prevention. There is a large body of research in the area of falls prevention. It would seem that in many areas it is clear what is needed to prevent falls and further syntheses can determine where the evidence is sufficiently robust to warrant its implementation as well as where the gaps are that require further basic research. The phases of the action cycle highlight seven areas that should be paid attention to in order to maximize chances of successful implementation. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

Hydraulic Geometry Characteristics of Continuous-Record Streamflow-Gaging Stations on Four Urban Watersheds Along the Main Stem of Gwynns Falls, Baltimore County and Baltimore City, Maryland

USGS Publications Warehouse

Doheny, Edward J.; Fisher, Gary T.

2007-01-01

Four continuous-record streamflow-gaging stations are currently being operated by the U.S. Geological Survey on the main stem of Gwynns Falls in western Baltimore County and Baltimore City, Maryland. The four streamflow-gaging stations drain urban or suburban watersheds with significantly different drainage areas. In addition to providing continuous- record discharge data at these four locations, operation of these stations also provides a long-term record of channel geometry variables such as cross-sectional area, channel width, mean channel depth, and mean velocity that are obtained from physical measurement of the discharge at a variety of flow conditions. Hydraulic geometry analyses were performed using discharge-measurement data from four continuous-record streamflow-gaging stations on the main stem of Gwynns Falls. Simple linear regression was used to develop relations that (1) quantify changes in cross-sectional area, channel width, mean channel depth, and mean velocity with changes in discharge at each station, and (2) quantify changes in these variables in the Gwynns Falls watershed with changes in drainage area and annual mean discharge. Results of the hydraulic geometry analyses indicated that mean velocity is more responsive to changes in discharge than channel width and mean channel depth for all four streamflow-gaging stations on the main stem of Gwynns Falls. For the two largest and most developed watersheds, on Gwynns Falls at Villa Nova, and Gwynns Falls at Washington Boulevard at Baltimore, the slope of the regression lines, or hydraulic exponents, indicated that mean velocity was more responsive to changes in discharge than any of the other hydraulic variables that were analyzed. This was true even when considering changes in cross-sectional area with discharge, which incorporates the combined effects of channel width and mean channel depth. A comparison of hydraulic exponents for Gwynns Falls to average values from previous work indicated that the velocity exponents for all four stations on the Gwynns Falls are larger than the average value of 0.34. For stations 01589300 and 01589352, the exponents for mean velocity are about twice as large as the average value. Analyses of cross-sectional area, channel width, mean channel depth, and mean velocity in conjunction with changes in drainage area and annual mean discharge indicated that channel width is much more responsive to changes in drainage area and annual mean discharge than are mean channel depth or mean velocity. Cross-sectional area, which combines the effects of channel width and mean channel depth, was also found to be highly responsive to changes in drainage area and annual mean discharge.

Use of Mass- and Area-Dimensional Power Laws for Determining Precipitation Particle Terminal Velocities.

NASA Astrophysics Data System (ADS)

Mitchell, David L.

1996-06-01

Based on boundary layer theory and a comparison of empirical power laws relating the Reynolds and Best numbers, it was apparent that the primary variables governing a hydrometeor's terminal velocity were its mass, its area projected to the flow, and its maximum dimension. The dependence of terminal velocities on surface roughness appeared secondary, with surface roughness apparently changing significantly only during phase changes (i.e., ice to liquid). In the theoretical analysis, a new, comprehensive expression for the drag force, which is valid for both inertial and viscous-dominated flow, was derived.A hydrometeor's mass and projected area were simply and accurately represented in terms of its maximum dimension by using dimensional power laws. Hydrometeor terminal velocities were calculated by using mass- and area-dimensional power laws to parameterize the Best number, X. Using a theoretical relationship general for all particle types, the Reynolds number, Re, was then calculated from the Best number. Terminal velocities were calculated from Re.Alternatively, four Re-X power-law expressions were extracted from the theoretical Re-X relationship. These expressions collectively describe the terminal velocities of all ice particle types. These were parameterized using mass- and area-dimensional power laws, yielding four theoretically based power-law expressions predicting fall speeds in terms of ice particle maximum dimension. When parameterized for a given ice particle type, the theoretical fall speed power law can be compared directly with empirical fall speed-dimensional power laws in the literature for the appropriate Re range. This provides a means of comparing theory with observations.Terminal velocities predicted by this method were compared with fall speeds given by empirical fall speed expressions for the same ice particle type, which were curve fits to measured fall speeds. Such comparisons were done for nine types of ice particles. Fall speeds predicted by this method differed from those based on measurements by no more than 20%.The features that distinguish this method of determining fall speeds from others are that it does not represent particles as spheroids, it is general for any ice particle shape and size, it is conceptually and mathematically simple, it appears accurate, and it provides for physical insight. This method also allows fall speeds to be determined from aircraft measurements of ice particle mass and projected area, rather than directly measuring fall speeds. This approach may be useful for ice crystals characterizing cirrus clouds, for which direct fall speed measurements are difficult.

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

DeGange, A.R.; Douglas, D.C.; Monson, D.H.

Sea otter (Enhydra lutris) abundance and distribution in the Gulf of Alaska west of Prince William Sound were surveyed by helicopter in the spring of 1989 at the time of the Exxon Valdez oil spill and the following fall. Estimated population sizes did not significantly decline between spring and fall for areas with comparable survey data. No significant (p>0.05) shifts of sea otter distributions in heavily, lightly and unoiled areas were detected between spring and fall surveys.

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.

Potentiometric surface of the Magothy Aquifer in southern Maryland during the fall of 1987

USGS Publications Warehouse

Mack, Frederick K.; Andreasen, David C.; Curtin, Stephen E.; Wheeler, Judith C.

1989-01-01

A map showing the potentiometric surface of the Magothy aquifer in the Cretaceous Magothy Formation in southern Maryland during the fall of 1987 was prepared by using water level measurements in 85 observation wells. The potentiometric surface was highest near the northwestern boundary and outcrop area of the aquifer in topographically high locations of Anne Arundel and Prince Georges Counties. The hydraulic gradient in the study area was generally southeastward or toward the centers of three cones of depression which have developed in response to pumping stresses. These cones formed around well fields in the Annapolis, Waldorf, and Chalk Point areas. The potentiometric surface of the Magothy aquifer was more than 40 ft below sea level in parts of the Waldorf and Chalk Point areas. (USGS)

Study of application of ERTS-A imagery to fracture-related mine safety hazards in the coal mining industry

NASA Technical Reports Server (NTRS)

Wier, C. E.; Wobber, F. J. (Principal Investigator); Russell, O. R.; Amato, R. V.; Leshendok, T.

1973-01-01

The author has identified the following significant results. The Kings Station Mine in Gibson County, Indiana has experienced considerable roof fall problems. Detailed fracture mapping of the mine area was done with ERTS-1 and aircraft imagery, and a prediction map of roof problem areas was produced in advance of a visit. The visit to the mine and discussions with the operator indicated that of four zones mapped as potential problem areas, three coincided with areas of excessive roof fall. This positive correlation of 75% lends confidence to the validity of the technique being applied in the investigation. The mine officials expressed an interest in the project and are anxious to see the final product maps which are forthcoming.

Child and adolescent injury as a result of falls from buildings and structures.

PubMed

Pressley, J C; Barlow, B

2005-10-01

To examine incidence, demographic risk factors, and patterns of injury resulting from falls from buildings and structures in areas with and without a legislation based prevention programme. The Health Care Cost and Utilization Project (KID-HCUP) was used to produce national estimates of hospital admissions due to falls from buildings in the US. Areas of New York with and without window guard legislation were identified through the New York Statewide Planning and Research Cooperative System (SPARCS). Children and adolescents aged 0-18 years. Legislation based window fall prevention programme with enforcement. Hospitalization for injury as a result of falls from buildings and structures in areas with and without enforced mandatory window guard legislation. New York City has a higher proportion of the population residing in multi-family dwellings with 10 or more units compared with the nation (53.8% v 12.6%, p<0.0001), but the incidence of injury resulting from falls from buildings is nearly half that observed in the US. For young children, warm weather risks begin earlier and extend later than previously reported. Incidence in very young minority children is nearly twice that of whites. Nearly 90% of children aged 0--4 years fall at home, but the proportion decreases linearly with age. Window guards are associated with reduced injury resulting from falls from buildings and should be mandated in multi-family dwellings where small children reside. Prevention programmes for young children should be initiated in early spring and continued through fall.

30 CFR 57.14110 - Flying or falling materials.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Flying or falling materials. 57.14110 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors...

30 CFR 56.14110 - Flying or falling materials.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Flying or falling materials. 56.14110 Section... Equipment Safety Devices and Maintenance Requirements § 56.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors present a...

30 CFR 56.14110 - Flying or falling materials.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Flying or falling materials. 56.14110 Section... Equipment Safety Devices and Maintenance Requirements § 56.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors present a...

30 CFR 57.14110 - Flying or falling materials.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Flying or falling materials. 57.14110 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors...

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...

30 CFR 57.14110 - Flying or falling materials.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Flying or falling materials. 57.14110 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors...

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...

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...

30 CFR 56.14110 - Flying or falling materials.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Flying or falling materials. 56.14110 Section... Equipment Safety Devices and Maintenance Requirements § 56.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors present a...

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...

30 CFR 57.14110 - Flying or falling materials.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Flying or falling materials. 57.14110 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors...

30 CFR 56.14110 - Flying or falling materials.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Flying or falling materials. 56.14110 Section... Equipment Safety Devices and Maintenance Requirements § 56.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors present a...

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...

30 CFR 56.14110 - Flying or falling materials.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Flying or falling materials. 56.14110 Section... Equipment Safety Devices and Maintenance Requirements § 56.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors present a...

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...

30 CFR 57.14110 - Flying or falling materials.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Flying or falling materials. 57.14110 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14110 Flying or falling materials. In areas where flying or falling materials generated from the operation of screens, crushers, or conveyors...

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...

Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians.

PubMed

Hill, Keith D; Flicker, Leon; LoGiudice, Dina; Smith, Kate; Atkinson, David; Hyde, Zoë; Fenner, Stephen; Skeaf, Linda; Malay, Roslyn; Boyle, Eileen

2016-12-01

To describe the prevalence of falls and associated risk factors in older Indigenous Australians, and compare the accuracy of validated falls risk screening and assessment tools in this population in classifying fall status. Cross-sectional study of 289 Indigenous Australians aged ≥45 years from the Kimberley region of Western Australia who had a detailed assessment including self-reported falls in the past year (n=289), the adapted Elderly Falls Screening Tool (EFST; n=255), and the Falls Risk for Older People-Community (FROP-Com) screening tool (3 items, n=74) and FROP-Com falls assessment tool (n=74). 32% of participants had ≥1 fall in the preceding year, and 37.3% were classified high falls risk using the EFST (cut-off ≥2). In contrast, for the 74 participants assessed with the FROP-Com, only 14.9% were rated high risk, 35.8% moderate risk, and 49.3% low risk. The FROP-Com screen and assessment tools had the highest classification accuracy for identifying fallers in the preceding year (area under curve >0.85), with sensitivity/specificity highest for the FROP-Com assessment (cut-off ≥12), sensitivity=0.84 and specificity=0.73. Falls are common in older Indigenous Australians. The FROP-Com falls risk assessment tool appears useful in this population, and this research suggests changes that may improve its utility further. © 2016 Public Health Association of Australia.

An integrated regional planning/microsimulation model for the Buffalo/Niagara Falls area

DOT National Transportation Integrated Search

2010-04-01

This presentation examines the major planning issues facing the Buffalo and Niagara Falls area, which include freight, cross border congestion, and domestic issues. A Transportation Analysis and Simulation System (TRANSIMS) model is discussed that co...

Validation of Fall Risk Assessment Specific to the Inpatient Rehabilitation Facility Setting.

PubMed

Thomas, Dan; Pavic, Andrea; Bisaccia, Erin; Grotts, Jonathan

2016-09-01

To evaluate and compare the Morse Fall Scale (MFS) and the Casa Colina Fall Risk Assessment Scale (CCFRA) for identification of patients at risk for falling in an acute inpatient rehabilitation facility. The primary objective of this study was to perform a retrospective validation study of the CCFRAS, specifically for use in the inpatient rehabilitation facility (IRF) setting. Retrospective validation study. The study was approved under expedited review by the local Institutional Review Board. Data were collected on all patients admitted to Cottage Rehabiliation Hospital (CRH), a 38-bed acute inpatient rehabilitation hospital, from March 2012 to August 2013. Patients were excluded from the study if they had a length of stay less than 3 days or age less than 18. The area under the receiver operating characteristic curve (AUC) and the diagnostic odds ratio were used to examine the differences between the MFS and CCFRAS. AUC between fall scales was compared using the DeLong Test. There were 931 patients included in the study with 62 (6.7%) patient falls. The average age of the population was 68.8 with 503 males (51.2%). The AUC was 0.595 and 0.713 for the MFS and CCFRAS, respectively (0.006). The diagnostic odds ratio of the MFS was 2.0 and 3.6 for the CCFRAS using the recommended cutoffs of 45 for the MFS and 80 for the CCFRAS. The CCFRAS appears to be a better tool in detecting fallers vs. nonfallers specific to the IRF setting. The assessment and identification of patients at high risk for falling is important to implement specific precautions and care for these patients to reduce their risk of falling. The CCFRAS is more clinically relevant in identifying patients at high risk for falling in the IRF setting compared to other fall risk assessments. Implementation of this scale may lead to a reduction in fall rate and injuries from falls as it more appropriately identifies patients at high risk for falling. © 2015 Association of Rehabilitation Nurses.

Risk factors of falls among elderly living in Urban Suez - Egypt

PubMed Central

Kamel, Mohammed Hany; Abdulmajeed, Abdulmajeed Ahmed; Ismail, Sally El-Sayed

2013-01-01

Introduction Falling is one of the most common geriatric syndromes threatening the independence of older persons. Falls result from a complex and interactive mix of biological or medical, behavioral and environmental factors, many of which are preventable. Studying these diverse risk factors would aid early detection and management of them at the primary care level. Methods This is a cross sectional study about risk factors of falls was conducted to 340 elders in Urban Suez. Those are all patients over 60 who attended two family practice centers in Urban Suez. Results When asked about falling during the past 12 months, 205 elders recalled at least one incident of falling. Of them, 36% had their falls outdoors and 24% mentioned that stairs was the most prevalent site for indoor falls. Falls were also reported more among dependant than independent elderly. Using univariate regression analysis, almost all tested risk factors were significantly associated with falls in the studied population. These risk factors include: living alone, having chronic diseases, using medications, having a physical deficit, being in active, and having a high nutritional risk. However, the multivariate regression analysis proved that the strongest risk factors are low level of physical activity with OR 0.6 and P value 0.03, using a cane or walker (OR 1.69 and P value 0.001) and Impairment of daily living activities (OR 1.7 and P value 0.001). Conclusion Although falls is a serious problem among elderly with many consequences, it has many preventable risk factors. Health care providers should advice people to remain active and more research is needed in such an important area of Family Practice. PMID:23504298

Risk factors of falls among elderly living in urban Suez--Egypt.

PubMed

Kamel, Mohammed Hany; Abdulmajeed, Abdulmajeed Ahmed; Ismail, Sally El-Sayed

2013-01-01

Falling is one of the most common geriatric syndromes threatening the independence of older persons. Falls result from a complex and interactive mix of biological or medical, behavioral and environmental factors, many of which are preventable. Studying these diverse risk factors would aid early detection and management of them at the primary care level. This is a cross sectional study about risk factors of falls was conducted to 340 elders in Urban Suez. Those are all patients over 60 who attended two family practice centers in Urban Suez. When asked about falling during the past 12 months, 205 elders recalled at least one incident of falling. Of them, 36% had their falls outdoors and 24% mentioned that stairs was the most prevalent site for indoor falls. Falls were also reported more among dependant than independent elderly. Using univariate regression analysis, almost all tested risk factors were significantly associated with falls in the studied population. These risk factors include: living alone, having chronic diseases, using medications, having a physical deficit, being in active, and having a high nutritional risk. However, the multivariate regression analysis proved that the strongest risk factors are low level of physical activity with OR 0.6 and P value 0.03, using a cane or walker (OR 1.69 and P value 0.001) and Impairment of daily living activities (OR 1.7 and P value 0.001). Although falls is a serious problem among elderly with many consequences, it has many preventable risk factors. Health care providers should advice people to remain active and more research is needed in such an important area of Family Practice.

Improvement of Anadromous Fish Habitat and Passage in Omak Creek, 2008 Annual Report : February 1, 2008 to January 31, 2009.

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

Dasher, Rhonda; Fisher, Christopher

2009-06-09

During the 2008 season, projects completed under BPA project 2000-100-00 included installation of riparian fencing, maintenance of existing riparian fencing, monitoring of at-risk culverts and installation of riparian vegetation along impacted sections of Omak Creek. Redd and snorkel surveys were conducted in Omak Creek to determine steelhead production. Canopy closure surveys were conducted to monitor riparian vegetation recovery after exclusion of cattle since 2000 from a study area commonly known as the Moomaw property. Additional redd and fry surveys were conducted above Mission Falls and in the lower portion of Stapaloop Creek to try and determine whether there has beenmore » successful passage at Mission Falls. Monitoring adult steelhead trying to navigate the falls resulted in the discovery of shallow pool depth at an upper pool that is preventing many fish from successfully navigating the entire falls. The Omak Creek Habitat and Passage Project has worked with NRCS to obtain additional funds to implement projects in 2009 that will address passage at Mission Falls, culvert replacement, as well as additional riparian planting. The Omak Creek Technical Advisory Group (TAG) is currently revising the Omak Creek Watershed Assessment. In addition, the group is revising strategy to focus efforts in targeted areas to provide a greater positive impact within the watershed. In 2008 the NRCS Riparian Technical Team was supposed to assess areas within the watershed that have unique problems and require special treatments to successfully resolve the issues involved. The technical team will be scheduled for 2009 to assist the TAG in developing strategies for these special areas.« less

Hydrochemical analysis of groundwater using multivariate statistical methods - The Volta region, Ghana

USGS Publications Warehouse

Banoeng-Yakubo, B.; Yidana, S.M.; Nti, E.

2009-01-01

Q and R-mode multivariate statistical analyses were applied to groundwater chemical data from boreholes and wells in the northern section of the Volta region Ghana. The objective was to determine the processes that affect the hydrochemistry and the variation of these processes in space among the three main geological terrains: the Buem formation, Voltaian System and the Togo series that underlie the area. The analyses revealed three zones in the groundwater flow system: recharge, intermediate and discharge regions. All three zones are clearly different with respect to all the major chemical parameters, with concentrations increasing from the perceived recharge areas through the intermediate regions to the discharge areas. R-mode HCA and factor analysis (using varimax rotation and Kaiser Criterion) were then applied to determine the significant sources of variation in the hydrochemistry. This study finds that groundwater hydrochemistry in the area is controlled by the weathering of silicate and carbonate minerals, as well as the chemistry of infiltrating precipitation. This study finds that the ??D and ??18O data from the area fall along the Global Meteoric Water Line (GMWL). An equation of regression derived for the relationship between ??D and ??18O bears very close semblance to the equation which describes the GMWL. On the basis of this, groundwater in the study area is probably meteoric and fresh. The apparently low salinities and sodicities of the groundwater seem to support this interpretation. The suitability of groundwater for domestic and irrigation purposes is related to its source, which determines its constitution. A plot of the sodium adsorption ratio (SAR) and salinity (EC) data on a semilog axis, suggests that groundwater serves good irrigation quality in the area. Sixty percent (60%), 20% and 20% of the 67 data points used in this study fall within the medium salinity - low sodicity (C2-S1), low salinity -low sodicity (C1-S1) and high salinity - low sodicity (C3-S1) fields, which ascribe good irrigation quality to groundwater from this area. Salinities range from 28.1 to 1956 ??S/cm, whilst SAR values fall within the range 0-3. Extremely low sodicity waters of this kind, with salinities lower than 600 ??S/cm, have the tendency to affect the dispersive properties of irrigation soils when used for irrigation. About 50% of the groundwater in the study area fall within this category and need prior treatment before usage. ?? 2009 Korean Society of Civil Engineers and Springer-Verlag Berlin Heidelberg GmbH.

Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review

PubMed Central

Ishigaki, Erika Y.; Ramos, Lidiane G.; Carvalho, Elisa S.; Lunardi, Adriana C.

2014-01-01

Background Falls are a geriatric syndrome that is considered a significant public health problem in terms of morbidity and mortality because they lead to a decline in functional capacity and an impaired quality of life in the elderly. Lower limb muscle strengthening seems to be an effective intervention for preventing falls; however, there is no consensus regarding the best method for increasing lower limb muscle strength. Objectives To analyze the effectiveness of lower limb muscle strengthening and to investigate and describe the protocols used for preventing falls in elderly subjects. Method We performed a systematic review of randomized and controlled clinical trials published between 2002 and 2012 in the databases PubMed, EMBASE, Scopus, Web of Science, and PEDro that cited some type of lower limb muscle strengthening protocol and that evaluated the incidence of falls as the primary outcome exclusively in elderly subjects. Twelve studies met the inclusion criteria. Qualitative analysis was performed by independent reviewers applying the PEDro scale. Results The data obtained from the selected studies showed lower fall rates in the intervention groups compared to controls. Six studies described the lower limb muscle strengthening protocol in detail. High methodological quality was found in 6 studies (PEDro score ≥7/10 points). Conclusions The methodological quality of the studies in this area appears to leave little doubt regarding the effectiveness of lower limb strengthening exercises for preventing falls in elderly subjects, however the interventions in these studies were poorly reported. PMID:24760166

Fall Risk Assessment Tools for Elderly Living in the Community: Can We Do Better?

PubMed

Palumbo, Pierpaolo; Palmerini, Luca; Bandinelli, Stefania; Chiari, Lorenzo

2015-01-01

Falls are a common, serious threat to the health and self-confidence of the elderly. Assessment of fall risk is an important aspect of effective fall prevention programs. In order to test whether it is possible to outperform current prognostic tools for falls, we analyzed 1010 variables pertaining to mobility collected from 976 elderly subjects (InCHIANTI study). We trained and validated a data-driven model that issues probabilistic predictions about future falls. We benchmarked the model against other fall risk indicators: history of falls, gait speed, Short Physical Performance Battery (Guralnik et al. 1994), and the literature-based fall risk assessment tool FRAT-up (Cattelani et al. 2015). Parsimony in the number of variables included in a tool is often considered a proxy for ease of administration. We studied how constraints on the number of variables affect predictive accuracy. The proposed model and FRAT-up both attained the same discriminative ability; the area under the Receiver Operating Characteristic (ROC) curve (AUC) for multiple falls was 0.71. They outperformed the other risk scores, which reported AUCs for multiple falls between 0.64 and 0.65. Thus, it appears that both data-driven and literature-based approaches are better at estimating fall risk than commonly used fall risk indicators. The accuracy-parsimony analysis revealed that tools with a small number of predictors (~1-5) were suboptimal. Increasing the number of variables improved the predictive accuracy, reaching a plateau at ~20-30, which we can consider as the best trade-off between accuracy and parsimony. Obtaining the values of these ~20-30 variables does not compromise usability, since they are usually available in comprehensive geriatric assessments.

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.

75 FR 33239 - Rangeland Allotment Management Planning on the Fall River West and Oglala Geographic Areas, Fall...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

...). Vegetation in the Analysis Area is characteristic of mixed-grass prairie and lesser amounts of ponderosa pine/juniper habitats. Short- grass species include blue grama, buffalograss, and upland sedges. Mid- grass...

Detailed Statistical Tables - Graduate Science Education: Student Support and Postdoctorals, Fall 1974. Appendix III.

ERIC Educational Resources Information Center

National Science Foundation, Washington, DC. Div. of Science Resources Studies.

Reflecting enrollment as of Fall 1974, the 155 tables in this document provide extensive data on graduate and post-graduate students in all areas of science and engineering. A total of 354 institutions with 7,505 masters and doctoral level departments participated in the study. Data are organized to show the sources of support for students in the…

High-resolution three-dimensional imaging and analysis of rock falls in Yosemite valley, California

USGS Publications Warehouse

Stock, Gregory M.; Bawden, G.W.; Green, J.K.; Hanson, E.; Downing, G.; Collins, B.D.; Bond, S.; Leslar, M.

2011-01-01

We present quantitative analyses of recent large rock falls in Yosemite Valley, California, using integrated high-resolution imaging techniques. Rock falls commonly occur from the glacially sculpted granitic walls of Yosemite Valley, modifying this iconic landscape but also posing signifi cant potential hazards and risks. Two large rock falls occurred from the cliff beneath Glacier Point in eastern Yosemite Valley on 7 and 8 October 2008, causing minor injuries and damaging structures in a developed area. We used a combination of gigapixel photography, airborne laser scanning (ALS) data, and ground-based terrestrial laser scanning (TLS) data to characterize the rock-fall detachment surface and adjacent cliff area, quantify the rock-fall volume, evaluate the geologic structure that contributed to failure, and assess the likely failure mode. We merged the ALS and TLS data to resolve the complex, vertical to overhanging topography of the Glacier Point area in three dimensions, and integrated these data with gigapixel photographs to fully image the cliff face in high resolution. Three-dimensional analysis of repeat TLS data reveals that the cumulative failure consisted of a near-planar rock slab with a maximum length of 69.0 m, a mean thickness of 2.1 m, a detachment surface area of 2750 m2, and a volume of 5663 ?? 36 m3. Failure occurred along a surfaceparallel, vertically oriented sheeting joint in a clear example of granitic exfoliation. Stress concentration at crack tips likely propagated fractures through the partially attached slab, leading to failure. Our results demonstrate the utility of high-resolution imaging techniques for quantifying far-range (>1 km) rock falls occurring from the largely inaccessible, vertical rock faces of Yosemite Valley, and for providing highly accurate and precise data needed for rock-fall hazard assessment. ?? 2011 Geological Society of America.

Placing the pieces: Reconstructing the original property mosaic in a warrant and patent watershed

USGS Publications Warehouse

Bain, D.J.; Brush, G.S.

2005-01-01

Recent research shows that land use history is an important determinant of current ecosystem function. In the United States, characterization of land use change following European settlement requires reconstruction of the original property mosaic. However, this task is difficult in unsystematically surveyed areas east of the Appalachian Mountains. The Gwynns Falls watershed (Baltimore, MD) was originally surveyed in the 1600-1700s under a system of warrants and patents (commonly known as 'metes and bounds'). A method for the reconstruction and mapping of warrant and patent properties is presented and used to map the original property mosaic in the Gwynns Falls watershed. Using the mapped mosaic, the persistence of properties and property lines in the current Gwynns Falls landscape is considered. The results of this research indicate that as in agricultural areas, the original property lines in the Gwynns Falls watershed are persistent. At the same time, the results suggest that the property mosaic in heavily urbanized/suburbanized areas is generally 'reset.' Further, trends in surveying technique, parcel size, and settlement patterns cause property line density and property shape complexity to increase in the less urbanized upper watershed. The persistence of original patterns may be damping expression of heterogeneity gradients in this urban landscape. This spatial pattern of complexity in the original mosaic is directly opposite of hypothesized patterns of landscape heterogeneity arising from urbanization. The technique reported here and the resulting observations are important for landscape pattern studies in areas settled under unsystematic survey systems, especially the heavily urbanized areas of the eastern United States. ?? 2004 Kluwer Academic Publishers.

Fall Enrollment, 1978. Research and Planning Series Report No. 79-1.

ERIC Educational Resources Information Center

Elliott, Loretta Glaze; And Others

The first in a series of annual analytical reports prepared by the Missouri Department of Higher Education from the annual state data collection is presented. Tables, charts, and graphs provide numerical data, supplemented by brief analyses, in these areas: enrollment by sector; enrollment trends for fall 1974 through fall 1978; fall enrollment…

Regional Gray Matter Volumes Are Related to Concern About Falling in Older People: A Voxel-Based Morphometric Study.

PubMed

Tuerk, Carola; Zhang, Haobo; Sachdev, Perminder; Lord, Stephen R; Brodaty, Henry; Wen, Wei; Delbaere, Kim

2016-01-01

Concern about falling is common in older people. Various related psychological constructs as well as poor balance and slow gait have been associated with decreased gray matter (GM) volume in old age. The current study investigates the association between concern about falling and voxel-wise GM volumes. A total of 281 community-dwelling older people aged 70-90 years underwent structural magnetic resonance imaging. Concern about falling was assessed using Falls Efficacy Scale-International (FES-I). For each participant, voxel-wise GM volumes were generated with voxel-based morphometry and regressed on raw FES-I scores (p < .05 family-wise error corrected on cluster level). FES-I scores were negatively correlated with total brain volume (r = -.212; p ≤ .001), GM volume (r = -.210; p ≤ .001), and white matter volume (r = -.155; p ≤ .001). Voxel-based morphometry analysis revealed significant negative associations between FES-I and GM volumes of (i) left cerebellum and bilateral inferior occipital gyrus (voxels-in-cluster = 2,981; p < .001) and (ii) bilateral superior frontal gyrus and left supplementary motor area (voxels-in-cluster = 1,900; p = .004). Additional adjustment for vision and physical fall risk did not alter these associations. After adjustment for anxiety, only left cerebellum and bilateral inferior occipital gyrus remained negatively associated with FES-I scores (voxels-in-cluster = 2,426; p < .001). Adjustment for neuroticism removed all associations between FES-I and GM volumes. Our study findings show that concern about falling is negatively associated with brain volumes in areas important for emotional control and for motor control, executive functions and visual processing in a large sample of older men and women. Regression analyses suggest that these relationships were primarily accounted for by psychological factors (generalized anxiety and neuroticism) and not by physical fall risk or vision. © 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.

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.

Timing and location of mortality of fledgling, subadult, and adult California Gulls

USGS Publications Warehouse

Pugesek, B.H.; Diem, K.L.

2008-01-01

We investigated patterns of mortality during post-breeding migrations of California Gulls (Larus californicus) nesting near Laramie, Wyoming, USA. We used 151 recoveries and 647 sightings of banded and patagially-marked gulls to compare ratios of mortalities to observations of live birds (1) during four time periods (early and late fall migration, winter, and spring migration), (2) at two locations (Pacific coast and inland), and (3) among three age-classes of gulls (fledglings, 1- and 2-year-olds, and breeding-age adults). Mortality rates were higher in inland areas (35%) than in coastal areas (15%) and were dependent on season within inland areas, but not in coastal areas. Mortality in inland areas during early fall (21%) was comparable with that in coastal areas (13%) but was higher during late fall (68 vs. 13%) and spring migration (46 vs. 17%). Both fledgling (71%) and adult (64%) gulls experienced high mortality rates during late fall migration, possibly because some gulls were too weak to make their way to the Pacific coast and became trapped by poor weather conditions. Adult gulls also experienced high mortality inland during spring migration; few subadults made the costly migration to and from the breeding area. Some adults also skipped breeding and remained in coastal areas during the breeding season.

Unusual July 10, 1996, rock fall at Happy Isles, Yosemite National Park, California

USGS Publications Warehouse

Wieczorek, G.F.; Snyder, J.B.; Waitt, R.B.; Morrissey, M.M.; Uhrhammer, R.A.; Harp, E.L.; Norris, R.D.; Bursik, M.I.; Finewood, L.G.

2000-01-01

Effects of the July 10, 1996, rock fall at Happy Isles in Yosemite National Park, California, were unusual compared to most rock falls. Two main rock masses fell about 14 s apart from a 665-m-high cliff southeast of Glacier Point onto a talus slope above Happy Isles in the eastern part of Yosemite Valley. The two impacts were recorded by seismographs as much as 200 km away. Although the impact area of the rock falls was not particularly large, the falls generated an airblast and an abrasive dense sandy cloud that devastated a larger area downslope of the impact sites toward the Happy Isles Nature Center. Immediately downslope of the impacts, the airblast had velocities exceeding 110 m/s and toppled or snapped about 1000 trees. Even at distances of 0.5 km from impact, wind velocities snapped or toppled large trees, causing one fatality and several serious injuries beyond the Happy Isles Nature Center. A dense sandy cloud trailed the airblast and abraded fallen trunks and trees left standing. The Happy Isles rock fall is one of the few known worldwide to have generated an airblast and abrasive dense sandy cloud. The relatively high velocity of the rock fall at impact, estimated to be 110-120 m/s, influenced the severity and areal extent of the airblast at Happy Isles. Specific geologic and topographic conditions, typical of steep glaciated valleys and mountainous terrain, contributed to the rock-fall release and determined its travel path, resulting in a high velocity at impact that generated the devastating airblast and sandy cloud. The unusual effects of this rock fall emphasize the importance of considering collateral geologic hazards, such as airblasts from rock falls, in hazard assessment and planning development of mountainous areas.

Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study.

PubMed

Coutinho, Evandro S F; Fletcher, Astrid; Bloch, Katia V; Rodrigues, Laura C

2008-08-26

Fracture after falling has been identified as an important problem in public health. Most studies of risk factors for fractures due to falls have been carried out in developed countries, although the size of the elderly population is increasing fast in middle income countries. The objective of this paper is to identify risk factors for fall related to severe fractures in those aged 60 or more in a middle-income country. A case-control study was carried out in Rio de Janeiro-Brazil based general hospitals between 2002-2003. Two hundred-fifty hospitalised cases of fracture were matched with 250 community controls by sex, age group and living area. Data were collected for socio-demographic variables, health status and drugs used before the fall. A conditional logistic regression model was fitted to identify variables associated with the risk of fall related severe fracture. Low body mass index, cognitive impairment, stroke and lack of urine control were associated with increased risk of severe fall related fractures. Benzodiazepines and muscle relaxants were also related to an increased risk of severe fractures while moderate use of alcohol was associated with reduced risk. Although the association between benzodiazepines and fractures due to fall has been consistently demonstrated for old people, this has not been the case for muscle relaxant drugs. The decision to prescribe muscle relaxants for elderly people should take into account the risk of severe fracture associated with these drugs.

Effects of roads on habitat quality for bears in the southern Appalachians: A long-term study

USGS Publications Warehouse

Reynolds-Hogland, M. J.; Mitchell, M.S.

2007-01-01

We tested the hypothesis that gravel roads, not paved roads, had the largest negative effect on habitat quality for a population of American black bears (Ursus americanus) that lived in a protected area, where vehicle collision was a relatively minimal source of mortality. We also evaluated whether road use by bears differed by sex or age and whether annual variation in hard mast productivity affected the way bears used areas near roads. In addition, we tested previous findings regarding the spatial extent to which roads affected bear behavior negatively. Using summer and fall home ranges for 118 black bears living in the Pisgah Bear Sanctuary in western North Carolina during 1981-2001, we estimated both home-range-scale (2nd-order) and within-home-range-scale (3rd-order) selection for areas within 250, 500, 800, and 1,600 m of paved and gravel roads. All bears avoided areas near gravel roads more than they avoided areas near paved roads during summer and fall for 2nd-order selection and during summer for 3rd-order selection. During fall, only adult females avoided areas near gravel roads more than they avoided areas near paved roads for 3rd-order selection. We found a positive relationship between use of roads by adults and annual variability in hard mast productivity. Overall, bears avoided areas within 800 m of gravel roads. Future research should determine whether avoidance of gravel roads by bears affects bear survival. ?? 2007 American Society of Mammalogists.

[Epidemiology and risk factors in injuries due to fall in infants under one year-old].

PubMed

Jiménez de Domingo, Ana; Rubio García, Elena; Marañon Pardillo, Rafael; Arias Constanti, Vanessa; Frontado Haiek, Luis Alberto; Soriano Arola, Marta; Ripoll Oliveras, Francesc; Remón García, Cristina; Estopiña Ferrer, Gloria; Lorente Romero, Jorge

2017-06-01

To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015. Out of 289,887 emergency department cases, 1,022 were due to unintentional falls. The median age was 8 months and 52.5% were males. Fall injuries were more frequent among children aged 9-12 months (37.6%), and 83.5% occurred at home. The most common mechanism was fall from nursery equipment (69.4%), and 47.8% occurred from a height under 50cm. More than two-thirds (68%) of falls were witnessed, but in half of the cases (329) the caregiver was not in area. Serious injuries were seen in 12% of cases. In this study, a fall height greater than 50cm, falls in the street, from the arms of the carer, and from the stairs were identified as independent risk factors for worse outcomes. The most serious injuries occur in children <3 months and from a height of >50cm, though not related to unwitnessed falls. Because the most common serious injury mechanism is the fall from the arms of the carer, from stairs, and falls in the street, these facts should be highlighted in order to avoid morbidity. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

External validation of a simple clinical tool used to predict falls in people with Parkinson disease

PubMed Central

Duncan, Ryan P.; Cavanaugh, James T.; Earhart, Gammon M.; Ellis, Terry D.; Ford, Matthew P.; Foreman, K. Bo; Leddy, Abigail L.; Paul, Serene S.; Canning, Colleen G.; Thackeray, Anne; Dibble, Leland E.

2015-01-01

Background Assessment of fall risk in an individual with Parkinson disease (PD) is a critical yet often time consuming component of patient care. Recently a simple clinical prediction tool based only on fall history in the previous year, freezing of gait in the past month, and gait velocity <1.1 m/s was developed and accurately predicted future falls in a sample of individuals with PD. METHODS We sought to externally validate the utility of the tool by administering it to a different cohort of 171 individuals with PD. Falls were monitored prospectively for 6 months following predictor assessment. RESULTS The tool accurately discriminated future fallers from non-fallers (area under the curve [AUC] = 0.83; 95% CI 0.76 –0.89), comparable to the developmental study. CONCLUSION The results validated the utility of the tool for allowing clinicians to quickly and accurately identify an individual’s risk of an impending fall. PMID:26003412

External validation of a simple clinical tool used to predict falls in people with Parkinson disease.

PubMed

Duncan, Ryan P; Cavanaugh, James T; Earhart, Gammon M; Ellis, Terry D; Ford, Matthew P; Foreman, K Bo; Leddy, Abigail L; Paul, Serene S; Canning, Colleen G; Thackeray, Anne; Dibble, Leland E

2015-08-01

Assessment of fall risk in an individual with Parkinson disease (PD) is a critical yet often time consuming component of patient care. Recently a simple clinical prediction tool based only on fall history in the previous year, freezing of gait in the past month, and gait velocity <1.1 m/s was developed and accurately predicted future falls in a sample of individuals with PD. We sought to externally validate the utility of the tool by administering it to a different cohort of 171 individuals with PD. Falls were monitored prospectively for 6 months following predictor assessment. The tool accurately discriminated future fallers from non-fallers (area under the curve [AUC] = 0.83; 95% CI 0.76-0.89), comparable to the developmental study. The results validated the utility of the tool for allowing clinicians to quickly and accurately identify an individual's risk of an impending fall. Copyright © 2015 Elsevier Ltd. All rights reserved.

BOREAS TF-2 SSA-OA Tethersonde Meteorological and Ozone Data

NASA Technical Reports Server (NTRS)

Arnold, A. James; Mickle, Robert E.; Hall, Forrest G. (Editor); Huemmrich, Karl (Editor)

2000-01-01

The BOReal Ecosystem-Atmosphere Study Tower Flux-2 (BOREAS TF-2) team collected meteorological and ozone measurements from instruments mounted below a tethered balloon. These data were collected at the Southern Study Area Old Aspen (SSA-OA) site to extend meteorological and ozone measurements made from the flux tower to heights of 300 m. The tethersonde operated during the fall of 1993 and the spring, summer, and fall of 1994. The data are available in tabular ASCII files.

Appraising the uptake and use of recommendations for a common outcome data set for clinical trials: a case study in fall injury prevention.

PubMed

Copsey, Bethan; Hopewell, Sally; Becker, Clemens; Cameron, Ian D; Lamb, Sarah E

2016-03-10

Many researchers and professional bodies are seeking consensus for core outcomes for clinical trials. The Prevention of Falls Network Europe (ProFaNE) developed a common outcome data set for fall injury prevention trials 10 years ago. This study assesses the impact of these recommendations. A systematic search (up to 16 January 2015) was performed using Web of Science, Scopus and PubMed for articles citing the ProFaNE recommendations. Randomised trials on fall prevention in older people were selected for further analysis. Data were extracted on study characteristics and adherence to the key domains recommended by the ProFaNE consensus: falls, fall injury, physical activity, psychological consequences and health-related quality of life. Details of non-recommended outcome measures used were also recorded. The ProFaNE recommendations were cited in a total of 464 published articles, of which 34 were randomised trials on fall prevention in older people. Only one study (3 %) reported on all core domains. Most of the trials reported on falls (n = 32/34, 94 %) as a core outcome measure. Most of the recommendations within the falls domain were well-followed. Around half of the trials reported on fall-related injury (n = 16/34, 47 %). However, none reported the number of radiologically confirmed peripheral fracture events, which is the recommended outcome measure for injury. The other key domains (quality of life, physical activity and psychological consequences) were less frequently reported on, with a lack of consistency in the outcome measures used. The ProFaNE recommendations had a limited effect on standardising the reporting of outcomes in randomised trials on fall injury prevention in older people during the search period. Authors of consensus guidelines should consider maximising buy-in by including a diversity of geographic areas and academic disciplines at the development stage and using a solid dissemination strategy.

Regeneration outlook on BLM lands in the Southern Oregon Cascades.

Treesearch

William I. Stein

1981-01-01

A survey of cutover timberland in the Butte Falls and Dead Indian areas showed that most partial cuts were moderately or well-stocked with natural regeneration. Clearcuts in the Butte Falls area were also well stocked, primarily with planted ponderosa pine; but many in the Dead Indian area were not. Advance regeneration was an important stocking component in partial...

Meteorite falls in Africa

NASA Astrophysics Data System (ADS)

Khiri, Fouad; Ibhi, Abderrahmane; Saint-Gerant, Thierry; Medjkane, Mohand; Ouknine, Lahcen

2017-10-01

The study of meteorites provides insight into the earliest history of our solar system. From 1800, about the year meteorites were first recognized as objects falling from the sky, until December 2014, 158 observed meteorite falls were recorded in Africa. Their collected mass ranges from 1.4 g to 175 kg with the 1-10 kg cases predominant. The average rate of African falls is low with only one fall recovery per 1.35-year time interval (or 0.023 per year per million km2). This African collection is dominated by ordinary chondrites (78%) just like in the worldwide falls. The seventeen achondrites include three Martian meteorite falls (Nakhla of Egypt, Tissint of Morocco and Zagami of Nigeria). Observed Iron meteorite falls are relatively rare and represent only 5%. The falls' rate in Africa is variable in time and in space. The number of falls continues to grow since 1860, 80% of which were recovered during the period between 1910 and 2014. Most of these documented meteorite falls have been recovered from North-Western Africa, Eastern Africa and Southern Africa. They are concentrated in countries which have a large surface area and a large population with a uniform distribution. Other factors are also favorable for observing and collecting meteorite falls across the African territory, such as: a genuine meteorite education, a semi-arid to arid climate (clear sky throughout the year most of the time), croplands or sparse grasslands and possible access to the fall location with a low percentage of forest cover and dense road network.

Falls in people with Parkinson's disease: A prospective comparison of community and home-based falls.

PubMed

Lamont, Robyn M; Morris, Meg E; Menz, Hylton B; McGinley, Jennifer L; Brauer, Sandra G

2017-06-01

Falls are common and debilitating in people with Parkinson's disease (PD) and restrict participation in daily activities. Understanding circumstances of falls in the community and at home may assist clinicians to target therapy more effectively. To compare the characteristics of community and home fallers and the circumstances that contribute to falls in people living with PD. People with mild-moderately severe PD (n=196) used a daily falls diary and telephone hotline to report prospectively the occurrence, location and circumstances of falls over 14 months. 62% of people with PD fell, with most falling at least once in the community. Compared to people who fell at home, the community-only fallers had shorter durations of PD (p=0.012), less severe disease (p=0.008) and reported fewer falls in the year prior to the study (p=0.003). Most falls occurred while people were ambulant, during postural transitions and when medication was working well. Community-based falls were frequently attributed to environmental factors such as challenging terrains (p<0.001), high attention demands (p=0.029), busy or cluttered areas (p<0.001) and tasks requiring speed (p=0.020). Physical loads were more often present in home than community-based falls (p=0.027). Falls that occur in the community typically affect people with earlier PD and less severe disease than home-based falls. Individuals experiencing community-based falls may benefit from physiotherapy to manage challenging environments and high attention demands. Copyright © 2017 Elsevier B.V. All rights reserved.

Factors associated with developing a fear of falling in subjects with primary open-angle glaucoma.

PubMed

Adachi, Sayaka; Yuki, Kenya; Awano-Tanabe, Sachiko; Ono, Takeshi; Shiba, Daisuke; Murata, Hiroshi; Asaoka, Ryo; Tsubota, Kazuo

2018-02-13

To investigate the relationship between clinical risk factors, including visual field (VF) defects and visual acuity, and a fear of falling, among patients with primary open-angle glaucoma (POAG). All participants answered the following question at a baseline ophthalmic examination: Are you afraid of falling? The same question was then answered every 12 months for 3 years. A binocular integrated visual field was calculated by merging a patient's monocular Humphrey field analyzer VFs, using the 'best sensitivity' method. The means of total deviation values in the whole, superior peripheral, superior central, inferior central, and inferior peripheral VFs were calculated. The relationship between these mean VF measurements, and various clinical factors, against patients' baseline fear of falling and future fear of falling was analyzed using multiple logistic regression. Among 392 POAG subjects, 342 patients (87.2%) responded to the fear of falling question at least twice in the 3 years study period. The optimal regression model for patients' baseline fear of falling included age, gender, mean of total deviation values in the inferior peripheral VF and number of previous falls. The optimal regression equation for future fear of falling included age, gender, mean of total deviation values in the inferior peripheral VF and number of previous falls. Defects in the inferior peripheral VF area are significantly related to the development of a fear of falling.

Dynamical Properties of Postural Control in Obese Community-Dwelling Older Adults †.

PubMed

Frames, Christopher W; Soangra, Rahul; Lockhart, Thurmon E; Lach, John; Ha, Dong Sam; Roberto, Karen A; Lieberman, Abraham

2018-05-24

Postural control is a key aspect in preventing falls. The aim of this study was to determine if obesity affected balance in community-dwelling older adults and serve as an indicator of fall risk. The participants were randomly assigned to receive a comprehensive geriatric assessment followed by a longitudinal assessment of their fall history. The standing postural balance was measured for 98 participants with a Body Mass Index (BMI) ranging from 18 to 63 kg/m², using a force plate and an inertial measurement unit affixed at the sternum. Participants' fall history was recorded over 2 years and participants with at least one fall in the prior year were classified as fallers. The results suggest that body weight/BMI is an additional risk factor for falling in elderly persons and may be an important marker for fall risk. The linear variables of postural analysis suggest that the obese fallers have significantly higher sway area and sway ranges, along with higher root mean square and standard deviation of time series. Additionally, it was found that obese fallers have lower complexity of anterior-posterior center of pressure time series. Future studies should examine more closely the combined effect of aging and obesity on dynamic balance.

Functional Performance As a Predictor of Injurious Falls Among Older Adults

PubMed Central

Ward, Rachel E.; Leveille, Suzanne G.; Beauchamp, Marla K.; Travison, Thomas; Alexander, Neil; Jette, Alan M.; Bean, Jonathan F.

2014-01-01

OBJECTIVES Guidelines for falls risk assessment include functional performance although evidence supporting specific tests for predicting injurious falls is lacking. We investigated whether a performance battery/its components aid in predicting injurious falls. DESIGN Longitudinal analysis; prospective cohort study. SETTING Clinical site. PARTICIPANTS 755 Boston area community-dwelling adults (mean ± SD: age=78.1 ± 5.4, 64.1% women, 77.6% white). MEASUREMENTS Baseline functional performance was determined by the SPPB measuring balance, gait speed, and 5 repeated chair stands. Fall history (past year) and efficacy in performing 10 daily activities without falling were assessed. Falls were assessed using a daily calendar over 4 years. Injurious falls were defined by fractures, sprains, dislocations, pulled or torn muscles, ligaments, or tendons or by seeking medical attention. RESULTS Poorest chair stand performance was associated with greater hazard of injurious falls compared to all other groups (HR [95% CI]: 1.96 [1.18–3.26], 1.65 [1.07–2.55], and 1.60 [1.03–2.48] for ≥16.7s vs. 13.7–16.6s, 11.2–13.6s, and <11.2s). SPPB did not predict injurious falls. Fall history predicted injurious falls (HR [95% CI]: 1.82 [1.39–2.39]); falls efficacy did not. Fall history and a slow chair stand (<16.7s) compounded 2-year cumulative incidence of an injurious fall (0.46, [0.34–0.58]) compared to positive fall history (0.29, [0.25–0.34]) or a slow chair stand alone (0.21, [0.13–0.30]). CONCLUSION An easily administered chair stand test may be sufficient for evaluating performance as part of a risk stratification strategy for injurious falls. PMID:25688606

Identifying Balance Measures Most Likely to Identify Recent Falls.

PubMed

Criter, Robin E; Honaker, Julie A

2016-01-01

Falls sustained by older adults are an increasing health care issue. Early identification of those at risk for falling can lead to successful prevention of falls. Balance complaints are common among individuals who fall or are at risk for falling. The purpose of this study was to evaluate the clinical utility of a multifaceted balance protocol used for fall risk screening, with the hypothesis that this protocol would successfully identify individuals who had a recent fall (within the previous 12 months). This is a retrospective review of 30 individuals who self-referred for a free fall risk screening. Measures included case history, Activities-Specific Balance Confidence Scale, modified Clinical Test of Sensory Interaction on Balance, Timed Up and Go test, and Dynamic Visual Acuity. Statistical analyses were focused on the ability of the test protocol to identify a fall within the past 12 months and included descriptive statistics, clinical utility indices, logistic regression, receiver operating characteristic curve, area under the curve analysis, effect size (Cohen d), and Spearman correlation coefficients. All individuals who self-referred for this free screening had current imbalance complaints, and were typically women (70%), had a mean age of 77.2 years, and had a fear of falling (70%). Almost half (46.7%) reported at least 1 lifetime fall and 40.0% within the past 12 months. Regression analysis suggested that the Timed Up and Go test was the most important indicator of a recent fall. A cutoff score of 12 or more seconds was optimal (sensitivity: 83.3%; specificity: 61.1%). Older adults with current complaints of imbalance have a higher rate of falls, fall-related injury, and fear of falling than the general community-dwelling public. The Timed Up and Go test is useful for determining recent fall history in individuals with imbalance.

Inability to Perform the Repeated Chair Stand Task Predicts Fall-Related Injury in Older Primary Care Patients.

PubMed

Shea, Cristina A; Ward, Rachel E; Welch, Sarah A; Kiely, Dan K; Goldstein, Richard; Bean, Jonathan F

2018-06-01

The aim of the study was to examine whether the chair stand component of the Short Physical Performance Battery predicts fall-related injury among older adult primary care patients. A 2-yr longitudinal cohort study of 430 Boston-area primary care patients aged ≥65 yrs screened to be at risk for mobility decline was conducted. The three components of the Short Physical Performance Battery (balance time, gait speed, and chair stand time) were measured at baseline. Participants reported incidence of fall-related injuries quarterly for 2 yrs. Complementary log-log discrete time hazard models were constructed to examine the hazard of fall-related injury across Short Physical Performance Battery scores, adjusting for age, sex, race, Digit Symbol Substitution Test score, and fall history. Participants were 68% female and 83% white, with a mean (SD) age of 76.6 (7.0). A total of 137 (32%) reported a fall-related injury during the follow-up period. Overall, inability to perform the chair stand task was a significant predictor of fall-related injury (hazard ratio = 2.11, 95% confidence interval = 1.23-3.62, P = 0.01). Total Short Physical Performance Battery score, gait component score, and balance component score were not predictive of fall-related injury. Inability to perform the repeated chair stand task was associated with increased hazard of an injurious fall for 2 yrs among a cohort of older adult primary care patients.

Habitat quality of historic Snake River fall Chinook salmon spawning locations and implications for incubation survival: part 1, substrate quality

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

Hanrahan, Timothy P.; Geist, David R.; Arntzen, Evan V.

2005-07-01

We evaluated substrate quality at two historic fall Chinook salmon (Oncorhynchus tshawytscha) spawning sites in the Snake River, Idaho, USA. The primary objective of this evaluation was to measure sediment permeability within these areas to determine the potential quality of the habitat in the event that anadromous salmonids are reintroduced to the upper Snake River. Riverbed sediments within the two sites in the upper Snake River were sampled using freeze cores and hydraulic slug tests. Sediment grain size distributions at both sites were typical of gravel-bed rivers with the surface layer coarser than the underlying substrate, suggesting the riverbed surfacemore » was armored. Despite the armored nature of the bed, the size of the largest material present on the riverbed surface was well within the size limit of material capable of being excavated by spawning fall Chinook salmon. The percentage of fines was low, suggesting good quality substrate for incubating salmon embryos. Geometric mean particle sizes found in this study compared to a 55% to 80% survival to emergence based on literature values. Hydraulic slug tests showed moderate to high hydraulic conductivity and were comparable to values from current fall Chinook salmon spawning areas in the Hells Canyon Reach of the Snake River and the Hanford Reach of the Columbia River. Predicted estimates of mean egg survival at both sites (48% and 74%) equaled or exceeded estimates from fall Chinook salmon spawning areas in the Hells Canyon Reach and the Hanford Reach.« less

Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients.

PubMed

Hou, Wen-Hsuan; Kang, Chun-Mei; Ho, Mu-Hsing; Kuo, Jessie Ming-Chuan; Chen, Hsiao-Lien; Chang, Wen-Yin

2017-03-01

To evaluate the accuracy of the inpatient fall risk screening tool and to identify the most critical fall risk factors in inpatients. Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients. Secondary data analysis. A subset of inpatient data for the period from June 2011-June 2014 was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei. Data were analysed using descriptive statistics, receiver operating characteristic curve analysis and logistic regression analysis. During the study period, 205 fallers and 37,232 nonfallers were identified. The results revealed that the inpatient fall risk screening tool (cut-off point of ≥3) had a low sensitivity level (60%), satisfactory specificity (87%), a positive predictive value of 2·0% and a negative predictive value of 99%. The receiver operating characteristic curve analysis revealed an area under the curve of 0·805 (sensitivity, 71·8%; specificity, 78%). To increase the sensitivity values, the Youden index suggests at least 1·5 points to be the most suitable cut-off point for the inpatient fall risk screening tool. Multivariate logistic regression analysis revealed a considerably increased fall risk in patients with impaired balance and impaired elimination. The fall risk factor was also significantly associated with days of hospital stay and with admission to surgical wards. The findings can raise awareness about the two most critical risk factors for falls among future clinical nurses and other healthcare professionals and thus facilitate the development of fall prevention interventions. This study highlights the needs for redefining the cut-off points of the inpatient fall risk screening tool to effectively identify inpatients at a high risk of falls. Furthermore, inpatients with impaired balance and impaired elimination should be closely monitored by nurses to prevent falling during hospitalisations. © 2016 John Wiley & Sons Ltd.

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...

76 FR 9266 - Proposed Amendment of Class D and Class E Airspace; Idaho Falls, ID

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-17

...-0023; Airspace Docket No. 11-ANM-2] Proposed Amendment of Class D and Class E Airspace; Idaho Falls, ID...: This action proposes to amend the Class D and Class E airspace areas at Idaho Falls, ID, by changing the name of the airport to Idaho Falls Regional Airport, and adjusting the geographic coordinates of...

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...

Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design

PubMed Central

Giles, Lynne C; Bolch, Denise; Rouvray, Robyn; McErlean, Beth; Whitehead, Craig H; Phillips, Paddy A; Crotty, Maria

2006-01-01

Background Falls in hospital are frequent and their consequences place an increased burden on health services. We evaluated a falls prevention strategy consisting of the introduction of volunteers to 'sit' with patients identified as being at high risk of falling. Methods Two four bed 'safety bays' located on medical wards in two hospitals within southern Adelaide were used. Ward fall rates (expressed as falls per 1000 occupied bed days) were compared in the baseline period (February-May 2002) with the implementation period (February – May 2003) using incident rate ratios and 95% confidence intervals. The number of hours of volunteered time was also collected. Results No patient falls occurred on either site when volunteers were present. However, there was no significant impact on overall ward fall rates. In the baseline period, there were 70 falls in 4828 OBDs (14.5 falls per 1000 OBDs). During the implementation period, there were 82 falls in 5300 OBDs (15.5 falls per 1000 OBD). The IRR for falls in the implementation versus baseline period was 1.07 (95%CI 0.77 – 1.49; P = 0.346). Volunteers carried out care activities (e.g. cutting up food), provided company, and on occasions advocated on behalf of the patients. Volunteers donated 2345 hours, at an estimated value to the hospitals of almost $57,000. Conclusion Volunteers may play an important and cost-effective role in enhancing health care and can prevent falls in older hospital patients when they are present. Full implementation of this program would require the recruitment of adequate numbers of volunteers willing to sit with all patients considered at risk of falling in hospital. The challenge for future work in this area remains the sustainability of falls prevention strategies. PMID:16895609

Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design.

PubMed

Giles, Lynne C; Bolch, Denise; Rouvray, Robyn; McErlean, Beth; Whitehead, Craig H; Phillips, Paddy A; Crotty, Maria

2006-08-09

Falls in hospital are frequent and their consequences place an increased burden on health services. We evaluated a falls prevention strategy consisting of the introduction of volunteers to 'sit' with patients identified as being at high risk of falling. Two four bed 'safety bays' located on medical wards in two hospitals within southern Adelaide were used. Ward fall rates (expressed as falls per 1000 occupied bed days) were compared in the baseline period (February-May 2002) with the implementation period (February - May 2003) using incident rate ratios and 95% confidence intervals. The number of hours of volunteered time was also collected. No patient falls occurred on either site when volunteers were present. However, there was no significant impact on overall ward fall rates. In the baseline period, there were 70 falls in 4828 OBDs (14.5 falls per 1000 OBDs). During the implementation period, there were 82 falls in 5300 OBDs (15.5 falls per 1000 OBD). The IRR for falls in the implementation versus baseline period was 1.07 (95%CI 0.77 - 1.49; P = 0.346). Volunteers carried out care activities (e.g. cutting up food), provided company, and on occasions advocated on behalf of the patients. Volunteers donated 2345 hours, at an estimated value to the hospitals of almost $57,000. Volunteers may play an important and cost-effective role in enhancing health care and can prevent falls in older hospital patients when they are present. Full implementation of this program would require the recruitment of adequate numbers of volunteers willing to sit with all patients considered at risk of falling in hospital. The challenge for future work in this area remains the sustainability of falls prevention strategies.

36 CFR 13.1226 - Brooks Falls area.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Brooks Falls area. 13.1226 Section 13.1226 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR NATIONAL PARK SYSTEM UNITS IN ALASKA Special Regulations-Katmai National Park and Preserve Brooks Camp...

40 CFR 440.42 - Effluent limitations representing the degree of effluent reduction attainable by the application...

Code of Federal Regulations, 2010 CFR

2010-07-01

... annual precipitation falling on the treatment facility and the drainage area contributing surface runoff... difference between annual precipitation falling on the treatment facility and the drainage area contributing surface runoff to the treatment facility and annual evaporation may be discharged subject to the...

Identifying Areas of Tension in the Field of Technology-Enhanced Learning: Results of an International Delphi Study

ERIC Educational Resources Information Center

Plesch, Christine; Kaendler, Celia; Rummel, Nikol; Wiedmann, Michael; Spada, Hans

2013-01-01

Despite steady progress in research in technology-enhanced learning (TEL), the translation of research findings and technology into educational practices falls short of expectations. We present five Areas of Tension which were identified and evaluated in an international Delphi study on TEL. These tensions might impede a more comprehensive…

Stochastic analysis of motor-control stability, polymer based force sensing, and optical stimulation as a preventive measure for falls

NASA Astrophysics Data System (ADS)

Landrock, Clinton K.

Falls are the leading cause of all external injuries. Outcomes of falls include the leading cause of traumatic brain injury and bone fractures, and high direct medical costs in the billions of dollars. This work focused on developing three areas of enabling component technology to be used in postural control monitoring tools targeting the mitigation of falls. The first was an analysis tool based on stochastic fractal analysis to reliably measure levels of motor control. The second focus was on thin film wearable pressure sensors capable of relaying data for the first tool. The third was new thin film advanced optics for improving phototherapy devices targeting postural control disorders. Two populations, athletes and elderly, were studied against control groups. The results of these studies clearly show that monitoring postural stability in at-risk groups can be achieved reliably, and an integrated wearable system can be envisioned for both monitoring and treatment purposes. Keywords: electro-active polymer, ionic polymer-metal composite, postural control, motor control, fall prevention, sports medicine, fractal analysis, physiological signals, wearable sensors, phototherapy, photobiomodulation, nano-optics.

Comparison of the Fullerton Advanced Balance Scale, Mini-BESTest, and Berg Balance Scale to Predict Falls in Parkinson Disease.

PubMed

Schlenstedt, Christian; Brombacher, Stephanie; Hartwigsen, Gesa; Weisser, Burkhard; Möller, Bettina; Deuschl, Günther

2016-04-01

The correct identification of patients with Parkinson disease (PD) at risk for falling is important to initiate appropriate treatment early. This study compared the Fullerton Advanced Balance (FAB) scale with the Mini-Balance Evaluation Systems Test (Mini-BESTest) and Berg Balance Scale (BBS) to identify individuals with PD at risk for falls and to analyze which of the items of the scales best predict future falls. This was a prospective study to assess predictive criterion-related validity. The study was conducted at a university hospital in an urban community. Eighty-five patients with idiopathic PD (Hoehn and Yahr stages: 1-4) participated in the study. Measures were number of falls (assessed prospectively over 6 months), FAB scale, Mini-BESTest, BBS, and Unified Parkinson's Disease Rating Scale. The FAB scale, Mini-BESTest, and BBS showed similar accuracy to predict future falls, with values for area under the curve (AUC) of the receiver operating characteristic (ROC) curve of 0.68, 0.65, and 0.69, respectively. A model combining the items "tandem stance," "rise to toes," "one-leg stance," "compensatory stepping backward," "turning," and "placing alternate foot on stool" had an AUC of 0.84 of the ROC curve. There was a dropout rate of 19/85 participants. The FAB scale, Mini-BESTest, and BBS provide moderate capacity to predict "fallers" (people with one or more falls) from "nonfallers." Only some items of the 3 scales contribute to the detection of future falls. Clinicians should particularly focus on the item "tandem stance" along with the items "one-leg stance," "rise to toes," "compensatory stepping backward," "turning 360°," and "placing foot on stool" when analyzing postural control deficits related to fall risk. Future research should analyze whether balance training including the aforementioned items is effective in reducing fall risk. © 2016 American Physical Therapy Association.

Development of the Sydney Falls Risk Screening Tool in brain injury rehabilitation: A multisite prospective cohort study.

PubMed

McKechnie, Duncan; Fisher, Murray J; Pryor, Julie; Bonser, Melissa; Jesus, Jhoven De

2018-03-01

To develop a falls risk screening tool (FRST) sensitive to the traumatic brain injury rehabilitation population. Falls are the most frequently recorded patient safety incident within the hospital context. The inpatient traumatic brain injury rehabilitation population is one particular population that has been identified as at high risk of falls. However, no FRST has been developed for this patient population. Consequently in the traumatic brain injury rehabilitation population, there is the real possibility that nurses are using falls risk screening tools that have a poor clinical utility. Multisite prospective cohort study. Univariate and multiple logistic regression modelling techniques (backward elimination, elastic net and hierarchical) were used to examine each variable's association with patients who fell. The resulting FRST's clinical validity was examined. Of the 140 patients in the study, 41 (29%) fell. Through multiple logistic regression modelling, 11 variables were identified as predictors for falls. Using hierarchical logistic regression, five of these were identified for inclusion in the resulting falls risk screening tool: prescribed mobility aid (such as, wheelchair or frame), a fall since admission to hospital, impulsive behaviour, impaired orientation and bladder and/or bowel incontinence. The resulting FRST has good clinical validity (sensitivity = 0.9; specificity = 0.62; area under the curve = 0.87; Youden index = 0.54). The tool was significantly more accurate (p = .037 on DeLong test) in discriminating fallers from nonfallers than the Ontario Modified STRATIFY FRST. A FRST has been developed using a comprehensive statistical framework, and evidence has been provided of this tool's clinical validity. The developed tool, the Sydney Falls Risk Screening Tool, should be considered for use in brain injury rehabilitation populations. © 2017 John Wiley & Sons Ltd.

Metapopulation dynamics and future persistence of epiphytic cyanolichens in a European boreal forest ecosystem

PubMed Central

Fedrowitz, Katja; Kuusinen, Mikko; Snäll, Tord

2012-01-01

1. One approach to biodiversity conservation is to set aside small woodland key habitats (WKHs) in intensively managed landscapes. The aim is to support species, such as epiphytes, which often depend on old trees and are negatively affected by intensive forestry. However, it is not known whether the number of host trees within these areas can sustain species in the long term. 2. We studied metapopulation dynamics and assessed the future persistence of epiphytes assuming host tree numbers similar to those observed in large north European WKHs. The study species were seven cyanolichens confined to Populus tremula in the boreal study area. Colonizations and extinctions were recorded in 2008 on trees that had been surveyed 13 years earlier. We applied generalized (non)linear models to test the importance of environmental conditions, facilitation and spatial connectivity on the metapopulation dynamics. We also simulated the effects of tree numbers and tree fall rates on future species persistence. 3. Metapopulation dynamics were explained by tree quality, size or tree fall. In one species, colonizations increased with increasing connectivity, and in a second species it increased if other lichens sharing the photobiont with the focal species were present, suggesting facilitation. Both stochastic extinctions from standing trees and deterministic extinctions caused by tree fall should be accounted for in projecting epiphyte metapopulation dynamics. 4. One to three infrequent, sexually dispersed study species face a significant extinction risk within 50 years, especially in areas with low tree numbers. 5. Synthesis and applications. During the coming decades, infrequent, sexually dispersed, epiphytic lichens are likely to be lost from small woodland habitat set asides in intensively managed landscapes. Local extinction will be a consequence of low colonization rates and tree fall. Low colonization rates can be prevented by retaining large trees on which lichen species colonization rates are the highest and by assuring a high density of occupied trees. The negative effect of tree fall should be compensated for by assuring continuous availability of old trees. This can be achieved by decreasing the populations of large browsers, or by retaining trees with high conservation value during management operations. PMID:22745512

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

Relationship between muscle strength and fall episodes among the elderly: the Yilan study, Taiwan.

PubMed

Yang, Nan-Ping; Hsu, Nai-Wei; Lin, Ching-Heng; Chen, Hsi-Chung; Tsao, Hsuan-Ming; Lo, Su-Shun; Chou, Pesus

2018-04-13

Fall episodes are not unusual among community residents, especially the elderly, and lower muscle strength is an important issue to address in order to prevent falls. A community health survey was conducted in a suburban area of Taiwan, and 1067 older adults were selected for enrollment in the present study. All the enrolled subjects had been visited at their homes; the subjects' strength of both hands and muscle mass of both legs were measured and well-established questionnaires were finished by certificated paramedic staffs. The incidence of fall episodes in the previous 1 year in the Yilan elderly population was 15.1%, and the female predominance was significant. A significantly higher prevalence of cataracts was found in group who experienced a fall in the past year (64% vs. 54.9% in the non-fall group). Mild or more severe dementia was much more prevalent in the group who experienced a recent fall (33.8% vs. 25.7% in the non-fall group). The strength of both hands tested as the physical function was 17.6 ± 8.0 kg in the recent fall group, significantly weaker than that in the non-fall group (20.7 ± 8.7 kg). Multivariate regression analysis revealed a greater weekly exercise duration and greater strength of both hands reduced the occurrence of falls among the whole and the female population. The standardized effect sizes of hand grip strength between both groups, not trivial, were 0.29 and 0.37 for the total population and the female subpopulation respectively. Less weekly exercise duration and weaker muscle strength were f ound to be independent risk factors of fall episode(s) in an elderly Taiwanese population, especially in the female sub-population. Muscle strength, measured by average of both hands grip strength, was the most significantly factor of one-year fall episode(s) accessed retrospectively.

Investigation and analysis of osteoporosis, falls, and fragility fractures in elderly people in the Beijing area: a study on the bone health status of elderly people ≥ 80 years old with life self-care.

PubMed

Zhou, Jian; Qin, Ming-Zhao; Liu, Qian; Liu, Jin-Ping

2017-12-06

Among ≥ 80 years old and under life self-care in the Beijing area, the prevalences of osteoporosis, falls, and fragility fracture were high; and these prevalences were even higher in women. The treatment rate of osteoporosis is very low. Therefore, comprehensive and standardized prevention and treatment should be promoted. The purpose of this study is to investigate prevalence of osteoporosis, falls, and fragility fractures in this population, and analyze related factors, in order to provide a basis for standardized prevention and treatment. From August 2015 to August 2016 in Beijing City, a total of 175 elderly individuals, who were ≥ 80 years old and had good self-care ability, were included into this study. The questionnaire, risk of falls, grip force, and walking speed were measured, and the Timed Up and Go test (TUG) and chair-rising test (CRT) were performed. Compared to women, men have higher rates of smoking, drinking, drinking strong tea, longer outdoor activity time, as well as larger muscle strength and pace, and lower consumption of dairy products, fall risk assessment scale (FRA) score, 25OHD, administration rates of calcium and anti-osteoporosis drugs (P < 0.05, P < 0.01). Compared with men, women had higher bone turnover markers (P1NP, β-CTx, and OC) (P < 0.05, P < 0.01) and lower levels of sex hormones (E2, T) (P < 0.01). The overall prevalence of osteoporosis was 24.6%, and this was significantly higher in women than in men (52.5 vs. 9.6%, P < 0.01). Among these subjects, 62.9% had a history of fall after 80 years old, and this rate was higher in women than in men (77 vs. 55.3%, P < 0.01). The overall prevalence of fragility fractures was 25.1%, which was higher in women than in men (45.9 vs. 14.0%, P < 0.01). Risk factors included falls after age 80, high FRA score, and reduction in bone density of lumbar vertebrae 1-4, and odds ratio (OR) was 12.195, 1.339, and 0.076, respectively (P < 0.01). Anti-osteoporosis therapy was only performed on a small number of patients with fractures. The prevalences of falls, prior fracture, and low BMD were high among ≥ 80 years old and under life self-care in the Beijing area. Therefore, a comprehensive approach to assessment and treatment should be promoted.

Validity and Relative Ability of 4 Balance Tests to Identify Fall Status of Older Adults With Type 2 Diabetes.

PubMed

Marques, Alda; Silva, Alexandre; Oliveira, Ana; Cruz, Joana; Machado, Ana; Jácome, Cristina

The Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Mini-BESTest, and the Brief-BESTest are useful tests to assess balance; however, their clinimetric properties have not been studied well in older adults with type 2 diabetes (T2D). This study compared the validity and relative ability of the BBS, BESTest, Mini-BESTest, and Brief-BESTest to identify fall status in older adults with T2D. This study involved a cross-sectional design. Sixty-six older adults with T2D (75 ± 7.6 years) were included and asked to report the number of falls during the previous 12 months and to complete the Activities-specific Balance Confidence scale. The BBS and the BESTest were administered, and the Mini-BESTest and Brief-BESTest scores were computed based on the BESTest performance. Receiver operating characteristics were used to assess the ability of each balance test to differentiate between participants with and without a history of falls. The 4 balance tests were able to identify fall status (areas under the curve = 0.74-0.76), with similar sensitivity (60%-67%) and specificity (71%-76%). The 4 balance tests were able to differentiate between older adults with T2D with and without a history of falls. As the BBS and the BESTest require longer application time, the Brief-BESTest may be an appropriate choice to use in clinical practice to detect fall risk.

Land-use legacies from dry farming in the Park Valley area of Box Elder County

USDA-ARS?s Scientific Manuscript database

Last fall in this newsletter, we reported on the initiation of a study on the land-use legacies of dry farming in the Park Valley area. Land-use legacies are the long lasting impacts of historic land uses; such as, cultivation for dry farming. The Park Valley area and Box Elder County experienced ...

Kasei Valles

NASA Image and Video Library

2015-10-14

Kasei Valles is a valley system was likely carved by some combination of flowing water and lava. In some areas, erosion formed cliffs along the flow path resulting in water or lava falls. In some areas, erosion formed cliffs along the flow path resulting in water or lava falls. The flowing liquid is gone but the channels and "dry falls" remain. Since its formation, Kasei Valles has suffered impacts-resulting in craters-and has been mantled in dust, sand, and fine gravel as evidenced by the rippled textures. http://photojournal.jpl.nasa.gov/catalog/PIA20004

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

Inferring the annual migration patterns of fall armyworm (Lepidoptera: Noctuidae) in the United States from mitochondrial haplotypes

PubMed Central

Nagoshi, Rodney N; Meagher, Robert L; Hay-Roe, Mirian

2012-01-01

Spodoptera frugiperda (J. E. Smith) or fall armyworm is an important agricultural pest of a number of crops in the western hemisphere. In the United States, infestations in corn acreages extend from the Mexican to the Canadian border. Because fall armyworm does not survive prolonged freezing, the infestations annually affecting most of North America are migrants from southern Texas and Florida, where winter temperatures are mild and host plants are available. A haplotype method was developed that can distinguish between these two geographically distant overwintering populations, with the potential to delineate the associated migratory pathways. Several years of collections from major corn-producing areas in the southern, central, and eastern United States were used to map the geographical distribution of the fall armyworm haplotypes. From these haplotype profiles, it was possible to develop the most detailed description yet of the annual northward movements of fall armyworm. The consistency of these results with past studies and the implications on our understanding of fall armyworm biology are discussed. A better understanding of fall armyworm populations and their movement is critical for the development of strategies to predict infestation levels and eventually control this pest in the United States. PMID:22957154

Spatial analysis of soil erosion and sediment fluxes: a paired watershed study of two Rappahannock River tributaries, Stafford County, Virginia.

PubMed

Ricker, Matthew C; Odhiambo, Ben K; Church, Joseph M

2008-05-01

Soil erosion is a serious problem in areas with expanding construction, agricultural production, and improper storm water management. It is important to understand the major processes affecting sediment delivery to surficial water bodies in order to tailor effective mitigation and outreach activities. This study analyzes how naturally occurring and anthropogenic influences, such as urbanization and soil disturbance on steep slopes, are reflected in the amount of soil erosion and sediment delivery within sub-watershed-sized areas. In this study, two sub-watersheds of the Rappahannock River, Horsepen Run and Little Falls Run, were analyzed using the Revised Universal Soil Loss Equation (RUSLE) and a sediment delivery ratio (SDR) to estimate annual sediment flux rates. The RUSLE/SDR analyses for Horsepen Run and Little Falls Run predicted 298 Mg/y and 234 Mg/y, respectively, but nearly identical per-unit-area sediment flux rates of 0.15 Mg/ha/y and 0.18 Mg/ha/y. Suspended sediment sampling indicated greater amounts of sediment in Little Falls Run, which is most likely due to anthropogenic influences. Field analyses also suggest that all-terrain vehicle crossings represent the majority of sediment flux derived from forested areas of Horsepen Run. The combined RUSLE/SDR and field sampling data indicate that small-scale anthropogenic disturbances (ATV trails and construction sites) play a major role in overall sediment flux rates for both basins and that these sites must be properly accounted for when evaluating sediment flux rates at a sub-watershed scale.

A Pilot Study of Service-Learning in a Spanish Heritage Speaker Course: Community Engagement, Identity, and Language in the Chicago Area

ERIC Educational Resources Information Center

Petrov, Lisa Amor

2013-01-01

This article presents research findings from a pilot study of the use of service-learning in an intermediate-high class ("Spanish Language and Culture for Heritage Speakers") in the fall semesters of 2010 and 2011. Students reported gains in the areas of communication skills, dispositional learning, language, identity formation, and…

Air contaminants and litter fall decomposition in urban forest areas: The case of São Paulo - SP, Brazil.

PubMed

Lamano Ferreira, Maurício; Portella Ribeiro, Andreza; Rodrigues Albuquerque, Caroline; Ferreira, Ana Paula do Nascimento Lamano; Figueira, Rubens César Lopes; Lafortezza, Raffaele

2017-05-01

Urban forests are usually affected by several types of atmospheric contaminants and by abnormal variations in weather conditions, thus facilitating the biotic homogenization and modification of ecosystem processes, such as nutrient cycling. Peri-urban forests and even natural forests that surround metropolitan areas are also subject to anthropogenic effects generated by cities, which may compromise the dynamics of these ecosystems. Hence, this study advances the hypothesis that the forests located at the margins of the Metropolitan Region of São Paulo (MRSP), Brazil, have high concentrations of atmospheric contaminants leading to adverse effects on litter fall stock. The production, stock and decomposition of litter fall in two forests were quantified. The first, known as Guarapiranga forest, lies closer to the urban area and is located within the MRSP, approximately 20km from the city center. The second, Curucutu forest, is located 70km from the urban center. This forest is situated exactly on the border of the largest continuum of vegetation of the Atlantic Forest. To verify the reach of atmospheric pollutants from the urban area, levels of heavy metals (Cd, Pb, Ni, Cu) adsorbed on the litter fall deposited on the soil surface of the forests were also quantified. The stock of litter fall and the levels of heavy metals were generally higher in the Guarapiranga forest in the samples collected during the lower rainfall season (dry season). Non-metric multidimensional scaling multivariate analysis showed a clear distinction of the sample units related to the concentrations of heavy metals in each forest. A subtle difference between the units related to the dry and rainy seasons in the Curucutu forest was also noted. Multivariate Analysis of Variance revealed that both site and season of the year (dry or rainy) were important to differentiate the quantity of heavy metals in litter fall stock, although the analysis did not show the interaction between these two factors. Precipitation appeared to be an important factor to disperse air pollutants; one method to better regulate this process is the development and integration of green infrastructure at city level, which might contribute to nature-based solutions. Results suggest that although the Curucutu forest is not very far from the MRSP, which could result in heavy metal levels similar to those observed in the Guarapiranga forest, the weather conditions, geographic location and rainfall rates might act as efficient physical barriers against the dispersion of pollutants in the urban area. However, it is important to highlight that in the period studied (2012-2013), MRSP presented unusual features during the winter period marked by the highest levels of precipitation which was due to several numbers of frontal systems and also due to their permanence for a couple days in the region. Thus, it is recommended to continue this study in order to obtain a database for characterizing the seasonal variation of air pollution levels in the litter fall and their adverse effects on ecosystem processes in these remnants of the Atlantic Forest. Copyright © 2017 Elsevier Inc. All rights reserved.

The difference between the potentiometric surfaces of the Magothy Aquifer of September 1986 and September 1988 in southern Maryland

USGS Publications Warehouse

Mack, Frederick K.; Andreasen, David C.; Curtin, Stephen E.; Wheeler, Judith C.

1990-01-01

A map was prepared that shows the net change in the potentiometric surface of the Magothy aquifer (in the Cretaceous Magothy Formation) in southern Maryland from the fall of 1986 to the fall of 1988. The map, based on water level measurements from 79 observation wells, shows that during the 2 year period the potentiometric surface declined less than 5 ft in most of the northern part of the study area and more than 10 ft in a 4-sq-mi area in northern Charles County. Net water-level rises of as much as 2 ft were measured in central Charles County. (USGS)

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 consideration of the availableness of MODIS data to assess a volcanic ash fall

NASA Astrophysics Data System (ADS)

Tomiyama, N.; Yonezawa, C.; Yamakoshi, T.

It is important to grasp the situation of the ash fall at short interval for a volcanic disaster-prevention. Clouds and volcanic smokes reduce the opportunities to observe a volcano by a satellite's optical sensor. Therefore it is preferable to use data of a sensor that is able to observe same area with high frequency. MODIS sees every point on the earth every 1-2 days and provides NDVI data with 250m spatial resolutions. The purpose of this study is to consider the availableness of MODIS data to assess the situation of the volcanic ash fall. The test site is Miyake-jima, one of the active volcanic island in Japan. It is verified that a rate of change of NDVI between before and after erruptions correlates with the amounts of ash fall.

Fall migratory departure decisions and routes of blackpoll warblers Setophaga striata and red-eyed vireos Vireo olivaceus at a coastal barrier in the Gulf of Maine

Treesearch

Jennifer R. Smetzer; David I. King; Philip D. Taylor

2017-01-01

Each year, millions of songbirds concentrate in coastal areas during fall migration. The choices birds make at the coast about stopover habitat use and migratory route can influence both the success of their migratory journey and fitness in subsequent life stages. We made use of a regional-scale automated radio telemetry array to study stopover and migratory flights...

Distribution and Food Habits of Juvenile Salmonids in the Duwamish Estuary, Washington, 1980

DTIC Science & Technology

1981-03-01

E.O. Salo, K. Garrison, and L. Matheson. 1979. Fish ecology studies in the Nisqually Reach area of southern Puget Sound , Washington. Univ. of Wash...Washington Department of Fisheries (WDF) indicate that Gteen River fall chinook are one of the largest naturally spawning stocks of this species in Puget Sound ...1977 Puget Sound summer-fall chinook methodology: Escapement estimates and goals, run size forecasts, and in-season run size updates. State of Wash

Scoring the home falls and accidents screening tool for health professionals (HOME FAST-HP): Evidence from one epidemiological study.

PubMed

Mackenzie, Lynette; Byles, Julie

2018-03-30

Falls in older people are a major public health concern. To target falls prevention interventions, screening tools need to be able to identify older people at greater risk of falling. This study aimed to investigate the screening capacity of the Home Falls and Accidents Screening Tool for health professionals (HOME FAST-HP), and to identify the best cut-off score to identify older people at higher risk of falls using the HOME FAST-HP. The study used cross-sectional data from a random sample of 650 women from the 1921 to 1926 cohort of the Australian Longitudinal Study of Women's Health (ALSWH). Selected women were sent a postal survey including the HOME FAST-HP, falls history, and other health factors. Scores on the home fast were calculated and the cut-point for optimal sensitivity and specificity of the HOME FAST-HP in relation to falls was assessed using a Receiver Operating Characteristic curve. A total of 567 older women participated (response rate 87%). The mean age of participants was 77.5 yrs (95% CI 77.31-77.70). A total of 153 participants (27%) reported a fall in the previous six months. The mean number of hazards using the HOME FAST-HP was 9.74 (95% CI 9.48-10.01), range 2-22. Non-fallers had a mean of 9.6 hazards (95% CI 9.32-9.91) and fallers had a mean of 10.63 hazards (95% CI 10.08-11.19) which was a significant difference (t = 3.41, P = 0.001). The area under the receiver operator curve (AUC) was 0.58 (95% CI 0.53-0.64). A HOME FAST-HP cut-off score of 9 was associated with the optimal sensitivity for falls (73.9%), with specificity (37.9%), and positive predictive value was 30.6% and negative predictive value was 79.7%. The HOME FAST-HP can be used as a screening tool to identify fallers with a cut-off score of nine indicating a higher risk of falling. © 2018 Occupational Therapy Australia.

Factors affecting fall down rates of dead aspen (Populus tremuloides) biomass following severe drought in west-central Canada.

PubMed

Ted Hogg, Edward H; Michaelian, Michael

2015-05-01

Increases in mortality of trembling aspen (Populus tremuloides Michx.) have been recorded across large areas of western North America following recent periods of exceptionally severe drought. The resultant increase in standing, dead tree biomass represents a significant potential source of carbon emissions to the atmosphere, but the timing of emissions is partially driven by dead-wood dynamics which include the fall down and breakage of dead aspen stems. The rate at which dead trees fall to the ground also strongly influences the period over which forest dieback episodes can be detected by aerial surveys or satellite remote sensing observations. Over a 12-year period (2000-2012), we monitored the annual status of 1010 aspen trees that died during and following a severe regional drought within 25 study areas across west-central Canada. Observations of stem fall down and breakage (snapping) were used to estimate woody biomass transfer from standing to downed dead wood as a function of years since tree death. For the region as a whole, we estimated that >80% of standing dead aspen biomass had fallen after 10 years. Overall, the rate of fall down was minimal during the year following stem death, but thereafter fall rates followed a negative exponential equation with k = 0.20 per year. However, there was high between-site variation in the rate of fall down (k = 0.08-0.37 per year). The analysis showed that fall down rates were positively correlated with stand age, site windiness, and the incidence of decay fungi (Phellinus tremulae (Bond.) Bond. and Boris.) and wood-boring insects. These factors are thus likely to influence the rate of carbon emissions from dead trees following periods of climate-related forest die-off episodes. © 2014 Her Majesty the Queen in Right of Canada Global Change Biology © 2014 John Wiley & Sons Ltd Reproduced with the permission of the Minister of Natural Resources Canada.

Methods for estimating selected spring and fall low-flow frequency statistics for ungaged stream sites in Iowa, based on data through June 2014

USGS Publications Warehouse

Eash, David A.; Barnes, Kimberlee K.; O'Shea, Padraic S.

2016-09-19

A statewide study was led to develop regression equations for estimating three selected spring and three selected fall low-flow frequency statistics for ungaged stream sites in Iowa. The estimation equations developed for the six low-flow frequency statistics include spring (April through June) 1-, 7-, and 30-day mean low flows for a recurrence interval of 10 years and fall (October through December) 1-, 7-, and 30-day mean low flows for a recurrence interval of 10 years. Estimates of the three selected spring statistics are provided for 241 U.S. Geological Survey continuous-record streamgages, and estimates of the three selected fall statistics are provided for 238 of these streamgages, using data through June 2014. Because only 9 years of fall streamflow record were available, three streamgages included in the development of the spring regression equations were not included in the development of the fall regression equations. Because of regulation, diversion, or urbanization, 30 of the 241 streamgages were not included in the development of the regression equations. The study area includes Iowa and adjacent areas within 50 miles of the Iowa border. Because trend analyses indicated statistically significant positive trends when considering the period of record for most of the streamgages, the longest, most recent period of record without a significant trend was determined for each streamgage for use in the study. Geographic information system software was used to measure 63 selected basin characteristics for each of the 211streamgages used to develop the regional regression equations. The study area was divided into three low-flow regions that were defined in a previous study for the development of regional regression equations.Because several streamgages included in the development of regional regression equations have estimates of zero flow calculated from observed streamflow for selected spring and fall low-flow frequency statistics, the final equations for the three low-flow regions were developed using two types of regression analyses—left-censored and generalized-least-squares regression analyses. A total of 211 streamgages were included in the development of nine spring regression equations—three equations for each of the three low-flow regions. A total of 208 streamgages were included in the development of nine fall regression equations—three equations for each of the three low-flow regions. A censoring threshold was used to develop 15 left-censored regression equations to estimate the three fall low-flow frequency statistics for each of the three low-flow regions and to estimate the three spring low-flow frequency statistics for the southern and northwest regions. For the northeast region, generalized-least-squares regression was used to develop three equations to estimate the three spring low-flow frequency statistics. For the northeast region, average standard errors of prediction range from 32.4 to 48.4 percent for the spring equations and average standard errors of estimate range from 56.4 to 73.8 percent for the fall equations. For the northwest region, average standard errors of estimate range from 58.9 to 62.1 percent for the spring equations and from 83.2 to 109.4 percent for the fall equations. For the southern region, average standard errors of estimate range from 43.2 to 64.0 percent for the spring equations and from 78.1 to 78.7 percent for the fall equations.The regression equations are applicable only to stream sites in Iowa with low flows not substantially affected by regulation, diversion, or urbanization and with basin characteristics within the range of those used to develop the equations. The regression equations will be implemented within the U.S. Geological Survey StreamStats Web-based geographic information system application. StreamStats allows users to click on any ungaged stream site and compute estimates of the six selected spring and fall low-flow statistics; in addition, 90-percent prediction intervals and the measured basin characteristics for the ungaged site are provided. StreamStats also allows users to click on any Iowa streamgage to obtain computed estimates for the six selected spring and fall low-flow statistics.

Investigations into the Early Life History of Naturally Produced Spring Chinook Salmon in the Grande Ronde River Basin : Fish Research Project Oregon : Annual Progress Report Project Period 1 September 1998 to 31 August 1999.

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

Jonasson, Brian C.

2000-01-01

We determined migration timing and abundance of juvenile spring chinook salmon from three populations in the Grande Ronde River basin. We estimated 13,180 juvenile chinook salmon left upper rearing areas of the Grande Ronde River from July 1998 to June 1999; approximately 0.2% of the migrants left in summer, 18% in fall and 82% in spring. We estimated 15,949 juvenile chinook salmon left upper rearing areas of Catherine Creek from July 1998 to June 1999; approximately 0.2% of the migrants left in summer, 57% in fall, 2% in winter, and 41% in spring. We estimated 14,537 juvenile chinook salmon leftmore » the Grande Ronde Valley, located below the upper rearing areas in Catherine Creek and the Grande Ronde River, from October 1998 to June 1999; approximately 99% of the migrants left in spring. We estimated 31,113 juvenile chinook salmon left upper rearing areas of the Lostine River from July 1998 to June 1999; approximately 4% of the migrants left in summer, 57% in fall, 3% in winter, and 36% in spring. We estimated 42,705 juvenile spring chinook salmon left the Wallowa Valley, located below the mouth of the Lostine River, from August 1998 to June 1999; approximately 46% of the migrants left in fall, 6% in winter, and 47% in spring. Juvenile chinook salmon PIT-tagged on the upper Grande Ronde River were detected at Lower Granite Dam from 31 March to 20 June 1999, with a median passage date of 5 May. PIT-tagged salmon from Catherine Creek were detected at Lower Granite Dam from 19 April to 9 July 1999, with a median passage date of 24 May. PIT-tagged salmon from the Lostine River were detected at Lower Granite Dam from 31 March through 8 July 1999, with a median passage date of 4 May. Juveniles tagged as they left the upper rearing areas of the Grande Ronde River in fall and that overwintered in areas downstream were detected in the hydrosystem at a higher rate than fish tagged during winter in the upper rearing areas, indicating a higher overwinter survival in the downstream areas. Juveniles tagged as they left the upper rearing areas of Catherine Creek in fall and that overwintered in areas downstream were detected in the hydrosystem at a lower rate than fish tagged during winter in the upper rearing areas, indicating a higher overwinter survival in the upper rearing areas. Juveniles tagged as they left the upper rearing areas of the Lostine River in fall and that overwintered in areas downstream were detected in the hydrosystem at a similar rate to fish tagged during winter in the upper rearing areas, indicating similar overwinter survival in the upstream and downstream areas. Chinook salmon parr were generally associated with low velocity habitat types, that is pools, during both winter and summer in the Lostine River.« less

Incidence and outcome of injury in Ghana: a community-based survey.

PubMed Central

Mock, C. N.; Abantanga, F.; Cummings, P.; Koepsell, T. D.

1999-01-01

Injury is an increasingly significant health problem in most low-income countries. However, strategies for preventing injury have not been well addressed. The present study was carried out to measure the incidence and outcome of various mechanisms of injury in Ghana in order to provide data for use in developing priorities for injury prevention efforts. For this purpose, using two-stage cluster sampling and household interviews, we surveyed 21,105 persons living in 431 urban and rural sites. During the preceding year, 1609 injuries resulting in one or more days of loss of normal activity were reported. Injury-related mortality was slightly higher in the urban (83 per 100,000) than in the rural area (53 per 100,000). However, the burden of disability from nonfatal injuries, as assessed by disability days, was higher in the rural (4697 disability days per 1000 person-years) than in the urban area (2671 days per 1000 person-years). Based on incidence rates and disability times, the major types of injury in the urban area were transport-related injury and falls. In the rural area, agricultural injuries predominated, followed by falls and transport-related injury. In rural and urban areas combined, 73% of motor vehicle-related injuries involved commercial vehicles. In this and other similar developing-country settings, injury prevention efforts should focus on falls and on transport safety in both urban and rural areas, with special attention being paid to commercial vehicles. In rural areas, agricultural injuries contributed the largest burden of morbidity, and should be a priority for prevention efforts. PMID:10680242

An evaluation of satellite data for estimating the area of small forestland in the southern lower peninsula of Michigan. Ph.D. Thesis

NASA Technical Reports Server (NTRS)

Karteris, M. A. (Principal Investigator)

1980-01-01

A winter black and white band 5, a winter color, a fall color, and a diazo color composite of the fall scene were used to assess the use and potential of LANDSAT images for mapping and estimating acreage of small scattered forest tracts in Barry County, Michigan. Forests as small as 2.5 acres were mapped from each LANDSAT data source. The maps for each image were compared with an available forest-type map. Mapping errors detected were categorized as boundary and identification errors. The most frequently misclassified areas were agriculture lands, treed-bogs, brushlands and lowland and mixed hardwood stands. Stocking level affected interpretation more than stand size. The overall level of the interpretation performance was expressed through the estimation of classification, interpretation, and mapping accuracies. These accuracies ranged from 74 between 74% and 98%. Considering errors, accuracy, and cost, winter color imagery is the best LANDSAT alternative for mapping small forest tracts. However, since the availability of cloud-free winter images of the study area is significantly lower than images for other seasons, a diazo enhanced image of a fall scene is recommended as the best next best alternative.

Pilot study to investigate the feasibility of the Home Falls and Accidents Screening Tool (HOME FAST) to identify older Malaysian people at risk of falls

PubMed Central

Romli, Muhammad Hibatullah; Mackenzie, Lynette; Lovarini, Meryl; Tan, Maw Pin

2016-01-01

Objective The relationship between home hazards and falls in older Malaysian people is not yet fully understood. No tools to evaluate the Malaysian home environment currently exist. Therefore, this study aimed to pilot the Home Falls and Accidents Screening Tool (HOME FAST) to identify hazards in Malaysian homes, to evaluate the feasibility of using the HOME FAST in the Malaysian Elders Longitudinal Research (MELoR) study and to gather preliminary data about the experience of falls among a small sample of Malaysian older people. Design A cross-sectional pilot study was conducted. Setting An urban setting in Kuala Lumpur. Participants 26 older people aged 60 and over were recruited from the control group of a related research project in Malaysia, in addition to older people known to the researchers. Primary outcome measure The HOME FAST was applied with the baseline survey for the MELoR study via a face-to-face interview and observation of the home by research staff. Results The majority of the participants were female, of Malay or Chinese ethnicity and living with others in a double-storeyed house. Falls were reported in the previous year by 19% and 80% of falls occurred at home. Gender and fear of falling had the strongest associations with home hazards. Most hazards were detected in the bathroom area. A small number of errors were detected in the HOME FAST ratings by researchers. Conclusions The HOME FAST is feasible as a research and clinical tool for the Malaysian context and is appropriate for use in the MELoR study. Home hazards were prevalent in the homes of older people and further research with the larger MELoR sample is needed to confirm the validity of using the HOME FAST in Malaysia. Training in the use of the HOME FAST is needed to ensure accurate use by researchers. PMID:27531736

Reconnaissance investigation of water quality, bottom sediment, and biota associated with irrigation drainage in the American Falls Reservoir area, Idaho, 1988-89. Water Resources Investigation

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

Low, W.H.; Mullins, W.H.

1990-01-01

The report presents results of a reconnaissance investigation to determine whether potentially toxic concentrations of selected trace elements or organochlorine compounds associated with irrigation drainage exist in surface and ground water, bottom sediment, aquatic plants, benthic invertebrates, fish, and waterbirds in the American Falls Reservoir area. American Falls Reservoir was selected for investigation in part because several previous investigations of fish in the reservoir indicated that mercury and cadmium concentrations exceeded human health standards and periodic botulism-related die-offs of waterbirds have been known to occur. Also, rocks south and southeast of the reservoir contain naturally occurring selenium concentrations many timesmore » greater than those in the continental crust. Samples of water, bottom sediment, aquatic plants, benthic invertebrates, fish, and waterbirds were collected from nine sites in the American Falls Reservoir area. The samples were analyzed for selected inorganic and organic constituents to determine whether concentrations exceeded known standards or criteria.« less

The implications of fall armyworm strains for insect resistance management

USDA-ARS?s Scientific Manuscript database

Fall armyworm is a long-time agricultural pest in the Western Hemisphere and has recently become a major problem in many areas of Africa. Adding to the concern is the development of resistance to a subset of Bt-toxins in some fall armyworm populations that could compromise one of the more effective...

Fall Chinook Salmon Survival and Supplementation Studies in the Snake River and Lower Snake River Reservoirs, 1995 Annual Report.

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

Williams, John G.; Bjomn

1997-03-01

In 1994, the National Marine Fisheries Service and the US Fish and Wildlife Service began a cooperative study to investigate migrational characteristics of subyearling fall chinook salmon in the Snake River. The primary study objectives were to (1) determine the feasibility of estimating detection and passage survival probabilities of natural and hatchery subyearling fall chinook salmon released in the Snake River (Chapter 1), (2) investigate relationships between detection and passage survival probabilities and travel time of subyearling fall chinook salmon and environmental influences such as flow volume and water temperature (Chapter 1), (3) monitor and evaluate dispersal of hatchery subyearlingmore » chinook salmon into nearshore rearing areas used by natural fish (Chapter 2), and (4) monitor and evaluate travel time to Lower Granite Dam, growth from release in the Snake River to recapture at Lower Granite Dam, ATPase levels of fish recaptured at Lower Granite Dam, and survival from release in the free-flowing Snake River to the tailrace of Lower Granite Dam (Chapter 2).« less

Indoor dust fall and its composition in two public areas of a city in India

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

Raza, S.H.; Nirmala, B.; Murthy, M.S.R.

1990-01-01

The paper reports the estimates of dust fall and its chemical composition in certain indoor areas of Hyderabad - Secunderabad Railway Station and a big domestic mess. The quantity of dust fall; percentage of living matter in aerosols; and the pH, SO{sub 4}, Cl, Fe, Co, Zn, Mn, and Cu contents of dust were analyzed. The deposition of airborne dust particles was 102 to 180 mg/m{sup 2} {times} d in the railway station, while in the mess it was 52 to 97 mg/m{sup 2} {times} d.

Including fall prevention for older adults in your trauma injury prevention program--introducing Farewell to Falls.

PubMed

Corman, Ellen

2009-01-01

With data showing that more than 50% of visits to our trauma center for older adults 65 years and older are due to falls, injury prevention programs in trauma centers should be paying more attention to the area of fall prevention for older adults. Farewell to Falls, a free, home-based program of Stanford Hospital and Clinic's trauma service, utilizes a multifaceted approach to help reduce falls. In addition to improving the lives of seniors, the program fulfills a community benefit goal and provides strong hospital marketing opportunities. This program is a benefit to hospitals and the older adults they serve.

Novel use of the Wii Balance Board to prospectively predict falls in community-dwelling older adults.

PubMed

Kwok, Boon-Chong; Clark, Ross A; Pua, Yong-Hao

2015-06-01

The Wii Balance Board has received increasing attention as a balance measurement tool; however its ability to prospectively predict falls is unknown. This exploratory study investigated the use of the Wii Balance Board and other clinical-based measures for prospectively predicting falls among community-dwelling older adults. Seventy-three community-dwelling men and women, aged 60-85years were followed-up over a year for falls. Standing balance was indexed by sway velocities measured using the Wii Balance Board interfaced with a laptop. Clinical-based measures included Short Physical Performance Battery, gait speed and Timed-Up-and-Go test. Multivariable regression analyses were used to assess the ability of the Wii Balance Board measure to complement the TUG test in fall screening. Individually, the study found Wii Balance Board anteroposterior (odds ratio 1.98, 95% CI 1.16 to 3.40, P=0.01) and mediolateral (odds ratio 2.80, 95% CI 1.10 to 7.13, p=0.03) sway velocity measures predictive of prospective falls. However, when each velocity measure was adjusted with body mass index and Timed-Up-and-Go, only anteroposterior sway velocity was predictive of prospective falls (odds ratio 2.21, 95% CI 1.18 to 4.14). A faster anteroposterior velocity was associated with increased odds of falling. Area-under-the-curves for Wii Balance Board sway velocities were 0.67 and 0.71 for anteroposterior and mediolateral respectively. The Wii Balance Board-derived anteroposterior sway velocity measure could complement existing clinical-based measures in predicting future falls among community-dwelling older adults. Australian New Zealand Clinical Trials Registry number: ACTRN12610001099011. Copyright © 2015 Elsevier Ltd. All rights reserved.

Short Berg Balance Scale, BBS-9, as a predictor of fall risk among the aged: a prospective 12-month follow-up study.

PubMed

Hohtari-Kivimäki, Ulla; Salminen, Marika; Vahlberg, Tero; Kivelä, Sirkka-Liisa

2013-12-01

The aim of this study was to assess the adequacy of the short, 9-item Berg Balance Scale (BBS-9) to predict fall risk among the community-dwelling aged. The subjects (n = 519) were derived from the participants in a multifactorial fall prevention intervention conducted in Pori, Finland. Receiver operating characteristic (ROC) analysis was used to determine the cut-off score for BBS-9 (range 0-36) to classify aged people with a fall risk during a 12-month follow-up. Logistic regression was used to analyse the relationship of potential confounders with fall risk. The association between the cut-off score for BBS-9 and fall risk was tested using the Chi-square test. In determining the cut-off score of BBS-9 to classify fall risk, the highest sensitivity (0.51) and specificity (0.57) (when both presumed to be above 0.50) sum score was within the limit range 32 scores or below. The area under curve (AUC) was significantly better in the model adjusted for significant confounders (vision and the number of regularly used drugs) (AUC = 0.64) than in the unadjusted model (AUC = 0.57) (p = 0.045). Among patients who scored 32 or below in BBS-9 the incidence of multiple falls was 20.0 %, whereas among those who scored 33-36 it was 15.7 %. BBS-9 with the cut-off score of 32/33 together with data on vision and the number of regularly used drugs predicted moderately the risk of falling among the community-dwelling aged.

Production and decomposition of forest litter fall on the Apalachicola River flood plain, Florida: Chapter B, Apalachicola River quality assessment

USGS Publications Warehouse

Elder, John F.; Cairns, Duncan J.

1982-01-01

Measurements of litter fall (leaves and other particulate organic material) and leaf decomposition were made on the bottom-land hardwood swamp of the Apalachicola River flood plain in 1979-80. Litter fall was collected monthly from nets located in 16 study plots. The plots represented five forest types in the swamp and levee areas of the Apalachicola River flood plain. Forty-three species of trees, vines, and other plants contributed to the total litter fall, but more than 90 percent of the leaf material originated from 12 species. Nonleaf material made up 42 percent of the total litter fall. Average litter fall was determined to be 800 grams per square meter per year, resulting in an annual deposition of 3.6 ? 105 metric tons of organic material in the 454-square-kilometer flood plain. The levee communities have less tree biomass but greater tree diversity than do swamp communities. The levee vegetation, containing less tree biomass, produces slightly more litter fall per unit of ground surface area than does the swamp vegetation. The swamps are dominated by three genera: tupelo (Nyssa), cypress (Taxodium) and ash (Fraxinus). These genera account for more than 50 percent of the total leaf fall in the flood plain, but they are the least productive, on a weight-perbiomass basis, of any of the 12 major leaf producers. Decomposition rates of leaves from five common floodplain tree species were measured using a standard leaf-bag technique. Leaf decomposition was highly species dependent. Tupelo (Nyssa spp.) and sweetgum (Liquidambar styraciflua) leaves decomposed completely in 6 months when flooded by river water. Leaves of baldcypress (Taxodium distichum) and diamond-leaf oak (Quercus laurifolia) were much more resistant. Water hickory (Carya aquatica) leaves showed intermediate decomposition rates. Decomposition of all species was greatly reduced in dry environments. Carbon and biomass loss rates from the leaves were nearly linear over a 6-month period, but nitrogen and phosphorus leaching was nearly complete within 1 month. Much of the organic substance may be recycled in the forest ecosystem, but annual flooding of the river provides an important mechanism for mobilization of the litter-fall products.

Sarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study.

PubMed

Landi, Francesco; Liperoti, Rosa; Russo, Andrea; Giovannini, Silvia; Tosato, Matteo; Capoluongo, Ettore; Bernabei, Roberto; Onder, Graziano

2012-10-01

Sarcopenia has been indicated as a reliable marker of frailty and poor prognosis among the oldest individuals. We evaluated the relationship between sarcopenia and 2-year risk of falls in a population of persons aged 80 years or older. Data are from the baseline and follow-up evaluations of the Aging and Longevity Study in the Sirente Geographic Area (ilSIRENTE Study) (n=260). According to the European Working Group on Sarcopenia in Older People (EWGSOP), sarcopenia was diagnosed in presence of low muscle mass (mid-arm muscle circumference) plus either low muscle strength (hand grip) or low physical performance (4-m walking speed). The primary outcome measure was the incident falls during the follow-up period of 2 years. The relationship between sarcopenia and incident falls was estimated by deriving hazard ratios (HRs) from multiple logistic regression models considering the dependent variable of interest at least one fall during the follow-up period. Sixty-six participants (25.4%) were identified as affected by sarcopenia. Eighteen out of 66 (27.3%) participants with sarcopenia and 19 out of 194 (9.8%) without sarcopenia reported incident falls during the two-year follow-up of the study (p<0.001). After adjusting for age, gender, cognitive impairment, ADL impairment, sensory impairments, BMI, depression, physical activity, cholesterol, stroke, diabetes, number of medications, and C-reactive protein, participants with sarcopenia had a higher risk of incident falls compared with non sarcopenic subjects (adjusted hazard ratio [HR], 3.23; 95% confidence interval [CI], 1.25-8.29). The present study suggests that sarcopenia - assessed using the EWGSOP algorithm - is highly prevalent among elderly persons without gender differences (25%). Sarcopenic participants were over three times more likely to fall during a follow-up period of 2 years relative to non sarcopenic individuals, regardless of age, gender and other confounding factors. Copyright © 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Habitat change and geomorphic response related to sediment releases during reservoir drawdowns at Fall Creek Lake, Oregon

NASA Astrophysics Data System (ADS)

Keith, M. K.; Wallick, R.; Bangs, B. L.; Taylor, G.; Gordon, G. W.; White, J. S.; Mangano, J.

2017-12-01

Reservoir drawdowns at Fall Creek Lake, Oregon lower lake levels to facilitate downstream passage of juvenile spring Chinook salmon through the 55-m high dam. Since 2011, annual fall and winter drawdowns have improved fish passage, but temporarily lowering the lake nearly to streambed has increased downstream transport of predominantly fine (<2 mm) sediment to the lower gravel-bed reaches of Fall Creek and the Middle Fork Willamette River. Repeated releases of reservoir sediments have uncertain long-term consequences for downstream reaches where dam construction has reduced peak flows, coarse sediment transport, and habitat creation. Here, we evaluate site and reach-scale geomorphic responses to sediment released from the reservoir over 2011-17. At the reach-scale, sediment aggradation is most apparent in low velocity zones along channel margins and in side channels and alcoves of Fall Creek nearest to the dam. These areas accumulate sediment following the drawdown and are colonized with vegetation, such as reed canary grass, thereby increasing the trapping efficiency for fine sediment during the following year's drawdown. Fine sediment accumulation in off-channel areas has reduced the available rearing area for some salmonid species but may provide alternative habitat suitable for other native aquatic species such as Pacific lamprey ammocoetes that live in fine substrates for several years. Changes in off-channel aquatic habitat and bare gravel bars related to the drawdowns are small relative to the historically dynamic conditions on the Middle Fork (presently stable). Fall Creek, historically and presently stable, has fewer off-channel areas than the Middle Fork, so filling those areas has greater reach-scale impacts on habitat. Locally, deposition measured following the 2015 drawdown showed most aggradation on high-elevation gravel bars and low-elevation floodplains occurred when flows were higher on Fall Creek ( 2,000 ft3/s) and the Middle Fork (near bankfull events, 19,000 ft3/s). Rapid mobilization and re-deposition of reservoir sediments indicates that strategically planned flow releases could be used flush sediment through the channel, potentially minimizing habitat impacts.

Spatiotemporal phenological changes in fall foliage peak coloration in deciduous forest and the responses to climatic variation

NASA Astrophysics Data System (ADS)

Xie, Y.; Wilson, A. M.

2017-12-01

Plant phenology studies typically focus on the beginning and end of the growing season in temperate forests. We know too little about fall foliage peak coloration, which is a bioindicator of plant response in autumn to environmental changes, an important visual cue in fall associated with animal activities, and a key element in fall foliage ecotourism. Spatiotemporal changes in timing of fall foliage peak coloration of temperate forests and the associated environmental controls are not well understood. In this study, we examined multiple color indices to estimate Land Surface Phenology (LSP) of fall foliage peak coloration of deciduous forest in the northeastern USA using Moderate Resolution Imaging Spectroradiometer (MODIS) daily imagery from 2000 to 2015. We used long term phenology ground observations to validate our estimated LSP, and found that Visible Atmospherically Resistant Index (VARI) and Plant Senescence Reflectance Index (PSRI) were good metrics to estimate peak and end of leaf coloration period of deciduous forest. During the past 16 years, the length of period with peak fall foliage color of deciduous forest at southern New England and northern Appalachian forests regions became longer (0.3 7.7 days), mainly driven by earlier peak coloration. Northern New England, southern Appalachian forests and Ozark and Ouachita mountains areas had shorter period (‒0.2 ‒9.2 days) mainly due to earlier end of leaf coloration. Changes in peak and end of leaf coloration not only were associated with changing temperature in spring and fall, but also to drought and heat in summer, and heavy precipitation in both summer and fall. The associations between leaf peak coloration phenology and climatic variations were not consistent among ecoregions. Our findings suggested divergent change patterns in fall foliage peak coloration phenology in deciduous forests, and improved our understanding in the environmental control on timing of fall foliage color change.

A review of stairway falls and stair negotiation: Lessons learned and future needs to reduce injury.

PubMed

Jacobs, Jesse V

2016-09-01

Stairways are a common location for falls, and they result in a disproportionate risk of death or severe injury. Stairway falls are a significant problem across the lifespan and are often coincident with risky behaviors during stair use. The mechanics of successful stair negotiation for healthy young and older adults have been well described. These studies imply that current stair design does not offer an optimal universal design to meet the needs of older adults or people with health conditions. In addition, impaired stair negotiation associates with more than impaired strength, including functional impairments of cognitive load, sensory function and central motor coordination. Identification of behavioral strategies or stairway environments that assist or hinder recovery from a loss of balance on stairs remains incomplete. Therefore, future studies should investigate the mechanisms of balance recovery on stairs as well as the effectiveness of environmental interventions to mitigate stairway falls and injuries. Potential areas for evaluation may include modifying stair dimensions, surfaces, handrails, visual cues, and removing distractors of attention. Studies should also evaluate combinatorial interventions on person-related factors, such as behavioral interventions to decrease risky behaviors during stair use as well as interventions on cognitive, sensory, and motor functions relevant to stair use. Moreover, future studies should take advantage of new technologies to record stair use outside the laboratory in order to identify people or locations at risk for stairway falls. Such studies would inform the potential for broad-spectrum programs that decrease the risk of stairway falls and injuries. Copyright © 2016 The Author. Published by Elsevier B.V. All rights reserved.

Changes in postural control in patients with Parkinson's disease: a posturographic study.

PubMed

Doná, F; Aquino, C C; Gazzola, J M; Borges, V; Silva, S M C A; Ganança, F F; Caovilla, H H; Ferraz, H B

2016-09-01

Postural instability is one of the most disabling features in Parkinson's disease (PD), and often leads to falls that reduce mobility and functional capacity. The objectives of this study were to analyse the limit of stability (LOS) and influence of the manipulation of visual, somatosensorial and visual-vestibular information on postural control in patients with PD and healthy subjects. Cross-sectional. Movement Disorders Unit, university setting. Eighty-two subjects aged between 37 and 83 years: 41 with Parkinson's disease in the 'on' state and 41 healthy subjects with no neurological disorders. Both groups were matched in terms of sex and age. Unified Parkinson's Disease Rating Scale (UPDRS)-motor score, modified Hoehn and Yahr staging, Dynamic Gait Index (DGI) and posturography with integrated virtual reality. The parameters analysed by posturography were LOS area, area of body centre of pressure excursion and balance functional reserve in the standing position in 10 conditions (open and closed eyes, unstable surface with eyes closed, saccadic and optokinetic stimuli, and visual-vestibular interaction). The mean UPDRS motor score and DGI score were 27 [standard deviation (SD) 14] and 21 (SD 3), respectively. Thirteen participants scored between 0 and 19 points, indicating major risk of falls. Posturographic assessment showed that patients with PD had significantly lower LOS area and balance functional reserve values, and greater body sway area in all posturographic conditions compared with healthy subjects. Patients with PD have reduced LOS area and greater postural sway compared with healthy subjects. The deterioration in postural control was significantly associated with major risk of falls. Copyright © 2015 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Child and adolescent injury as a result of falls from buildings and structures

PubMed Central

Pressley, J; Barlow, B

2005-01-01

Design and setting: The Health Care Cost and Utilization Project (KID-HCUP) was used to produce national estimates of hospital admissions due to falls from buildings in the US. Areas of New York with and without window guard legislation were identified through the New York Statewide Planning and Research Cooperative System (SPARCS). Subjects: Children and adolescents aged 0–18 years. Interventions: Legislation based window fall prevention programme with enforcement. Main outcome measures: Hospitalization for injury as a result of falls from buildings and structures in areas with and without enforced mandatory window guard legislation. Results: New York City has a higher proportion of the population residing in multifamily dwellings with 10 or more units compared with the nation (53.8% v 12.6%, p<0.0001), but the incidence of injury resulting from falls from buildings is nearly half that observed in the US. For young children, warm weather risks begin earlier and extend later than previously reported. Incidence in very young minority children is nearly twice that of whites. Nearly 90% of children aged 0–4 years fall at home, but the proportion decreases linearly with age. Conclusions: Window guards are associated with reduced injury resulting from falls from buildings and should be mandated in multifamily dwellings where small children reside. Prevention programmes for young children should be initiated in early spring and continued through fall. PMID:16203834

Knickpoint retreat and transient bedrock channel morphology triggered by base-level fall in small bedrock river catchments: The case of the Isle of Jura, Scotland

NASA Astrophysics Data System (ADS)

Castillo, Miguel; Bishop, Paul; Jansen, John D.

2013-01-01

A sudden drop in river base-level can trigger a knickpoint that propagates throughout the fluvial network causing a transient state in the landscape. Knickpoint retreat has been confirmed in large fluvial settings (drainage areas > 100 km2) and field data suggest that the same applies to the case of small bedrock river catchments (drainage areas < 100 km2). Nevertheless, knickpoint recession on resistant lithologies with structure that potentially affects the retreat rate needs to be confirmed with field-based data. Moreover, it remains unclear whether small bedrock rivers can absorb base-level fall via knickpoint retreat. Here we evaluate the response of small bedrock rivers to base-level fall on the isle of Jura in western Scotland (UK), where rivers incise into dipping quartzite. The mapping of raised beach deposits and strath terraces, and the analysis of stream long profiles, were used to identify knickpoints that had been triggered by base-level fall. Our results indicate that the distance of knickpoint retreat scales to the drainage area in a power law function irrespective of structural setting. On the other hand, local channel slope and basin size influence the vertical distribution of knickpoints. As well, at low drainage areas (~ 4 km2) rivers are unable to absorb the full amount of base-level fall and channel reach morphology downstream of the knickpoint tends towards convexity. The results obtained here confirm that knickpoint retreat is mostly controlled by stream discharge, as has been observed for other transient landscapes. Local controls, reflecting basin size and channel slope, have an effect on the vertical distribution of knickpoints; such controls are also related to the ability of rivers to absorb the base-level fall.

Recent slope failures in the Dolomites (Northeastern Italian Alps) in a context of climate change

NASA Astrophysics Data System (ADS)

Chiarle, Marta; Paranunzio, Roberta; Laio, Francesco; Nigrelli, Guido; Guzzetti, Fausto

2014-05-01

Climate change in the Greater Alpine Region is seriously affecting permafrost distribution, with relevant consequences on slope stability. In the Italian Alps, the number of failures from rockwalls at high elevation markedly increased in the last 20-30 years: the consistent temperature increase, which warmed twice than the global average, may have seriously influenced slope stability, in terms of glaciers retreat and permafrost degradation. Moreover, the growing number of tourists and activities in alpine regions (in particular in the Dolomites) made these areas particularly critical in relation to natural hazards. In this light, an integrated short-term geomorphological and climatic analysis was performed, in order to better comprehend the impact of main climate elements (especially temperature and precipitation) on slope failures in high mountain areas. In this contribution, we focus on three recent slope failures occurred at high elevation sites in the Dolomites (Northeastern Italian Alps), declared a UNESCO World Heritage Site in August 2009. We describe here three important rock falls occurred in the autumn 2013: 1) the Sorapiss rock fall, on 30 September 2013; 2) the Monte Civetta rock fall, on 16 November 2013; 3) the Monte Antelao rock fall, on 22 November 2013. The Monte Civetta rock fall damaged some climbing routes, while the other two landslides did not cause any damage or injury. Despite the limited volume involved, these three events represent an important warning sign in the context of ongoing climate change. Geomorphological information about the rock fall sites were combined with the climatic data acquired from the meteorological stations surrounding the slope failure areas. A short-term climatic analysis was performed, with the aim of understanding the role of the main climatic elements in the triggering of natural instability events in this area and in the Alps in general.

50 CFR 226.205 - Critical habitat for Snake River sockeye salmon, Snake River fall chinook salmon, and Snake River...

Code of Federal Regulations, 2010 CFR

2010-10-01

... salmon, Snake River fall chinook salmon, and Snake River spring/summer chinook salmon. 226.205 Section... Snake River sockeye salmon, Snake River fall chinook salmon, and Snake River spring/summer chinook salmon. The following areas consisting of the water, waterway bottom, and adjacent riparian zone of...

NOVATO Center, Regulatory Permit Application, NOVATO, Marin County, California

DTIC Science & Technology

1979-07-01

brackish marsh for the contruction of a regional shopping center with 986,000 sqare feet of gross leasable space. The project also includes excavatior of...Service has contracted to have a report prepared to describe and quantify some of the ecological values of the wetland area. The entire report is...Associates, Ecological Consultants in Fall 1978. The study divided the project site into five areas referred to as the Fill Area, Lynwood Slough Area, Lake

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

Teton Dam flood of June 1976, Firth quadrangle, Idaho

USGS Publications Warehouse

Hubbard, Larry L.; Bartells, John H.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Firth quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Rose quadrangle, Idaho

USGS Publications Warehouse

Bartells, John H.; Hubbard, Larry L.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Rose quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Rexburg quadrangle, Idaho

USGS Publications Warehouse

Harenberg, W.A.; Bigelow, B.B.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification on these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Rexburg quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Deer Parks quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Bennett, C. Michael; Records, Andrew W.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Deer Parks quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Parker quadrangle, Idaho

USGS Publications Warehouse

Thomas, Cecil Albert; Ray, Herman A.

1976-01-01

The failure of Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls, Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Parker quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, St. Anthony quadrangle, Idaho

USGS Publications Warehouse

Thomas, Cecil A.; Ray, Herman A.; Matthai, Howard F.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the St. Anthony quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Woodville quadrangle, Idaho

USGS Publications Warehouse

Matthai, Howard F.; Ray, Herman A.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Woodville quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Menan Buttes quadrangle, Idaho

USGS Publications Warehouse

Thomas, Cecil A.; Ray, Herman A.; Harenberg, William A.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Menan Buttes quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Lewisville quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Bigelow, Bruce B.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Lewisville quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Pingree quadrangle, Idaho

USGS Publications Warehouse

Hubbard, Larry L.; Bartells, John H.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Pingree quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Blackfoot quadrangle, Idaho

USGS Publications Warehouse

Bartells, J.H.; Hubbard, Larry L.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Blackfoot quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Rigby quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Bigelow, Bruce B.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Rigby quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Newdale quadrangle, Idaho

USGS Publications Warehouse

Ray, Herman A.; Matthai, Howard F.; Thomas, Cecil A.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Newdale quadrangle. (Woodard-USGS)

Teton Dam flood of June 1976, Moody quadrangle, Idaho

USGS Publications Warehouse

Harenberg, William A.; Bigelow, Bruce B.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The area covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Moody quadrangle. (Woodard-USGS)

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

Adams, Marshall; Fortner, Allison M

On December 22, 2008, over 4 million cubic meters of fly ash slurry was released into the Emory River when a dike surrounding a solid waste containment area at the Tennessee Valley Authority's (TVA) Kingston Fossil Plant ruptured. One component of TVA's response to the spill is a biological monitoring program to assess short- and long-term ecological responses to the ash and associated chemicals, including studies on fish health and contaminant bioaccumulation. These studies were initiated in early Spring 2009 for the purposes of: (1) documenting the levels of fly ash-associated metals in various tissues of representative sentinel fish speciesmore » in the area of the fly ash spill, (2) determining if exposure to fly ash-associated metals causes short, intermediate, or long-term health effects on these sentinel fish species, (3) assessing if there are causal relationships between exposure to metals and health effects on fish, (4) evaluating, along with information from other ecological and physicochemical studies, the nature and route of contaminant transfer though food chains into higher level consumers, (5) providing important information for the Ecological Risk Assessment (ERA) for the Kingston fly ash project, and (6) serving as an important technology information transfer or model study focused on how to best evaluate the environmental effects of fly ash (and related environmental stressors), not only at the Kingston site, but also at sites on other aquatic systems where coal-fired generating stations are located. This report presents the results of the first two years of the fish health study. To date, fish health and bioaccumulation studies have been conducted from Spring 2009 though Fall 2011 and includes 6 seasonal studies: Spring 2009, Fall 2009, Spring 2010, Fall 2010, Spring 2011, and Fall 2011. Both the Spring and Fall studies have focused on 3-4 sentinel fish species that represent different feeding habits, behaviors, and home ranges. In addition to fish health and bioaccumulation, the Spring investigations also included reproductive integrity studies on the same fish used for bioaccumulation and fish health. In this report, results of the fish health studies from Spring 2009 through Fall 2010 are presented while an associated report will present the fish reproductive studies conducted during Spring 2009 and Spring 2010. A report on fish bioaccumulation was submitted to TVA in June 2011. The fish health study conducted in conjunction with the bioaccumulation and reproductive study is critical for assessing and evaluating possible causal relationships between contaminant exposure (bioaccumulation) and the response of fish to exposure as reflected by the various measurements of fish health.« less

Can money buy green? Demographic and socioeconomic predictors of lawn-care expenditures and lawn greenness in urban residential areas

Treesearch

Weiqi Zhou; Austin Troy; J. Morgan Grove; Jennifer C. Jenkins

2009-01-01

It is increasingly important to understand how household characteristics influence lawn characteristics, as lawns play an important ecological role in human-dominated landscapes. This article investigates household and neighborhood socioeconomic characteristics as predictors of residential lawn-care expenditures and lawn greenness. The study area is the Gwynns Falls...

ODOT research news : fall quarter 2003.

DOT National Transportation Integrated Search

2003-01-01

The ODOT Research News includes : 1) the announcement of the 2004 Northwest Transportation Conference (NWTC). 2) Truck trip data collection study project focus on identify the most promising truck trip data collection methods for metropolitan areas a...

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.

Evaluation of Salmon Spawning Below Bonneville Dam, Annual Report October 2005 - September 2006.

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

Arntzen, Evan V.; Mueller, Robert P.; Murray, Christopher J.

2007-09-21

Since FY 2000, scientists at Pacific Northwest National Laboratory (PNNL) have conducted research to assess the extent of spawning by chum salmon (Oncorhynchus keta) and fall Chinook salmon (O. tshawytscha) in the lower mainstem Columbia River. Their work supports a larger project funded by the Bonneville Power Administration (BPA) aimed at characterizing the physical habitat used by mainstem fall Chinook and chum salmon populations. Multiple collaborators in addition to PNNL are involved in the BPA project--counterparts include the Washington Department of Fish and Wildlife (WDFW), U.S. Fish and Wildlife Service (USFWS), Pacific States Marine Fisheries Commission (PSMFC), U.S. Geological Surveymore » (USGS), and Oregon Department of Fish and Wildlife (ODFW). Data resulting from the individual tasks each agency conducts are providing a sound scientific basis for developing strategies to operate the Federal Columbia River Power System (FCRPS) in ways that will effectively protect and enhance the chum and tule fall Chinook salmon populations--both listed as threatened under the Endangered Species Act (ESA). Fall Chinook salmon, thought to originate from Bonneville Hatchery, were first noted to be spawning downstream of Bonneville Dam by WDFW biologists in 1993. Known spawning areas include gravel beds on the Washington side of the river near Hamilton Creek and near Ives Island. Limited surveys of spawning ground were conducted in the area around Ives and Pierce islands from 1994 through 1997. Based on those surveys, it is believed that fall Chinook salmon are spawning successfully in this area. The size of this population from 1994 to 1996 was estimated at 1800 to 5200 fish. Chum salmon also have been documented spawning downstream of Bonneville Dam. Chum salmon were listed as threatened under the ESA in March 1999. At present there is a need to determine the number of fall Chinook and chum salmon spawning downstream of Bonneville Dam, the characteristics of their spawning areas, and the flows necessary to ensure their long-term survival. Ongoing discussions regarding the minimum and maximum flows will result in optimal spawning habitat usage and survival of embryos of both species. Collection of additional data as part of this project will ensure that established flow guidelines are appropriate and provide adequate protection for the species of concern. This is consistent with the high priority placed by the Northwest Power and Conservation Council Independent Scientific Advisory Board and the salmon managers on determining the importance of mainstem habitats to the production of salmon in the Columbia River Basin. Thus, there is a need to better understand the physical habitat variables used by mainstem fall Chinook and chum salmon populations and the effects of hydropower project operations on spawning and incubation. Pacific Northwest National Laboratory was asked to participate in the cooperative study during FY 2000. Since then, we have focused on (1) investigating the interactions between groundwater and surface water near fall Chinook and chum salmon spawning areas; (2) providing in-season hyporheic temperature data and assisting state agencies with emergence timing estimates; (3) locating and mapping deep-water fall Chinook salmon spawning areas; and (4) providing support to the WDFW for analysis of stranding data. Work conducted during FY 2006 addressed these same efforts. This report documents the studies and tasks performed by PNNL during FY 2006. Chapter 1 provides a description of the searches conducted for deepwater redds--adjacent to Pierce and Ives islands for fall Chinook salmon and near the Interstate 205 bridge for chum salmon. The chapter also provides data on redd location, information about habitat associations, and estimates of total spawning populations. Chapter 2 documents the collection of data on riverbed and river temperatures and water surface elevations, from the onset of spawning to the end of emergence, and the provision of those data in-season to fisheries management agencies to assist with emergence timing estimates and evaluations of redd dewatering. Technical assistance provided to the WDFW and PSMFC in evaluation of stranding data is summarized in Chapter 3.« less

Evaluation of Salmon Spawning Below Bonneville Dam, 2005-2006 Annual Report.

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

Arntzen, Evan; Mueller, Robert; Murray, Christopher

2007-03-01

Since FY 2000, scientists at Pacific Northwest National Laboratory (PNNL) have conducted research to assess the extent of spawning by chum salmon (Oncorhynchus keta) and fall Chinook salmon (O. tshawytscha) in the lower mainstem Columbia River. Their work supports a larger project funded by the Bonneville Power Administration (BPA) aimed at characterizing the physical habitat used by mainstem fall Chinook and chum salmon populations. Multiple collaborators in addition to PNNL are involved in the BPA project--counterparts include the Washington Department of Fish and Wildlife (WDFW), U.S. Fish and Wildlife Service (USFWS), Pacific States Marine Fisheries Commission (PSMFC), U.S. Geological Surveymore » (USGS), and Oregon Department of Fish and Wildlife (ODFW). Data resulting from the individual tasks each agency conducts are providing a sound scientific basis for developing strategies to operate the Federal Columbia River Power System (FCRPS) in ways that will effectively protect and enhance the chum and tule fall Chinook salmon populations--both listed as threatened under the Endangered Species Act (ESA). Fall Chinook salmon, thought to originate from Bonneville Hatchery, were first noted to be spawning downstream of Bonneville Dam by WDFW biologists in 1993. Known spawning areas include gravel beds on the Washington side of the river near Hamilton Creek and near Ives Island. Limited surveys of spawning ground were conducted in the area around Ives and Pierce islands from 1994 through 1997. Based on those surveys, it is believed that fall Chinook salmon are spawning successfully in this area. The size of this population from 1994 to 1996 was estimated at 1800 to 5200 fish. Chum salmon also have been documented spawning downstream of Bonneville Dam. Chum salmon were listed as threatened under the ESA in March 1999. At present there is a need to determine the number of fall Chinook and chum salmon spawning downstream of Bonneville Dam, the characteristics of their spawning areas, and the flows necessary to ensure their long-term survival. Ongoing discussions regarding the minimum and maximum flows will result in optimal spawning habitat usage and survival of embryos of both species. Collection of additional data as part of this project will ensure that established flow guidelines are appropriate and provide adequate protection for the species of concern. This is consistent with the high priority placed by the Northwest Power and Conservation Council Independent Scientific Advisory Board and the salmon managers on determining the importance of mainstem habitats to the production of salmon in the Columbia River Basin. Thus, there is a need to better understand the physical habitat variables used by mainstem fall Chinook and chum salmon populations and the effects of hydropower project operations on spawning and incubation. Pacific Northwest National Laboratory was asked to participate in the cooperative study during FY 2000. Since then, we have focused on (1) investigating the interactions between groundwater and surface water near fall Chinook and chum salmon spawning areas; (2) providing in-season hyporheic temperature data and assisting state agencies with emergence timing estimates; (3) locating and mapping deep-water fall Chinook salmon spawning areas; and (4) providing support to the WDFW for analysis of stranding data. Work conducted during FY 2006 addressed these same efforts. This report documents the studies and tasks performed by PNNL during FY 2006. Chapter 1 provides a description of the searches conducted for deepwater redds--adjacent to Pierce and Ives islands for fall Chinook salmon and near the Interstate 205 bridge for chum salmon. The chapter also provides data on redd location, information about habitat associations, and estimates of total spawning populations. Chapter 2 documents the collection of data on riverbed and river temperatures and water surface elevations, from the onset of spawning to the end of emergence, and the provision of those data in-season to fisheries management agencies to assist with emergence timing estimates and evaluations of redd dewatering. Technical assistance provided to the WDFW and PSMFC in evaluation of stranding data is summarized in Chapter 3.« less

Fall and winter microhabitat use and suitability for spring chinook salmon parr in a U.S. Pacific Northwest River

USGS Publications Warehouse

Favrot, Scott D.; Jonasson, Brian C.; Peterson, James T.

2018-01-01

Habitat degradation has been implicated as a primary threat to Pacific salmon Oncorhynchus spp. Habitat restoration and conservation are key toward stemming population declines; however, winter microhabitat use and suitability knowledge are lacking for small juvenile salmonids. Our objective was to characterize microhabitat use and suitability for spring Chinook Salmon Oncorhynchus tshawytscha parr during fall and winter. Using radiotelemetry techniques during October–February (2009–2011), we identified fall and winter microhabitat use by spring Chinook Salmon parr in Catherine Creek, northeastern Oregon. Tagged fish occupied two distinct gradient reaches (moderate and low). Using a mixed‐effects logistic regression resource selection function (RSF) model, we found evidence that microhabitat use was similar between free‐flowing and surface ice conditions. However, habitat use shifted between seasons; most notably, there was greater use of silt substrate and areas farther from the bank during winter. Between gradients, microhabitat use differed with greater use of large wood (LW) and submerged aquatic vegetation in the low‐gradient reach. Using a Bayesian RSF approach, we developed gradient‐specific habitat suitability criteria. Throughout the study area, deep depths and slow currents were most suitable, with the exception of the low‐gradient reach where moderate depths were optimal. Near‐cover coarse and fine substrates were most suitable in the moderate‐ and low‐gradient reaches, respectively. Near‐bank LW was most suitable throughout the study area. Multivariate principal component analyses (PCA) indicated co‐occurring deep depths supporting slow currents near cover were intensively occupied in the moderate‐gradient reach. In the low‐gradient reach, PCA indicated co‐occurring moderate depths, slow currents, and near‐bank cover were most frequently occupied. Our study identified suitable and interrelated microhabitat combinations that can guide habitat restoration for fall migrant and overwintering Chinook Salmon parr in Catherine Creek and potentially the Pacific Northwest.

High School Graduate Participation Rates: Proportions of Sacramento Area High School Graduates Enrolled in Los Rios Community College District, Fall 1996-Fall 1993.

ERIC Educational Resources Information Center

Glyer-Culver, Betty; La, Minh

This Los Rios Community College District (LRCCD) report profiles the enrollment patterns of recent high school graduates who attend Los Rios Colleges. It includes data on participation rates from all feeder high schools in the greater Sacramento area, and provides insights as to where participation growth and decline occur. The cohort includes…

High School Graduate Participation Rates: Proportions of Sacramento Area High School Graduates Enrolled in Los Rios Community College District, Fall 1998-Fall 1994.

ERIC Educational Resources Information Center

Los Rios Community Coll. District, Sacramento, CA. Office of Planning and Research.

This report profiles the enrollment patterns of recent high school graduates of the Greater Sacramento Metropolitan Area who attend Los Rios colleges (California). This summary and the full data report provide the District and its colleges with research information on rates of participation by students who graduated from Los Rios Community College…

Comparing Newmark

NASA Astrophysics Data System (ADS)

Rodríguez-Peces, M. J.; García-Mayordomo, J.; Azañón-Hernández, J. M.; Jabaloy-Sánchez, A.

2009-04-01

The Lorca Basin (Eastern Betic Cordillera, SE Spain) is one of the most seismically active regions of Spain. In this area there are well known cases of earthquake-induced slope instabilities associated to specific earthquakes (e.g., Bullas 2002, La Paca 2005). Furthermore, this area is characterized by moderate magnitude seismicity which mainly produces rock-falls and avalanches. In this work we present the results of our research at regional and site scales. For the regional scale, we have used a geographic information system (GIS) to develop an implementation of the Newmark's sliding rigid block method. We have particularly proposed a new variation of Newmark's method to consider soil and topographic amplification effects. Subsequently, we produced "Newmark displacement" maps for both probabilistic and deterministic seismic scenarios in the Lorca Basin. Probabilistic seismic scenarios consider three hazard maps in terms of peak ground acceleration (PGA) on rock corresponding to the 475-, 975- and 2475-year return periods (exceedance probability of 10, 5 and 2% in 50 years, respectively) in the Murcia Region. Deterministic seismic scenarios consider the occurrence of the most probable earthquake for a 475-year return period (Mw=5.0) at every location, or either a complete rupture of Lorca-Totana (Mw=6.7) or Puerto Lumbreras-Lorca (Mw=6.8) segments of Alhama de Murcia Fault. The Newmark displacement maps allowed us to identify areas with the highest potential seismic hazard, and also locate areas for future particular studies. We have found that rock-falls produced during the last earthquakes in Lorca Basin (e.g., Bullas 2002, La Paca 2005) match very well with areas with values of Newmark displacement lower than 2 cm in all the seismic scenarios considered. Therefore, it seems that low values of Newmark displacements are very likely associated with rock-falls. To support this hypothesis we have applied the Newmark method at a site scale. To do this, we have selected La Paca rock-fall which was generated during La Paca 2005 earthquake (mbLg=4.7, IEMS=VI-VII). We have used a terrestrial laser scanner in order to obtain a high resolution digital elevation model of La Paca rock-fall area. Moreover, we have performed a back-analysis based on field data to estimate the static safety factor previous to the earthquake and the critical acceleration. Furthermore, we have selected a representative strong ground motion record for La Paca earthquake from international databases. The critical acceleration and the peak ground acceleration values obtained from the strong ground motion record allowed us to estimate the actual soil and topographic amplification effects. Finally, we have calculated analytically the real Newmark displacement at La Paca rock-fall and we have compared this displacement with our GIS estimation in order to improve the calibration of Newmark's method at the regional scale.

Using the Hendrich II Inpatient Fall Risk Screen to Predict Outpatient Falls After Emergency Department Visits.

PubMed

Patterson, Brian W; Repplinger, Michael D; Pulia, Michael S; Batt, Robert J; Svenson, James E; Trinh, Alex; Mendonça, Eneida A; Smith, Maureen A; Hamedani, Azita G; Shah, Manish N

2018-04-01

To evaluate the utility of routinely collected Hendrich II fall scores in predicting returns to the emergency department (ED) for falls within 6 months. Retrospective electronic record review. Academic medical center ED. Individuals aged 65 and older seen in the ED from January 1, 2013, through September 30, 2015. We evaluated the utility of routinely collected Hendrich II fall risk scores in predicting ED visits for a fall within 6 months of an all-cause index ED visit. For in-network patient visits resulting in discharge with a completed Hendrich II score (N = 4,366), the return rate for a fall within 6 months was 8.3%. When applying the score alone to predict revisit for falls among the study population the resultant receiver operating characteristic (ROC) plot had an area under the curve (AUC) of 0.64. In a univariate model, the odds of returning to the ED for a fall in 6 months were 1.23 times as high for every 1-point increase in Hendrich II score (odds ratio (OR)=1.23 (95% confidence interval (CI)=1.19-1.28). When included in a model with other potential confounders or predictors of falls, the Hendrich II score is a significant predictor of a return ED visit for fall (adjusted OR=1.15, 95% CI=1.10-1.20, AUC=0.75). Routinely collected Hendrich II scores were correlated with outpatient falls, but it is likely that they would have little utility as a stand-alone fall risk screen. When combined with easily extractable covariates, the screen performs much better. These results highlight the potential for secondary use of electronic health record data for risk stratification of individuals in the ED. Using data already routinely collected, individuals at high risk of falls after discharge could be identified for referral without requiring additional screening resources. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

Spinal sagittal contour affecting falls: cut-off value of the lumbar spine for falls.

PubMed

Ishikawa, Yoshinori; Miyakoshi, Naohisa; Kasukawa, Yuji; Hongo, Michio; Shimada, Yoichi

2013-06-01

Spinal deformities reportedly affect postural instability or falls. To prevent falls in clinical settings, the determination of a cut-off angle of spinal sagittal contour associated with increase risk for falls would be useful for screening for high-risk fallers. The purpose of this study was to calculate the spinal sagittal contour angle associated with increased risk for falls during medical checkups in community dwelling elders. The subjects comprised 213 patients (57 men, 156 women) with a mean age of 70.1 years (range, 55-85 years). The upright and flexion/extension thoracic kyphosis and lumbar lordosis angles, and the spinal inclination were evaluated with SpinalMouse(®). Postural instability was evaluated by stabilometry, using the total track length (LNG), enveloped areas (ENV), and track lengths in the lateral and anteroposterior directions (X LNG and Y LNG, respectively). The back extensor strength (BES) was measured using a strain-gauge dynamometer. The relationships among the parameters were analyzed statistically. Age, lumbar lordosis, spinal inclination, LNG, X LNG, Y LNG, and BES were significantly associated with falls (P<0.05). Multivariate logistic regression analyses revealed that lumbar lordosis was the most significant factor (P<0.01). Univariate logistic regression analyses for falls about lumbar lordosis angles revealed that angles of 3° and less were significant for falls. The present findings suggest that increased age, spinal inclination, LNG, X LNG, Y LNG, and decreased BES and lumbar lordosis, are associated with falls. An angle of lumbar lordosis of 3° or less was associated with falls in these community-dwelling elders. Copyright © 2012 Elsevier B.V. All rights reserved.

Sensor-derived physical activity parameters can predict future falls in people with dementia

PubMed Central

Schwenk, Michael; Hauer, Klaus; Zieschang, Tania; Englert, Stefan; Mohler, Jane; Najafi, Bijan

2014-01-01

Background There is a need for simple clinical tools that can objectively assess fall risk in people with dementia. Wearable sensors seem to have potential for fall prediction, however, there has been limited work performed in this important area. Objective To explore the validity of sensor-derived physical activity (PA) parameters for predicting future falls in people with dementia. To compare sensor-based fall risk assessment with conventional fall risk measures. Methods A cohort study of people with confirmed dementia discharged from a geriatric rehabilitation ward. PA was quantified using 24-hour motion-sensor monitoring at the beginning of the study. PA parameters (percentage of walking, standing, sitting, lying; duration of single walking, standing, and sitting bouts) were extracted using specific algorithms. Conventional assessment included performance-based tests (Timed-up-and-go test, Performance-Oriented-Mobility-Assessment, 5-chair stand) and questionnaires (cognition, ADL-status, fear of falling, depression, previous faller). Outcome measures were fallers (at least one fall in the 3-month follow-up period) versus non-fallers. Results Seventy-seven people were included in the study (age 81.8 ± 6.3; community dwelling 88%, institutionalized 12%). Surprisingly, fallers and non-fallers did not differ on any conventional assessment (p= 0.069–0.991), except for ‘previous faller’ (p= 0.006). Interestingly, several PA parameters discriminated between groups. The ‘walking bouts average duration’, ‘longest walking bout duration’ and ‘walking bouts duration variability’ were lower in fallers, compared to non-fallers (p= 0.008–0.027). The ‘standing bouts average duration’ was higher in fallers (p= 0.050). Two variables, ‘walking bouts average duration’ [odds ratio (OR) 0.79, p= 0.012] and ‘previous faller’ [OR 4.44, p= 0.007] were identified as independent predictors for falls. The OR for a ‘walking bouts average duration’ of less than 15 seconds for predicting fallers was 6.30 (p= 0.020). Combining ‘walking bouts average duration’ and ‘previous faller’ improved fall prediction [OR 7.71, p< 0.001, sensitivity/specificity 72%/76%]. Discussion Results demonstrate that sensor-derived PA parameters are independent predictors of fall risk and may have higher diagnostic accuracy in persons with dementia compared to conventional fall risk measures. Our findings highlight the potential of telemonitoring technology for estimating fall risk. Results should be confirmed in a larger study and by measuring PA over a longer time period. PMID:25171300

Sensor-derived physical activity parameters can predict future falls in people with dementia.

PubMed

Schwenk, Michael; Hauer, Klaus; Zieschang, Tania; Englert, Stefan; Mohler, Jane; Najafi, Bijan

2014-01-01

There is a need for simple clinical tools that can objectively assess the fall risk in people with dementia. Wearable sensors seem to have the potential for fall prediction; however, there has been limited work performed in this important area. To explore the validity of sensor-derived physical activity (PA) parameters for predicting future falls in people with dementia. To compare sensor-based fall risk assessment with conventional fall risk measures. This was a cohort study of people with confirmed dementia discharged from a geriatric rehabilitation ward. PA was quantified using 24-hour motion-sensor monitoring at the beginning of the study. PA parameters (percentage of walking, standing, sitting, and lying; duration of single walking, standing, and sitting bouts) were extracted using specific algorithms. Conventional assessment included performance-based tests (Timed Up and Go Test, Performance-Oriented Mobility Assessment, 5-chair stand) and questionnaires (cognition, ADL status, fear of falling, depression, previous faller). Outcome measures were fallers (at least one fall in the 3-month follow-up period) versus non-fallers. 77 people were included in the study (age 81.8 ± 6.3; community-dwelling 88%, institutionalized 12%). Surprisingly, fallers and non-fallers did not differ on any conventional assessment (p = 0.069-0.991), except for 'previous faller' (p = 0.006). Interestingly, several PA parameters discriminated between the groups. The 'walking bout average duration', 'longest walking bout duration' and 'walking bout duration variability' were lower in fallers, compared to non-fallers (p = 0.008-0.027). The 'standing bout average duration' was higher in fallers (p = 0.050). Two variables, 'walking bout average duration' [odds ratio (OR) 0.79, p = 0.012] and 'previous faller' (OR 4.44, p = 0.007) were identified as independent predictors for falls. The OR for a 'walking bout average duration' <15 s for predicting fallers was 6.30 (p = 0.020). Combining 'walking bout average duration' and 'previous faller' improved fall prediction (OR 7.71, p < 0.001, sensitivity/specificity 72%/76%). RESULTS demonstrate that sensor-derived PA parameters are independent predictors of the fall risk and may have higher diagnostic accuracy in persons with dementia compared to conventional fall risk measures. Our findings highlight the potential of telemonitoring technology for estimating the fall risk. RESULTS should be confirmed in a larger study and by measuring PA over a longer period of time. © 2014 S. Karger AG, Basel.

Maple sugaring with vacuum pumping during the fall season

Treesearch

H. Clay Smith; Alan G., Jr. Snow

1971-01-01

Vacuum pumping of sugar maple trees during the late fall and early winter months is not advisable in northern Vermont. However, fall pumping may be profitable in other areas of the sugar maple range. It is recommended that the weather pattern in a given locale be observed; and if conditions are favorable, vacuum pumping should be tried on a small scale before...

Migration and winter distributions of canvasbacks staging on the Upper Mississippi River

USGS Publications Warehouse

Serie, J.R.; Trauger, D.L.; Sharp, D.E.

1983-01-01

Fall and winter distribution patterns of canvasbacks (Aythya valisineria) staging on the upper Mississippi River near LaCrosse, Wisconsin (navigational Pools 7 and 8) and Keokuk, Iowa (Pool 19) were studied during 1973-77. Sightings and recoveries obtained from 1,488 color-marked males during 1973-75 and 3,789 banded males and females during 1973-77 suggested 2 principal migration corridors: 1 extending eastward from Pools 7 and 8 to the eastern Great Lakes and southeast to the Mid-Atlantic Region and another southward from Pools 7 and 8 to the lower Mississippi Valley, Gulf Coast, and east Texas regions. These discrete populations stage concurrently on Pools 7 and 8 during the fall, but winter in different areas of the Atlantic, Mississippi, and Central flyways. Populations staging on Pool 19 were not discrete from those staging on Pools 7 and 8. A continual turnover of birds passing through these staging areas was indicated. Canvasbacks wintering in the Mississippi and Central flyways were widely dispersed among a variety of habitats, whereas canvasbacks wintering in the Atlantic Flyway were concentrated in a few traditional habitats. Canvasbacks exhibited strong fidelity to wintering areas. Distribution patterns and population attributes of canvasbacks during fall and winter may be explained by the predictability of natural foods and their ability to exploit these foods.

Predictors of falls in older survivors of breast and prostate cancer: A retrospective cohort study of surveillance, epidemiology and end results-Medicare health outcomes survey linkage.

PubMed

Huang, Min H; Blackwood, Jennifer; Godoshian, Monica; Pfalzer, Lucinda

2018-05-08

To identify predictors of falls in older breast and prostate cancer survivors. This retrospective cohort study analyzed population-based Surveillance, Epidemiology and End Results-Medicare Health Outcomes Survey (SEER-MHOS) linkage. Inclusion criteria were age >65 years at cancer diagnosis, first primary female breast or prostate cancer, cancer staging information available, completion of baseline MHOS during years 2-3 and follow-up MHOS during years 4-5 post-diagnosis, and falls information available. Data from 437 breast and 660 prostate cancer survivors were analyzed. Multivariable logistic regression was constructed to evaluate variables from baseline MHOS with relation to falls from follow-up MHOS. Model accuracy was assessed using area under receiver-operating-characteristic curve (AUC). At follow-up MHOS, 26% of breast and 22% of prostate cancer survivors reported falls in the past 12 months. In breast cancer, a history of falls (odds ratio (OR) = 4.95, 95% confidence interval (CI) = 2.44-10.04) and sensory impairment in feet (OR = 3.33, 95%CI = 1.51-7.32) were significant predictors of falls. In prostate cancer, a history of falls (OR = 3.04, 95%CI = 1.79-5.15), unmarried (OR = 1.82, 95%CI = 1.12-2.95), lower physical summary score of quality-of-life(OR = 0.96, 95%CI = 0.94-0.98), urinary incontinence (OR = 1.69, 95%CI = 1.08-2.65), older age at diagnosis (OR = 1.05, 95%CI = 1.01-1.09), and shorter time post-diagnosis (OR = 0.96, 95%CI = 0.93-0.99) were significant predictors of falls. AUC was 0.67 and 0.77 for breast and prostate cancer, respectively, indicating moderate accuracy of models in detecting fallers. Asking older breast and prostate cancer survivors about falls in the past 12 months is imperative in fall prevention. Further examination of deficits specific to each cancer is necessary to assess fall risks. Copyright © 2018 Elsevier Inc. All rights reserved.

Air-sea exchange of gaseous mercury in the East China Sea.

PubMed

Wang, Chunjie; Ci, Zhijia; Wang, Zhangwei; Zhang, Xiaoshan

2016-05-01

Two oceanographic cruises were carried out in the East China Sea (ECS) during the summer and fall of 2013. The main objectives of this study are to identify the spatial-temporal distributions of gaseous elemental mercury (GEM) in air and dissolved gaseous mercury (DGM) in surface seawater, and then to estimate the Hg(0) flux. The GEM concentration was lower in summer (1.61 ± 0.32 ng m(-3)) than in fall (2.20 ± 0.58 ng m(-3)). The back-trajectory analysis revealed that the air masses with high GEM levels during fall largely originated from the land, while the air masses with low GEM levels during summer primarily originated from ocean. The spatial distribution patterns of total Hg (THg), fluorescence, and turbidity were consistent with the pattern of DGM with high levels in the nearshore area and low levels in the open sea. Additionally, the levels of percentage of DGM to THg (%DGM) were higher in the open sea than in the nearshore area, which was consistent with the previous studies. The THg concentration in fall was higher (1.47 ± 0.51 ng l(-1)) than those of other open oceans. The DGM concentration (60.1 ± 17.6 pg l(-1)) and Hg(0) flux (4.6 ± 3.6 ng m(-2) h(-1)) in summer were higher than those in fall (DGM: 49.6 ± 12.5 pg l(-1) and Hg(0) flux: 3.6 ± 2.8 ng m(-2) h(-1)). The emission flux of Hg(0) from the ECS was estimated to be 27.6 tons yr(-1), accounting for ∼0.98% of the global Hg oceanic evasion though the ECS only accounts for ∼0.21% of global ocean area, indicating that the ECS plays an important role in the oceanic Hg cycle. Copyright © 2016 Elsevier Ltd. All rights reserved.

Neuropsychological, balance, and mobility risk factors for falls in people with multiple sclerosis: a prospective cohort study.

PubMed

Hoang, Phu D; Cameron, Michelle H; Gandevia, Simon C; Lord, Stephen R

2014-03-01

To determine whether impaired performance in a range of vision, proprioception, neuropsychological, balance, and mobility tests and pain and fatigue are associated with falls in people with multiple sclerosis (PwMS). Prospective cohort study with 6-month follow-up. A multiple sclerosis (MS) physiotherapy clinic. Community-dwelling people (N=210; age range, 21-74y) with MS (Disease Steps 0-5). Not applicable. Incidence of falls during 6 months' follow-up. In the 6-month follow-up period, 83 participants (39.7%) experienced no falls, 57 (27.3%) fell once or twice, and 69 (33.0%) fell 3 or more times. Frequent falling (≥3) was associated with increased postural sway (eyes open and closed), poor leaning balance (as assessed with the coordinated stability task), slow choice stepping reaction time, reduced walking speed, reduced executive functioning (as assessed with the difference between Trail Making Test Part B and Trail Making Test Part A), reduced fine motor control (performance on the 9-Hole Peg Test [9-HPT]), and reported leg pain. Increased sway with the eyes closed, poor coordinated stability, and reduced performance in the 9-HPT were identified as variables that significantly and independently discriminated between frequent fallers and nonfrequent fallers (model χ(2)3=30.1, P<.001). The area under the receiver operating characteristic curve for this model was .712 (95% confidence interval, .638-.785). The study reveals important balance, coordination, and cognitive determinants of falls in PwMS. These should assist the development of effective strategies for prevention of falls in this high-risk group. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Comparison of ISS, NISS, and RTS score as predictor of mortality in pediatric fall.

PubMed

Soni, Kapil Dev; Mahindrakar, Santosh; Gupta, Amit; Kumar, Subodh; Sagar, Sushma; Jhakal, Ashish

2017-01-01

Studies to identify an ideal trauma score tool representing prediction of outcomes of the pediatric fall patient remains elusive. Our study was undertaken to identify better predictor of mortality in the pediatric fall patients. Data was retrieved from prospectively maintained trauma registry project at level 1 trauma center developed as part of Multicentric Project-Towards Improving Trauma Care Outcomes (TITCO) in India. Single center data retrieved from a prospectively maintained trauma registry at a level 1 trauma center, New Delhi, for a period ranging from 1 October 2013 to 17 February 2015 was evaluated. Standard anatomic scores Injury Severity Score (ISS) and New Injury Severity Score (NISS) were compared with physiologic score Revised Trauma Score (RTS) using receiver operating curve (ROC). Heart rate and RTS had a statistical difference among the survivors to nonsurvivors. ISS, NISS, and RTS were having 50, 50, and 86% of area under the curve on ROCs, and RTS was statistically significant among them. Physiologically based trauma score systems (RTS) are much better predictors of inhospital mortality in comparison to anatomical based scoring systems (ISS and NISS) for unintentional pediatric falls.

Validity of the performance-oriented mobility assessment in predicting fall of stroke survivors: a retrospective cohort study.

PubMed

An, SeungHeon; Lee, YunBok; Lee, GyuChang

2014-06-01

Falling is one of the most common complications in stroke survivors. It is therefore important to evaluate the risk of falls. In this study, we investigated the usability of the performance-oriented mobility assessment (POMA) for predicting falls in stroke patients. The POMA examines the level of balance and mobility. Data were collected on the number of falls and physical functions from 72 stroke survivors. Physical functions were measured using the POMA balance subscale, One Leg Stand test (OLS), Sit To Stand test (STS), 10-m Walk Test (10WT), Fugl-Meyer assessment (FM), and Trunk Impairment Scale (TIS). Since the accuracy of the POMA balance subscale was moderate, the cutoff value used for predicting falls was 12.5 points (sensitivity: 72%; specificity: 74%), and the area under the curve was 0.78 (95% confidence interval: 0.66-0.91, p < 0.001). When comparing the physical functions (i.e., OLS, STS, 10WT, FM, and TIS) to the cutoff value for the POMA balance subscale, the physical functions of the group over 12.5 points for the subscale were significantly higher than those in the group below 12.5 points (p < 0.05). The muscle strength shown in the STS was the most important factor affecting the performance in the POMA balance subscale (β = -0.447). For the group below 12.5 points on the POMA balance subscale, the risk of falling increased by 0.304 times more than the group over 12.5 points. The POMA balance subscale is a valid tool for assessing the physical function and fall risk of stroke survivors.

Epidemiologic Trends in Medically-attended Tree Stand Fall Injuries among Wisconsin Deer Hunters

PubMed Central

VanWormer, Jeffrey J.; Holsman, Robert H.; Petchenik, Jordan B.; Dhuey, Brian J.; Keifer, Matthew C.

2015-01-01

Background Tree stand falls are the most common injury to hunters in the USA, but there is limited research on the topic. This study examined the 5-year trends in incident tree stand fall injuries in rural north-central Wisconsin and described patient demographics and injury features. Methods A retrospective analysis was conducted on five prior hunting seasons, 2009–2013. Cases were ascertained from electronic health records via natural language processing that identified patients from the Marshfield Epidemiologic Study Area who received medical attention for a tree stand fall. Annual incidence rates were calculated using the number of hunting license holders in the target population, per administrative data from the Wisconsin Department of Natural Resources. Results There were 16,556–16,902 deer hunters in any given year, with 39 (92% male) confirmed medically-attended tree stand fall injuries in 2009–2013. Injuries mainly occurred in the lower extremities (n=23), and included two fatalities and one paralysis case. The risk of tree stand fall injuries went from 6.0 (95% CI: 3.2, 11.1) per 10,000 hunters in 2009 to 3.6 (95% CI: 1.6, 7.9) per 10,000 hunters in 2013, which was not a significant change over five years (p=0.79). Most falls occurred among archery hunters, in the evening and when descending from a tree stand. Cases were demographically similar to the general population of Wisconsin deer hunters. Conclusions The current seasonal incidence rate of tree stand fall injuries is relatively low in rural Wisconsin, but with limited signs of improvement. Continued efforts are needed to promote the long-term safety of the hunting public. PMID:26443558

Epidemiologic trends in medically-attended tree stand fall injuries among Wisconsin deer hunters.

PubMed

VanWormer, Jeffrey J; Holsman, Robert H; Petchenik, Jordan B; Dhuey, Brian J; Keifer, Matthew C

2016-01-01

Tree stand falls are the most common injury to hunters in the USA, but there is limited research on the topic. This study examined the 5-year trends in incident tree stand fall injuries in rural north-central Wisconsin and described patient demographics and injury features. A retrospective analysis was conducted on five prior hunting seasons, 2009-2013. Cases were ascertained from electronic health records via natural language processing that identified patients from the Marshfield Epidemiologic Study Area who received medical attention for a tree stand fall. Annual incidence rates were calculated using the number of hunting license holders in the target population, per administrative data from the Wisconsin Department of Natural Resources. There were 16,556-16,902 deer hunters in any given year, with 39 (92% male) confirmed medically-attended tree stand fall injuries in 2009-2013. Injuries mainly occurred in the lower extremities (n=23), and included two fatalities and one paralysis case. The risk of tree stand fall injuries went from 6.0 (95% CI: 3.2, 11.1) per 10,000 hunters in 2009 to 3.6 (95% CI: 1.6, 7.9) per 10,000 hunters in 2013, which was not a significant change over 5 years (p=0.79). Most falls occurred among archery hunters, in the evening and when descending from a tree stand. Cases were demographically similar to the general population of Wisconsin deer hunters. The current seasonal incidence rate of tree stand fall injuries is relatively low in rural Wisconsin, but with limited signs of improvement. Continued efforts are needed to promote the long-term safety of the hunting public. Copyright © 2015 Elsevier Ltd. All rights reserved.

Assessment of groundwater potential zones using multi-influencing factor (MIF) and GIS: a case study from Birbhum district, West Bengal

NASA Astrophysics Data System (ADS)

Thapa, Raju; Gupta, Srimanta; Guin, Shirshendu; Kaur, Harjeet

2017-11-01

Remote sensing and GIS play a vital role in exploration and assessment of groundwater and has wide application in detection, monitoring, assessment, conservation and various other fields of groundwater-related studies. In this research work, delineation of groundwater potential zone in Birbhum district has been carried out. Various thematic layers viz. geology, geomorphology, soil type, elevation, lineament and fault density, slope, drainage density, land use/land cover, soil texture, and rainfall are digitized and transformed into raster data in ArcGIS 10.3 environment as input factors. Thereafter, multi-influencing factor (MIF) technique is employed where ranks and weights, assigned to each factor are computed statistically. Finally, groundwater potential zones are classified into four categories namely low, medium, high and very high zone. It is observed that 18.41% (836.86 km2) and 34.41% (1563.98 km2) of the study area falls under `low' and `medium' groundwater potential zone, respectively. Approximately 1601.19 km2 area accounting for 35.23% of the study area falls under `high' category and `very high' groundwater potential zone encompasses an area of 542.98 km2 accounting for 11.95% of the total study area. Finally, the model generated groundwater potential zones are validated with reported potential yield data of various wells in the study area. Success and prediction rate curve reveals an accuracy achievement of 83.03 and 78%, respectively. The outcome of the present research work will help the local authorities, researchers, decision makers and planners in formulating better planning and management of groundwater resources in the study area in future perspectives.

Online Collaboration Processes of Career Changers Seeking Alternative Teacher Certification

ERIC Educational Resources Information Center

Moraes Varjao, Jaqueline Urania

2012-01-01

In March 2011, the U.S. Department of Education released a list of Teacher Shortage Area (TSA) nationwide. In most states the need for certified teachers fall in four main areas: English as a Second Language (ESOL), Mathematics and Science (6-12), and Foreign Language. The current study explored the ways in which career changers enrolled in online…

Pilot study to investigate the feasibility of the Home Falls and Accidents Screening Tool (HOME FAST) to identify older Malaysian people at risk of falls.

PubMed

Romli, Muhammad Hibatullah; Mackenzie, Lynette; Lovarini, Meryl; Tan, Maw Pin

2016-08-16

The relationship between home hazards and falls in older Malaysian people is not yet fully understood. No tools to evaluate the Malaysian home environment currently exist. Therefore, this study aimed to pilot the Home Falls and Accidents Screening Tool (HOME FAST) to identify hazards in Malaysian homes, to evaluate the feasibility of using the HOME FAST in the Malaysian Elders Longitudinal Research (MELoR) study and to gather preliminary data about the experience of falls among a small sample of Malaysian older people. A cross-sectional pilot study was conducted. An urban setting in Kuala Lumpur. 26 older people aged 60 and over were recruited from the control group of a related research project in Malaysia, in addition to older people known to the researchers. The HOME FAST was applied with the baseline survey for the MELoR study via a face-to-face interview and observation of the home by research staff. The majority of the participants were female, of Malay or Chinese ethnicity and living with others in a double-storeyed house. Falls were reported in the previous year by 19% and 80% of falls occurred at home. Gender and fear of falling had the strongest associations with home hazards. Most hazards were detected in the bathroom area. A small number of errors were detected in the HOME FAST ratings by researchers. The HOME FAST is feasible as a research and clinical tool for the Malaysian context and is appropriate for use in the MELoR study. Home hazards were prevalent in the homes of older people and further research with the larger MELoR sample is needed to confirm the validity of using the HOME FAST in Malaysia. Training in the use of the HOME FAST is needed to ensure accurate use by researchers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Falls among Older Adults: Public Health Impact and Prevention Strategies.

ERIC Educational Resources Information Center

Stevens, Judy A.

2003-01-01

Provides an overview of the epidemiology of falls among older adults, describes current prevention strategies, and highlights key areas that need to be addressed, including risk assessments, exercise, and environmental changes. (Contains 50 references.) (JOW)

Public health research outputs from efficacy to dissemination: a bibliometric analysis

PubMed Central

2011-01-01

Background More intervention research is needed, particularly 'real world' intervention replication and dissemination studies, to optimize improvements in health. This study assessed the proportion and type of published public health intervention research papers over time in physical activity and falls prevention, both important contributors to preventable morbidity and mortality. Methods A keyword search was conducted, using Medline and PsycINFO to locate publications in 1988-1989, 1998-1999, and 2008-2009 for the two topic areas. In stage 1, a random sample of 1200 publications per time period for both topics were categorized as: non-public health, non-data-based public health, or data-based public health. In stage 2 data-based public health articles were further classified as measurement, descriptive, etiological or intervention research. Finally, intervention papers were categorized as: efficacy, intervention replication or dissemination studies. Inter-rater reliability of paper classification was 88%. Results Descriptive studies were the most common data-based papers across all time periods (1988-89; 1998-1999;2008-2009) for both issues (physical activity: 47%; 54%; 65% and falls 75%; 64%; 63%), increasing significantly over time for physical activity. The proportion of intervention publications did not increase over time for physical activity comprising 23% across all time periods and fluctuated for falls across the time periods (10%; 21%; 17%). The proportion of intervention articles that were replication studies increased over the three time periods for physical activity (0%; 2%; 11%) and for falls (0%; 22%; 35%). Dissemination studies first appeared in the literature in 2008-2009, making up only 3% of physical activity and 7% of falls intervention studies. Conclusions Intervention research studies remain only a modest proportion of all published studies in physical activity and falls prevention; the majority of the intervention studies, are efficacy studies although there is growing evidence of a move towards replication and dissemination studies, which may have greater potential for improving population health. PMID:22168312

[A study of factors influenced by self-efficacy for exercise among community-dwelling elderly men in urban areas].

PubMed

Takai, Itsushi

2012-01-01

It is important to promote self-efficacy for exercise for developing exercise habit. The purpose of this study was to investigate factors influenced by self-efficacy for exercise among community-dwelling elderly men in urban areas. The subjects were 69 elderly men (mean age of 74.2±2.0 SD) who had given approval for participation in the study. We examined the following factors: family situation, history of falls, frequency of going out, stage model of a change, self-efficacy for exercise, fall efficacy scale (FES), geriatric depression scale (GDS), subjective health, functional ability and motor function (5 m walking time, chair stand test-5times). Analysis of variance was used to assess a stage model of a change differences in self-efficacy for exercise and other measures. Correlation analysis and multiple regression analysis were performed to determine the relationships between self-efficacy for exercise and other measures. We found that self-efficacy of exercise, FES, GDS (p<0.01) and CST (p<0.05) vary depending on the stage model of change. Self-efficacy for exercise was found to correlate with psychological factors and functional ability (|r|=0.47-0.67). Multiple regression analysis revealed that the independent factors related to self-efficacy for exercise were FES and GDS. FES and GDS were found to be significant and independent predictors of self-efficacy for exercise in community-dwelling elderly men in urban areas. We should consider not only the approach based on behavioral science but also mental support for depression and fear of falling to promote exercise self-efficacy.

Prevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors

PubMed Central

2008-01-01

Executive Summary In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry’s newly released Aging at Home Strategy. After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person’s transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report. Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series. Aging in the Community: Summary of Evidence-Based Analyses Prevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based Analysis Behavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based Analysis Caregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based Analysis Social Isolation in Community-Dwelling Seniors: An Evidence-Based Analysis The Falls/Fractures Economic Model in Ontario Residents Aged 65 Years and Over (FEMOR) Objective To identify interventions that may be effective in reducing the probability of an elderly person’s falling and/or sustaining a fall-related injury. Background Although estimates of fall rates vary widely based on the location, age, and living arrangements of the elderly population, it is estimated that each year approximately 30% of community-dwelling individuals aged 65 and older, and 50% of those aged 85 and older will fall. Of those individuals who fall, 12% to 42% will have a fall-related injury. Several meta-analyses and cohort studies have identified falls and fall-related injuries as a strong predictor of admission to a long-term care (LTC) home. It has been shown that the risk of LTC home admission is over 5 times higher in seniors who experienced 2 or more falls without injury, and over 10 times higher in seniors who experienced a fall causing serious injury. Falls result from the interaction of a variety of risk factors that can be both intrinsic and extrinsic. Intrinsic factors are those that pertain to the physical, demographic, and health status of the individual, while extrinsic factors relate to the physical and socio-economic environment. Intrinsic risk factors can be further grouped into psychosocial/demographic risks, medical risks, risks associated with activity level and dependence, and medication risks. Commonly described extrinsic risks are tripping hazards, balance and slip hazards, and vision hazards. Note: It is recognized that the terms “senior” and “elderly” carry a range of meanings for different audiences; this report generally uses the former, but the terms are treated here as essentially interchangeable. Evidence-Based Analysis of Effectiveness Research Question Since many risk factors for falls are modifiable, what interventions (devices, systems, programs) exist that reduce the risk of falls and/or fall-related injuries for community-dwelling seniors? Inclusion and Exclusion Criteria Inclusion Criteria English language; published between January 2000 and September 2007; population of community-dwelling seniors (majority aged 65+); and randomized controlled trials (RCTs), quasi-experimental trials, systematic reviews, or meta-analyses. Exclusion Criteria special populations (e.g., stroke or osteoporosis; however, studies restricted only to women were included); studies only reporting surrogate outcomes; or studies whose outcome cannot be extracted for meta-analysis. Outcomes of Interest number of fallers, and number of falls resulting in injury/fracture. Search Strategy A search was performed in OVID MEDLINE, MEDLINE In-Process and Other Non-Indexed Citations, EMBASE, the Cumulative Index to Nursing & Allied Health Literature (CINAHL), The Cochrane Library, and the International Agency for Health Technology Assessment (INAHTA) for studies published between January 2000 and September 2007. Furthermore, all studies included in a 2003 Cochrane review were considered for inclusion in this analysis. Abstracts were reviewed by a single author, and studies meeting the inclusion criteria outlined above were obtained. Studies were grouped based on intervention type, and data on population characteristics, fall outcomes, and study design were extracted. Reference lists were also checked for relevant studies. The quality of the evidence was assessed as high, moderate, low, or very low according to the GRADE methodology. Summary of Findings The following 11 interventions were identified in the literature search: exercise programs, vision assessment and referral, cataract surgery, environmental modifications, vitamin D supplementation, vitamin D plus calcium supplementation, hormone replacement therapy (HRT), medication withdrawal, gait-stabilizing devices, hip protectors, and multifactorial interventions. Exercise programs were stratified into targeted programs where the exercise routine was tailored to the individuals’ needs, and untargeted programs that were identical among subjects. Furthermore, analyses were stratified by exercise program duration (<6 months and ≥6 months) and fall risk of study participants. Similarly, the analyses on the environmental modification studies were stratified by risk. Low-risk study participants had had no fall in the year prior to study entry, while high-risk participants had had at least one fall in the previous year. A total of 17 studies investigating multifactorial interventions were identified in the literature search. Of these studies, 10 reported results for a high-risk population with previous falls, while 6 reported results for study participants representative of the general population. One study provided stratified results by fall risk, and therefore results from this study were included in each stratified analysis. Executive Summary Table 1: Summary of Meta-Analyses of Studies Investigating the Effectiveness of Interventions on the Risk of Falls in Community-Dwelling Seniors* Intervention RR [95% CI] GRADE Exercise programs   1. Targeted programs           General population 0.81 [0.67–0.98] Low       High-risk population 0.93 [0.82–1.06] High       Short duration 0.91 [0.73–1.13] High       Long duration 0.89 [0.79–1.01] Moderate   2. Untargeted programs           General population 0.78 [0.66–0.91] Moderate       High-risk population 0.89 [0.72–1.10] Very low       Short duration 0.85 [0.71–1.01] Low       Long duration 0.76 [0.64–0.91] Moderate   3. Combined targeted vs. untargeted programs           General population N/A N/A       High-risk population 0.87 [0.57–1.34] Moderate       Short duration 1.11 [0.73–1.70] High       Long duration 0.73 [0.57–0.95] High Vision intervention       Assessment/referral 1.12 [0.82–1.53] Moderate       Cataract surgery 1.11 [0.92–1.35] Moderate Environmental modifications       Low-risk population 1.03 [0.75–1.41] High       High-risk population 0.66 [0.54–0.81] High       General population 0.85 [0.75–0.97] High Drugs/Nutritional supplements       Vitamin D (men and women) 0.94 [0.77–1.14] High       Vitamin D (women only) 0.55 [0.29–1.08] Moderate       Vitamin D and calcium (men and women) 0.89 [0.74–1.07] Moderate       Vitamin D and calcium (women only) 0.83 [0.73–0.95] Moderate       Hormone replacement therapy 0.98 [0.80–1.20] Low       Medication withdrawal 0.34 [0.16–0.74]† Low Gait-stabilizing device 0.43 [0.29–0.64] Moderate Multifactorial intervention       Geriatric screening (general population) 0.87 [0.69–1.10] Very low       High-risk population 0.86 [0.75–0.98] Low * CI refers to confidence interval; RR, relative risk. † Hazard ratio is reported, because RR was not available. Executive Summary Table 2: Summary of Meta-Analyses of Studies Investigating the Effectiveness of Interventions on the Risk of Fall-Related Injuries in Community-Dwelling Seniors* Intervention RR [95% CI] GRADE Exercise programs         Targeted programs 0.67 [0.51–0.89] Moderate     Untargeted programs 0.57 [0.38–0.86] Low     Combined targeted vs untargeted programs 0.31 [0.13–0.74] High Drugs/nutritional supplements         Vitamin D plus calcium (women only) 0.77 [0.49–1.21] Moderate Gait-stabilizing device 0.10 [0.01–0.74] Moderate Hip protectors 3.49 [0.68–17.97]† Low Multifactorial intervention         Geriatric screening (general population) 0.90 [0.53–1.51] Low     High-risk population 0.86 [0.66–1.11] Moderate * CI refers to confidence interval; RR, relative risk. † Odds ratio is reported, because RR was not available. Conclusions High-quality evidence indicates that long-term exercise programs in mobile seniors and environmental modifications in the homes of frail elderly persons will effectively reduce falls and possibly fall-related injuries in Ontario’s elderly population. A combination of vitamin D and calcium supplementation in elderly women will help reduce the risk of falls by more than 40%. The use of outdoor gait-stabilizing devices for mobile seniors during the winter in Ontario may reduce falls and fall-related injuries; however, evidence is limited and more research is required in this area. While psychotropic medication withdrawal may be an effective method for reducing falls, evidence is limited and long-term compliance has been demonstrated to be difficult to achieve. Multifactorial interventions in high-risk populations may be effective; however, the effect is only marginally significant, and the quality of evidence is low. PMID:23074507

Prevention of falls and fall-related injuries in community-dwelling seniors: an evidence-based analysis.

PubMed

2008-01-01

In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry's newly released Aging at Home Strategy.After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person's transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series.AGING IN THE COMMUNITY: Summary of Evidence-Based AnalysesPrevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based AnalysisBehavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based AnalysisCaregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based AnalysisSocial Isolation in Community-Dwelling Seniors: An Evidence-Based AnalysisThe Falls/Fractures Economic Model in Ontario Residents Aged 65 Years and Over (FEMOR) OBJECTIVE: To identify interventions that may be effective in reducing the probability of an elderly person's falling and/or sustaining a fall-related injury. Although estimates of fall rates vary widely based on the location, age, and living arrangements of the elderly population, it is estimated that each year approximately 30% of community-dwelling individuals aged 65 and older, and 50% of those aged 85 and older will fall. Of those individuals who fall, 12% to 42% will have a fall-related injury. Several meta-analyses and cohort studies have identified falls and fall-related injuries as a strong predictor of admission to a long-term care (LTC) home. It has been shown that the risk of LTC home admission is over 5 times higher in seniors who experienced 2 or more falls without injury, and over 10 times higher in seniors who experienced a fall causing serious injury. Falls result from the interaction of a variety of risk factors that can be both intrinsic and extrinsic. Intrinsic factors are those that pertain to the physical, demographic, and health status of the individual, while extrinsic factors relate to the physical and socio-economic environment. Intrinsic risk factors can be further grouped into psychosocial/demographic risks, medical risks, risks associated with activity level and dependence, and medication risks. Commonly described extrinsic risks are tripping hazards, balance and slip hazards, and vision hazards. NOTE: It is recognized that the terms "senior" and "elderly" carry a range of meanings for different audiences; this report generally uses the former, but the terms are treated here as essentially interchangeable. EVIDENCE-BASED ANALYSIS OF EFFECTIVENESS: Since many risk factors for falls are modifiable, what interventions (devices, systems, programs) exist that reduce the risk of falls and/or fall-related injuries for community-dwelling seniors? English language;published between January 2000 and September 2007;population of community-dwelling seniors (majority aged 65+); andrandomized controlled trials (RCTs), quasi-experimental trials, systematic reviews, or meta-analyses. special populations (e.g., stroke or osteoporosis; however, studies restricted only to women were included);studies only reporting surrogate outcomes; orstudies whose outcome cannot be extracted for meta-analysis. number of fallers, andnumber of falls resulting in injury/fracture. A search was performed in OVID MEDLINE, MEDLINE In-Process and Other Non-Indexed Citations, EMBASE, the Cumulative Index to Nursing & Allied Health Literature (CINAHL), The Cochrane Library, and the International Agency for Health Technology Assessment (INAHTA) for studies published between January 2000 and September 2007. Furthermore, all studies included in a 2003 Cochrane review were considered for inclusion in this analysis. Abstracts were reviewed by a single author, and studies meeting the inclusion criteria outlined above were obtained. Studies were grouped based on intervention type, and data on population characteristics, fall outcomes, and study design were extracted. Reference lists were also checked for relevant studies. The quality of the evidence was assessed as high, moderate, low, or very low according to the GRADE methodology. The following 11 interventions were identified in the literature search: exercise programs, vision assessment and referral, cataract surgery, environmental modifications, vitamin D supplementation, vitamin D plus calcium supplementation, hormone replacement therapy (HRT), medication withdrawal, gait-stabilizing devices, hip protectors, and multifactorial interventions. Exercise programs were stratified into targeted programs where the exercise routine was tailored to the individuals' needs, and untargeted programs that were identical among subjects. Furthermore, analyses were stratified by exercise program duration (<6 months and ≥6 months) and fall risk of study participants. Similarly, the analyses on the environmental modification studies were stratified by risk. Low-risk study participants had had no fall in the year prior to study entry, while high-risk participants had had at least one fall in the previous year. A total of 17 studies investigating multifactorial interventions were identified in the literature search. Of these studies, 10 reported results for a high-risk population with previous falls, while 6 reported results for study participants representative of the general population. One study provided stratified results by fall risk, and therefore results from this study were included in each stratified analysis. Executive Summary Table 1:Summary of Meta-Analyses of Studies Investigating the Effectiveness of Interventions on the Risk of Falls in Community-Dwelling Seniors(*)InterventionRR [95% CI]GRADEExercise programs  1. Targeted programs        General population0.81 [0.67-0.98]Low      High-risk population0.93 [0.82-1.06]High      Short duration0.91 [0.73-1.13]High      Long duration0.89 [0.79-1.01]Moderate  2. Untargeted programs        General population0.78 [0.66-0.91]Moderate      High-risk population0.89 [0.72-1.10]Very low      Short duration0.85 [0.71-1.01]Low      Long duration0.76 [0.64-0.91]Moderate  3. Combined targeted vs. untargeted programs        General populationN/AN/A      High-risk population0.87 [0.57-1.34]Moderate      Short duration1.11 [0.73-1.70]High      Long duration0.73 [0.57-0.95]HighVision intervention      Assessment/referral1.12 [0.82-1.53]Moderate      Cataract surgery1.11 [0.92-1.35]ModerateEnvironmental modifications      Low-risk population1.03 [0.75-1.41]High      High-risk population0.66 [0.54-0.81]High      General population0.85 [0.75-0.97]HighDrugs/Nutritional supplements      Vitamin D (men and women)0.94 [0.77-1.14]High      Vitamin D (women only)0.55 [0.29-1.08]Moderate      Vitamin D and calcium (men and women)0.89 [0.74-1.07]Moderate      Vitamin D and calcium (women only)0.83 [0.73-0.95]Moderate      Hormone replacement therapy0.98 [0.80-1.20]Low      Medication withdrawal0.34 [0.16-0.74]†LowGait-stabilizing device0.43 [0.29-0.64]ModerateMultifactorial intervention      Geriatric screening (general population)0.87 [0.69-1.10]Very low      High-risk population0.86 [0.75-0.98]Low*CI refers to confidence interval; RR, relative risk.†Hazard ratio is reported, because RR was not available.Executive Summary Table 2:Summary of Meta-Analyses of Studies Investigating the Effectiveness of Interventions on the Risk of Fall-Related Injuries in Community-Dwelling Seniors*InterventionRR [95% CI]GRADEExercise programs      Targeted programs0.67 [0.51-0.89]Moderate    Untargeted programs0.57 [0.38-0.86]Low    Combined targeted vs untargeted programs0.31 [0.13-0.74]HighDrugs/nutritional supplements      Vitamin D plus calcium (women only)0.77 [0.49-1.21]ModerateGait-stabilizing device0.10 [0.01-0.74]ModerateHip protectors3.49 [0.68-17.97]†LowMultifactorial intervention      Geriatric screening (general population)0.90 [0.53-1.51]Low    High-risk population0.86 [0.66-1.11]Moderate*CI refers to confidence interval; RR, relative risk.†Odds ratio is reported, because RR was not available. High-quality evidence indicates that long-term exercise programs in mobile seniors and environmental modifications in the homes of frail elderly persons will effectively reduce falls and possibly fall-related injuries in Ontario's elderly population.A combination of vitamin D and calcium supplementation in elderly women will help reduce the risk of falls by more than 40%.The use of outdoor gait-stabilizing devices for mobile seniors during the winter in Ontario may reduce falls and fall-related injuries; however, evidence is limited and more research is required in this area.While psychotropic medication withdrawal may be an effective method for reducing falls, evidence is limited and long-term compliance has been demonstrated to be difficult to achieve.Multifactorial interventions in high-risk populations may be effective; however, the effect is only marginally significant, and the quality of evidence is low.

Salmon habitat assessment for conservation planning in the lower White Salmon River, Washington

USGS Publications Warehouse

Hardiman, Jill M.; Allen, M. Brady

2015-01-01

In 2011, Condit Dam was removed from the White Salmon River, Washington. Since dam removal, there has been interest among scientists (State and Federal), Tribes, non-profit organizations, and the general public in assessing Pacific salmon habitat and use in the White Salmon River for conservation planning and potential fishery management actions. The study area extended from the lower 6 miles of the White Salmon River to the confluence with the Columbia River, including the former reservoir area. The Mid-Columbia Fisheries Enhancement Group received a grant to initiate efforts to plan for salmon habitat protection in the lower 6 river miles of the White Salmon River. As part of efforts by the Mid-Columbia Fisheries Enhancement Group to conduct conservation planning, the U.S. Geological Survey (USGS) used current and historical habitat information to assist in the planning process. The USGS compiled existing georeferenced habitat data into a Geographic Information System to identify areas of high quality habitat for salmon, potential areas for restoration/improvement, and areas that could be threatened. The primary sources of georeferenced data for this project include a lidar flight contracted by PacifiCorp, bathymetry from USGS, and fall Chinook salmon redd surveys from the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife. Redd observations provided support that the study area is a migratory corridor for salmon and steelhead and that the lowest 2–3 miles had the highest concentration of documented fall Chinook salmon redds. The study area has potential for restoration/conservation areas to improve/conserve salmon habitat.

[The biological effects of a nuclear explosion. Introduction of a new system on a colorimetric scale (black, grey, red, orange, yellow and white zone) to estimate the effects of fall-out on civilian populations].

PubMed

Nacci, G

2002-08-01

Following September 11 the eventuality of terrorist attacks using bags containing nuclear devices is considered possible in western cities like New York, London, Paris, Rome, Berlin, Moscow etc. However, with a modern Civil Defence programme the effects of a catastrophe of this nature can be partially limited, at least as far as Fall-out is concerned. The present paper explains the medical reasons for building anti-fall-out shelters for the larger part of western populations: from the USA to Russia. The paper also sets out a new method for classifying levels of radioactive Fall-out based on a scale of colours (black, grey, red, orange, yellow and white) whatever kind of radioactivity is involved (total gamma levels, Cesium 137 levels, Strontium 90 levels). The arrival times for fall-out in each area of the scale are fixed, whatever the energy of the explosion and the speed of the wind might be. The radioactive decay in each area of the scale, from the time of arrival of the fall-out is described with precision. Also described are the acute radiation syndrome, tumours, miscarriages and genetic diseases. A nomogram is attached for civil defence purposes showing the leeward extension of these areas, easily measurable in just a few minutes, if four parameters are known: ground zero (locality) of the explosion, the energy of the explosion, the direction of the wind and the speed of the wind.

Landslides and rock fall processes in the proglacial area of the Gepatsch glacier, Tyrol, Austria - Quantitative assessment of controlling factors and process rates

NASA Astrophysics Data System (ADS)

Vehling, Lucas; Rohn, Joachim; Moser, Michael

2013-04-01

Due to the rapid deglaciation since 1850, lithological structures and topoclimatic factors, mass movements like rock fall, landslides and complex processes are important contributing factors to sediment transport and modification of the earth's surface in the steep, high mountain catchment of the Gepatsch reservoir. Contemporary geotechnical processes, mass movement deposits, their source areas, and controlling factors like material properties and relief parameters are mapped in the field, on Orthofotos and on digital elevation models. The results are presented in an Arc-Gis based geotechnical map. All mapped mass movements are stored in an Arc-Gis geodatabase and can be queried regarding properties, volume and controlling factors, so that statistical analyses can be conducted. The assessment of rock wall retreat rates is carried out by three different methods in multiple locations, which differ in altitude, exposition, lithology and deglaciation time: Firstly, rock fall processes and rates are investigated in detail on five rock fall collector nets with an overall size of 750 m2. Rock fall particles are gathered, weighed and grain size distribution is detected by sieving and measuring the diameter of the particles to distinct between rock fall processes and magnitudes. Rock wall erosion processes like joint formation and expansions are measured with high temporal resolution by electrical crack meters, together with rock- and air temperature. Secondly, in cooperation with the other working groups in the PROSA project, rock fall volumes are determined with multitemporal terrestrial laserscanning from several locations. Lately, already triggered rock falls are accounted by mapping the volume of the deposit and calculating of the bedrock source area. The deposition time span is fixed by consideration of the late Holocene lateral moraines and analysing historical aerial photographs, so that longer term rock wall retreat rates can be calculated. In order to limit homogenous bedrock sections for calculating specific rock wall retreat rates and to extrapolate the local determinated rock wall retreat rates to larger scale, bedrock areas will be divided into units of similar morphodynamic intensities which will be therefore classified by a rock mass strength (RMS) system. The RMS-System contains lithological and topoclimatic factors but also takes the measured rock wall retreat rates into account.

Effects of drug pharmacokinetic/pharmacodynamic properties, characteristics of medication use, and relevant pharmacological interventions on fall risk in elderly patients

PubMed Central

Chen, Ying; Zhu, Ling-Ling; Zhou, Quan

2014-01-01

Background Falls among the elderly are an issue internationally and a public health problem that brings substantial economic and quality-of-life burdens to individuals and society. Falls prevention is an important measure of nursing quality and patient safety. Numerous studies have evaluated the association of medication use with fall risk in elderly patients. However, an up-to-date review has not been available to summarize the multifaceted pharmaceutical concerns in the prevention of medication-related falls. Materials and methods Relevant literature was identified by performing searches in PubMed, Web of Science, and the Cochrane Library, covering the period until February 2014. We included studies that described an association between medications and falls, and effects of drug pharmacokinetic/pharmacodynamic properties, characteristics of medication use, and pharmacological interventions on fall risk in elderly patients. The full text of each included article was critically reviewed, and data interpretation was performed. Results Fall-risk-increasing drugs (FRIDs) include central nervous system-acting agents, cough preparations, nonsteroidal anti-inflammatory drugs, anti-Alzheimer’s agents, antiplatelet agents, calcium antagonists, diuretics, α-blockers, digoxin, hypoglycemic drugs, neurotoxic chemotherapeutic agents, nasal preparations, and antiglaucoma ophthalmic preparations. The degree of medication-related fall risk was dependent on one or some of the following factors: drug pharmacokinetic/pharmacodynamic properties (eg, elimination half-life, metabolic pathway, genetic polymorphism, risk rating of medications despite belonging to the same therapeutic class) and/or characteristics of medication use (eg, number of medications and drug–drug interactions, dose strength, duration of medication use and time since stopping, medication change, prescribing appropriateness, and medication adherence). Pharmacological interventions, including withdrawal of FRIDs, pharmacist-conducted clinical medication review, and computerized drug alerts, were effective in reducing fall risk. Conclusion Based on the literature review, clear practical recommendations for clinicians to prevent falls in the elderly included making a list of FRIDs, establishing a computerized alert system for when to e-prescribe FRIDs, seeking an alternative drug with lower fall risk, withdrawing FRIDs if clinically indicated, taking pertinent cautions when the use of FRIDs cannot be avoidable, paying attention to prescribing appropriateness, simplifying the medication regimen, strengthening pharmacist-conducted clinical medication review, ensuring the label of each FRID dispensed contains a corresponding warning sign, being careful when medication change occurs, enhancing medication adherence, and mandating for periodic reassessment of potential risk associated with the patient’s medication regimen. Further studies should be conducted in this area, such as investigating whether medication reconciliation and improving medication adherence could decrease the rate of falls. PMID:24966681

Effects of drug pharmacokinetic/pharmacodynamic properties, characteristics of medication use, and relevant pharmacological interventions on fall risk in elderly patients.

PubMed

Chen, Ying; Zhu, Ling-Ling; Zhou, Quan

2014-01-01

Falls among the elderly are an issue internationally and a public health problem that brings substantial economic and quality-of-life burdens to individuals and society. Falls prevention is an important measure of nursing quality and patient safety. Numerous studies have evaluated the association of medication use with fall risk in elderly patients. However, an up-to-date review has not been available to summarize the multifaceted pharmaceutical concerns in the prevention of medication-related falls. Relevant literature was identified by performing searches in PubMed, Web of Science, and the Cochrane Library, covering the period until February 2014. We included studies that described an association between medications and falls, and effects of drug pharmacokinetic/pharmacodynamic properties, characteristics of medication use, and pharmacological interventions on fall risk in elderly patients. The full text of each included article was critically reviewed, and data interpretation was performed. Fall-risk-increasing drugs (FRIDs) include central nervous system-acting agents, cough preparations, nonsteroidal anti-inflammatory drugs, anti-Alzheimer's agents, antiplatelet agents, calcium antagonists, diuretics, α-blockers, digoxin, hypoglycemic drugs, neurotoxic chemotherapeutic agents, nasal preparations, and antiglaucoma ophthalmic preparations. The degree of medication-related fall risk was dependent on one or some of the following factors: drug pharmacokinetic/pharmacodynamic properties (eg, elimination half-life, metabolic pathway, genetic polymorphism, risk rating of medications despite belonging to the same therapeutic class) and/or characteristics of medication use (eg, number of medications and drug-drug interactions, dose strength, duration of medication use and time since stopping, medication change, prescribing appropriateness, and medication adherence). Pharmacological interventions, including withdrawal of FRIDs, pharmacist-conducted clinical medication review, and computerized drug alerts, were effective in reducing fall risk. Based on the literature review, clear practical recommendations for clinicians to prevent falls in the elderly included making a list of FRIDs, establishing a computerized alert system for when to e-prescribe FRIDs, seeking an alternative drug with lower fall risk, withdrawing FRIDs if clinically indicated, taking pertinent cautions when the use of FRIDs cannot be avoidable, paying attention to prescribing appropriateness, simplifying the medication regimen, strengthening pharmacist-conducted clinical medication review, ensuring the label of each FRID dispensed contains a corresponding warning sign, being careful when medication change occurs, enhancing medication adherence, and mandating for periodic reassessment of potential risk associated with the patient's medication regimen. Further studies should be conducted in this area, such as investigating whether medication reconciliation and improving medication adherence could decrease the rate of falls.

The Rise and Fall of Diversity Training.

ERIC Educational Resources Information Center

Easter, Marilyn

The effectiveness of diversity training in eliminating racial stereotypes in the workplace and modifying employees' negative attitudes toward diversity was examined in a study conducted at a private nonprofit college in the San Francisco Bay area. The study sample consisted of 80 nontraditional students from 4 sections of a course titled Managing…

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.

Falls and fear of falling among community-dwelling seniors: the dynamic tension between exercising precaution and striving for independence.

PubMed

Ward-Griffin, Catherine; Hobson, Sandra; Melles, Pauline; Kloseck, Marita; Vandervoort, Anthony; Crilly, Richard

2004-01-01

The purpose of this phenomenological study was to explore the everyday experience of community-dwelling elders, with particular attention to seniors' perceptions of safety, fear of falling, independence, and quality of life. We also aimed to identify contextual factors that influence the health of elders who had fallen and/or had a fear of falling. Data from in-depth interviews with a purposeful sample (n = 9) of elders were analysed using interpretative analysis procedures. Both individual and team analysis was undertaken until interpretations of the experiences of the participants were inductively developed and crystallized into a holistic interpretation of the participants' shared experience. The holistic experience was comprised of two opposing, dynamic life forces: exercising precaution and striving for independence. Within each life force, participants used five major strategies that simultaneously constrained and expanded their life space. Health-promoting practice and policy implications, as well as areas for further research, are discussed.

Aquifer geometry, lithology, and water levels in the Anza–Terwilliger area—2013, Riverside and San Diego Counties, California

USGS Publications Warehouse

Landon, Matthew K.; Morita, Andrew Y.; Nawikas, Joseph M.; Christensen, Allen H.; Faunt, Claudia C.; Langenheim, Victoria E.

2015-11-24

On the basis of data from 33 wells, water levels mostly declined between the fall of 2006 and the fall of 2013; the median decline was 5.1 feet during this period, for a median rate of decline of about 0.7 feet/year. Based on data from 40 wells, water-level changes between fall 2004 and fall 2013 were variable in magnitude and trend, but had a median decline of 2.4 feet and a median rate of decline of about 0.3 feet/ year. These differences in apparent rates of groundwater-level change highlight the value of ongoing water-level measurements to distinguish decadal, or longer term, trends in groundwater storage often associated with climatic variability and trends. Fifty-four long-term hydrographs indicated the sensitivity of groundwater levels to climatic conditions; they also showed a general decline in water levels across the study area since 1986 and, in some cases, dating back to the 1950s.

Fall 1994 wildlife and vegetation survey, Norton Air Force Base, California

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

Not Available

The fall 1994 wildlife and vegetation surveys were completed October 3-7, 1994, at Norton Air Force Base (AFB), California. Two biologists from CDM Federal Programs, the U.S. Environmental Protection Agency (EPA) regional biologist and the Oak Ridge National Laboratory (ORNL) lead biologist conducted the surveys. A habitat assessment of three Installation Restoration Project (IRP) sites at Norton Air Force Base was also completed during the fall survey period. The IRP sites include: Landfill No. 2 (Site 2); the Industrial Wastewater Treatment Plant (IWTP) area; and Former Fire Training Area No. 1 (Site 5). The assessments were designed to qualitatively characterizemore » the sites of concern, identify potential ecological receptors, and provide information for Remedial Design/Remedial Action activities. A Reference Area (Santa Ana River Wash) and the base urban areas were also characterized. The reference area assessment was performed to provide a baseline for comparison with the IRP site habitats. The fall 1994 survey is the second of up to four surveys that may be completed. In order to develop a complete understanding of all plant and animal species using the base, these surveys were planned to be conducted over four seasons. Species composition can vary widely during the course of a year in Southern California, and therefore, seasonal surveys will provide the most complete and reliable data to address changes in habitat structure and wildlife use of the site. Subsequent surveys will focus on seasonal wildlife observations and a spring vegetation survey.« less

Relative importance of population size, fishing pressure and temperature on the spatial distribution of nine Northwest Atlantic groundfish stocks.

PubMed

Adams, Charles F; Alade, Larry A; Legault, Christopher M; O'Brien, Loretta; Palmer, Michael C; Sosebee, Katherine A; Traver, Michele L

2018-01-01

The spatial distribution of nine Northwest Atlantic groundfish stocks was documented using spatial indicators based on Northeast Fisheries Science Center spring and fall bottom trawl survey data, 1963-2016. We then evaluated the relative importance of population size, fishing pressure and bottom temperature on spatial distribution with an information theoretic approach. Northward movement in the spring was generally consistent with prior analyses, whereas changes in depth distribution and area occupancy were not. Only two stocks exhibited the same changes in spatiotemporal distribution in the fall as compared with the spring. Fishing pressure was the most important predictor of the center of gravity (i.e., bivariate mean location of the population) for the majority of stocks in the spring, whereas in the fall this was restricted to the east-west component. Fishing pressure was also the most important predictor of the dispersion around the center of gravity in both spring and fall. In contrast, biomass was the most important predictor of area occupancy for the majority of stocks in both seasons. The relative importance of bottom temperature was ranked highest in the fewest number of cases. This study shows that fishing pressure, in addition to the previously established role of climate, influences the spatial distribution of groundfish in the Northwest Atlantic. More broadly, this study is one of a small but growing body of literature to demonstrate that fishing pressure has an effect on the spatial distribution of marine resources. Future work must consider both fishing pressure and climate when examining mechanisms underlying fish distribution shifts.

Relative importance of population size, fishing pressure and temperature on the spatial distribution of nine Northwest Atlantic groundfish stocks

PubMed Central

Alade, Larry A.; Legault, Christopher M.; O’Brien, Loretta; Palmer, Michael C.; Sosebee, Katherine A.; Traver, Michele L.

2018-01-01

The spatial distribution of nine Northwest Atlantic groundfish stocks was documented using spatial indicators based on Northeast Fisheries Science Center spring and fall bottom trawl survey data, 1963–2016. We then evaluated the relative importance of population size, fishing pressure and bottom temperature on spatial distribution with an information theoretic approach. Northward movement in the spring was generally consistent with prior analyses, whereas changes in depth distribution and area occupancy were not. Only two stocks exhibited the same changes in spatiotemporal distribution in the fall as compared with the spring. Fishing pressure was the most important predictor of the center of gravity (i.e., bivariate mean location of the population) for the majority of stocks in the spring, whereas in the fall this was restricted to the east-west component. Fishing pressure was also the most important predictor of the dispersion around the center of gravity in both spring and fall. In contrast, biomass was the most important predictor of area occupancy for the majority of stocks in both seasons. The relative importance of bottom temperature was ranked highest in the fewest number of cases. This study shows that fishing pressure, in addition to the previously established role of climate, influences the spatial distribution of groundfish in the Northwest Atlantic. More broadly, this study is one of a small but growing body of literature to demonstrate that fishing pressure has an effect on the spatial distribution of marine resources. Future work must consider both fishing pressure and climate when examining mechanisms underlying fish distribution shifts. PMID:29698454

Assessing atmospheric concentration of polychlorinated biphenyls (PCBs) by evergreen Rhododendron maximum next to a contaminated stream

USGS Publications Warehouse

Dang, Viet D.; Walters, David; Lee, Cindy M.

2016-01-01

Conifers are often used as an “air passive sampler”, but few studies have focused on the implication of broadleaf evergreens to monitor atmospheric semivolatile organic compounds such as polychlorinated biphenyls (PCBs). In this study, we used Rhododendron maximum (rhododendron) growing next to a contaminated stream to assess atmospheric PCB concentrations. The study area was located in a rural setting and approximately 2 km downstream of a former Sangamo-Weston (S-W) plant. Leaves from the same mature shrubs were collected in late fall 2010, and winter and spring 2011. PCBs were detected in the collected leaves suggesting that rhododendron can be used as air passive samplers in rural areas where active sampling is impractical. Estimated ΣPCB (47 congeners) concentrations in the atmosphere decreased from fall 2010 to spring 2011 with concentration means at 3990, 2850, and 931 pg m-3 in fall 2010, winter 2011, and spring 2011, respectively. These results indicate that the atmospheric concentrations at this location continue to be high despite termination of active discharge from the former S-W plant. Leaves had a consistent pattern of high concentrations of tetra- and penta-CBs similar to the congener distribution in polyethylene (PE) passive samplers deployed in the water column suggesting that volatilized PCBs from the stream were the primary source of contaminants in rhododendron leaves.

Geological hazard zonation in a marble exploitation area (Apuan Alps, Italy)

NASA Astrophysics Data System (ADS)

Francioni, M.; Salvini, R.; Riccucci, S.

2011-12-01

The present paper describes the hazard mapping of an exploitation area sited in the Apuan Alps marble district (Italy) carried out by the integration of various survey and analysis methodologies. The research, supported by the Massa and Carrara Local Sanitary Agency responsible for workplace health and safety activities, aimed to reduce the high degree hazard of rock fall caused by the presence of potentially unstable blocks located on slopes overhanging the marble quarries. The study of rocky fronts bases on the knowledge of both the structural setting and the physical-mechanical properties of intact material and its discontinuities. In this work the main difficulty in obtaining this information was the inaccessibility of the slope overhanging the area (up to 500 meters high). For this reason, the structural and geological-engineering surveys were integrated by outcomes from digital photogrammetry carried out through terrestrial stereoscopic photos acquired from an aerostatic balloon and a helicopter. In this way, it was possible to derive the geometrical characteristics of joints (such as discontinuities dip, dip direction, spacing and persistence), blocks volumes and slopes morphology also in inaccessible areas. This information, combined with data coming from the geological-engineering survey, was used to perform the stability analysis of the slope. Subsequently, using the topographic map at the scale of 1:2,000, the Digital Terrain Model (DTM) of the slopes and several topographic profiles along it were produced. Assuming that there is a good correspondence between travelling paths and maximum down slope angle, probable trajectories of rock fall along the slope were calculated on the DTM by means of a GIS procedure which utilizes the ArcHydro module of EsriTM ArcMap software. When performing such a 2D numerical modelling of rock falls, lateral dispersion of trajectories has often been hampered by the "a priori" choice of the travelling path. Such a choice can be assessed largely subjective and it leads to possible errors. Thus, rock fall hazard zonation needs spatially distributed analyses including a reliable modelling of lateral dispersion. In this research Conefall software, a freeware QuanterraTM code that estimates the potential run out areas by means of a "so-called" cone method, was used to compute the spatial distribution of rock falls frequency, velocities and kinetic energies. In this way, a modelling approach based on local morphologies was employed to assess the accuracy of the 2D analysis by profiles created "a priori" along the maximum down slope angle. Final results about slope stability and run out analysis allowed to create rock fall hazard map and to advise the most suitable protection works to mitigate the hazard in the most risky sites.

Spatial distribution of block falls using volumetric GIS-decision-tree models

NASA Astrophysics Data System (ADS)

Abdallah, C.

2010-10-01

Block falls are considered a significant aspect of surficial instability contributing to losses in land and socio-economic aspects through their damaging effects to natural and human environments. This paper predicts and maps the geographic distribution and volumes of block falls in central Lebanon using remote sensing, geographic information systems (GIS) and decision-tree modeling (un-pruned and pruned trees). Eleven terrain parameters (lithology, proximity to fault line, karst type, soil type, distance to drainage line, elevation, slope gradient, slope aspect, slope curvature, land cover/use, and proximity to roads) were generated to statistically explain the occurrence of block falls. The latter were discriminated using SPOT4 satellite imageries, and their dimensions were determined during field surveys. The un-pruned tree model based on all considered parameters explained 86% of the variability in field block fall measurements. Once pruned, it classifies 50% in block falls' volumes by selecting just four parameters (lithology, slope gradient, soil type, and land cover/use). Both tree models (un-pruned and pruned) were converted to quantitative 1:50,000 block falls' maps with different classes; starting from Nil (no block falls) to more than 4000 m 3. These maps are fairly matching with coincidence value equal to 45%; however, both can be used to prioritize the choice of specific zones for further measurement and modeling, as well as for land-use management. The proposed tree models are relatively simple, and may also be applied to other areas (i.e. the choice of un-pruned or pruned model is related to the availability of terrain parameters in a given area).

Antarctic iron meteorites: An unexpectedly high proportion of falls of unusual interest

NASA Technical Reports Server (NTRS)

Clarke, R. S., Jr.

1986-01-01

The inhabited and explored areas of Earth have contributed 725 iron meteorites, accounting for 28% of the 2611 authenticated meteorites known of all types. Observed fall statistics give a much different view of relative abundance. The 42 historic iron meteorite falls spanning 230 years suggests a frequency of one fall per 5.6 years and represents only 4.9% of the total 853 known falls. Antarctic iron meteorite recoveries offer promise of providing a new perspective on the influx problem. At least 42 iron meteorite specimens were found during the last 25 years by various field teams working in Antarctica. Most of these specimens were not described in detail, but the available data indicates that 21 separate falls are represented, 50% of the number of recovered specimens. Twelve of the 21 falls were both structurally classified and placed into chemical groups. They are listed in order of increasing structural complexity and/or Ni content.

Effect of a Matter of Balance programme on avoidance behaviour due to fear of falling in older adults.

PubMed

Sartor-Glittenberg, Cecelia; Bordenave, Elton; Bay, Curt; Bordenave, Lori; Alexander, Jeffrey L

2018-05-01

Fear of falling (FOF) is associated with restricted activities, increased risk of falling, and decreased quality of life. A Matter of Balance (AMOB) is an evidence-based programme designed to decrease FOF. The current study investigated the influence of the AMOB on activity avoidance caused by FOF in older adults using the Fear of Falling Avoidance Behavior Questionnaire (FFABQ), health-related quality of life, and a question regarding concerns about falling. Participants of this quasi-experimental, one-group, pretest-post-test study design were older adults from community sites in the Phoenix, Arizona, metropolitan area. Participants attended the AMOB programme, which consisted of one weekly 2-h session for 8 weeks. At the beginning and end of the programme, participants completed the standard AMOB assessments, the FFABQ, the Centers for Disease Control Core Healthy Days Measure (CDC HRQOL-4), and a question regarding concerns about falling. Sixty-three participants completed the study; their mean ± SD age was 75.3 ± 7.1 years (range: 60.0-90.0 years), and 84.1% were women. The FFABQ scores decreased from baseline (24.4 ± 12.7 points) to post-AMOB (20.1 ± 11.9 points; t = 2.62, P = 0.01). No changes in any of the CDC HRQOL-4 questions were noted (CDC HRQOL-4 question (Q)1 (z = -1.41, P = 0.16), CDC HRQOL-4 Q2 and Q3 summary index (z = -1.60, P = 0.11), and CDC HRQOL-4 Q4 (z = -0.97, P = 0.33)). Concerns about falling decreased from baseline (3.4 ± 0.9 points) to post-AMOB (2.8 ± 0.8 points; z = -4.09, P < 0.001). Avoidance behaviour caused by FOF, as measured by the FFABQ, and concerns about falling decreased in community-dwelling older adults who participated in the AMOB. Findings support the efficacy of the AMOB for reducing both avoidance behaviour caused by FOF and concerns about falling through an approach that combines education and exercise. © 2018 Japanese Psychogeriatric Society.

A comparison of different balance tests in the prediction of falls in older women with vertebral fractures: a cohort study.

PubMed

Morris, Rob; Harwood, Rowan H; Baker, Ros; Sahota, Opinder; Armstrong, Sarah; Masud, Tahir

2007-01-01

people with vertebral fractures are at high risk of developing hip fractures. Falls risk is important in the pathogenesis of hip fractures. to investigate if balance tests, in conjunction with a falls history, can predict falls in older women with vertebral fractures. a cohort study of community-dwelling women aged over 60 years, with vertebral fractures. Balance tests investigated were: 5 m-timed-up-and-go-test (5 m-TUG), timed 10 m walk, TURN180 test (number of steps to turn 180 degrees ), tandem walk, ability to stand from chair with arms folded. Leg extensor power was also measured. fallers (at least one fall in a 12 month follow-up period) versus non-fallers. one hundred and four women aged 63-91 years [mean=78 +/- 7], were recruited. Eighty-six (83%) completed the study. Four variables were significantly associated with fallers: previous recurrent faller (2+ falls) [OR=6.52; 95% CI=1.69-25.22], 5 m-TUG test [OR=1.03; 1.00-1.06], timed 10 m walk [OR=1.07; 1.01-1.13] and the TURN180 test [OR=1.22; 1.00-1.49] [P <0.05]. Multi-variable analysis showed that only two variables, previous recurrent faller [OR=5.60; 1.40-22.45] and the 5 m-TUG test [OR=1.04; 1.00-1.08], were independently significantly associated with fallers. The optimal cut-off time for performing the 5 m-TUG test in predicting fallers was 30 s (area under ROC=60%). Combining previous recurrent faller with the 5 m-TUG improved prediction of fallers [OR=16.79, specificity=100%, sensitivity=13%]. a previous history of recurrent falls and the inability to perform the 5 m-TUG test within 30 s predicted falls in older women with vertebral fractures. Combining these two measures can predict fallers with a high degree of specificity (although a low sensitivity), allowing the identification of a group of patients suitable for fall and fracture prevention measures.

Black-footed ferret areas of activity during late summer and fall at Meeteetse, Wyoming

USGS Publications Warehouse

Fagerstone, K.A.; Biggins, D.E.

2011-01-01

Radiotelemetry was used during 1983 and 1984 to collect information on short-term areas of activity for black-footed ferrets (Mustela nigripes) near Meeteetse, Wyoming. This population ultimately provided ferrets for the captive-breeding program that bred and released offspring into the wild since 1991. We fitted 5 adult ferrets and 13 juveniles with radiotransmitters and followed their movements during late summer and fall. Adult males had 7-day areas of activity that were >6 times as large as those of adult females. Activity areas of adult males varied little in coverage or location on a weekly basis, but females sequentially shifted their areas. Unlike juvenile females, juvenile males tended to leave their natal colonies. ?? 2011 American Society of Mammalogists.

Path tortuosity in everyday movements of elderly persons increases fall prediction beyond knowledge of fall history, medication use, and standardized gait and balance assessments.

PubMed

Kearns, William D; Fozard, James L; Becker, Marion; Jasiewicz, Jan M; Craighead, Jeffrey D; Holtsclaw, Lori; Dion, Charles

2012-09-01

We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. Prospective, observational study using telesurveillance technology. Two ALFs. The sample consisted of 69 older ALF residents (53 female) aged 76.9 (SD ± 11.9 years). Daytime movement in ALF common use areas was automatically tracked using a commercially available ultra-wideband radio real-time location sensor network with a spatial resolution of approximately 20 cm. Movement path variability (tortuosity) was gauged using fractal dimension (fractal D). A logistic regression was performed predicting movement related falls from fractal D, presence of a fall in the prior year, psychoactive medication use, and movement path length. Fallers and non-fallers were also compared on activities of daily living requiring supervision or assistance, performance on standardized static and dynamic balance, and stride velocity assessments gathered at the start of a 1-year fall observation period. Fall risk due to cognitive deficit was assessed by the Mini Mental Status Examination (MMSE), and by clinical dementia diagnoses from participant's activities of daily living health record. Logistic regression analysis revealed odds of falling increased 2.548 (P = .021) for every 0.1 increase in fractal D, and having a fall in the prior year increased odds of falling by 7.36 (P = .006). There was a trend for longer movement paths to reduce the odds of falling (OR .976 P = .08) but it was not significant. Number of psychoactive medications did not contribute significantly to fall prediction in the model. Fallers had more variable stride-to-stride velocities and required more activities of daily living assistance. High fractal D levels can be detected using commercially available telesurveillance technologies and offers a new tool for health services administrators seeking to reduce falls at their facilities. Copyright © 2012 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.

Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis.

PubMed

Morris, Rebecca L; Soh, Sze-Ee; Hill, Keith D; Buchbinder, Rachelle; Lowthian, Judy A; Redfern, Julie; Etherton-Beer, Christopher D; Hill, Anne-Marie; Osborne, Richard H; Arendts, Glenn; Barker, Anna L

2017-08-29

Health literacy is an important concept associated with participation in preventive health initiatives, such as falls prevention programs. A comprehensive health literacy measurement tool, appropriate for this population, is required. The aim of this study was to evaluate the measurement properties of the Health Literacy Questionnaire (HLQ) in a cohort of older adults who presented to a hospital emergency department (ED) after a fall. Older adults who presented to an ED after a fall had their health literacy assessed using the HLQ (n = 433). Data were collected as part of a multi-centre randomised controlled trial of a falls prevention program. Measurement properties of the HLQ were assessed using Rasch analysis. All nine scales of the HLQ were unidimensional, with good internal consistency reliability. No item bias was found for most items (43 of 44). A degree of overall misfit to the Rasch model was evident for six of the nine HLQ scales. The majority of misfit indicated content overlap between some items and does not compromise measurement. A measurement gap was identified for this cohort at mid to high HLQ score. The HLQ demonstrated good measurement properties in a cohort of older adults who presented to an ED after a fall. The summation of the HLQ items within each scale, providing unbiased information on nine separate areas of health literacy, is supported. Clinicians, researchers and policy makers may have confidence using the HLQ scale scores to gain information about health literacy in older people presenting to the ED after a fall. This study was registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12614000336684 (27 March 2014).

Identifying clusters of falls-related hospital admissions to inform population targets for prioritising falls prevention programmes

PubMed Central

Finch, Caroline F; Stephan, Karen; Shee, Anna Wong; Hill, Keith; Haines, Terry P; Clemson, Lindy; Day, Lesley

2015-01-01

Background There has been limited research investigating the relationship between injurious falls and hospital resource use. The aims of this study were to identify clusters of community-dwelling older people in the general population who are at increased risk of being admitted to hospital following a fall and how those clusters differed in their use of hospital resources. Methods Analysis of routinely collected hospital admissions data relating to 45 374 fall-related admissions in Victorian community-dwelling older adults aged ≥65 years that occurred during 2008/2009 to 2010/2011. Fall-related admission episodes were identified based on being admitted from a private residence to hospital with a principal diagnosis of injury (International Classification of Diseases (ICD)-10-AM codes S00 to T75) and having a first external cause of a fall (ICD-10-AM codes W00 to W19). A cluster analysis was performed to identify homogeneous groups using demographic details of patients and information on the presence of comorbidities. Hospital length of stay (LOS) was compared across clusters using competing risks regression. Results Clusters based on area of residence, demographic factors (age, gender, marital status, country of birth) and the presence of comorbidities were identified. Clusters representing hospitalised fallers with comorbidities were associated with longer LOS compared with other cluster groups. Clusters delineated by demographic factors were also associated with increased LOS. Conclusions All patients with comorbidity, and older women without comorbidities, stay in hospital longer following a fall and hence consume a disproportionate share of hospital resources. These findings have important implications for the targeting of falls prevention interventions for community-dwelling older people. PMID:25618735

Distribution and mass of tephra-fall deposits from volcanic eruptions of Sakurajima Volcano based on posteruption surveys

NASA Astrophysics Data System (ADS)

Oishi, Masayuki; Nishiki, Kuniaki; Geshi, Nobuo; Furukawa, Ryuta; Ishizuka, Yoshihiro; Oikawa, Teruki; Yamamoto, Takahiro; Nanayama, Futoshi; Tanaka, Akiko; Hirota, Akinari; Miwa, Takahiro; Miyabuchi, Yasuo

2018-04-01

We estimate the total mass of ash fall deposits for individual eruptions of Sakurajima Volcano, southwest Japan based on distribution maps of the tephra fallout. Five ash-sampling campaigns were performed between 2011 and 2015, during which time Sakurajima continued to emit ash from frequent Vulcanian explosions. During each survey, between 29 and 53 ash samplers were installed in a zone 2.2-43 km downwind of the source crater. Total masses of erupted tephra were estimated using several empirical methods based on the relationship between the area surrounded by a given isopleth and the thickness of ash fall within each isopleth. We obtained 70-40,520 t (4.7 × 10-8-2.7 × 10-5-km3 DRE) as the minimum estimated mass of erupted materials for each eruption period. The minimum erupted mass of tephra produced during the recorded events was calculated as being 890-5140 t (5.9 × 10-7-3.6 × 10-6-km3 DRE). This calculation was based on the total mass of tephra collected during any one eruptive period and the number of eruptions during that period. These values may thus also include the contribution of continuous weak ash emissions before and after prominent eruptions. We analyzed the meteorological effects on ash fall distribution patterns and concluded that the width of distribution area of an ash fall is strongly controlled by the near-ground wind speed. The direction of the isopleth axis for larger masses is affected by the local wind direction at ground level. Furthermore, the wind direction influences the direction of the isopleth axes more at higher altitude. While a second maximum of ash fall can appear, the influence of rain might only affect the finer particles in distal areas.

Incidence of fall-related injuries in Iran: A population-based nationwide study.

PubMed

Saadat, Soheil; Hafezi-Nejad, Nima; Ekhtiari, Yalda Soleiman; Rahimi-Movaghar, Afarin; Motevalian, Abbas; Amin-Esmaeili, Masoumeh; Sharifi, Vandad; Hajebi, Ahmad; Radgoodarzi, Reza; Hefazi, Mitra; Eslami, Vahid; Karimi, Hasti; Mohammad, Kazem; Rahimi-Movaghar, Vafa

2016-07-01

Fall-related injuries are considered to be a leading cause of morbidity and disability worldwide. The aim of this study was to investigate the incidence of fall-related injuries and its determinants in Iran. A cross-sectional household survey of a representative sample of 15-64 years old Iranians was carried out in 2011. A three-stage cluster sampling design was used. Total of 1525 clusters were randomly selected. Six households in each cluster were randomly selected, and one member of each household was interviewed. Data on the demographics and history of fall-related injury were obtained using the previously validated and reliability tested Short Form Injury Questionnaire 7 (SFIQ7). In all, 7886 subjects responded to the survey. The incidence rate of all fall-related injuries was 59 (95%CI: 45-72) per 1000 person-year. The incidence rate of First Aid Fall-Related Injuries (FAFRIs) and Medical Attended Fall-Related Injuries (MAFRIs) were 30±5 and 28±12, respectively. Homes were the most common place of falls (52.5%). For all and MAFRIs, the most common activity leading to fall injury was walking (37.8% and 47.6%, respectively) whereas for FAFRIs was playing (31.9%). For all and FAFRIs, the most common description was as follows: upper limb as the injured organ (52.0% and 61.2%, respectively) and superficial wound as the most prevalent type of injury (39.0% and 61.8%, respectively). However, for MAFRIs, lower limb injuries (52.9%) and fracture (43.6%) were more pronounced. Risk factors for MAFRI were as follows: paid work activity (OR: 3.11; 95%CI: 2.07-4.67), playing (OR: 14.64; 95%CI: 6.34-33.80), walking (OR: 57.09; 95%CI: 28.95-112.59), driving (OR: 2.86; 95%CI: 1.23-6.63), and recreation activities (OR: 44.11; 95%CI: 14.04-138.54). Higher age and education were the other risk factors for MAFRI, as well as residing in rural areas. This study revealed considerable incidence of fall injuries in Iranian population especially in rural regions who need access to protective equipment. People need to be warned about the constant risk of fall even during non-avoidable activities such as walking, playing, driving and paid/unpaid working especially in older ages. Implementation of fall prevention measures, home and behavioural modifications are recommended. Copyright © 2016 Elsevier Ltd. All rights reserved.

Laboratory review: the role of gait analysis in seniors' mobility and fall prevention.

PubMed

Bridenbaugh, Stephanie A; Kressig, Reto W

2011-01-01

Walking is a complex motor task generally performed automatically by healthy adults. Yet, by the elderly, walking is often no longer performed automatically. Older adults require more attention for motor control while walking than younger adults. Falls, often with serious consequences, can be the result. Gait impairments are one of the biggest risk factors for falls. Several studies have identified changes in certain gait parameters as independent predictors of fall risk. Such gait changes are often too discrete to be detected by clinical observation alone. At the Basel Mobility Center, we employ the GAITRite electronic walkway system for spatial-temporal gait analysis. Although we have a large range of indications for gait analyses and several areas of clinical research, our focus is on the association between gait and cognition. Gait analysis with walking as a single-task condition alone is often insufficient to reveal underlying gait disorders present during normal, everyday activities. We use a dual-task paradigm, walking while simultaneously performing a second cognitive task, to assess the effects of divided attention on motor performance and gait control. Objective quantification of such clinically relevant gait changes is necessary to determine fall risk. Early detection of gait disorders and fall risk permits early intervention and, in the best-case scenario, fall prevention. We and others have shown that rhythmic movement training such as Jaques-Dalcroze eurhythmics, tai chi and social dancing can improve gait regularity and automaticity, thus increasing gait safety and reducing fall risk. Copyright © 2010 S. Karger AG, Basel.

Rotation in Free Fall of Rectangular Wings of Elongated Shape

NASA Technical Reports Server (NTRS)

Dupleich, Paul

1949-01-01

The present report of Mr. Dupleich is the summary of a very extensive experimental study of the well-known mechanical phenomenon: the rotation in free fall (* air, for instance) of more or less elongated rectangles cut out of paper or pasteboard. This phenomenon, the conditions for existence of which depend chiefly on the elongated of the small plate and its weight per unit area, is essentially an aerodynamic phenomenon and as such, raises questions of a certain interest to our department.We believe that the modern concepts of the mechanics of fluids do not have the range attributed to them.

Lower leg muscle density is independently associated with fall status in community-dwelling older adults.

PubMed

Frank-Wilson, A W; Farthing, J P; Chilibeck, P D; Arnold, C M; Davison, K S; Olszynski, W P; Kontulainen, S A

2016-07-01

Muscle density is a risk factor for fractures in older adults; however, its association with falls is not well described. After adjusting for biologically relevant confounding factors, a unit decrease in muscle density was associated with a 17 % increase in odds of reporting a fall, independent of functional mobility. Falls are the leading cause of injury, disability, and fractures in older adults. Low muscle density (i.e., caused by muscle adiposity) and functional mobility have been identified as risk factors for incident disability and fractures in older adults; however, it is not known if these are also independently associated with falls. The purpose of this study was to explore the associations of muscle density and functional mobility with fall status. Cross-sectional observational study of 183 men and women aged 60-98 years. Descriptive data, including a 12-month fall recall, Timed Up and Go (TUG) test performance, lower leg muscle area, and density. Odds ratio (OR) of being a faller were calculated, adjusted for age, sex, body mass index, general health status, diabetes, and comorbidities. Every mg/cm(3) increase in muscle density (mean 70.2, SD 2.6 mg/cm(3)) independently reduced the odds of being a faller by 19 % (OR 0.81 [95 % CI 0.67 to 0.97]), and every 1 s longer TUG test time (mean 9.8, SD 2.6 s) independently increased the odds by 17 % (OR 1.17 [95 % CI 1.01 to 1.37]). When both muscle density and TUG test time were included in the same model, only age (OR 0.93 [95 % CI 0.87 to 0.99]) and muscle density (OR 0.83 [95 % CI 0.69 to 0.99]) were independently associated with fall status. Muscle density was associated with fall status, independent of functional mobility. Muscle density may compliment functional mobility tests as a biometric outcome for assessing fall risk in well-functioning older adults.

Interdisciplinary Approaches--Past and Present--to Foreign Language and Literature Studies.

ERIC Educational Resources Information Center

Jaffe, Samuel

This paper discusses some past and present interdisciplinary approaches to foreign language and literature (FLL) studies. It is argued that the current unpopularity of FLL studies in the United States is the consequence of falling away from viable traditions of scholarship and teaching in this area. A model for reform which reawaken interest in…

Assessing transmission of crop diseases by insect vectors in a landscape context.

PubMed

Carrière, Y; Degain, B; Hartfield, K A; Nolte, K D; Marsh, S E; Ellers-Kirk, C; Van Leeuwen, W J D; Liesner, L; Dutilleul, P; Palumbo, J C

2014-02-01

Theory indicates that landscape composition affects transmission of vector-borne crop diseases, but few empirical studies have investigated how landscape composition affects plant disease epidemiology. Since 2006, Bemisia tabaci (Gennadius) has vectored the cucurbit yellow stunting disorder virus (CYSDV) to cantaloupe and honeydew melons (Cucumis melo L.) in the southwestern United States and northern Mexico, causing significant reductions in yield of fall melons and increased use of insecticides. Here, we show that a landscape-based approach allowing simultaneous assessment of impacts of local (i.e., planting date) and regional (i.e., landscape composition) factors provides valuable insights on how to reduce crop disease risks. Specifically, we found that planting fall melon fields early in the growing season, eliminating plants germinating from seeds produced by spring melons after harvest, and planting fall melon fields away from cotton and spring melon fields may significantly reduce the incidence of CYSDV infection in fall melons. Because the largest scale of significance of the positive association between abundance of cotton and spring melon fields and CYSDV incidence was 1,750 and 3,000 m, respectively, reducing areas of cotton and spring melon fields within these distances from fall melon fields may decrease CYSDV incidence. Our results indicate that landscape-based studies will be fruitful to alleviate limitations imposed on crop production by vector-borne diseases.

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.

Hazardous Waste Cleanup: Phillips Display Components in Seneca Falls, New York

EPA Pesticide Factsheets

The facility is located on Johnston Street, Seneca Falls, New York, and occupies approximately 85 acres. The facility is bordered by Van Cleef Lake and the Cayuga-Seneca Canal to the south, undeveloped and agricultural areas to the north and east

Influence of the length of institutionalization on older adults' postural balance and risk of falls: a transversal study.

PubMed

Batista, Wagner Oliveira; Alves Junior, Edmundo de Drummond; Porto, Flávia; Pereira, Fabio Dutra; Santana, Rosimere Ferreira; Gurgel, Jonas Lírio

2014-01-01

to ascertain the influence of the length of institutionalization on older adults' balance and risk of falls. to evaluate the risk of falls, the Berg Balance Scale and the Timed Get Up and Go test were used; and for measuring postural balance, static stabilometry was used, with acquisition of the elliptical area of 95% and mean velocities on the x and y axes of center of pressure displacement. Parametric and nonparametric measures of association and comparison (α<0.05) were used. there was no significant correlation between the length of institutionalization and the tests for evaluation of risk of falling, neither was there difference between groups and within subgroups, stratified by length of institutionalization and age. In the stabilometric measurements, there was a negative correlation between the parameters analyzed and the length of institutionalization, and difference between groups and within subgroups. this study's results point to the difficulty of undertaking postural control tasks, showing a leveling below the clinical tests' reference scores. In the stabilometric behavior, one should note the reduction of the parameters as the length of institutionalization increases, contradicting the assumptions. This study's results offer support for the development of a multi-professional model for intervention with the postural control and balance of older adults living in homes for the aged.

Effects of water drinking test on ocular blood flow waveform parameters: A laser speckle flowgraphy study.

PubMed

Bhatti, Mehwish Saba; Tang, Tong Boon; Laude, Augustinus

2017-01-01

The water-drinking test (WDT) is a provocative test used in glaucoma research to assess the effects of elevated intraocular pressure (IOP). Defective autoregulation due to changes in perfusion pressure may play a role in the pathophysiology of several ocular diseases. This study aims to examine the effects of WDT on ocular blood flow (in the form of pulse waveform parameters obtained using laser speckle flowgraphy) to gain insight into the physiology of ocular blood flow and its autoregulation in healthy individuals. Changes in pulse waveform parameters of mean blur rate (MBR) in the entire optic nerve head (ONH), the vasculature of the ONH, the tissue area of the ONH, and the avascular tissue area located outside of the ONH were monitored over time. Significant increases in the falling rate of MBR over the entire ONH and its tissue area and decreases in blowout time (BOT) of the tissue area were observed only at 10 minutes after water intake. Significant increases in the skew of the waveform and the falling rate were observed in the vasculature of the ONH at 40 and 50 minutes after water intake, respectively. In the avascular region of the choroid, the average MBR increased significantly up to 30 minutes after water intake. Furthermore, the rising rate in this region increased significantly at 20 and 40 minutes, and the falling rate and acceleration-time index were both significantly increased at 40 minutes after water intake. Our results indicate the presence of effective autoregulation of blood flow at the ONH after WDT. However, in the choroidal region, outside of the ONH, effective autoregulation was not observed until 30 minutes after water intake in healthy study participants. These pulse waveform parameters could potentially be used in the diagnosis and/or monitoring of patients with glaucoma.

Effects of water drinking test on ocular blood flow waveform parameters: A laser speckle flowgraphy study

PubMed Central

Bhatti, Mehwish Saba; Laude, Augustinus

2017-01-01

The water-drinking test (WDT) is a provocative test used in glaucoma research to assess the effects of elevated intraocular pressure (IOP). Defective autoregulation due to changes in perfusion pressure may play a role in the pathophysiology of several ocular diseases. This study aims to examine the effects of WDT on ocular blood flow (in the form of pulse waveform parameters obtained using laser speckle flowgraphy) to gain insight into the physiology of ocular blood flow and its autoregulation in healthy individuals. Changes in pulse waveform parameters of mean blur rate (MBR) in the entire optic nerve head (ONH), the vasculature of the ONH, the tissue area of the ONH, and the avascular tissue area located outside of the ONH were monitored over time. Significant increases in the falling rate of MBR over the entire ONH and its tissue area and decreases in blowout time (BOT) of the tissue area were observed only at 10 minutes after water intake. Significant increases in the skew of the waveform and the falling rate were observed in the vasculature of the ONH at 40 and 50 minutes after water intake, respectively. In the avascular region of the choroid, the average MBR increased significantly up to 30 minutes after water intake. Furthermore, the rising rate in this region increased significantly at 20 and 40 minutes, and the falling rate and acceleration-time index were both significantly increased at 40 minutes after water intake. Our results indicate the presence of effective autoregulation of blood flow at the ONH after WDT. However, in the choroidal region, outside of the ONH, effective autoregulation was not observed until 30 minutes after water intake in healthy study participants. These pulse waveform parameters could potentially be used in the diagnosis and/or monitoring of patients with glaucoma. PMID:28742142

A spatial exploration of informal trail networks within Great Falls Park, VA

USGS Publications Warehouse

Wimpey, Jeremy; Marion, Jeffrey L.

2011-01-01

Informal (visitor-created) trails represent a threat to the natural resources of protected natural areas around the globe. These trails can remove vegetation, displace wildlife, alter hydrology, alter habitat, spread invasive species, and fragment landscapes. This study examines informal and formal trails within Great Falls Park, VA, a sub-unit of the George Washington Memorial Parkway, managed by the U.S. National Park Service. This study sought to answer three specific questions: 1) Are the physical characteristics and topographic alignments of informal trails significantly different from formal trails, 2) Can landscape fragmentation metrics be used to summarize the relative impacts of formal and informal trail networks on a protected natural area? and 3) What can we learn from examining the spatial distribution of the informal trails within protected natural areas? Statistical comparisons between formal and informal trails in this park indicate that informal trails have less sustainable topographic alignments than their formal counterparts. Spatial summaries of the lineal and areal extent and fragmentation associated with the trail networks by park management zones compare park management goals to the assessed attributes. Hot spot analyses highlight areas of high trail density within the park and findings provide insights regarding potential causes for development of dense informal trail networks.

Effect of Niagara power project on ground-water flow in the upper part of the Lockport Dolomite, Niagara Falls area, New York

USGS Publications Warehouse

Miller, Todd S.; Kappel, W.M.

1987-01-01

The Niagara River Power Project near Niagara Falls, N.Y., has created recharge and discharge areas that have modified the direction of groundwater flow east and northeast of the falls. Before construction of the power project in 1962, the configuration of the potentiometric surface in the upper part of the Silurian Lockport Dolomite generally paralleled the buried upper surface of the bedrock. Ground water in the central and east parts of the city of Niagara Falls flowed south and southwestward toward the upper Niagara River (above the falls), and ground water in the western part flowed westward into Niagara River gorge. The power project consists of two hydroelectric powerplants separated by a forebay canal that receives water from the upper Niagara River through two 4-mi-long, parallel, buried conduits. During periods of nonpeak power demand, some water in the forebay canal is pumped to a storage reservoir for later release to generate electricity during peak-demand periods. Since the power project began operation in 1962, groundwater within 0.5 mi of the buried conduits has seeped into the drain system that surrounds the conduits, then flows both south from the forebay canal and north from the Niagara River toward the Falls Street tunnel--a former sewer that crosses the conduits 0.65 mi north of the upper Niagara River. Approximately 6 million gallons of ground water a day leaks into the Falls Street tunnel, which carries it 2.3 mi westward to the Niagara River gorge below the falls. Daily water-level fluctuations in the forebay canal affect water levels in the drain system that surrounds the conduits, and this , in turn, affects the potentiometric surface in the Lockport Dolomite within 0.5 mi of the conduits. The drains transmit changes in pressure head near the forebay canal southward at least as far as the Falls Street tunnel area and possibly to the upper Niagara River. Some water in the pumped-storage reservoir recharges ground water in the Lockport Dolomite by seepage through bedding joints, which are exposed in the unlined reservoir bottom, and through the grout curtain beneath the reservoir 's dike. Water-level fluctuations in the reservoir cause slight ground-water fluctuations near the reservoir. (Author 's abstract)

Areas contributing recharge to production wells and effects of climate change on the groundwater system in the Chipuxet River and Chickasheen Brook Basins, Rhode Island

USGS Publications Warehouse

Friesz, Paul J.; Stone, Janet R.

2015-01-01

Predicted changes in the magnitude and seasonal distribution of recharge in the 21st century increase simulated base flows and groundwater levels in the winter months for both emission scenarios, but because of less recharge in the fall and less or about the same recharge in the preceding months of spring and summer, base flows and groundwater levels in the fall months decrease for both emission scenarios. October has the largest base flow and groundwater level decreases. By the late 21st century, base flows at the Chipuxet River in October are projected to decrease by 9 percent for the lower emissions scenario and 18 percent for the higher emissions scenario. For a headwater stream in the upland till with shorter groundwater-flow paths and lower storage properties in its drainage area, base flows in October are projected to diminish by 28 percent and 42 percent for the lower and higher emissions scenarios by the late 21st century. Groundwater level changes in the uplands show substantial decreases in fall, but because of the large storage capacity of stratified deposits, water levels change minimally in the valley. By the late 21st century, water levels in large areas of upland till deposits in October are projected to decrease by up to 2 feet for the lower emissions scenario, whereas large areas decrease by up to 5 feet, with small areas with decreases of as much as 10 feet, for the higher emissions scenario. For both emission scenarios, additional areas of till go dry in fall compared with the late 20th century. Thus projected changes in recharge in the 21st century might extend low flows and low water levels for the year later in fall and there might be more intermittent headwater streams compared with the late 20th century with corresponding implications to aquatic habitat. Finally, the size and location of the simulated areas contributing recharge to the production wells are minimally affected by climate change because mean annual recharge, which is used to determine the contributing areas to the production wells, is projected to change little in the 21st century.

Apollo 15 time and motion study

NASA Technical Reports Server (NTRS)

Kubis, J. F.; Elrod, J. T.; Rusnak, R.; Barnes, J. E.

1972-01-01

A time and motion study of Apollo 15 lunar surface activity led to examination of four distinct areas of crewmen activity. These areas are: an analysis of lunar mobility, a comparative analysis of tasks performed in 1-g training and lunar EVA, an analysis of the metabolic cost of two activities that are performed in several EVAs, and a fall/near-fall analysis. An analysis of mobility showed that the crewmen used three basic mobility patterns (modified walk, hop, side step) while on the lunar surface. These mobility patterns were utilized as adaptive modes to compensate for the uneven terrain and varied soil conditions that the crewmen encountered. A comparison of the time required to perform tasks at the final 1-g lunar EVA training sessions and the time required to perform the same task on the lunar surface indicates that, in almost all cases, it took significantly more time (on the order of 40%) to perform tasks on the moon. This increased time was observed even after extraneous factors (e.g., hardware difficulties) were factored out.

The interrater and test-retest reliability of the Home Falls and Accidents Screening Tool (HOME FAST) in Malaysia: Using raters with a range of professional backgrounds.

PubMed

Romli, Muhammad Hibatullah; Mackenzie, Lynette; Lovarini, Meryl; Tan, Maw Pin; Clemson, Lindy

2017-06-01

Falls can be a devastating issue for older people living in the community, including those living in Malaysia. Health professionals and community members have a responsibility to ensure that older people have a safe home environment to reduce the risk of falls. Using a standardised screening tool is beneficial to intervene early with this group. The Home Falls and Accidents Screening Tool (HOME FAST) should be considered for this purpose; however, its use in Malaysia has not been studied. Therefore, the aim of this study was to evaluate the interrater and test-retest reliability of the HOME FAST with multiple professionals in the Malaysian context. A cross-sectional design was used to evaluate interrater reliability where the HOME FAST was used simultaneously in the homes of older people by 2 raters and a prospective design was used to evaluate test-retest reliability with a separate group of older people at different times in their homes. Both studies took place in an urban area of Kuala Lumpur. Professionals from 9 professional backgrounds participated as raters in this study, and a group of 51 community older people were recruited for the interrater reliability study and another group of 30 for the test-retest reliability study. The overall agreement was moderate for interrater reliability and good for test-retest reliability. The HOME FAST was consistently rated by different professionals, and no bias was found among the multiple raters. The HOME FAST can be used with confidence by a variety of professionals across different settings. The HOME FAST can become a universal tool to screen for home hazards related to falls. © 2017 John Wiley & Sons, Ltd.

Type, number or both? A population-based matched case-control study on the risk of fall injuries among older people and number of medications beyond fall-inducing drugs.

PubMed

Laflamme, Lucie; Monárrez-Espino, Joel; Johnell, Kristina; Elling, Berty; Möller, Jette

2015-01-01

Drug use is a modifiable risk factor for fall-related injuries in older people. Whereas the injurious effect of polypharmacy is established, that of low numbers of medications has not been fully ascertained. Neither do we know whether it is the number per se or the type of medications that actually matters. We assessed this question for fall injuries leading to hospitalization. National register-based, population-based, matched case-control study. Community dwellers aged 65+ years living in Sweden between March 2006 and December 2009. Cases (n = 64,399) were identified in the national inpatient register and four controls per case were randomly matched by gender, date of birth and residential area. The association between number of prescribed medications, assessed through linkage with the Swedish prescribed drug register, and the risk of injurious falls was estimated with odds ratios with 95% confidence intervals using conditional logistic regression, adjusted for demographic and health status. The number of medications was associated with an increased risk of fall injury in a dose-response fashion, even after adjustment for marital status, comorbidity and number of fall-risk-inducing drugs (FRIDs). Using ten or more medications was associated with an almost two-fold higher risk (adjusted OR: 1.76, 95% CI: 1.66 to 1.88). When stratified by use (or not) of at least one FRID, the association weakened slightly among both non-users (adjusted OR: 1.50, 95% CI: 1.34 to 1.67) and users (adjusted OR: 1.67, 95% CI: 1.58 to 1.77). In older people, not only large but also small numbers of medications may affect the risk for them to sustain injurious falls. Although the mechanisms lying behind this are complex, the finding challenges the prevention strategies targeting either specific types of medications (FRIDs) or high numbers of them.

Comparative utility of the BESTest, mini-BESTest, and brief-BESTest for predicting falls in individuals with Parkinson disease: a cohort study.

PubMed

Duncan, Ryan P; Leddy, Abigail L; Cavanaugh, James T; Dibble, Leland E; Ellis, Terry D; Ford, Matthew P; Foreman, K Bo; Earhart, Gammon M

2013-04-01

The newly developed brief-balance evaluation system test (brief-BESTest) may be useful for measuring balance and predicting falls in individuals with Parkinson disease (PD). The purposes of this study were: (1) to describe the balance performance of those with PD using the brief-BESTest, (2) to determine the relationships among the scores derived from the 3 versions of the BESTest (i.e., full BESTest, mini-BESTest, and brief-BESTest), and (3) to compare the accuracy of the brief-BESTest with that of the mini-BESTest and BESTest in identifying recurrent fallers among people with PD. This was a prospective cohort study. Eighty participants with PD completed a baseline balance assessment. All participants reported a fall history during the previous 6 months. Fall history was again collected 6 months (n=51) and 12 months (n=40) later. At baseline, participants had varying levels of balance impairment, and brief-BESTest scores were significantly correlated with mini-BESTest (r=.94, P<.001) and BESTest (r=.95, P<.001) scores. Six-month retrospective fall prediction accuracy of the Brief-BESTest was moderately high (area under the curve [AUC]=0.82, sensitivity=0.76, and specificity=0.84). Prospective fall prediction accuracy over 6 months was similarly accurate (AUC=0.88, sensitivity=0.71, and specificity=0.87), but was less sensitive over 12 months (AUC=0.76, sensitivity=0.53, and specificity=0.93). The sample included primarily individuals with mild to moderate PD. Also, there was a moderate dropout rate at 6 and 12 months. All versions of the BESTest were reasonably accurate in identifying future recurrent fallers, especially during the 6 months following assessment. Clinicians can reasonably rely on the brief-BESTest for predicting falls, particularly when time and equipment constraints are of concern.

Relations between postural stability, gait and falls in elderly persons--preliminary report.

PubMed

Baczkowicz, Dawid; Szczegielniak, Jan; Proszkowiec, Małgorzata

2008-01-01

Balance control in elderly patients is the area of interest of many researchers. The results of their studies suggest that the measurement of shifts in the centre of foot pressure on the support base (COP) can be used as a tool for identification of fall-prone persons. It is interesting whether there are any relations between functional status, gait, posture stability and the risk of falling. The aim of this study was to find the answer to this question. The study involved 20 patients (mean age 78.1+/-11.6). The functional status of the patients was evaluated according to the Barthel Index. Postural stability was assessed with the use of a Neurocom Balance Master platform. Three measurements were taken with visual feedback (eyes open-EO) and three without visual feedback (eyes closed-EC). Balance control was also evaluated with the Berg test and on the basis of the history of episodes of falling in the preceding six months. Gait was evaluated with the six-minute walking test. The parameters recorded by the force platform showed a significant relation to the values obtained in the Berg test (r=-0.60; p<0.001 for EO and r=-0.58; p<0.001 for EC). Similar trends were noted for the relation between EO and distance/velocity as well as functional status (r=-0.63 and -0.68; p<0.001). On the other hand the number of falls showed a significant relation only to the EO test (r=0.4; p<0.05). 1. An evaluation of balance control with a force platform and the Berg test produced convergent results. 2. The incidence of falls was connected with increased body sway. 3. The functional status of the patient and the balance control evaluation according to the Berg test failed to determine the risk of falling. 4. A relation was observed between postural stability, functional status and gait.

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

PubMed Central

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

2016-01-01

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

Trans-boundary movement of mercury in the Northeast Asian region predicted by CAMQ-Hg from anthropogenic emissions distribution

NASA Astrophysics Data System (ADS)

Sung, Jin-Ho; Roy, Debananda; Oh, Joo-Sung; Back, Seung-Ki; Jang, Ha-Na; Kim, Seong-Heon; Seo, Yong-Chil; Kim, Jeong-Hun; Lee, Chong Bum; Han, Young-Ji

2018-05-01

The percentage contribution of trans-boundary mercury (Hg) from China at different locations in South Korea was estimated from Hg anthropogenic emission distributions using the Hg dispersion model, CMAQ-Hg. This investigation quantifies the trans-boundary Hg emissions as contribution ratios. In addition, the long-range transportation frequency is also calculated, to verify inflow cases from China. The seasonal distribution of the Hg contribution ratio was found to be highest in winter (40%), followed by fall (16%). Seasonal observations of Hg inflow frequencies were estimated as 40%, 25%, 21%, and 4% in winter, fall, summer, and spring, respectively, at the same location. Such results would be produced by the wind generally blowing from the west and north-west with a speed of 5.0 m/s and 4.5 m/s, respectively, during winter and fall, around the study area. This study made an effort to quantify the trans-boundary Hg transport and to plot Hg anthropogenic emissions distribution in the region.

29 CFR 1926.250 - General requirements for storage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... in tiers shall be stacked, racked, blocked, interlocked, or otherwise secured to prevent sliding, falling or collapse. (2) Maximum safe load limits of floors within buildings and structures, in pounds per..., tanks, and similar storage areas shall be equipped with personal fall arrest equipment meeting the...

40 CFR 440.14 - New source performance standards (NSPS).

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (2) In the event that the annual precipitation falling on the treatment facility and the drainage area contributing surface runoff to the treatment facility exceeds the annual evaporation, a volume of water equal to the difference between annual precipitation falling on the treatment facility and the...

Rock fall dynamics and deposition: an integrated analysis of the 2009 Ahwiyah Point rock fall, Yosemite National Park, USA.

USGS Publications Warehouse

Valerie L. Zimmer,; Collins, Brian D.; Greg M. Stock,; Nicholas Sitar,

2012-01-01

We analyzed a combination of airborne and terrestrial LiDAR, high-resolution photography, seismic, and acoustic data in order to gain insights into the initiation, dynamics, and talus deposition of a complex rock fall. A large (46 700 m3) rock fall originated from near Ahwiyah Point in eastern Yosemite Valley and fell a total of 730 m to the valley floor on 28 March 2009. Analyses of remote sensing, seismic, and acoustic data were integrated to reconstruct the rock fall, which consisted of (1) the triggering of a 25 400 m3 rock block in an area of intersecting and sometimes highly weathered joint planes, (2) the sliding and subsequent ballistic trajectory of the block from a steeply dipping ledge, (3) dislodging of additional rock from the cliff surface from beneath the rock fall source area, (4) a mid-cliff ledge impact that detached a volume of rock nearly equivalent in volume to the initial block, (5) sliding of the deteriorating rock mass down the remainder of the cliff, and (6) final impact at the base of the cliff that remobilized the existing talus downward and outward and produced an airblast that knocked down hundreds of trees. The depositional geomorphology indicates that the porosity of the fresh talus is significantly lower than that expected for typical blocky talus slopes, likely because the rock debris from this event was pulverized into smaller, more poorly sorted fragments and densified via dynamic compaction when compared to less energetic, fragmental-type rock falls. These results suggest that accumulation of individual rock-fall boulders tends to steepen talus slopes, whereas large, energetic rock falls tend to flatten them. Detachment and impact signals were recorded by seismic and acoustic instruments and highlight the potential use of this type of instrumentation for generalized rock fall monitoring, while LiDAR and photography data were able to quantify the cliff geometry, rock fall volume, source and impact locations, and geomorphological changes to the cliff and talus.

Falls among the elderly: risk factors in a population-based study.

PubMed

Rodrigues, Iara Guimarães; Fraga, Gustavo Pereira; Barros, Marilisa Berti de Azevedo

2014-01-01

The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95% CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95% CI 1.61 - 3.88), widowed (PR = 1.74; 95% CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95% CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95% CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95% CI 1.09 - 2.74), headache (PR = 1.59; 95% CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95% CI 1.12 - 2.64), dizziness (PR = 2.82; 95% CI 1.98 - 4.02), insomnia (PR = 1.75; 95% CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95% CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95% CI 1.19 - 3,93). The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-incomecountries: results from the WHO Study on global AGEing and adult health (SAGE).

PubMed

Stewart Williams, Jennifer; Kowal, Paul; Hestekin, Heather; O'Driscoll, Tristan; Peltzer, Karl; Yawson, Alfred; Biritwum, Richard; Maximova, Tamara; Salinas Rodríguez, Aarón; Manrique Espinoza, Betty; Wu, Fan; Arokiasamy, Perianayagam; Chatterji, Somnath

2015-06-23

In 2010 falls were responsible for approximately 80 % of disability stemming from unintentional injuries excluding traffic accidents in adults 50 years and over. Falls are becoming a major public health problem in low- and middle-income countries (LMICs) where populations are ageing rapidly. Nationally representative standardized data collected from adults aged 50 years and over participating in the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) Wave 1 in China, Ghana, India, Mexico, the Russian Federation and South Africa are analysed. The aims are to identify the prevalence of, and risk factors for, past-year fall-related injury and to assess associations between fall-related injury and disability. Regression methods are used to identify risk factors and association between fall-related injury and disability. Disability was measured using the WHO Disability Assessment Schedule Version 2.0 (WHODAS 2.0). The prevalence of past-year fall-related injuries ranged from 6.6 % in India to 1.0 % in South Africa and was 4.0 % across the pooled countries. The proportion of all past-year injuries that were fall-related ranged from 73.3 % in the Russian Federation to 44.4 % in Ghana. Across the six countries this was 65.7 %. In the multivariable logistic regression, the odds of past-year fall-related injury were significantly higher for: women (OR: 1.27; 95 % CI: 0.99,1.62); respondents who lived in rural areas (OR: 1.36; 95 % CI: 1.06,1.75); those with depression (OR: 1.43; 95 % CI: 1.01,2.02); respondents who reported severe or extreme problems sleeping (OR: 1.54; 95 % CI: 1.15,2.08); and those who reported two or more (compared with no) chronic conditions (OR: 2.15; 95 % CI: 1.45,3.19). Poor cognition was also a significant risk factor for fall-related injury. The association between fall-related injury and the WHODAS measure of disability was highly significant (P<0.0001) with some attenuation after adjusting for confounders. Reporting two or more chronic conditions (compared with none) was significantly associated with disability (P<0.0001). The findings provide a platform for improving understanding of risk factors for falls in older adults in this group of LMICs. Clinicians and public health professionals in these countries must be made aware of the extent of this problem and the need to implement policies to reduce the risk of falls in older adults.

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.

The Mini-Balance Evaluation Systems Test (Mini-BESTest) Demonstrates Higher Accuracy in Identifying Older Adult Participants With History of Falls Than Do the BESTest, Berg Balance Scale, or Timed Up and Go Test.

PubMed

Yingyongyudha, Anyamanee; Saengsirisuwan, Vitoon; Panichaporn, Wanvisa; Boonsinsukh, Rumpa

2016-01-01

Balance deficits a significant predictor of falls in older adults. The Balance Evaluation Systems Test (BESTest) and the Mini-Balance Evaluation Systems Test (Mini-BESTest) are tools that may predict the likelihood of a fall, but their capabilities and accuracies have not been adequately addressed. Therefore, this study aimed at examining the capabilities of the BESTest and Mini-BESTest for identifying older adult with history of falls and comparing the participants with history of falls identification accuracy of the BESTest, Mini-BESTest, Berg Balance Scale (BBS), and the Timed Up and Go Test (TUG) for identifying participants with a history of falls. Two hundred healthy older adults with a mean age of 70 years were classified into participants with and without history of fall groups on the basis of their 12-month fall history. Their balance abilities were assessed using the BESTest, Mini-BESTest, BBS, and TUG. An analysis of the resulting receiver operating characteristic curves was performed to calculate the area under the curve (AUC), sensitivity, specificity, cutoff score, and posttest accuracy of each. The Mini-BESTest showed the highest AUC (0.84) compared with the BESTest (0.74), BBS (0.69), and TUG (0.35), suggesting that the Mini-BESTest had the highest accuracy in identifying older adult with history of falls. At the cutoff score of 16 (out of 28), the Mini-BESTest demonstrated a posttest accuracy of 85% with a sensitivity of 85% and specificity of 75%. The Mini-BESTest had the highest posttest accuracy, with the others having results of 76% (BESTest), 60% (BBS), and 65% (TUG). The Mini-BESTest is the most accurate tool for identifying older adult with history of falls compared with the BESTest, BBS, and TUG.

The accumulation rate of meteorite falls at the earth's surface - The view from Roosevelt County, New Mexico

NASA Technical Reports Server (NTRS)

Zolensky, Michael E.; Wells, Gordon L.; Rendell, Helen M.

1990-01-01

The discovery of 154 meteorite fragments within an 11-sq km area of wind-excavated basins in Roosevelt County, New Mexico, permits a new calculation of the accumulation rate of meteorite falls at the earth's surface. Thermoluminescence dating of the coversand unit comprising the prime recovery surface suggests the maximum terrestrial age of the meteorites to be about 16.0 ka. The 68 meteorite fragments subjected to petrological analyses represent a minimum of 49 individual falls. Collection bias has largely excluded carbonaceous chondrites and achondrites, requiring the accumulation rate derived from the recovered samples to be increased by a factor of 1.25. Terrestrial weathering destroying ordinary chondrites can be modeled as a first-order decay process with an estimated half-life of 3.5 + or - 1.9 ka on the semiarid American High Plains. Having accounted for the age of the recovery surface, area of field searches, pairing of finds, collection bias and weathering half-life, an accumulation rate of 940 falls/a per 10 to the 6th sq km is calculated for falls greater than 10 g total mass. This figure exceeds the best-constrained previous estimate by more than an order of magnitude. One possible reason for this disparity may be the extraordinary length of the fall record preserved in the surficial geology of Roosevelt County. The high accumulation rate determined for the past 16 ka may point to the existence of periods when the meteorite fall rate was significantly greater than at present.

Conservation and Education in Murchison Falls Conservation Area, Uganda

ERIC Educational Resources Information Center

Jordahl, Mark D.

2005-01-01

This thesis forms the foundation for a conservation education training manual to help guides in Murchison Falls National Park, Uganda, communicate to foreign visitors about conservation issues. For background information I used a combination of text-based research and interviews to examine the application of community conservation and…

Hazardous Waste Cleanup: CECOS International Incorporated in Niagara Falls, New York

EPA Pesticide Factsheets

CECOS International, Inc. is located on a 385-acre tract in an industrial-commercial area of Niagara County. The majority of the site is in the town of Niagara; however, a portion of the site is in Niagara Falls. The facility contains a variety of waste op

76 FR 15936 - Designation for the Owensboro, KY; Bloomington, IL; Iowa Falls, IA; Casa Grande, AZ; Fargo, ND...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-22

... DEPARTMENT OF AGRICULTURE Grain Inspection, Packers and Stockyards Administration Designation for the Owensboro, KY; Bloomington, IL; Iowa Falls, IA; Casa Grande, AZ; Fargo, ND; Grand Forks, ND; and Plainview, TX Areas AGENCY: Grain Inspection, Packers and Stockyards Administration, USDA. ACTION: Notice...

40 CFR 440.44 - New source performance standards (NSPS).

Code of Federal Regulations, 2010 CFR

2010-07-01

... December 3, 1982. (2) In the event that the annual precipitation falling on the treatment facility and the drainage area contributing surface runoff to the treatment facility exceeds the annual evaporation, a volume of water equal to the difference between annual precipitation falling on the treatment facility...

Assessing atmospheric concentration of polychlorinated biphenyls by evergreen Rhododendron maximum next to a contaminated stream.

PubMed

Dang, Viet D; Walters, David M; Lee, Cindy M

2016-09-01

Conifers are often used as an air passive sampler, but few studies have focused on the implication of broadleaf evergreens to monitor atmospheric semivolatile organic compounds such as polychlorinated biphenyls (PCBs). In the present study, the authors used Rhododendron maximum (rhododendron) growing next to a contaminated stream to assess atmospheric PCB concentrations. The present study area was located in a rural setting and approximately 2 km downstream of a former capacitor plant. Leaves from the same mature shrubs were collected in late fall 2010 and winter and spring 2011. Polychlorinated biphenyls were detected in the collected leaves, suggesting that rhododendron can be used as air passive samplers in rural areas where active sampling is impractical. Estimated ΣPCB (47 congeners) concentrations in the atmosphere decreased from fall 2010 to spring 2011 with concentration means at 3990 pg m(-3) , 2850 pg m(-3) , and 931 pg m(-3) in fall 2010, winter 2011, and spring 2011, respectively. These results indicate that the atmospheric concentrations at this location continue to be high despite termination of active discharge from the former industrial source. Leaves had a consistent pattern of high concentrations of tetra-CBs and penta-CBs similar to the congener distribution in polyethylene passive samplers deployed in the water column, suggesting that volatilized PCBs from the stream were the primary source of contaminants in rhododendron leaves. Environ Toxicol Chem 2016;35:2192-2198. © 2016 SETAC. © 2016 SETAC.

The ability of clinical balance measures to identify falls risk in multiple sclerosis: a systematic review and meta-analysis.

PubMed

Quinn, Gillian; Comber, Laura; Galvin, Rose; Coote, Susan

2018-05-01

To determine the ability of clinical measures of balance to distinguish fallers from non-fallers and to determine their predictive validity in identifying those at risk of falls. AMED, CINAHL, Medline, Scopus, PubMed Central and Google Scholar. First search: July 2015. Final search: October 2017. Inclusion criteria were studies of adults with a definite multiple sclerosis diagnosis, a clinical balance assessment and method of falls recording. Data were extracted independently by two reviewers. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 scale and the modified Newcastle-Ottawa Quality Assessment Scale. Statistical analysis was conducted for the cross-sectional studies using Review Manager 5. The mean difference with 95% confidence interval in balance outcomes between fallers and non-fallers was used as the mode of analysis. We included 33 studies (19 cross-sectional, 5 randomised controlled trials, 9 prospective) with a total of 3901 participants, of which 1917 (49%) were classified as fallers. The balance measures most commonly reported were the Berg Balance Scale, Timed Up and Go and Falls Efficacy Scale International. Meta-analysis demonstrated fallers perform significantly worse than non-fallers on all measures analysed except the Timed Up and Go Cognitive ( p < 0.05), but discriminative ability of the measures is commonly not reported. Of those reported, the Activities-specific Balance Confidence Scale had the highest area under the receiver operating characteristic curve value (0.92), but without reporting corresponding measures of clinical utility. Clinical measures of balance differ significantly between fallers and non-fallers but have poor predictive ability for falls risk in people with multiple sclerosis.

Ground-water flow and water quality in the Upper Floridan aquifer, southwestern Albany area, Georgia, 1998-2001

USGS Publications Warehouse

Warner, Debbie; Lawrence, Stephen J.

2005-01-01

During 1997, the Dougherty County Health Department sampled more than 700 wells completed in the Upper Floridan aquifer in Dougherty County, Georgia, and determined that nitrate as nitrogen (hereinafter called nitrate) concentrations were above 10 milligrams per liter (mg/L) in 12 percent of the wells. Ten mg/L is the Georgia primary drinking-water standard. The ground-water flow system is complex and poorly understood in this predominantly agricultural area. Therefore, the U.S. Geological Survey (USGS) - in cooperation with Albany Water, Gas and Light Commission - conducted a study to better define ground-water flow and water quality in the Upper Florida aquifer in the southwestern Albany area, Georgia. Ground-water levels were measured in the southwestern Albany area, Georgia, during May 1998 and March 1999 (spring), and October 1998 and September 1999 (fall). Groundwater levels measured in 75 wells open only to the Upper Floridan aquifer were used to construct potentiometric-surface maps for those four time periods. These maps show that ground water generally flows from northwest to southeast at gradients ranging from about 2 to greater than 10 feet per mile. During spring and fall 1998, ground-water levels were high and mounding of the potentiometric surface occurred in the central part of the study area, indicating a local recharge area. Water levels declined from December through February, and by March 1999 the mound in the potentiometric surface had dissipated. Of the 75 wells in the potentiometric network, 24 were selected for a water-quality network. These 24 wells and 1 spring were sampled during fall 1998 and spring 1999. Samples were analyzed for major chemical constituents, selected minor constituents, selected nutrients, and chlorofluorocarbons (CFC). Water-quality field measurements - such as water temperature, pH, specific conductance (SC), and dissolved oxygen (DO) - were taken at each well. During August 2000, a ground-water sample was collected and analyzed for selected sewage tracers. During March 2001, water samples from selected wells were analyzed for nitrogen and oxygen isotopes. Age-dating analysis using CFCs yield apparent groundwater ages that range from modern to greater than 50 years. The chemistry of ground water in the Upper Floridan aquifer varies widely throughout the southwestern Albany area, Georgia, and in general represents the chemistry commonly found in recharge areas. From fall 1998 through spring 1999, median values of pH, SC, and DO concentration were 7.6 standard units, 266 microsiemens per centimeter at 25 degrees Celsius (uS/cm), and 5.6 mg/L, respectively. The SC is highest (350 - 400 uS/cm) where mounding of the potentiometric surface exists. Specific DO concentrations indicate an area of anoxic ground water in the north-central part of the study area. Water samples indicate that ground water in the study area is dominated by calcium and bicarbonate ions, which is consistent with the limestone lithology of the aquifer. About 25 percent of the samples contained sodium and chloride at ratios similar to those in rainfall, indicating a close proximity to recharge areas. The remaining water samples, however, had sodiumchloride ratios less than 0.90, the ratio in Tift County, Georgia, rainfall samples. These low sodium-chloride ratios are consistent with chloride enrichment. Minor constituent and nutrient concentrations typically are below laboratory reporting limits; however, the maximum nitrate concentration measured during the study period was 12.2 mg/L, and the median concentration for the study period was 3.0 mg/L. Samples collected during 1999 had a higher median nitrate concentration than the 1998 samples. Regression analysis indicated that nitrate concentrations are related exponentially to chloride concentrations. Four distinct groups of ground-water-quality samples, plus four unique samples, were identified using cluster analysis. Water-quality groups I and

Teton Dam flood of June 1976, Moreland quadrangle, Idaho

USGS Publications Warehouse

Hubbard, Larry L.; Bartells, John H.

1976-01-01

The failure of the Teton Dam caused extreme flooding along the Teton River, Henrys Fork, and Snake River in southeastern Idaho on June 5-8, 1976. No flooding occurred downstream from American Falls Reservoir. The inundated areas and maximum water-surface elevations are shown in a series of 17 hydrologic atlases. The aea covered by the atlases extends from Teton Dam downstream to American Falls Reservoir, a distance of 100 miles. The extent of flooding shown on the maps was obtained by field inspections and aerial photographs made during and immediately after the flood. There may be small isolated areas within the boundaries shown that were not flooded, but the identification of these sites was beyond the scope of the study. The elevation data shown are mean-sea-level elevations of high-water marks identified in the field. This particular map (in the 17-map series) shows conditions in the Moreland quadrangle. (Woodard-USGS)

Using a Thematic Analysis of Literature to Survey Subfields within Communication Studies

ERIC Educational Resources Information Center

Garner, Johny T.; Ragland, J. Parker

2015-01-01

The activity described by the authors here is a thematic analysis of published articles in a broad area of study. Students search for articles relating to the topic of study in different academic journals that fall in a specific date range. Students record details about the topics covered and theories/methods used. The class then assembles to…

Evaluation of Salmon Spawning Below Bonneville Dam Annual Report October 2006 - September 2007.

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

Arntzen, Evan V.; Mueller, Robert P.; Murray, Katherine J.

2008-08-08

From 1999 through 2007, the Fish and Wildlife Program of the Bonneville Power Administration funded a project to determine the number of fall Chinook and chum salmon spawning downstream of Bonneville Dam, the characteristics of their spawning areas, and the flows necessary to ensure their long-term survival. Data were collected to ensure that established flow guidelines are appropriate and provide adequate protection for the species of concern. The projects objectives are consistent with the high priority placed by the Northwest Power and Conservation Council Independent Scientific Advisory Board and the salmon managers on determining the importance of mainstem habitats tomore » the production of salmon in the Columbia River Basin. Because of the influence of mainstem habitat on salmon production, there is a continued need to better understand the physical habitat variables used by mainstem fall Chinook and chum salmon populations and the effects of hydropower project operations on spawning and incubation. During FY 2007, Pacific Northwest National Laboratory focused on (1) locating and mapping deep-water fall Chinook salmon and chum salmon spawning areas, (2) investigating the interaction between groundwater and surface water near fall Chinook and chum salmon spawning areas, and (3) providing in-season hyporheic temperature and water surface elevation data to assist state agencies with emergence timing and redd dewatering estimates. This report documents the studies and tasks performed by PNNL during FY 2007. Chapter 1 provides a description of the searches conducted for deepwater redds-adjacent to Pierce and Ives islands for fall Chinook salmon and near the Interstate 205 bridge for chum salmon. The chapter also provides data on redd location, information about habitat associations, and estimates of total spawning populations. Chapter 2 documents the collection of data on riverbed and river temperatures and water surface elevations, from the onset of spawning to the end of emergence, and the provision of those data in-season to fisheries management agencies to assist with emergence timing estimates and evaluations of redd dewatering.« less

Fall from equipment injuries in U.S. mining: identification of specific research areas for future investigation.

PubMed

Moore, Susan M; Porter, William L; Dempsey, Patrick G

2009-01-01

The objective of this study was to evaluate the circumstances leading to fall from equipment injuries in the mining industry. The 2006 and 2007 Mine Safety and Health Administration annual injury databases were utilized for this study whereby the injury narrative, nature of injury, body part injured, mine type, age at injury, and days lost were evaluated for each injury. The majority of injuries occurred at surface mining facilities (approximately 60%) with fractures and sprains/strains being the most common injuries occurring to the major joints of the body. Nearly 50% of injuries occurred during ingress/egress, predominantely during egress, and approximately 25% of injuries occurred during maintenance tasks. The majority of injuries occurred in relation to large trucks, wheel loaders, dozers, and conveyors/belts. The severity of injury was independent of age and the median days lost was seven days; however, there was a large range in severity. From the data obtained in this study, several different research areas have been identified for future work, which include balance and stability control when descending ladders and equipment design for maintenance tasks.

Use of geospatial technology for delineating groundwater potential zones with an emphasis on water-table analysis in Dwarka River basin, Birbhum, India

NASA Astrophysics Data System (ADS)

Thapa, Raju; Gupta, Srimanta; Gupta, Arindam; Reddy, D. V.; Kaur, Harjeet

2018-05-01

Dwarka River basin in Birbhum, West Bengal (India), is an agriculture-dominated area where groundwater plays a crucial role. The basin experiences seasonal water stress conditions with a scarcity of surface water. In the presented study, delineation of groundwater potential zones (GWPZs) is carried out using a geospatial multi-influencing factor technique. Geology, geomorphology, soil type, land use/land cover, rainfall, lineament and fault density, drainage density, slope, and elevation of the study area were considered for the delineation of GWPZs in the study area. About 9.3, 71.9 and 18.8% of the study area falls within good, moderate and poor groundwater potential zones, respectively. The potential groundwater yield data corroborate the outcome of the model, with maximum yield in the older floodplain and minimum yield in the hard-rock terrains in the western and south-western regions. Validation of the GWPZs using the yield of 148 wells shows very high accuracy of the model prediction, i.e., 89.1% on superimposition and 85.1 and 81.3% on success and prediction rates, respectively. Measurement of the seasonal water-table fluctuation with a multiplicative model of time series for predicting the short-term trend of the water table, followed by chi-square analysis between the predicted and observed water-table depth, indicates a trend of falling groundwater levels, with a 5% level of significance and a p-value of 0.233. The rainfall pattern for the last 3 years of the study shows a moderately positive correlation ( R 2 = 0.308) with the average water-table depth in the study area.

Using remotely sensed imagery and GIS to monitor and research salmon spawning: A case study of the Hanford Reach fall chinook (Oncorhynchus Tshawytscha)

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

RH Visser

2000-03-16

The alteration of ecological systems has greatly reduced salmon populations in the Pacific Northwest. The Hanford Reach of the Columbia River, for example, is a component of the last ecosystem in eastern Washington State that supports a relatively healthy population of fall chinook salmon ([Oncorhynchus tshawytscha], Huntington et al. 1996). This population of fall chinook may function as a metapopulation for the Mid-Columbia region (ISG 1996). Metapopulations can seed or re-colonize unused habitat through the mechanism of straying (spawning in non-natal areas) and may be critical to the salmon recovery process if lost or degraded habitat is restored (i.e., themore » Snake, Upper Columbia, and Yakima rivers). For these reasons, the Hanford Reach fall chinook salmon population is extremely important for preservation of the species in the Columbia River Basin. Because this population is important to the region, non-intrusive techniques of analysis are essential for researching and monitoring population trends and spawning activities.« less

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : identification of institutional issues, working paper #2

DOT National Transportation Integrated Search

1997-06-18

Intelligent Transportation Systems (ITS) utilize advanced technology components on a local as well as a regional basis. On a regional basis, as is the case in this study, funding, knowledge and operations resources are often pooled from many sources....

Characterization of indoor home vacuum dust allergens and serum based allergen specific IgE levels in asthmatic and non-asthmatic children

EPA Science Inventory

The Mechanistic Indicators of Childhood Asthma (MICA) study was conducted in the Detroit, Michigan area during fall to early winter 2006-2007. Children from 9-13 years of age were recruited into a cross-sectional study to examine biological markers of exposure, effects, and susce...

Examination of sustainability indicators for fall prevention strategies in three states.

PubMed

Smith, Matthew Lee; Durrett, Nicholas K; Schneider, Ellen C; Byers, Imani N; Shubert, Tiffany E; Wilson, Ashley D; Towne, Samuel D; Ory, Marcia G

2018-06-01

With 1-in-4 older adults suffering a fall each year, fall prevention efforts have emerged as a public health priority. Multi-level, evidence-based fall prevention programs have been promoted by the CDC and other government agencies. To ensure participants and communities receive programs' intended benefits, organizations must repeatedly deliver the programs over time and plan for program sustainability as part of 'scaling up' the initiative. The State Falls Prevention Project (SFPP) began in 2011 when the CDC provided 5 years of funding to State Departments of Health in Colorado, New York, and Oregon to simultaneously implement four fall prevention strategies: 1) Tai Chi: Moving for Better Balance; 2) Stepping On; 3) Otago Exercise Program; and 4) STEADI (STopping Elderly Accidents, Deaths, and Injuries) toolkit. Surveys were performed to examine systems change and perceptions about sustainability across states. The purposes of this study were to: 1) examine how funding influenced the capacity for program implementation and sustainability within the SFPP; and 2) assess reported Program Sustainability Assessment Tool (PSAT) scores to learn about how best to sustain fall preventing efforts after funding ends. Data showed that more organizations offered evidence-based fall prevention programs in participants' service areas with funding, and the importance of programming implementation, evaluation, and reporting efforts were likely to diminish once funding concluded. Participants' reported PSAT scores about perceived sustainability capacity did not directly align with previously reported perceptions about PSAT domain importance or modifiability. Findings suggest the importance of grantees to identify potential barriers and enablers influencing program sustainability during the planning phase of the programs. Copyright © 2018. Published by Elsevier Ltd.

Cultural Resources Survey of Three Mississippi River Levee and Revetment Items, Plaquemines Parish, Louisiana.

DTIC Science & Technology

1982-03-01

virginiana) and mulberry (Morus rubra) and edible roots from greenbriar (Smilax a) and wild potato (Ipomea 9 pandurata). Mammals on the Natural Levee...cottonwood, and elm. &Climbing vines and many herbs are also common components of this forest. Although the immediate study area falls within a...dense population despite the variability in production of wild foods within an area from year to year. Characteristics of the Sedentary stage include

Lidar-Based Rock-Fall Hazard Characterization of Cliffs

USGS Publications Warehouse

Collins, Brian D.; Greg M.Stock,

2017-01-01

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

Falls in Patients With Heart Failure: A Systematic Review.

PubMed

Lee, Kayoung; Pressler, Susan J; Titler, Marita

Many heart failure patients show fall-related signs/symptoms including postural hypotension, cerebellar injury, and cognitive impairments. Falls contribute to injuries, increased healthcare use, and death, but falls have been understudied in this population. The purpose of this review is to identify fall rates, fall injuries, and risk factors for falls in heart failure patients. A systematic literature review was conducted using MEDLINE, CINAHL, PubMed, PsycINFO, and Cochrane Library to identify publications from August 1973 to June 2013. Keywords were accidental falls, heart failure, fall rates, fall injuries, and fall risk. Inclusion criteria were publications that were primary data based, included heart failure sample, had falls/fall risk as study variables, and were written in English language. Exclusion criteria were quality improvement/evaluation, case reports/studies, news, opinions, narrative reviews, meeting reports, reflections, and letters to editors. Data were abstracted using a standardized data collection form. Four publications met the inclusion criteria. In the first study, fall rate was 43%, which is higher than the fall rates among community-dwelling older adults. Fall-related injuries were not examined in any of studies. Benzodiazepines and digoxin were identified as medications that increased risk of falls in 1 case-control study. Loop diuretics were not significantly associated with falls in 1 cohort study. In the fourth study, patients who had poor gait and balance were at greater risk of falling. Future studies are needed to determine factors associated with falls, characterize injuries resulting from falls, and most importantly design testable interventions to prevent falls in heart failure patients.

Effects of hydropower operations on spawning habitat, rearing habitat, and standing/entrapment mortality of fall Chinook salmon in the Hanford Reach of the Columbia River

USGS Publications Warehouse

Anglin, Donald R.; Haeseker, Steven L.; Skalicky, Joseph J.; Schaller, Howard; Tiffan, Kenneth F.; Hatten, James R.; Hoffarth, Paul; Nugent, John; Benner, David; Yoshinaka, Marv

2006-01-01

This report describes research conducted primarily in 2003 and 2004 to evaluate the effects of upstream dam operations on spawning and rearing conditions for fall Chinook salmon, Oncorhynchus tshawytscha, in the Hanford Reach of the Columbia River. Results from habitat modeling tasks which continued in 2005 and 2006 are also included in this report. This study is focused on the effects of streamflows and streamflow fluctuations on 1) entrapment and entrapment mortality of juveniles, 2) adult spawning habitat, and 3) juvenile rearing habitat. An independent peer review was conducted on the draft version of this report utilizing three reviewers, each with different areas of expertise and different levels of knowledge regarding hydrodynamic modeling, fall Chinook biology, life history, and habitat requirements, and fishery issues relating to hydropower development and operations. Peer review comments have been incorporated into this final version.

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.

Interventions incorporating physical and cognitive elements to reduce falls risk in cognitively impaired older adults: a systematic review.

PubMed

Booth, Vicky; Hood, Victoria; Kearney, Fiona

2016-05-01

Cognitive impairment is a risk factor for falls. Older adults with cognitive impairment (such as dementia) have an increased risk of falling compared with age-matched individuals without a cognitive impairment. To reduce falls in this population, interventions could theoretically target and train both physical and cognitive abilities. Combining and addressing cognitive components in falls rehabilitation is a novel and emerging area of healthcare. The objective of this review was to identify the effectiveness of combined cognitive and physical interventions on the risk of falls in cognitively impaired older adults. Older persons who were 65 years or older and identified as having a cognitive impairment either through diagnosis or assessment of global cognition. Multifactorial or multiple interventions where physical and cognitive elements were combined was compared against standard care or a single element intervention. Randomized controlled trials (RCTs), controlled clinical trials and experimental studies in which randomization was used. Outcomes related to falls, including falls rate, specific falls risk measures (i.e. Physiological Profile Assessment) or related clinical outcome measures (i.e. Timed Up and Go test, Tinetti and gait speed). A three-step search strategy was utilized in this review, including search of electronic databases: CENTRAL, JBISRIR, MEDLINE, EMBASE, AMED, CINAHL and PsychINFO. Initial keywords used were dementia, cognitive impairment, memory loss, exercise, rehabilitation and accidental falls. Grey literature (Google Scholar) and trials registers (Current Controlled Trials) searches were also completed. The methodological quality of included studies was assessed using Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) software. Data was extracted from articles included in the review using the standardized data extraction tool from JBI-MAStARI. A quantitative meta-analysis was performed where possible. Otherwise, data synthesis was in the form of narrative review. Sub-group analysis according to level of cognitive impairment was completed where possible. Eight RCTs were included in this review; they evaluated the effectiveness of multicomponent exercise programs, including physical and cognitive activities, music-based group exercise and mind-body tai chi on falls related outcomes. Most of the studies were of good quality with an average quality score of 7.5. Four studies reported effectiveness based on the number of falls, half of which reported a significant difference between the groups, but pooling of results into meta-analysis was not possible because of differences in reporting of the outcome. Falls related outcomes that were combined in meta-analysis included balance (Berg balance scale), functional mobility (Timed Up and Go) and gait speed (m/s). There was a statistically significant improvement in balance and gait speed following the intervention; however, the studies were too heterogeneous to be included in the analysis from the functional mobility results. Overall, multicomponent interventions incorporating both physical and cognitive components demonstrated positive effects on balance, functional mobility and gait speed when compared with a control and had significantly better effect on balance and gait speed within mild cognitive impairment populations.

Worldwide Weather Radar Imagery May Allow Substantial Increase in Meteorite Fall Recovery

NASA Technical Reports Server (NTRS)

Fries, Marc; Matson, Robert; Schaefer, Jacob; Fries, Jeffery; Hankey, Mike; Anderson, Lindsay

2014-01-01

Weather radar imagery is a valuable new technique for the rapid recovery of meteorite falls, to include falls which would not otherwise be recovered (e.g. Battle Mountain). Weather radar imagery reveals about one new meteorite fall per year (18 falls since 1998), using weather radars in the United States alone. However, an additional 75 other nations operate weather radar networks according to the UN World Meteorological Organization (WMO). If the imagery of those radars were analyzed, the current rate of meteorite falls could be improved considerably, to as much as 3.6 times the current recovery rate based on comparison of total radar areal coverage. Recently, the addition of weather radar imagery, seismometry and internet-based aggregation of eyewitness reports has improved the speed and accuracy of fresh meteorite fall recovery [e.g. 1,2]. This was demonstrated recently with the radar-enabled recovery of the Sutter's Mill fall [3]. Arguably, the meteorites recovered via these methods are of special scientific value as they are relatively unweathered, fresh falls. To illustrate this, a recent SAO/NASA ADS search using the keyword "meteorite" shows that all 50 of the top search results included at least one named meteorite recovered from a meteorite fall. This is true even though only 1260 named meteorite falls are recorded among the >49,000 individual falls recorded in the Meteoritical Society online database. The US NEXRAD system used thus far to locate meteorite falls covers most of the United States' surface area. Using a WMO map of the world's weather radars, we estimate that the total coverage of the other 75 national weather radar networks equals about 3.6x NEXRAD's coverage area. There are two findings to draw from this calculation: 1) For the past 16 years during which 18 falls are seen in US radar data, there should be an additional 65 meteorite falls recorded in worldwide radar imagery. Also: 2) if all of the world's radar data could be analyzed, the rate of recovery of fresh meteorite falls can increase by as much as 3.6x the current rate. The authors' experience to date indicates that the most effective course of action would be to have local meteorite research groups (outside of the US) form research consortia and develop a working relationship with their nation's weather bureau for access to data. These research consortia could utilize the same, proven methods used for US NEXRAD imagery, internet eyewitness report aggregation, seismometry analysis, etc. to locate meteorite falls. The consortia could then recover and analyze meteorite falls and enrich their own research efforts. It would be beneficial to conduct a global program to coordinate the development of methods and data tools, as well as to coordinate meteorite sample sharing and research. Perhaps an institution such as the Meteoritical Society could lead such an effort.

Long-term volcanic hazard forecasts based on Somma-Vesuvio past eruptive activity

NASA Astrophysics Data System (ADS)

Lirer, Lucio; Petrosino, Paola; Alberico, Ines; Postiglione, Immacolata

2001-02-01

Distributions of pyroclastic deposits from the main explosive events at Somma-Vesuvio during the 8,000-year B.P.-A.D. 1906 time-span have been analysed to provide maps of volcanic hazard for long-term eruption forecasting. In order to define hazard ratings, the spatial distributions and loads (kg/m2) exerted by the fall deposits on the roofs of buildings have been considered. A load higher than 300 kg/m2 is defined as destructive. The relationship load/frequency (the latter defined as the number of times that an area has been impacted by the deposition of fall deposits) is considered to be a suitable parameter for differentiating among areas according to hazard rating. Using past fall deposit distributions as the basis for future eruptive scenarios, the total area that could be affected by the products of a future Vesuvio explosive eruption is 1,500 km2. The perivolcanic area (274 km2) has the greatest hazard rating because it could be buried by pyroclastic flow deposits thicker than 0.5 m and up to several tens of metres in thickness. Currently, the perivolcanic area also has the highest risk because of the high exposed value, mainly arising from the high population density.

Usefulness of a 50-meter round walking test for fall prediction in the elderly requiring long-term care

PubMed Central

Hachiya, Mizuki; Murata, Shin; Otao, Hiroshi; Ihara, Takehiko; Mizota, Katsuhiko; Asami, Toyoko

2015-01-01

[Purpose] This study aimed to verify the usefulness of a 50-m round walking test developed as an assessment method for walking ability in the elderly. [Subjects] The subjects were 166 elderly requiring long-term care individuals (mean age, 80.5 years). [Methods] In order to evaluate the factors that had affected falls in the subjects in the previous year, we performed the 50-m round walking test, functional reach test, one-leg standing test, and 5-m walking test and measured grip strength and quadriceps strength. [Results] The 50-m round walking test was selected as a variable indicating fall risk based on the results of multiple logistic regression analysis. The cutoff value of the 50-m round walking test for determining fall risk was 0.66 m/sec. The area under the receiver operating characteristic curve was 0.64. The sensitivity of the cutoff value was 65.7%, the specificity was 63.6%, the positive predictive value was 55.0%, the negative predictive value was 73.3%, and the accuracy was 64.5%. [Conclusion] These results suggest that the 50-m round walking test is a potentially useful parameter for the determination of fall risk in the elderly requiring long-term care. PMID:26834327

Usefulness of a 50-meter round walking test for fall prediction in the elderly requiring long-term care.

PubMed

Hachiya, Mizuki; Murata, Shin; Otao, Hiroshi; Ihara, Takehiko; Mizota, Katsuhiko; Asami, Toyoko

2015-12-01

[Purpose] This study aimed to verify the usefulness of a 50-m round walking test developed as an assessment method for walking ability in the elderly. [Subjects] The subjects were 166 elderly requiring long-term care individuals (mean age, 80.5 years). [Methods] In order to evaluate the factors that had affected falls in the subjects in the previous year, we performed the 50-m round walking test, functional reach test, one-leg standing test, and 5-m walking test and measured grip strength and quadriceps strength. [Results] The 50-m round walking test was selected as a variable indicating fall risk based on the results of multiple logistic regression analysis. The cutoff value of the 50-m round walking test for determining fall risk was 0.66 m/sec. The area under the receiver operating characteristic curve was 0.64. The sensitivity of the cutoff value was 65.7%, the specificity was 63.6%, the positive predictive value was 55.0%, the negative predictive value was 73.3%, and the accuracy was 64.5%. [Conclusion] These results suggest that the 50-m round walking test is a potentially useful parameter for the determination of fall risk in the elderly requiring long-term care.

Feasibility and predictive performance of the Hendrich Fall Risk Model II in a rehabilitation department: a prospective study.

PubMed

Campanini, Isabella; Mastrangelo, Stefano; Bargellini, Annalisa; Bassoli, Agnese; Bosi, Gabriele; Lombardi, Francesco; Tolomelli, Stefano; Lusuardi, Mirco; Merlo, Andrea

2018-01-11

Falls are a common adverse event in both elderly inpatients and patients admitted to rehabilitation units. The Hendrich Fall Risk Model II (HIIFRM) has been already tested in all hospital wards with high fall rates, with the exception of the rehabilitation setting. This study's aim is to address the feasibility and predictive performances of HIIFRM in a hospital rehabilitation department. A 6 months prospective study in a Italian rehabilitation department with patients from orthopaedic, pulmonary, and neurological rehabilitation wards. All admitted patients were enrolled and assessed within 24 h of admission by means of the HIIFRM. The occurrence of falls was checked and recorded daily. HIIFRM feasibility was assessed as the percentage of successful administrations at admission. HIIFRM predictive performance was determined in terms of area under the Receiver Operating Characteristic (ROC) curve (AUC), best cutoff, sensitivity, specificity, positive and negative predictive values, along with their asymptotic 95% confidence intervals (95% CI). One hundred ninety-one patents were admitted. HIIFRM was feasible in 147 cases (77%), 11 of which suffered a fall (7.5%). Failures in administration were mainly due to bedridden patients (e.g. minimally conscious state, vegetative state). AUC was 0.779(0.685-0.873). The original HIIFRM cutoff of 5 led to a sensitivity of 100% with a mere specificity of 49%(40-57%), thus suggesting using higher cutoffs. Moreover, the median score for non-fallers at rehabilitation units was higher than that reported in literature for geriatric non fallers. The best trade-off between sensitivity and specificity was obtained by using a cutoff of 8. This lead to sensitivity = 73%(46-99%), specificity = 72%(65-80%), positive predictive value = 17% and negative predictive value = 97%. These results support the use of the HIIFRM as a predictive tool. The HIIFRM showed satisfactory feasibility and predictive performances in rehabilitation wards. Based on both available literature and these results, the prediction of falls among all hospital wards, with high risk of falling, could be achieved by means of a unique tool and two different cutoffs: a standard cutoff of 5 in geriatric wards and an adjusted higher cutoff in rehabilitation units, with predictive performances similar to those of the best-preforming pathology specific tools for fall-risk assessment.

Impact of acid precipitation on freshwater ecosystems on Norway

Treesearch

Richard F. Wright; Torstein Dale; Egil T. Gjessing; George R. Hendrey; Arne Henriksen; Merete Johannessen; Ivar P. Muniz

1976-01-01

Extensive studies of precipitation chemistry during the last 20 years have clearly shown that highly polluted precipitation falls over large areas of Scandinavia, and that this pollution is increasing in severity and geographical extent. Precipitation in southern Norway, Sweden, and Finland contains large amounts of H+, SO4...

ANTS AS BIOLOGICAL INDICATORS FOR MONITORING CHANGES IN ARID ENVIRONMENTS: LESSONS FOR MONITORING PROTECTED AREAS

EPA Science Inventory

The responses of ant communities to structural change (removal of an invasive were studied in a replicated experiment in a Chihuahuan Desert grassland. The results from sampling of ant communities by pit-fall trapping were validated by mapping ant colonies on the experimental plo...

Knowledge Is Power Program (KIPP). What Works Clearinghouse Intervention Report

ERIC Educational Resources Information Center

What Works Clearinghouse, 2018

2018-01-01

The "Knowledge Is Power Program" ("KIPP") is a nonprofit network of more than 200 public charter schools educating early childhood, elementary, middle, and high school students. The What Works Clearinghouse (WWC) identified four studies of "KIPP" that fall within the scope of the Charter Schools topic area and meet…

Seasonal movements and multiscale habitat selection of Whooping Crane (Grus americana) in natural and agricultural wetlands

USGS Publications Warehouse

Pickens, Bradley A.; King, Sammy L.; Vasseur, Phillip L.; Zimorski, Sara E.; Selman, Will

2017-01-01

Eleven of 15 species of cranes (family: Gruidae) are considered vulnerable or endangered, and the increase of agriculture and aquaculture at the expense of natural wetlands and grasslands is a threat to Gruidae worldwide. A reintroduced population of Whooping Crane (Grus americana) was studied in coastal and agricultural wetlands of Louisiana and Texas, USA. The objectives were to compare Whooping Crane movements across seasons, quantify multiscale habitat selection, and identify seasonal shifts in selection. Whooping Cranes (n = 53) were tracked with satellite transmitters to estimate seasonal core-use areas (50% home range contours) via Brownian bridge movement models and assess habitat selection. Whooping Crane core-use areas (n = 283) ranged from 4.7 to 438.0 km2, and habitat selection changed seasonally as shallow water availability varied. Whooping Crane core-use areas were composed of more fresh marsh in spring/summer, but shifted towards rice and crawfish (Procambarus spp.) aquaculture in the fall/winter. Within core-use areas, aquaculture was most strongly selected, particularly in fall when fresh marsh became unsuitable. Overall, the shifting of Whooping Crane habitat selection over seasons is likely to require large, heterogeneous areas. Whooping Crane use of agricultural and natural wetlands may depend on spatio-temporal dynamics of water depth.

Variability in Time and Space of Meloidogyne incognita Fall Population Density in Cotton Fields

PubMed Central

Wheeler, Terry A.; Baugh, Brant; Kaufman, Harold; Schuster, Greta; Siders, Kerry

2000-01-01

Three cotton fields infested with Meloidogyne incognita were intensively sampled in the fall for 3 years (1996 to 1998) to determine if intensive sampling for M. incognita, for which spatial location is important, was necessary every year in a continuous cotton system. Two composite soil samples (20 cores each), taken over an area covering one-third of the field length and two rows wide, were averaged to represent that area (row-location combination). Each field (except one) had 24 areas assayed for changes in M. incognita population density (Pf) over a 3-year period. At all three sites, Pf was higher during fall 1998 than fall 1996. There were no differences in Pf between rows within a year or between years (no. row × year interaction) at any of the sites. At all three sites, there was a consistent difference each year in Pf among locations in a field (no. year × location interaction). At each area, M. incognital/500 cm³ was labeled for one of four Pf classes: <250, 250 to 999, 1,000 to 2,499, and ≥ 2,500. Management of root-knot nematode would likely be altered as classification changed. The areas that were reclassified by two classes or more after 1 and 2 years ranged from 0 to 29% and 25 to 54%, respectively. The risk of underestimating Pf of M. incognita was higher in one site 2 years after the initial intensive sampling procedure, whereas in another site there was little change in Pf 2 years after initial sampling. Sampling frequency will need to be decided on a field-by-field basis. PMID:19270975

The effectiveness of virtual reality interventions in improving balance in adults with impaired balance compared to standard or no treatment: A systematic review.

PubMed

Booth, Vicky; Masud, Tahir; Bath-Hextall, Fiona

Balance impairment can result in falls and reduced activities of daily living and function. Virtual reality and interactive gaming systems provide a novel and potentially environmentally flexible treatment option to improve postural stability and reduce falls in balance impaired populations. There are no existing systematic reviews in this topic area. To search, critically appraise and synthesise the best available evidence on whether virtual reality interventions, including interactive gaming systems, are effective at improving balance in adults with impaired balance. Adults with impaired, altered or reduced balance identified either through reduced balance outcome measure score or increased risk or incidence of falls.Types of interventions:Any virtual reality or interactive gaming systems used within a rehabilitative setting.The primary outcome was an objective measure of balance (i.e. balance outcome measure such as Berg Balance Score) or number and/or incidence of falls. Secondary outcome measures of interest included any adverse effects experienced, an outcome measure indicating functional balance (i.e. walking speed), quality of life (through use of an objective measure i.e. EuroQOL), and number of days in hospital due to falls.Types of studies:Randomised controlled trials (RCT). A three-stage strategy searched the following electronic databases: The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, AMED, CINAHL, PsycINFO, PsycBITE, OTseeker, Ei Compendex, Inspec, Current Controlled Trials, and the National Institute of Health Clinical Trials Database. The methodological quality of each included study was independently assessed using the Joanna Briggs Institute Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) to systematically comment on influence of bias. Data was individually extracted from the included studies using the standardised JBI data extraction tool from JBI-MAStARI. Data was analysed using Review Manager 5 software. Results were expressed as mean difference (MD) with 95% confidence intervals for continuous outcomes. Meta-analysis was not possible due to the variation of the interventions given and small number of included trials; hence, a description of the results was given. Four studies were included in the systematic review. All the included studies used different types of virtual reality or interactive gaming interventions. Two of the included studies used the same balance outcome measure. There was a notable inconsistency of balance outcome measurement between all the included studies. No data was given regarding falls in any of the studies. A secondary outcome, the 10m walk test, was recorded in two of the studies. The four included studies had small sample sizes and poor methodological quality. Despite the presentation of statistically significant results, the clinical significance is questionable. The review can not recommend the inclusion of virtual reality or interactive gaming systems into the rehabilitation of balance impairment based on the results of the four included studies. Further investigation in this topic area is required.

Vitamin D deficiency intensifies deterioration of risk factors, such as male sex and absence of vision, leading to increased postural body sway.

PubMed

Krause, Matthias; Anschütz, Wilma; Vettorazzi, Eik; Breer, Stefan; Amling, Michael; Barvencik, Florian

2014-01-01

Due to inconsistent findings, the influence of vitamin D on postural body sway (PBS) is currently under debate. This study evaluated the impact of vitamin D on PBS with regards to different foot positions and eye opening states in community-dwelling older individuals. In a cross-sectional study, we assessed PBS in 342 older individuals (264 females [average age (± SD): 68.3 ± 9.0 years], 78 males [65.7 ± 9.6 years]). A detailed medical history and vitamin D level were obtained for each individual. Fall risk was evaluated using the New York-Presbyterian Fall Risk Assessment Tool (NY PFRA). PBS parameters (area, distance, velocity, frequency) were evaluated on a pressure plate with feet in closed stance (CS) or hip-width stance (HWS), open eyes and closed eyes. Statistical analysis included logarithmic mixed models for repeated measures with the MIXED model procedure to test the influence of vitamin D (categorized in <10 μg/l, 10-20 μg/l, 21-30 μg/l, >30 μg/l), foot position, eye opening state, age, sex and frequency of physical activity on PBS. Vitamin D was not an independent risk factor for falls experienced in the last 12 months. Nonetheless, PBS was higher in patients with vitamin D deficiency (<10 μg/l) in HWS (A/P p=0.028 and area p=0.037). Additionally, vitamin D deficiency intensified the deleterious effects of male sex (distance p=0.002) and absence of vision (area p<0.001) on PBS. Independent risk factors for increased PBS like male sex and absence of vision are additionally compromised by vitamin D deficiency. Copyright © 2013 Elsevier B.V. All rights reserved.

Frailty and Fracture, Disability, and Falls: A Multiple Country Study from the Global Longitudinal Study of Osteoporosis in Women (GLOW)

PubMed Central

Tom, Sarah E.; Adachi, Jonathan D.; Anderson, Frederick A.; Boonen, Steven; Chapurlat, Roland D.; Compston, Juliet E.; Cooper, Cyrus; Gehlbach, Stephen H.; Greenspan, Susan L.; Hooven, Frederick H.; Nieves, Jeri W.; Pfeilschifter, Johannes; Roux, Christian; Silverman, Stuart; Wyman, Allison; LaCroix, Andrea Z.

2012-01-01

Objectives To test whether women age ≥ 55 years with increasing evidence of a frailty phenotype would have greater risk of fractures, disability, and recurrent falls, compared with women who were not frail, across geographic areas (Australia, Europe, and North America) and age groups. Design Multinational, longitudinal, observational cohort study. Setting The Global Longitudinal Study of Osteoporosis in Women (GLOW). Participants Women (n=48,636) age ≥ 55 years enrolled at sites in Australia, Europe, and North America. Measurements Components of frailty (slowness/weakness, poor endurance/exhaustion, physical activity, and unintentional weight loss) at baseline and report of fracture, disability, and recurrent falls at 1 year of follow-up were investigated. Women also reported health and demographic characteristics at baseline. Results Among those age < 75 years, women from the United States were more likely to be prefrail and frail than women from Australia/Canada, and Europe. The distribution of frailty was similar by region for women age ≥ 75 years. Odds ratios from multivariable models for frailty versus non frailty were 1.23 (95% CI = 1.07–1.42) for fracture, 2.29 (95% CI = 2.09–2.51) for disability, and 1.68 (95% CI = 1.54–1.83) for recurrent falls. The associations for pre-frailty versus non frailty were weaker but still indicated statistically significant increased risk for each outcome. Overall, associations between frailty status and each outcome were similar across age and geographic region. Conclusion Increased evidence of a frailty phenotype is associated with increased risk for fracture, disability, and falls among women age ≥ 55 years in 10 countries, with similar patterns across age and geographic region. PMID:23351064

Lake Sturgeon, Acipenser fulvescens, movements in Rainy Lake, Minnesota and Ontario

USGS Publications Warehouse

Adams, W.E.; Kallemeyn, L.W.; Willis, D.W.

2006-01-01

Rainy Lake, Minnesota-Ontario, contains a native population of Lake Sturgeon (Acipenser fulvescens) that has gone largely unstudied. The objective of this descriptive study was to summarize generalized Lake Sturgeon movement patterns through the use of biotelemetry. Telemetry data reinforced the high utilization of the Squirrel Falls geographic location by Lake Sturgeon, with 37% of the re-locations occurring in that area. Other spring aggregations occurred in areas associated with Kettle Falls, the Pipestone River, and the Rat River, which could indicate spawning activity. Movement of Lake Sturgeon between the Seine River and the South Arm of Rainy Lake indicates the likelihood of one integrated population on the east end of the South Arm. The lack of re-locations in the Seine River during the months of September and October may have been due to Lake Sturgeon moving into deeper water areas of the Seine River and out of the range of radio telemetry gear or simply moving back into the South Arm. Due to the movements between Minnesota and Ontario, coordination of management efforts among provincial, state, and federal agencies will be important.

The Effect of Personalization on Smartphone-Based Fall Detectors

PubMed Central

Medrano, Carlos; Plaza, Inmaculada; Igual, Raúl; Sánchez, Ángel; Castro, Manuel

2016-01-01

The risk of falling is high among different groups of people, such as older people, individuals with Parkinson's disease or patients in neuro-rehabilitation units. Developing robust fall detectors is important for acting promptly in case of a fall. Therefore, in this study we propose to personalize smartphone-based detectors to boost their performance as compared to a non-personalized system. Four algorithms were investigated using a public dataset: three novelty detection algorithms—Nearest Neighbor (NN), Local Outlier Factor (LOF) and One-Class Support Vector Machine (OneClass-SVM)—and a traditional supervised algorithm, Support Vector Machine (SVM). The effect of personalization was studied for each subject by considering two different training conditions: data coming only from that subject or data coming from the remaining subjects. The area under the receiver operating characteristic curve (AUC) was selected as the primary figure of merit. The results show that there is a general trend towards the increase in performance by personalizing the detector, but the effect depends on the individual being considered. A personalized NN can reach the performance of a non-personalized SVM (average AUC of 0.9861 and 0.9795, respectively), which is remarkable since NN only uses activities of daily living for training. PMID:26797614

Hazardous Waste Cleanup: Ciba Geigy – Hercules Plant in Queensbury (Glen Falls), New York

EPA Pesticide Factsheets

The approximately 45-acre Main Plant site is located in the Town of Queensbury, just east of the City of Glens Falls in Warren County, New York. The site is in a mixed industrial/residential area on the northern bank of an easterly flowing segment of the

Enrollment and Facilities Inventory, Fall 1972.

ERIC Educational Resources Information Center

Maine State Higher Education Facilities Commission, Augusta.

The tables in this report present a summary of the area, in net assignable square feet, used by each institution of higher education in Maine, broken down by room type and also by organizational unit for fall 1972. Data is presented concerning enrollment information of public and independent colleges and organizational units and room type for…

Facilities Inventory, Fall 1971.

ERIC Educational Resources Information Center

Maine State Higher Education Facilities Commission, Augusta.

The tables in this report present a summary of the area, in net assignable square feet, used by each institution of higher education in Maine, broken down by room type and by organizational unit for fall 1971. Data is presented concerning enrollment information of public and independent colleges and organizational unit and room type for public…

Sunn hemp as a ground cover to manage fall armyworm populations

USDA-ARS?s Scientific Manuscript database

Fall armyworm (FAW), Spodoptera frugiperda, is a serious pest of sweet corn in south Florida and a pest of other vegetable, row, and forage crops in the southeastern, mid-Atlantic, and central U.S. It is a migratory pest, moving north each season from overwintering areas in southern Texas and south...

40 CFR 440.13 - Effluent limitations representing the degree of effluent reduction attainable by the application...

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (2) In the event that the annual precipitation falling on the treatment facility and the drainage area contributing surface runoff to the treatment facility exceeds the annual evaporation, a volume of water equal to the difference between annual precipitation falling on the treatment facility and the...

40 CFR 440.12 - Effluent limitations representing the degree of effluent reduction attainable by the application...

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (2) In the event that the annual precipitation falling on the treatment facility and the drainage area contributing surface runoff to the treatment facility exceeds the annual evaporation, a volume of water equivalent to the difference between annual precipitation falling on the treatment facility and...

Influence of the length of institutionalization on older adults' postural balance and risk of falls: a transversal study1

PubMed Central

Batista, Wagner Oliveira; Alves, Edmundo de Drummond; Porto, Flávia; Pereira, Fabio Dutra; Santana, Rosimere Ferreira; Gurgel, Jonas Lírio

2014-01-01

OBJECTIVE: to ascertain the influence of the length of institutionalization on older adults' balance and risk of falls. METHOD: to evaluate the risk of falls, the Berg Balance Scale and the Timed Get Up and Go test were used; and for measuring postural balance, static stabilometry was used, with acquisition of the elliptical area of 95% and mean velocities on the x and y axes of center of pressure displacement. Parametric and nonparametric measures of association and comparison (α<0.05) were used. RESULTS: there was no significant correlation between the length of institutionalization and the tests for evaluation of risk of falling, neither was there difference between groups and within subgroups, stratified by length of institutionalization and age. In the stabilometric measurements, there was a negative correlation between the parameters analyzed and the length of institutionalization, and difference between groups and within subgroups. CONCLUSION: this study's results point to the difficulty of undertaking postural control tasks, showing a leveling below the clinical tests' reference scores. In the stabilometric behavior, one should note the reduction of the parameters as the length of institutionalization increases, contradicting the assumptions. This study's results offer support for the development of a multi-professional model for intervention with the postural control and balance of older adults living in homes for the aged. PMID:25296149

Continuous equilibrium scores: factoring in the time before a fall.

PubMed

Wood, Scott J; Reschke, Millard F; Owen Black, F

2012-07-01

The equilibrium (EQ) score commonly used in computerized dynamic posturography is normalized between 0 and 100, with falls assigned a score of 0. The resulting mixed discrete-continuous distribution limits certain statistical analyses and treats all trials with falls equally. We propose a simple modification of the formula in which peak-to-peak sway data from trials with falls is scaled according the percent of the trial completed to derive a continuous equilibrium (cEQ) score. The cEQ scores for trials without falls remain unchanged from the original methodology. The cEQ factors in the time before a fall and results in a continuous variable retaining the central tendencies of the original EQ distribution. A random set of 5315 Sensory Organization Test trials were pooled that included 81 falls. A comparison of the original and cEQ distributions and their rank ordering demonstrated that trials with falls continue to constitute the lower range of scores with the cEQ methodology. The area under the receiver operating characteristic curve (0.997) demonstrates that the cEQ retained near-perfect discrimination between trials with and without falls. We conclude that the cEQ score provides the ability to discriminate between ballistic falls from falls that occur later in the trial. This approach of incorporating time and sway magnitude can be easily extended to enhance other balance tests that include fall data or incomplete trials. Copyright © 2012 Elsevier B.V. All rights reserved.

Habitat disturbance and the diversity and abundance of ants (Formicidae) in the Southeastern Fall-Line Sandhills

USGS Publications Warehouse

Graham, J.H.; Hughie, H.H.; Jones, S.; Wrinn, K.; Krzysik, A.J.; Duda, J.J.; Freeman, D. Carl; Emlen, J.M.; Zak, J.C.; Kovacic, D.A.; Chamberlin-Graham, C.; Balbach, H.

2004-01-01

We examined habitat disturbance, species richness, equitability, and abundance of ants in the Fall-Line Sandhills, at Fort Benning, Georgia. We collected ants with pitfall traps, sweep nets, and by searching tree trunks. Disturbed areas were used for military training; tracked and wheeled vehicles damaged vegetation and soils. Highly disturbed sites had fewer trees, diminished ground cover, warmer soils in the summer, and more compacted soils with a shallower A-horizon. We collected 48 species of ants, in 23 genera (141,468 individuals), over four years of sampling. Highly disturbed areas had fewer species, and greater numbers of ants than did moderately or lightly disturbed areas. The ant communities in disturbed areas were also less equitable, and were dominated by Dorymyrmex smithi.

Interspecific relationships between American coots and waterfowl during fall migration

USGS Publications Warehouse

Eddleman, William R.; Patterson, Craig T.; Knopf, Fritz L.

1985-01-01

Interactions between American Coots (Fulica americana) and water-fowl during the breeding season are well-documented (Ryder 1959, Nudds 1981). Ducks and coots use similar nesting, feeding, brooding, and loafing sites during the breeding season (Munro 1939, Sooter 1945, Ryder 1959). Coots create potential nest sites, repulse predators, provide predation buffers for ducks (Sooter 1945; Ryder 1958, 1959), and may also destroy eggs and young of other marsh-nesting birds (Munro 1937, Burger 1973, McNicholl 1975). Coots, ducks, and swans often feed cooperatively (Ryder 1959, Anderson 1974, Ryan 1981); and American Wigeon (Anas americana) and Gadwell () may rob feeding coots (Knapton and Knudsen 1978, Ryan 1981). Interspecies aggression between coots and waterfowl usually occurs when ducks approach coot nests or broods (Ryan and Dinsmore 1979). Despite these interactions, the numbers of duck broods produced in areas in Utah with nesting coots and in areas where coots have been removed were similar (Ryder 1958, 1961). Densities of coots and ducks, and brood counts of coots and ducks for a 26-year period in Saskatchewan also indicated no significant relationship between numbers of coots and waterfowl (Nudds 1981). Coots and waterfowl from large areas of breeding habitat concentrate on smaller areas during the nonbreeding season (Weller 1975:102). These species may also change diets and habitats during migration and while wintering (Weller 1975). This study documents associations between waterfowl and coots during fall migration and examines feeding and behavioral interactions between coots and waterfowl in mixed flocks. Specifically, we (1) describe temporal and spatial overlap among migrations of coots and waterfowl, (2) present behavioral interactions among species, and (3) document food habits of birds feeding sympatrically during fall migration in Oklahoma.

Long-term dynamics of chlorophyll concentration in the ocean surface layer (by space data)

NASA Astrophysics Data System (ADS)

Shevyrnogov, A.; Vysotskaya, G.

To preserve the biosphere and to use it efficiently, it is necessary to gain a deep insight into the dynamics of the primary production process on our planet. Variability of chlorophyll concentration in the ocean is one of the most important components of this process. These investigations are, however, very labor-consuming, because of the difficulties related to the accessibility of the water surface and its large size. In this work long-term changes in chlorophyll concentration in the surface layer of the ocean have been analyzed on the basis of the CZCS data for 7.5 years from 1979 to 1986 and the SeaWiFS data from 1997 to 2004. It has been shown that the average chlorophyll concentration calculated in all investigated areas varies moderately. However, when analyzing spatially local trends, the areas have been detected that have significant rise and fall of chlorophyll concentrations. Some interesting features of the long-term dynamics of chlorophyll concentration have been found. The opposite directions of long-term trends (essential increase or decrease) cannot be explained only by large-scale hydrological phenomena in the ocean (currents, upwellings, etc.). The measured chlorophyll concentration results from the balance between production and destruction processes. Which process dominates is determined by various hydrophysical, hydrobiological, and climatic processes, leading to sharp rises or falls of the concentration. It is important to estimate the scale of the areas in which this or that process dominates. Therefore, the study addresses not only the dynamics of the mean value but also the dynamics of the areas in which the dominance of certain factors has led to a sharp fall or rise in chlorophyll concentration. Thus, the obtained results can be used to estimate long-term changes in the ocean biota.

Progressive failure of sheeted rock slopes: the 2009–2010 Rhombus Wall rock falls in Yosemite Valley, California, USA

USGS Publications Warehouse

Stock, Greg M.; Martel, Stephen J.; Collins, Brian D.; Harp, Edwin L.

2012-01-01

Progressive rock-fall failures in natural rock slopes are common in many environments, but often elude detailed quantitative documentation and analysis. Here we present high-resolution photography, video, and laser scanning data that document spatial and temporal patterns of a 15-month-long sequence of at least 14 rock falls from the Rhombus Wall, a sheeted granitic cliff in Yosemite Valley, California. The rock-fall sequence began on 26 August 2009 with a small failure at the tip of an overhanging rock slab. Several hours later, a series of five rock falls totaling 736 m3progressed upward along a sheeting joint behind the overhanging slab. Over the next 3 weeks, audible cracking occurred on the Rhombus Wall, suggesting crack propagation, while visual monitoring revealed opening of a sheeting joint adjacent to the previous failure surface. On 14 September 2009 a 110 m3 slab detached along this sheeting joint. Additional rock falls between 30 August and 20 November 2010, totaling 187 m3, radiated outward from the initial failure area along cliff (sub)parallel sheeting joints. We suggest that these progressive failures might have been related to stress redistributions accompanying propagation of sheeting joints behind the cliff face. Mechanical analyses indicate that tensile stresses should occur perpendicular to the cliff face and open sheeting joints, and that sheeting joints should propagate parallel to a cliff face from areas of stress concentrations. The analyses also account for how sheeting joints can propagate to lengths many times greater than their depths behind cliff faces. We posit that as a region of failure spreads across a cliff face, stress concentrations along its margin will spread with it, promoting further crack propagation and rock falls.

Impacts of the Columbia River hydroelectric system on main-stem habitats of fall chinook salmon

USGS Publications Warehouse

Dauble, D.D.; Hanrahan, T.P.; Geist, D.R.; Parsley, M.J.

2003-01-01

Salmonid habitats in main-stem reaches of the Columbia and Snake rivers have changed dramatically during the past 60 years because of hydroelectric development and operation. Only about 13% and 58% of riverine habitats in the Columbia and Snake rivers, respectively, remain. Most riverine habitat is found in the upper Snake River; however, it is upstream of Hells Canyon Dam and not accessible to anadromous salmonids. We determined that approximately 661 and 805 km of the Columbia and Snake rivers, respectively, were once used by fall chinook salmon Oncorhynchus tshawytscha for spawning. Fall chinook salmon currently use only about 85 km of the main-stem Columbia River and 163 km of the main-stem Snake River for spawning. We used a geomorphic model to identify three river reaches downstream of present migration barriers with high potential for restoration of riverine processes: the Columbia River upstream of John Day Dam, the Columbia-Snake-Yakima River confluence, and the lower Snake River upstream of Little Goose Dam. Our analysis substantiated the assertion that historic spawning areas for fall chinook salmon occurred primarily within wide alluvial floodplains, which were once common in the mainstem Columbia and Snake rivers. These areas possessed more unconsolidated sediment and more bars and islands and had lower water surface slopes than did less extensively used areas. Because flows in the main stem are now highly regulated, the predevelopment alluvial river ecosystem is not expected to be restored simply by operational modification of one or more dams. Establishing more normative flow regimes - specifically, sustained peak flows for scouring - is essential to restoring the functional characteristics of existing, altered habitats. Restoring production of fall chinook salmon to any of these reaches also requires that population genetics and viability of potential seed populations (i.e., from tributaries, tailrace spawning areas, and hatcheries) be considered.

Influence of the Hyporheic Zone on Supersaturated Gas Exposure to Incubating Chum Salmon

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

Arntzen, Evan V.; Geist, David R.; Murray, Katherine J.

2009-12-01

Supersaturated total dissolved gas (TDG) is elevated seasonally in the lower Columbia River, with surface water concentrations approaching 120% saturation of TDG. Chum salmon (Oncorhynchus keta) embryos incubating in nearby spawning areas could be affected if depth-compensated TDG concentrations within the hyporheic zone exceed 103% TDG. The objective of this study was to determine if TDG of the hyporheic zone in two chum salmon spawning areas -- one in a side channel near Ives Island, Washington, and another on the mainstem Columbia River near Multnomah Falls, Oregon -- was affected by the elevated TDG of the surface water. Depth-compensated hyporheicmore » TDG did not exceed 103% at the Multnomah Falls site. However, in the Ives Island area, chum salmon redds were exposed to TDG greater than 103% for more than 600 hours. In response to river depth fluctuations, TDG varied significantly in the Ives Island area, suggesting increased interaction between the hyporheic zone and surface water at that site. We conclude from this study that the interaction between surface water and the hyporheic zone affects the concentration of TDG within the hyporheic zone directly via physical mixing as well as indirectly by altering water chemistry and thus dissolved gas solubility. These interactions are important considerations when estimating TDG exposure within egg pocket environments, facilitating improved exposure estimates, and enabling managers to optimize recovery strategies.« less

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.

Dynamic malaria hotspots in an open cohort in western Kenya.

PubMed

Platt, Alyssa; Obala, Andrew A; MacIntyre, Charlie; Otsyula, Barasa; Meara, Wendy Prudhomme O'

2018-01-12

Malaria hotspots, defined as areas where transmission intensity exceeds the average level, become more pronounced as transmission declines. Targeting hotspots may accelerate reductions in transmission and could be pivotal for malaria elimination. Determinants of hotspot location, particularly of their movement, are poorly understood. We used spatial statistical methods to identify foci of incidence of self-reported malaria in a large census population of 64,000 people, in 8,290 compounds over a 2.5-year study period. Regression models examine stability of hotspots and identify static and dynamic correlates with their location. Hotspot location changed over short time-periods, rarely recurring in the same area. Hotspots identified in spring versus fall season differed in their stability. Households located in a hotspot in the fall were more likely to be located in a hotspot the following fall (RR = 1.77, 95% CI: 1.66-1.89), but the opposite was true for compounds in spring hotspots (RR = 0.15, 95% CI: 0.08-0.28). Location within a hotspot was related to environmental and static household characteristics such as distance to roads or rivers. Human migration into a household was correlated with risk of hotspot membership, but the direction of the association differed based on the origin of the migration event.

Predictors of Recurrent Falls in People with Parkinson's Disease and Proposal for a Predictive Tool.

PubMed

Almeida, Lorena R S; Valenca, Guilherme T; Negreiros, Nádja N; Pinto, Elen B; Oliveira-Filho, Jamary

2017-01-01

Falls are a debilitating problem for people with Parkinson's disease (PD). To compare clinical and functional characteristics of non-fallers, single and recurrent fallers (≥2 falls); to determine predictors of time to second fall; and to develop a predictive tool for identifying people with PD at different categories of falls risk. Participants (n = 229) were assessed by disease-specific, self-report and balance measures and followed up for 12 months. Area under the receiver operating characteristic curves (AUC), Kaplan-Meier curves and log-rank test were performed. Selected predictors with p < 0.10 in univariate analysis were chosen to be entered into the Cox regression model. Eighty-four (37%) participants had ≥2 falls during the follow-up. Recurrent fallers significantly differed from single fallers. The final Cox model included history of ≥2 falls in the past year (Hazard Ratio [HR] = 3.94; 95% confidence interval [CI] 2.26-6.86), motor fluctuations (HR = 1.91; 95% CI 1.12-3.26), UPDRS activities of daily living (ADL) (HR = 1.10 per 1 point increase; 95% CI 1.06-1.14) and levodopa equivalent dose (LED) (HR = 1.09 per 100 mg increase; 95% CI 1.02-1.16). A 3-predictor tool included history of ≥2 falls in the past year, motor fluctuations and UPDRS ADL >12 points (AUC = 0.84; 95% CI 0.78-0.90). By adding LED >700 mg/day and Berg balance scale ≤49 points, a 5-predictor tool was developed (AUC = 0.86; 95% CI 0.81-0.92). Two predictive tools with moderate-to-high accuracy may identify people with PD at low, medium and high risk of falling recurrently within the next year. However, future studies to address external validation are required.

The risk of falling into poverty after developing heart disease: a survival analysis.

PubMed

Callander, Emily J; Schofield, Deborah J

2016-07-15

Those with a low income are known to have a higher risk of developing heart disease. However, the inverse relationship - falling into income poverty after developing heart disease has not been explored with longitudinal data. This paper aims to determine if those with heart disease have an elevated risk of falling into poverty. Survival analysis was conducted using the longitudinal Household Income and Labour Dynamics in Australia survey, between the years 2007 and 2012. The study focused on the Australian population aged 21 years and over in 2007 who were not already in poverty and did not already have heart disease, who were followed from 2007 to 2012. Cox regression models adjusting for age, sex and time-varying co-variates (marital status, home ownership and remoteness of area of residence) were constructed to assess the risk of falling into poverty. For those aged 20 who developed heart disease, the hazard ratio for falling into income poverty was 9.24 (95 % CI: 8.97-9.51) and for falling into multidimensional poverty the hazard ratio was 14.21 (95 % CI: 13.76-14.68); for those aged 40 the hazard ratio for falling into income poverty was 3.45 (95 % CI: 3.39-3.51) and for multidimensional poverty, 5.20 (95 % CI: 5.11-5.29); and for those aged 60 the hazard ratio for falling into income poverty was 1.29 (95 % CI: 1.28-1.30) and for multidimensional poverty, 1.52 (95 % CI: 1.51-1.54), relative those who never developed heart disease. The risk for both income and multidimensional poverty decreases with age up to the age of 70, over which, those who developed heart disease had a reduced risk of poverty. For those under the age of 70, developing heart disease is associated with an increased risk of falling into both income poverty and multidimensional poverty.

Redd Site Selection and Spawning Habitat Use by Fall Chinook Salmon: The Importance of Geomorphic Features in Large Rivers

PubMed

Geist; Dauble

1998-09-01

/ Knowledge of the three-dimensional connectivity between rivers and groundwater within the hyporheic zone can be used to improve the definition of fall chinook salmon (Oncorhynchus tshawytscha) spawning habitat. Information exists on the microhabitat characteristics that define suitable salmon spawning habitat. However, traditional spawning habitat models that use these characteristics to predict available spawning habitat are restricted because they can not account for the heterogeneous nature of rivers. We present a conceptual spawning habitat model for fall chinook salmon that describes how geomorphic features of river channels create hydraulic processes, including hyporheic flows, that influence where salmon spawn in unconstrained reaches of large mainstem alluvial rivers. Two case studies based on empirical data from fall chinook salmon spawning areas in the Hanford Reach of the Columbia River are presented to illustrate important aspects of our conceptual model. We suggest that traditional habitat models and our conceptual model be combined to predict the limits of suitable fall chinook salmon spawning habitat. This approach can incorporate quantitative measures of river channel morphology, including general descriptors of geomorphic features at different spatial scales, in order to understand the processes influencing redd site selection and spawning habitat use. This information is needed in order to protect existing salmon spawning habitat in large rivers, as well as to recover habitat already lost.KEY WORDS: Hyporheic zone; Geomorphology; Spawning habitat; Large rivers; Fall chinook salmon; Habitat management

Raising Aspirations and Widening Participation: An Evaluation of Aimhigher in Herefordshire and Worcestershire

ERIC Educational Resources Information Center

Miller, Judy; Smith, Catherine

2011-01-01

Set in the context of a falling budget, the purpose of this study was to investigate how the impact of Aimhigher funds could be maximised in Herefordshire and Worcestershire schools. A case study approach using phenomenological methods was used to examine three key areas: How are funds distributed and utilised by schools and colleges? How are…

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

Distribution and foraging patterns of common loons on Lake Michigan with implications for exposure to type E avian botulism

USGS Publications Warehouse

Kenow, Kevin P.; Houdek, Steven C.; Fara, Luke; Gray, Brian R.; Lubinski, Brian R.; Heard, Darryl J.; Meyer, Michael W.; Fox, Timothy J.; Kratt, Robert

2018-01-01

Common loons (Gavia immer) staging on the Great Lakes during fall migration are at risk to episodic outbreaks of type E botulism. Information on distribution, foraging patterns, and exposure routes of loons are needed for understanding the physical and ecological factors that contribute to avian botulism outbreaks. Aerial surveys were conducted to document the spatiotemporal distribution of common loons on Lake Michigan during falls 2011–2013. In addition, satellite telemetry and archival geolocator tags were used to determine the distribution and foraging patterns of individual common loons while using Lake Michigan during fall migration. Common loon distribution observed during aerial surveys and movements of individual radiomarked and/or geotagged loons suggest a seasonal pattern of use, with early fall use of Green Bay and northern Lake Michigan followed by a shift in distribution to southern Lake Michigan before moving on to wintering areas. Common loons tended to occupy offshore areas of Lake Michigan and, on average, spent the majority of daylight hours foraging. Dive depths were as deep as 60 m and dive characteristics suggested that loons were primarily foraging on benthic prey. A recent study concluded that round gobies (Neogobius melanostomus) are an important prey item of common loons and may be involved in transmission of botulinum neurotoxin type E. Loon distribution coincides with the distribution of dreissenid mussel biomass, an important food resource for round gobies. Our observations support speculation that energy transfer to higher trophic levels via gobies may occur in deep-water habitats, along with transfer of botulinum neurotoxin.

The 1990-1991 project summaries

NASA Technical Reports Server (NTRS)

1991-01-01

The Mechanical Engineering Department at The University of Texas at Austin participated in the NASA/USRA University Advanced Design Program on both an undergraduate and a graduate level during the 1990-91 academic year. The focus of study was on four design projects that fall into one of the following areas: (1) the establishment of a lunar base and (2) mission planet Earth. The design projects were incorporated into already existing design courses and students worked together in groups of three to five. A background of each area of study is provided, along with synopses, conclusions, and recommendations for further study for each design project.

Comparison between Frailty Index of Deficit Accumulation and Phenotypic Model to Predict Risk of Falls: Data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton Cohort

PubMed Central

Thabane, Lehana; Ioannidis, George; Kennedy, Courtney; Papaioannou, Alexandra

2015-01-01

Objectives To compare the predictive accuracy of the frailty index (FI) of deficit accumulation and the phenotypic frailty (PF) model in predicting risks of future falls, fractures and death in women aged ≥55 years. Methods Based on the data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) 3-year Hamilton cohort (n = 3,985), we compared the predictive accuracy of the FI and PF in risks of falls, fractures and death using three strategies: (1) investigated the relationship with adverse health outcomes by increasing per one-fifth (i.e., 20%) of the FI and PF; (2) trichotomized the FI based on the overlap in the density distribution of the FI by the three groups (robust, pre-frail and frail) which were defined by the PF; (3) categorized the women according to a predicted probability function of falls during the third year of follow-up predicted by the FI. Logistic regression models were used for falls and death, while survival analyses were conducted for fractures. Results The FI and PF agreed with each other at a good level of consensus (correlation coefficients ≥ 0.56) in all the three strategies. Both the FI and PF approaches predicted adverse health outcomes significantly. The FI quantified the risks of future falls, fractures and death more precisely than the PF. Both the FI and PF discriminated risks of adverse outcomes in multivariable models with acceptable and comparable area under the curve (AUCs) for falls (AUCs ≥ 0.68) and death (AUCs ≥ 0.79), and c-indices for fractures (c-indices ≥ 0.69) respectively. Conclusions The FI is comparable with the PF in predicting risks of adverse health outcomes. These findings may indicate the flexibility in the choice of frailty model for the elderly in the population-based settings. PMID:25764521

Comparison between frailty index of deficit accumulation and phenotypic model to predict risk of falls: data from the global longitudinal study of osteoporosis in women (GLOW) Hamilton cohort.

PubMed

Li, Guowei; Thabane, Lehana; Ioannidis, George; Kennedy, Courtney; Papaioannou, Alexandra; Adachi, Jonathan D

2015-01-01

To compare the predictive accuracy of the frailty index (FI) of deficit accumulation and the phenotypic frailty (PF) model in predicting risks of future falls, fractures and death in women aged ≥55 years. Based on the data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) 3-year Hamilton cohort (n = 3,985), we compared the predictive accuracy of the FI and PF in risks of falls, fractures and death using three strategies: (1) investigated the relationship with adverse health outcomes by increasing per one-fifth (i.e., 20%) of the FI and PF; (2) trichotomized the FI based on the overlap in the density distribution of the FI by the three groups (robust, pre-frail and frail) which were defined by the PF; (3) categorized the women according to a predicted probability function of falls during the third year of follow-up predicted by the FI. Logistic regression models were used for falls and death, while survival analyses were conducted for fractures. The FI and PF agreed with each other at a good level of consensus (correlation coefficients ≥ 0.56) in all the three strategies. Both the FI and PF approaches predicted adverse health outcomes significantly. The FI quantified the risks of future falls, fractures and death more precisely than the PF. Both the FI and PF discriminated risks of adverse outcomes in multivariable models with acceptable and comparable area under the curve (AUCs) for falls (AUCs ≥ 0.68) and death (AUCs ≥ 0.79), and c-indices for fractures (c-indices ≥ 0.69) respectively. The FI is comparable with the PF in predicting risks of adverse health outcomes. These findings may indicate the flexibility in the choice of frailty model for the elderly in the population-based settings.

Activities-specific balance confidence scale for predicting future falls in Indian older adults.

PubMed

Moiz, Jamal Ali; Bansal, Vishal; Noohu, Majumi M; Gaur, Shailendra Nath; Hussain, Mohammad Ejaz; Anwer, Shahnawaz; Alghadir, Ahmad

2017-01-01

Activities-specific balance confidence (ABC) scale is a subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness. This study aimed to examine the ability of the Hindi version of the ABC scale (ABC-H scale) to discriminate between fallers and non-fallers and to examine its predictive validity for prospective falls. This was a prospective cohort study. A total of 125 community-dwelling older adults (88 were men) completed the ABC-H scale. The occurrence of falls over the follow-up period of 12 months was recorded. Discriminative validity was analyzed by comparing the total ABC-H scale scores between the faller and non-faller groups. A receiver operating characteristic curve analysis and a logistic regression analysis were used to examine the predictive accuracy of the ABC-H scale. The mean ABC-H scale score of the faller group was significantly lower than that of the non-faller group (52.6±8.1 vs 73.1±12.2; P <0.001). The optimal cutoff value for distinguishing faller and non-faller adults was ≤58.13. The sensitivity, specificity, area under the curve, and positive and negative likelihood ratios of the cutoff score were 86.3%, 87.3%, 0.91 ( P <0.001), 6.84, and 0.16, respectively. The percentage test accuracy and false-positive and false-negative rates were 86.87%, 12.2%, and 13.6%, respectively. A dichotomized total ABC-H scale score of ≤58.13% (adjusted odds ratio =0.032, 95% confidence interval =0.004-0.25, P =0.001) was significantly related with future falls. The ABC-H scores were significantly and independently related with future falls in the community-dwelling Indian older adults. The ability of the ABC-H scale to predict future falls was adequate with high sensitivity and specificity values.

Perspectives of older people about contingency planning for falls in the community: A qualitative meta-synthesis

PubMed Central

Charlton, Kimberly; Kumar, Saravana

2017-01-01

Objective Despite consistent evidence for the positive impact of contingency planning for falls in older people, implementation of plans often fail. This is likely due to lack of recognition and knowledge about perspectives of older people about contingency planning. The objective of this research was to explore the perspectives of older people living in the community about use of contingency planning for getting help quickly after a fall. Method A systematic literature search seeking qualitative research was conducted in April 2014, with no limit placed on date of publication. Medline, EMBASE, Ageline, CINAHL, HealthSource- Nursing/Academic Edition, AMED and Psych INFO databases were searched. Three main concepts were explored and linked using Boolean operators; older people, falls and contingency planning. The search was updated until February 2016 with no new articles found. After removal of duplicates, 562 articles were assessed against inclusion and exclusion criteria resulting in six studies for the meta-synthesis. These studies were critically appraised using the McMaster critical appraisal tool. Bespoke data extraction sheets were developed and a meta-synthesis approach was adopted to extract and synthesise findings. Findings Three themes of ‘a mix of attitudes’, ‘careful deliberations’ and ‘a source of anxiety’ were established. Perspectives of older people were on a continuum between regarding contingency plans as necessary and not necessary. Levels of engagement with the contingency planning process seemed associated with acceptance of their risk of falling and their familiarity with available contingency planning strategies. Conclusion Avoiding a long lie on the floor following a fall is imperative for older people in the community but there is a lack of knowledge about contingency planning for falls. This meta-synthesis provides new insights into this area of health service delivery and highlights that implementation of plans needs to be directed by the older people rather than the health professionals. PMID:28562596

Perspectives of older people about contingency planning for falls in the community: A qualitative meta-synthesis.

PubMed

Charlton, Kimberly; Murray, Carolyn M; Kumar, Saravana

2017-01-01

Despite consistent evidence for the positive impact of contingency planning for falls in older people, implementation of plans often fail. This is likely due to lack of recognition and knowledge about perspectives of older people about contingency planning. The objective of this research was to explore the perspectives of older people living in the community about use of contingency planning for getting help quickly after a fall. A systematic literature search seeking qualitative research was conducted in April 2014, with no limit placed on date of publication. Medline, EMBASE, Ageline, CINAHL, HealthSource- Nursing/Academic Edition, AMED and Psych INFO databases were searched. Three main concepts were explored and linked using Boolean operators; older people, falls and contingency planning. The search was updated until February 2016 with no new articles found. After removal of duplicates, 562 articles were assessed against inclusion and exclusion criteria resulting in six studies for the meta-synthesis. These studies were critically appraised using the McMaster critical appraisal tool. Bespoke data extraction sheets were developed and a meta-synthesis approach was adopted to extract and synthesise findings. Three themes of 'a mix of attitudes', 'careful deliberations' and 'a source of anxiety' were established. Perspectives of older people were on a continuum between regarding contingency plans as necessary and not necessary. Levels of engagement with the contingency planning process seemed associated with acceptance of their risk of falling and their familiarity with available contingency planning strategies. Avoiding a long lie on the floor following a fall is imperative for older people in the community but there is a lack of knowledge about contingency planning for falls. This meta-synthesis provides new insights into this area of health service delivery and highlights that implementation of plans needs to be directed by the older people rather than the health professionals.

Protection against impact with the ground using wearable airbags.

PubMed

Fukaya, Kiyoshi; Uchida, Mitsuya

2008-01-01

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

Noble gases in twenty Yamato H-chondrites: Comparison with Allan Hills chondrites and modern falls

NASA Technical Reports Server (NTRS)

Loeken, TH.; Scherer, P.; Schultz, L.

1993-01-01

Concentration and isotopic composition of noble gases have been measured in 20 H-chrondrites found on the Yamato Mountains ice fields in Antarctica. The distribution of exposure ages as well as of radiogenic He-4 contents is similar to that of H-chrondrites collected at the Allan Hills site. Furthermore, a comparison of the noble gas record of Antarctic H-chrondrites and finds or falls from non-Antarctic areas gives no support to the suggestion that Antarctic H-chrondrites and modern falls derive from differing interplanetary meteorite populations.

Spatial patterns of drought persistence in East China

NASA Astrophysics Data System (ADS)

Meng, L.; Ford, T.

2017-12-01

East China has experienced a number of severe droughts in recent decades. Understanding the characteristics of droughts and their persistence will provide operational guidelines for water resource management and agricultural production. This study uses a logistic regression model to measure the probability of drought occurrence in the current season given the previous season's Standardized Precipitation Index (SPI) and Southern Oscillation Index (SOI) as well as drought persistence. Results reveal large spatial and seasonal variations in the relationship between the previous season's SPI and the drought occurrence probability in a given season. The drought persistence averaged over the entire study area for all the four seasons is approximately 34% with large variations from season to season and from region to region. The East and Northeast regions have the largest summer drought persistence ( 40%) and lowest fall drought persistence ( 28%). The spatial pattern in winter and spring drought persistence is dissimilar with stronger winter and weaker spring drought persistence in the Southwest and Northeast relative to other regions. Logistic regression analysis indicates a stronger negative relationship in summer-to-fall (or between fall drought occurrence and summer SPI) than other inter-season relationships. This study demonstrates that the impact of previous season SPI and SOI on current season drought varies substantially from region to region and from season to season. This study also shows stronger drought persistence in summer than in other seasons. In other words, the probability of fall drought occurrence is closely related to summer moisture conditions in the East China.

40 CFR 52.123 - Approval status.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Urban Planning Area for O3. (e) The Administrator finds that the plan does not satisfy all the... pollutants listed in this paragraph. (1) Maricopa County Urban Planning Area for CO and TSP. (2) [Reserved... TSP, the portion of the Tucson TSP Air Planning Area falling both within the area described by...

40 CFR 52.123 - Approval status.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Urban Planning Area for O3. (e) The Administrator finds that the plan does not satisfy all the... pollutants listed in this paragraph. (1) Maricopa County Urban Planning Area for CO and TSP. (2) [Reserved... TSP, the portion of the Tucson TSP Air Planning Area falling both within the area described by...

Genetic characterization of naturally spawned Snake River fall-run Chinook salmon

USGS Publications Warehouse

Marshall, A.R.; Blankenship, H.L.; Connor, W.P.

1999-01-01

We sampled juvenile Snake River chinook salmon Oncorhynchus tshawytscha to genetically characterize the endangered Snake River fall-run population. Juveniles from fall and spring–summer lineages coexisted in our sampling areas but were differentiated by large allozyme allele frequency differences. We sorted juveniles by multilocus genotypes into putative fall and spring lineage subsamples and determined lineage composition using maximum likelihood estimation methods. Paired sMEP-1* and PGK-2* genotypes—encoding malic enzyme (NADP+) and phosphoglycerate kinase, respectively—were very effective for sorting juveniles by lineage, and subsamples estimated to be 100% fall lineage were obtained in four annual samples. We examined genetic relationships of these fall lineage juveniles with adjacent populations from the Columbia River and from Lyons Ferry Hatchery, which was established to perpetuate the Snake River fall-run population. Our samples of naturally produced Snake River fall lineage juveniles were most closely aligned with Lyons Ferry Hatchery samples. Although fall-run strays of Columbia River hatchery origin found on spawning grounds threaten the genetic integrity of the Snake River population, juvenile samples (a) showed distinctive patterns of allelic diversity, (b) were differentiated from Columbia River populations, and (c) substantiate earlier conclusions that this population is an important genetic resource. This first characterization of naturally produced Snake River fall chinook salmon provides a baseline for monitoring and recovery planning.

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

PubMed Central

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

2017-01-01

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

Hybrid Pyroclastic Deposits Accumulated From The Eruptive Transitional Regime of Plinian Eruptions.

NASA Astrophysics Data System (ADS)

di Muro, Andrea; Rosi, Mauro

In the past 15 years sedimentological studies (Valentine and Giannetti, 1995; Wilson and Hildreth, 1997; Rosi et al., 2001), physical models (Neri et al., 1988; Veitch and Woods, 2000; Kaminski and Jaupart, 2001) and laboratory experiments (Carey et al., 1988) converge at defining a new eruptive regime transitional between the fully convective and the fully collapsing end -members. Buoyant columns and density currents are contemporaneously fed in the transitional dynamic regime and fall beds are intercalated with the density current deposits in the area invested by them. The sedimentological analysis of the well exposed 800yr B.P. plinian eruption of the volcano Quilotoa (Ecuador) enabled us to i) recognize a gradual evolution of the eruptive regime, ii) characterize the fall and density current deposits emplaced during the transitional regime. The eruptive activity began with at least two phreatic explosions and the effusion of a small volume lava dome. Eruptive behaviour then switched to explosive and fed a purely convective column that accumulated a reverse graded pumice fall while rising up to an height of 30 km. A small volume, diluted and slow density current (S1 current) was emplaced in the proximal SW sector just before the column reached its maximum height. Two group s of more voluminous and faster intra-plinian density currents (S2 and S3 currents) were subsequently emplaced contemporaneously with the accumulation of the lower and upper part respectively of a normal graded pumice fall bed. S2 and S3 currents were radially distributed around the crater and deposited bedded layers with facies of decreasing energy when moving away from the crater. Massive beds of small volume were emplaced only i) inside the proximal valley channel near the topography break in slope, ii) outside the valley channel in medial area where the currents impinged against relieves. A thick sequence of pyroclastic flow deposits (S4 currents) accumulated in the valley channels around the crater only in a post-plinian phase. During this phase, the convective plume was purely coignimbritic. The runout (from 4 to 11 km) and the degree of valley -confinement progressively increased from S1 to S4 currents. The eruption ended with the collapse of a 2.6 km summit caldera. During this last eruptive phase, coarse lithic-rich flow units with runout shorter than previously were emplaced. The parallel evolution of column height (grain-size), fountain height (size of ballistics) and flow properties (surges vs. flows) compares well with the numerical simulations of pyroclastic dispersion performed by Neri et al. (2002). In the whole dispersion area, the fall bed has a polymodal grain-size. The coarse modes of the fall appear related to the plinian column, while the fines ones have a co-ignimbrite fall origin. Sub-pop ulation analysis shows that the fine modes are related to ash aggregation that in transitional eruptions plays a significant role in the deposition of very fine sizzes also in very proximal areas. The fall deposit is totally eroded and reworked by the syn-plinian currents in the proximal areas and partially eroded in the medial areas. Grain-size and maximum clast analysis indicate that a significant fraction of the intraplinian beds is of primary fall origin. Strong similarities are found between the Quilot oa deposits and that accumulated during the transitional phase of the 1991 Pinatubo eruption (Rosi et al., 2001). These evidences should be carefully taken in account for risk assessment when analysing deposits accumulated in the transitional eruptive regi me with the aim at calculating the physical parameters characterizing the density currents ( Brissette and Lajoie, 1990). References : Brissette FP and Lajoie J (1990) Depositional mechanics of turbulent nuées ardentes (surges) from their grain-sizes. Bull Volcanol 53:60-66. Carey S, Sigurdsson H, Sparks RSJ (1988) Experimental studies of particle-laden plumes. J Geophys Res 93:15314-15328 Kaminski E and Jaupart C (2001) Marginal stability of atmospheric eruption columns and pyroclastic flow generation J Geophys Res 106: 21785-21798 Neri A, Papale P and Macedonio G (1998) The role of magma composition and water content in explosive eruptions: 2. Pyroclastic dispersion dynamics. J Volcanol Geotherm Res 87: 95-115 Neri A, Di Muro A, Rosi M (2002) Mass partition during collapsing and transitional columns by using numerical simulations. In press on J Volcanol Geotherm Res Rosi M., Paladio-Melosantos M.L., Di Muro A., Leoni R., Bacolcol T. (2001) Fall vs Flow Activity During the 1991 Climactic Eruption of Mt. Pinatubo (Philippines). Bull Volcanol 62: 549-566 Valentine G.A., Giannetti B. (1995) Single Pyroclastic beds deposited by simultaneous fallout and surge processes: Roccamonfina volcano, Italy. J Volcanol Geotherm Res 64:129-137. Veitch G and Woods A (2002) Particle recycling and oscillations of volcanic eruption columns. J of Geophys Res, 105: 2829-2842. Wilson C.J.N., Hildreth W. (1997) The Bishop Tuff: new insights from eruptive stratigraphy J of Geol. 105:407-439.

Seasonal use of shallow water habitat in the Lower Snake River reservoirs by juvenile fall Chinook salmon

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.

2012-01-01

The U.S. Army Corps of Engineers (COE) is preparing a long term management plan for sediments that affect the authorized project purposes of the Lower Granite, Little Goose, Lower Monumental, and Ice Harbor reservoirs (hereafter, the lower Snake River reservoirs), and the area from the mouth of the Snake River to Ice Harbor Dam. We conducted a study from spring 2010 through winter 2011 to describe the habitat use by juvenile Chinook salmon within a selected group of shallow water habitat complexes (< 6 m deep) in the lower Snake River reservoirs to help inform the long-term plan. Natural fry and parr were present within all four shallow water habitat complexes that we studied from early spring through early summer, and parr ( = 40,345 ± 18,800 [error bound]) were more abundant than fry ( = 24,615 ± 5,701). Water < 2 m deep was highly used for rearing by natural fall Chinook salmon subyearlings (fry and parr combined; hereafter natural subyearlings) based on duration of use and relative group abundances during spring and summer, whereas the 2–6 m depth interval was more highly used by migratory hatchery fall Chinook salmon subyearlings and spring, summer, and fall Chinook salmon yearlings. Overall mean spring-summer apparent density of natural subyearlings was 15.5 times higher within the < 2 m depth interval than within the 2–6 m depth interval. Density of natural subyearlings also decreased as the distance a given shallow water habitat complex was located from the riverine spawning areas increased. Reservoir-type juveniles (or fish likely destined to become reservoir-type juveniles) were present in the lower Snake River reservoirs from fall 2010 through winter 2011; however, use of shallow water habitat by reservoir-type juveniles was limited during our study. We only collected 38 reservoir-type juveniles in shallow water habitat sites in beach and lampara seines during the fall. Radiotelemetry data revealed that though many tagged fish passed shallow water habitat sites, relatively few fish entered them and the median time fish spent within a given site was less than 1.4 h. Fish located by mobile tracking away from study sites were pelagically oriented, and generally not found over shallow water or close to shore. The findings in this report: (1) support the selection of natural fall Chinook subyearlings as the indicator group for determining the potential benefits of using dredge spoils to create shallow water habitat, (2) provide evidence for shallow water habitat use by natural subyearlings, (3) provide evidence against large-scale use of shallow water habitat by reservoir-type juveniles, (4) suggest that the depth criterion for defining shallow water habitat (i.e., < 6 m deep) warrants reconsideration, and (5) provide guidance for when to dredge and create shallow water habitat. Future research on habitat preference, feeding ecology, the food web, and intra-specific competition would help to better inform the long-term management plan.

Variable Acorn Crops: Responses of White-Tailed Deer and Other Mast Consumers

Treesearch

William J. McShea; Georg Schwede

1993-01-01

We examined movements and behavior of female white-tailed deer (Odocoileus virginianus) relative to the acorn mast-fall from 1986 through 1989 in a mature deciduous forest in Front Royal, Virginia. Ten white-tailed deer with radiotransmitters increased their home range to incorporate acorn-producing areas during mast-fall. Consumption of acorns by...

Migratory patterns of the fall armyworm (Spodoptera frugiperda) in the western hemisphere

USDA-ARS?s Scientific Manuscript database

Fall armyworm (FAW) is a serious pest of sweet corn in south Florida and a pest of other vegetable, row, and forage crops in the southeastern, mid-Atlantic, and central U.S. It is a migratory pest, moving north each season from overwintering areas in southern Texas and southern Florida. For the la...

Modeling seasonal migration of fall armyworm moths

NASA Astrophysics Data System (ADS)

Westbrook, J. K.; Nagoshi, R. N.; Meagher, R. L.; Fleischer, S. J.; Jairam, S.

2016-02-01

Fall armyworm, Spodoptera frugiperda (J.E. Smith), is a highly mobile insect pest of a wide range of host crops. However, this pest of tropical origin cannot survive extended periods of freezing temperature but must migrate northward each spring if it is to re-infest cropping areas in temperate regions. The northward limit of the winter-breeding region for North America extends to southern regions of Texas and Florida, but infestations are regularly reported as far north as Québec and Ontario provinces in Canada by the end of summer. Recent genetic analyses have characterized migratory pathways from these winter-breeding regions, but knowledge is lacking on the atmosphere's role in influencing the timing, distance, and direction of migratory flights. The Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) model was used to simulate migratory flight of fall armyworm moths from distinct winter-breeding source areas. Model simulations identified regions of dominant immigration from the Florida and Texas source areas and overlapping immigrant populations in the Alabama-Georgia and Pennsylvania-Mid-Atlantic regions. This simulated migratory pattern corroborates a previous migratory map based on the distribution of fall armyworm haplotype profiles. We found a significant regression between the simulated first week of moth immigration and first week of moth capture (for locations which captured ≥10 moths), which on average indicated that the model simulated first immigration 2 weeks before first captures in pheromone traps. The results contribute to knowledge of fall armyworm population ecology on a continental scale and will aid in the prediction and interpretation of inter-annual variability of insect migration patterns including those in response to climatic change and adoption rates of transgenic cultivars.

Measuring Standards in Primary English: The Validity of PIRLS--A Response to Mary Hilton

ERIC Educational Resources Information Center

Whetton, Chris; Twist, Liz; Sainsbury, Marian

2007-01-01

Hilton (2006) criticises the PIRLS (Progress in International Reading Literacy Study) tests and the survey conduct, raising questions about the validity of international surveys of reading. Her criticisms fall into four broad areas: cultural validity, methodological issues, construct validity and the survey in England. However, her criticisms are…

Discrepancies Confer Vulnerability to Depressive Symptoms: A Three-Wave Longitudinal Study

ERIC Educational Resources Information Center

Sherry, Simon B.; Mackinnon, Sean P.; Macneil, Matthew A.; Fitzpatrick, Skye

2013-01-01

Discrepancies (i.e., a subjective sense of falling short of one's own standards) are a key part of the perfectionism construct. Theory suggests discrepancies confer vulnerability to depressive symptoms. Since most research in this area is cross-sectional, longitudinal research is needed to disentangle directionality of relationships and to permit…

ANTS AS BIOLOGICAL INDICATORS FOR MONITORING CHANGES IN ARID ENVIRONMENTS: LESSONS FOR MONITORING PROTECTED AREAS

EPA Science Inventory

The responses of ant communities to structural change (removal of an invasive
were studied in a replicated experiment in a Chihuahuan Desert grassland. The
results from sampling of ant communities by pit-fall trapping were validated by
mapping ant colonies on the expe...

Seasonal variation of infiltration capacities of soils in western Oregon.

Treesearch

Michael G. Johnson; Robert L. Beschta

1981-01-01

Infiltration capacities were 50 percent greater during fall than during summer for forest soils of western Oregon. These results contrast with those measured in other studies. In forested areas, investigators should be aware of potentially large seasonal changes in infiltration capacities. Such seasonal changes may exceed effects due to applied treatments (logging,...

Evidence Summary for H&R Block College Financial Aid Application Assistance. Top Tier Evidence Initiative

ERIC Educational Resources Information Center

Coalition for Evidence-Based Policy, 2012

2012-01-01

U.S. social programs, set up to address important problems, often fall short by funding specific models/strategies ("interventions") that are not effective. When evaluated in scientifically-rigorous studies, social interventions in K-12 education, job training, crime prevention, and other areas are frequently found ineffective or…

Evidence Summary for New York City's Small Schools of Choice. Top Tier Evidence Initiative

ERIC Educational Resources Information Center

Coalition for Evidence-Based Policy, 2015

2015-01-01

U.S. social programs, set up to address important problems, often fall short by funding specific models/strategies ("interventions") that are not effective. When evaluated in scientifically-rigorous studies, social interventions in K-12 education, job training, crime prevention, and other areas are frequently found ineffective or…

"Project Outreach," Final Report, December 31, 1979.

ERIC Educational Resources Information Center

Latzer, Robert M.

Fall 1979 activities for Project Outreach, a faculty development program at Jersey City State College, are described. Problems involved in carrying out these activities, a statement of expenditures and balances, and a set of recommendations are covered. Four areas of activity planned at the college were: a second series of study skills seminars, a…

Broadband Access for Students at East Tennessee State University

ERIC Educational Resources Information Center

Sawyer, Thomas Scott

2013-01-01

The purpose of this study was to determine the availability of Internet access for students attending East Tennessee State University during the fall semester 2013. It has been unknown to what degree broadband access is available in the East Tennessee State University service area that includes counties in East Tennessee, Southwest Virginia, and…

NetWork News. Number 21, Fall 2005

ERIC Educational Resources Information Center

Learning Point Associates / North Central Regional Educational Laboratory (NCREL), 2005

2005-01-01

An Interview With Kiley Walsh In her ground-breaking study, titled "After the Test: How Schools Are Using Data to Close the Achievement Gap", researcher Kiley Walsh shows clear evidence of specific work being done to close achievement gaps. Walsh selected 32 schools across six counties in the San Francisco Bay Area and compared those…

Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD.

PubMed

Jácome, Cristina; Cruz, Joana; Oliveira, Ana; Marques, Alda

2016-11-01

The Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest are useful in the assessment of balance. Their psychometric properties, however, have not been tested in patients with chronic obstructive pulmonary disease (COPD). This study aimed to compare the validity, reliability, and ability to identify fall status of the BBS, BESTest, Mini-BESTest, and the Brief-BESTest in patients with COPD. A cross-sectional study was conducted. Forty-six patients (24 men, 22 women; mean age=75.9 years, SD=7.1) were included. Participants were asked to report their falls during the previous 12 months and to fill in the Activity-specific Balance Confidence (ABC) Scale. The BBS and the BESTest were administered. Mini-BESTest and Brief-BESTest scores were computed based on the participants' BESTest performance. Validity was assessed by correlating balance tests with each other and with the ABC Scale. Interrater reliability (2 raters), intrarater reliability (48-72 hours), and minimal detectable changes (MDCs) were established. Receiver operating characteristics assessed the ability of each balance test to differentiate between participants with and without a history of falls. Balance test scores were significantly correlated with each other (Spearman correlation rho=.73-.90) and with the ABC Scale (rho=.53-.75). Balance tests presented high interrater reliability (intraclass correlation coefficient [ICC]=.85-.97) and intrarater reliability (ICC=.52-.88) and acceptable MDCs (MDC=3.3-6.3 points). Although all balance tests were able to identify fall status (area under the curve=0.74-0.84), the BBS (sensitivity=73%, specificity=77%) and the Brief-BESTest (sensitivity=81%, specificity=73%) had the higher ability to identify fall status. Findings are generalizable mainly to older patients with moderate COPD. The 4 balance tests are valid, reliable, and valuable in identifying fall status in patients with COPD. The Brief-BESTest presented slightly higher interrater reliability and ability to differentiate participants' fall status. © 2016 American Physical Therapy Association.

Changes in cross-sectional airway areas induced by methacholine, histamine, and LTC4 in asthmatic subjects.

PubMed

Molfino, N A; Slutsky, A S; Hoffstein, V; McClean, P A; Rebuck, A S; Drazen, J M; Zamel, N

1992-09-01

To examine whether leukotrienes, histamine, and methacholine have different sites of bronchoconstrictor action, we studied 8 stable asthmatic subjects (mean age +/- SD, 26 +/- 5 yr) on 3 different days. On each day, a randomized challenge with LTC4, methacholine, or histamine was performed until the dose that provoked a fall of 20% in FEV1 (PC20) was obtained. Complete and partial flow-volume curves as well as area-distance profiles generated by the acoustic reflection technique (ART) at a fixed lung volume were obtained in all subjects before and after each inhalation challenge. No significant differences were found in pulmonary function or baseline cross-sectional airway areas for the different study days. The three agonists provoked significant (p less than 0.05) bronchoconstriction at the level of the main bronchi when identical falls of FEV1 were achieved. Similarly, equal reductions of V30p were elicited by the three agonists. However, LTC4 and methacholine induced additional tracheal constriction but histamine inhalation did not. These differences in the degree of tracheal constriction were statistically significant (p less than 0.05; ANOVA). These results may be explained by distinct pharmacologic properties of the agents used and may have relevance in the understanding of the pathophysiology of asthma.

[Implementation of a best practice guideline for the prevention of falls: Perception among hospitalized patients and its caregivers].

PubMed

Saiz-Vinuesa, M D; Muñoz-Mansilla, E; Muñoz-Serrano, T; Córcoles-Jiménez, M P; Ruiz-García, M V; Fernández-Pallarés, P; Herreros-Sáez, L; Calero-Yáñez, F

To analyze the influence that the implementation of a fall prevention Best Practice Guideline (BPG) could have on the perception of patients and their caregivers about the utility of the activities implemented, about the care provided during admission and the adherence (the level of follow-up) to the recommendations received at discharge. Design. Quasi-experimental study. Patients >65 years admitted≥48h to the Medical Area of the General Hospital of Albacete. 104 subjects (consecutive sampling January-March 2013). Experimental group (EG). Patients admitted to BPG implementation units. Control group (CG). Usual care units. Sociodemographic characteristics; previous and during admission falls, cognitive status (Pfeiffer); independence in daily life activities (ADLs); satisfaction with care and information provided, utility perceived, adherence to recommendations at discharge. Interview and clinical history. Statistical analysis (SPSS 15.0). Descriptive and bivariant. Relative Risk. CI95%. 104 patients, EG 46.2% (48) and CG 53.8% (56). Women 51.9%, average age 79.9 years (s.d.=7.8). Pfeiffer 4,3 (s.d.=3.7). Previous falls 31.1%. In process, 1 fall in each group. There were statistically significant differences between EG/CG: age, cognitive status and independence in ADLs. In the EG was higher the percentage of perception about the usefulness of the recommendations to prevent falls (P<.001), greater adherence to them (P=0.0002), and to be very or quite satisfied with the information (P<.00004) and care received (P=.002). To implement recommendations according to an Evidence-based BPG to prevent falls in older people has shown, in users and caregivers, greater satisfaction, better perception of its usefulness and greater adherence to the recommendations. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

Gaseous polycyclic aromatic hydrocarbon concentrations are higher in urban forests than adjacent open areas during summer but not in winter--Exploratory study.

PubMed

Viippola, Viljami; Rantalainen, Anna-Lea; Yli-Pelkonen, Vesa; Tervo, Peatta; Setälä, Heikki

2016-01-01

While the potential of plants to uptake polycyclic aromatic hydrocarbons (PAHs) is widely acknowledged, empirical evidence of the effects of this process on local atmospheric PAH concentrations and human health is tenuous. We measured gaseous PAH concentrations using passive samplers in urban tree-covered areas and adjacent open, treeless areas in a near-road environment in Finland to gain information on the ability of urban vegetation to improve air quality. The ability of urban, mostly deciduous, vegetation to affect PAHs was season dependent: during summer, concentrations were significantly higher in tree-covered areas, while in the fall, concentrations in open areas exceeded those in tree-covered areas. During winter, concentrations in tree-covered areas were either lower or did not differ from those in open areas. Results of this study imply that the commonly believed notion that trees unequivocally improve air quality does not apply to PAHs studied here. Copyright © 2015 Elsevier Ltd. All rights reserved.

Environmental Impact Study of the Northern Section of the Upper Mississippi River, Upper and Lower St. Anthony Falls Pool.

DTIC Science & Technology

1973-11-01

willow, locust and staghorn sumac. Honeysuckle, wild grape and jewelweed are found as well as other shrubs , vines and herbs. For this environmental...Prosent Distribution Indiana Bat Midwest and eastern United States from the M~otis sodalis western edge of Ozark egion in Okiahoma Status endangcrcd with...wildlife habitat in the area as well ar plans ]or attractive spoil "recycl ilg’" areas, screened by an assortment of native trees, vines , hurbs and shrubs

Unilateral pedunculopontine stimulation improves falls in Parkinson's disease.

PubMed

Moro, Elena; Hamani, Clement; Poon, Yu-Yan; Al-Khairallah, Thamar; Dostrovsky, Jonathan O; Hutchison, William D; Lozano, Andres M

2010-01-01

Postural instability and falls are a major source of disability in patients with advanced Parkinson's disease. These problems are currently not well addressed by either pharmacotherapy nor by subthalamic nucleus deep-brain stimulation surgery. The neuroanatomical substrates of posture and gait are poorly understood but a number of important observations suggest a major role for the pedunculopontine nucleus and adjacent areas in the brainstem. We conducted a double-blinded evaluation of unilateral pedunculopontine nucleus deep-brain stimulation in a pilot study in six advanced Parkinson's disease patients with significant gait and postural abnormalities. There was no significant difference in the double-blinded on versus off stimulation Unified Parkinson's Disease Rating Scale motor scores after 3 or 12 months of continuous stimulation and no improvements in the Unified Parkinson's Disease Rating Scale part III scores compared to baseline. In contrast, patients reported a significant reduction in falls in the on and off medication states both at 3 and 12 months after pedunculopontine nucleus deep-brain stimulation as captured in the Unified Parkinson's Disease Rating Scale part II scores. Our results suggest that pedunculopontine nucleus deep-brain stimulation may be effective in preventing falls in patients with advanced Parkinson's disease but that further evaluation of this procedure is required.

Assessment of groundwater quality and health risk in drinking water basin using GIS.

PubMed

Şener, Şehnaz; Şener, Erhan; Davraz, Ayşen

2017-02-01

Eğirdir Lake basin was selected as the study area because the lake is the second largest freshwater lake in Turkey and groundwater in the basin is used as drinking water. In the present study, 29 groundwater samples were collected and analyzed for physico-chemical parameters to determine the hydrochemical characteristics, groundwater quality, and human health risk in the study area. The dominant ions are Ca 2+ , Mg 2+ , HCO 3 2- , and SO 4 2 . According to Gibbs plot, the predominant samples fall in the rock-water interaction field. A groundwater quality index (WQI) reveals that the majority of the samples falls under good to excellent category of water, suggesting that the groundwater is suitable for drinking and other domestic uses. The Ca-Mg-HCO 3 , Ca-HCO 3 , Ca-SO 4 -HCO 3 , and Ca-Mg-HCO 3 -SO 4 water types are the dominant water types depending on the water-rock interaction in the investigation area. Risk of metals to human health was then evaluated using hazard quotients (HQ) by ingestion and dermal pathways for adults and children. It was indicated that As with HQ ingestion >1 was the most important pollutant leading to non-carcinogenic concerns. It can be concluded that the highest contributors to chronic risks were As and Cr for both adults and children.

Low-impact falls: demands on a system of trauma management, prediction of outcome, and influence of comorbidities.

PubMed

Kennedy, R L; Grant, P T; Blackwell, D

2001-10-01

Falls from a low height are an extremely common source of injury, the severity of which is often underestimated. As a result, low fall patients are usually not transferred to Level I trauma centers. There are surprisingly few systematic data relating to the demands made on systems of trauma care by patients with low falls. This study addresses this issue using information from a comprehensive national trauma database. The performance of TRISS methodology, and the factors associated with prolonged hospital stay, in low fall patients is also examined. The study included 31,419 patients. Patients with low falls (< 2 m) were compared with those suffering high falls (> or = 2 m), motor vehicle crashes, assault, sports injuries, and a group with unclassified injuries. Probability of survival was estimated using TRISS, and its performance in different types of injury was assessed using measures of discrimination and calibration. The influence of coexistent medical conditions on mortality and length of stay was investigated using logistic regression. Low falls accounted for 45.5% of all admissions, and 43.9% of the total bed days. The low fall group was older (mean age, 61.6 years), and predominantly female (62.5%) in contrast to the other groups (both p < 0.001). There were fewer severely injured patients than in all of the other groups except sports injuries. The area under the receiver operating characteristic curve for TRISS applied to low falls (0.874) was less than that for high falls (0.969), motor vehicle crashes (0.973), assaults (0.960), sports (1.000), and unclassified injuries (0.965). Also, the calibration of the TRISS model was poor for patients with low falls. A logistic regression model derived from a training set of 5,000 patients gave slightly improved discrimination and markedly improved calibration when compared with TRISS. Although there was a strong relationship between the number of coexistent medical conditions and the risk of dying after a low fall, including data on comorbidities in a predictive model did not improve performance. Prolonged stay (defined as greater than the 90th centile, 23 days) was more likely in women (p < 0.005), or with advanced age (p < 0.001) or low initial calculated probability of survival (p < 0.001). Cardiovascular and central nervous system diseases and diabetes were associated with longer hospital stay (all p < 0.001). A logistic regression model using TRISS variables and comorbidity data gave poor prediction of prolonged stay. There was considerable variation in the length of stay between institutions. Patients with low falls make considerable demands on a system of trauma care. TRISS methodology performs less well in this group than with other types of injury. Chronic medical conditions are associated with increased mortality and more prolonged stay after a low fall. Between-institutional variation in length of stay was considerable and this, along with the poor performance of predictive models derived from routinely collected clinical data, make it unlikely that length of stay could be used as a measure of institutional performance. More robust audit measures for patients with low falls are required.

Frailty index of deficit accumulation and falls: data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton cohort

PubMed Central

2014-01-01

Background To investigate the association between frailty index (FI) of deficit accumulation and risk of falls, fractures, death and overnight hospitalizations in women aged 55 years and older. Methods The data were from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton Cohort. In this 3-year longitudinal, observational cohort study, women (N = 3,985) aged ≥55 years were enrolled between May 2008 and March 2009 in Hamilton, Canada. A FI including co-morbidities, activities of daily living, symptoms and signs, and healthcare utilization was constructed using 34 health deficits at baseline. Relationship between the FI and falls, fractures, death and overnight hospitalizations was examined. Results The FI was significantly associated with age, with a mean rate of deficit accumulation across baseline age of 0.004 or 0.021 (on a log scale) per year. During the third year of follow-up, 1,068 (31.89%) women reported at least one fall. Each increment of 0.01 on the FI was associated with a significantly increased risk of falls during the third year of follow-up (odds ratio [OR]: 1.02, 95% confidence interval [CI]: 1.02-1.03). The area under the curve (AUC) of the predictive model was 0.69 (95% CI: 0.67-0.71). Results of subgroup and sensitivity analyses indicated the relationship between the FI and risk of falls was robust, while bootstrap analysis judged its internal validation. The FI was significantly related to fractures (hazard ratio [HR]: 1.02, 95% CI: 1.01-1.03), death (OR: 1.05, 95% CI: 1.03-1.06) during the 3-year follow-up period and overnight hospitalizations (incidence rate ratio [IRR]: 1.02, 95% CI: 1.02-1.03) for an increase of 0.01 on the FI during the third year of follow-up. Measured by per standard deviation (SD) increment of the FI, the ORs were 1.21 and 1.40 for falls and death respectively, while the HR was 1.17 for fractures and the IRR was 1.18 for overnight hospitalizations respectively. Conclusion The FI of deficit accumulation increased with chronological age significantly. The FI was associated with and predicted increased risk of falls, fractures, death and overnight hospitalizations significantly. PMID:24885323

Frailty index of deficit accumulation and falls: data from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton cohort.

PubMed

Li, Guowei; Ioannidis, George; Pickard, Laura; Kennedy, Courtney; Papaioannou, Alexandra; Thabane, Lehana; Adachi, Jonathan D

2014-05-29

To investigate the association between frailty index (FI) of deficit accumulation and risk of falls, fractures, death and overnight hospitalizations in women aged 55 years and older. The data were from the Global Longitudinal Study of Osteoporosis in Women (GLOW) Hamilton Cohort. In this 3-year longitudinal, observational cohort study, women (N=3,985) aged ≥ 55 years were enrolled between May 2008 and March 2009 in Hamilton, Canada. A FI including co-morbidities, activities of daily living, symptoms and signs, and healthcare utilization was constructed using 34 health deficits at baseline. Relationship between the FI and falls, fractures, death and overnight hospitalizations was examined. The FI was significantly associated with age, with a mean rate of deficit accumulation across baseline age of 0.004 or 0.021 (on a log scale) per year. During the third year of follow-up, 1,068 (31.89%) women reported at least one fall. Each increment of 0.01 on the FI was associated with a significantly increased risk of falls during the third year of follow-up (odds ratio [OR]: 1.02, 95% confidence interval [CI]: 1.02-1.03). The area under the curve (AUC) of the predictive model was 0.69 (95% CI: 0.67-0.71). Results of subgroup and sensitivity analyses indicated the relationship between the FI and risk of falls was robust, while bootstrap analysis judged its internal validation. The FI was significantly related to fractures (hazard ratio [HR]: 1.02, 95% CI: 1.01-1.03), death (OR: 1.05, 95% CI: 1.03-1.06) during the 3-year follow-up period and overnight hospitalizations (incidence rate ratio [IRR]: 1.02, 95% CI: 1.02-1.03) for an increase of 0.01 on the FI during the third year of follow-up. Measured by per standard deviation (SD) increment of the FI, the ORs were 1.21 and 1.40 for falls and death respectively, while the HR was 1.17 for fractures and the IRR was 1.18 for overnight hospitalizations respectively. The FI of deficit accumulation increased with chronological age significantly. The FI was associated with and predicted increased risk of falls, fractures, death and overnight hospitalizations significantly.

First physical volcanological description of a Miocene, silicic, phreatomagmatic fall complex in the Carpatho-Pannonian Region (CPR)

NASA Astrophysics Data System (ADS)

Biró, Tamás; Hencz, Mátyás; Karátson, Dávid; Márton, Emő; Bradák-Hayashi, Balázs; Szalai, Zoltán

2017-04-01

The study reports the basic physical volcanological and stratigraphical features of a hitherto unrecognized silicic phreatomagmatic fall succession from the Bükk Foreland Volcanic Area (Hungary), known as part of the extensive Miocene ignimbrite volcanism of the northern CPR. The complex have been identified at two sites, in the vicinity of Bogács and Tibolddaróc villages. Tens of mm to several dm thick layers make up the 20 m thick entire succession. The complex could be subdivided into three eruption cycles by two, intercalated well-developed paleosoil horizons, which indicate longer repose periods. The eruption cycles consist of several individual eruptive events. The volcano-sedimentological field approach was completed by granulometrical and low field anisotropy of magnetic susceptibility (AMS) studies. Combined dry sieving and laser diffraction particle size analysis were performed to get information on median grain size (MdΦ) and sorting (σΦ) of friable layers. AMS was used to infer the emplacement processes. Based on the following features the succession is proposed to record a large-scale, silicic, phreatomagmatic fall activity: i) Presence of very fine ash and abundant ash aggregates, ii) General poor sorting, and often bimodal grain-size distributions; ii) Extremely weak magnetic fabric compared to dilute, thin pyroclastic density current deposits. On the basis of comparison of the recorded grain size characteristics with data from other silicic phretomagmatic fall deposits worldwide, several units in the succession can be considered as phreatoplinian fall deposit (sensu lato), described for the first time in the CPR.

The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials.

PubMed

El-Khoury, Fabienne; Cassou, Bernard; Charles, Marie-Aline; Dargent-Molina, Patricia

2013-10-29

To determine whether, and to what extent, fall prevention exercise interventions for older community dwelling people are effective in preventing different types of fall related injuries. Electronic databases (PubMed, the Cochrane Library, Embase, and CINAHL) and reference lists of included studies and relevant reviews from inception to July 2013. Randomised controlled trials of fall prevention exercise interventions, targeting older (>60 years) community dwelling people and providing quantitative data on injurious falls, serious falls, or fall related fractures. Based on a systematic review of the case definitions used in the selected studies, we grouped the definitions of injurious falls into more homogeneous categories to allow comparisons of results across studies and the pooling of data. For each study we extracted or calculated the rate ratio of injurious falls. Depending on the available data, a given study could contribute data relevant to one or more categories of injurious falls. A pooled rate ratio was estimated for each category of injurious falls based on random effects models. 17 trials involving 4305 participants were eligible for meta-analysis. Four categories of falls were identified: all injurious falls, falls resulting in medical care, severe injurious falls, and falls resulting in fractures. Exercise had a significant effect in all categories, with pooled estimates of the rate ratios of 0.63 (95% confidence interval 0.51 to 0.77, 10 trials) for all injurious falls, 0.70 (0.54 to 0.92, 8 trials) for falls resulting in medical care, 0.57 (0.36 to 0.90, 7 trials) for severe injurious falls, and 0.39 (0.22 to 0.66, 6 trials) for falls resulting in fractures, but significant heterogeneity was observed between studies of all injurious falls (I(2)=50%, P=0.04). Exercise programmes designed to prevent falls in older adults also seem to prevent injuries caused by falls, including the most severe ones. Such programmes also reduce the rate of falls leading to medical care.

A prospective longitudinal study of seasonality in African students living in the greater Washington, D.C. metropolitan area.

PubMed

Guzman, Alvaro; Zebrak, Ryszard; Rohan, Kelly J; Sumar, Irshad A; Savchenko, Svetlana; Stiller, John W; Valadez-Meltzer, Adela; Olsen, Cara; Lapidus, Manana; Soriano, Joseph J; Postolache, Teodor T

2007-05-01

We conducted a prospective, longitudinal study of seasonality in a vulnerable population, i.e., African students who migrated to a temperate climate. Consistent with previous cross-sectional studies, we hypothesized lower mood and energy, and higher appetite and weight, in fall/winter than in spring/summer. Four cohorts of African students attending a year-long nursing school program without vacation in Washington, D.C., were assessed monthly for 1 year. Forty-three subjects (mean age = 33.46 +/- 6.25), consisting of predominantly females (76.7%), completed the study. The cohorts began their academic program in different seasons (one each in winter, spring, summer, and fall), inherently minimizing confounding influences on seasonality, such as academic and immigration stress, as well as allowing adjustment for an order effect. At each assessment, students completed three 100-mm visual analog scales for mood, energy, and appetite, and were weighed on a digital scale. For each standardized dependent variable, a repeated measure ANOVA was used and, if a significant effect of month was identified, averages for spring/summer and fall/winter were compared using paired t-tests. In addition, a mixed model for repeated measures was applied to raw (nonstandardized) data. Body weight was significantly higher in fall/winter than in spring/summer (p < 0.01). No seasonal differences in mood, energy, or appetite were found. Benefiting from certain unique features of our cohorts allowing adjustment for order effects, this is the first study to identify a seasonal variation in body weight with a peak in winter using longitudinal monthly measurements.

The Crusades and Islam. Fulbright-Hays Summer Seminars Abroad, 1998 (Israel and Jordan).

ERIC Educational Resources Information Center

Serota, Laurie

These two mini-units are designed to supplement the areas of study dictated by the Core Knowledge Sequence, a content-rich curriculum used in the educator/curriculum developer's school. The mini-units fall in the middle of a 6-month-long study of the Middle Ages and incorporate the depth of content required to support the larger unit on the Middle…

The Use of Soil Scarification to Enhance Oak Regeneration in a Mixed-Oak Bottomland Forest of Southern Illinois

Treesearch

John M. Lhotka; James J. Zaczek

2002-01-01

The purpose of the study was to investigate whether soil scarification following seed fall can be used to increase the density of oak regeneration in a mixed-oak stand. The study area was a 4.5-hectare stand dominated by cherrybark oak (Quercus pagoda Eli.). The understory had a high percent cover of poison ivy (Toxicodendron radicans...

Automatic Aircraft Collision Avoidance System and Method

NASA Technical Reports Server (NTRS)

Skoog, Mark (Inventor); Hook, Loyd (Inventor); McWherter, Shaun (Inventor); Willhite, Jaimie (Inventor)

2014-01-01

The invention is a system and method of compressing a DTM to be used in an Auto-GCAS system using a semi-regular geometric compression algorithm. In general, the invention operates by first selecting the boundaries of the three dimensional map to be compressed and dividing the three dimensional map data into regular areas. Next, a type of free-edged, flat geometric surface is selected which will be used to approximate terrain data of the three dimensional map data. The flat geometric surface is used to approximate terrain data for each regular area. The approximations are checked to determine if they fall within selected tolerances. If the approximation for a specific regular area is within specified tolerance, the data is saved for that specific regular area. If the approximation for a specific area falls outside the specified tolerances, the regular area is divided and a flat geometric surface approximation is made for each of the divided areas. This process is recursively repeated until all of the regular areas are approximated by flat geometric surfaces. Finally, the compressed three dimensional map data is provided to the automatic ground collision system for an aircraft.

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

Winter movements of adult northern goshawks that nested in southcentral Wyoming

Treesearch

John R. Squires; Leonard F. Ruggiero

1995-01-01

Winter movements of four adult northern goshawks (Accipiter gentilis) that nest in southcentral Wyoming were monitored during the winter of 1992-93. Goshawks initiated fall migrations in early fall (primarily mid-September) while weather conditions are moderate. Female 1 migrated 185 km south of her nest. She wintered in a mountainous area in Colorado at a higher...

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...

Closing the Mathematics Achievement Gap in High-Poverty Middle Schools: Enablers and Constraints

ERIC Educational Resources Information Center

Balfanz, Robert; Byrnes, Vaughan

2006-01-01

The mathematics achievement levels of U.S. students fall far behind those of other developed nations; within the United States itself, the students who are falling behind come predominantly from high-poverty and high-minority areas. This article reports on a series of analyses that followed 4 cohorts of students from 3 such schools through the 5th…

[Medical sciences in the Byzantine-Ottoman area, from the emergence of Anatolian emirats to the Fall of Constantinople (end 13th -half 15th)].

PubMed

Balivet, M

1999-01-01

This article is a short analysis of the first activities of Medecine and Hospitals in the Turcoman and Ottoman Anatolia (end of XIIIth-middle of XVth). We also ask the question of relationships between Turkish and Byzantine Medical Sciences until the Fall of Constantinople.

36 CFR 293.16 - Special provisions governing the Boundary Waters Canoe Area Wilderness, Superior National Forest...

Code of Federal Regulations, 2010 CFR

2010-07-01

... on Trout Lake in Saint Louis County, Fall Lake, Moose Lake, Newfound Lake, Newton Lake, Sucker Lake... of Basswood Lake. (v) The portage from Vermilion Lake to Trout Lake. (2) The Forest Service may... portages: (i) Four Mile Portage From Fall Lake to Hoist Bay of Basswood Lake. (ii) Vermilion Lake to Trout...

36 CFR 293.16 - Special provisions governing the Boundary Waters Canoe Area Wilderness, Superior National Forest...

Code of Federal Regulations, 2011 CFR

2011-07-01

... on Trout Lake in Saint Louis County, Fall Lake, Moose Lake, Newfound Lake, Newton Lake, Sucker Lake... of Basswood Lake. (v) The portage from Vermilion Lake to Trout Lake. (2) The Forest Service may... portages: (i) Four Mile Portage From Fall Lake to Hoist Bay of Basswood Lake. (ii) Vermilion Lake to Trout...

Seasonal variation of the global mixed layer depth: comparison between Argo data and FIO-ESM

NASA Astrophysics Data System (ADS)

Zhang, Yutong; Xu, Haiming; Qiao, Fangli; Dong, Changming

2018-03-01

The present study evaluates a simulation of the global ocean mixed layer depth (MLD) using the First Institute of Oceanography-Earth System Model (FIOESM). The seasonal variation of the global MLD from the FIO-ESM simulation is compared to Argo observational data. The Argo data show that the global ocean MLD has a strong seasonal variation with a deep MLD in winter and a shallow MLD in summer, while the spring and fall seasons act as transitional periods. Overall, the FIO-ESM simulation accurately captures the seasonal variation in MLD in most areas. It exhibits a better performance during summer and fall than during winter and spring. The simulated MLD in the Southern Hemisphere is much closer to observations than that in the Northern Hemisphere. In general, the simulated MLD over the South Atlantic Ocean matches the observation best among the six areas. Additionally, the model slightly underestimates the MLD in parts of the North Atlantic Ocean, and slightly overestimates the MLD over the other ocean basins.

Dynamics of the State of Macrobenthos in the Gulf of Tub-Karagan

NASA Astrophysics Data System (ADS)

Kenzhegaliev, A.; Abilgazieva, A.; Shahmanova, A.; Kulbatyrov, D.; Saginayev, A.

2018-01-01

The paper shows the results of studies conducted in the area of the Tub-Karagan Bay for the 2015 seasons. In the winter, 22 taxa of macrozoobenthos were presented at the Tub- Karagan Bay. They were dominated by a group of worms that met at all stations. In spring, in the area of Tyubkaragan Bay, the dominant species and abundance were representatives of crustaceans. During the summer, makrozoobentose insects are marked on the Tubkaragansky Bay (18 species/m2). In the fall, the species composition of macrobenthos was represented by 28 taxa if the previous 3 seasons had four groups, the fall in the number of major groups was five: Worms, shellfish, crustaceans, insects and others represented in the main class of Gidrozoi. A group of insects occurs pointwise. Most of this group was marked on the section Tyubkaragansky Bay as before, this brackish-water species Chironomusalbidus, a permanent inhabitant of the bottom biocenose in this region of the sea.

Coyote (Canis latrans) mammalian prey diet shifts in response to seasonal vegetation change.

PubMed

Seamster, Virginia A; Waits, Lisette P; Macko, Stephen A; Shugart, Herman H

2014-01-01

Drylands typically have strong seasonal variation in rainfall and primary productivity. This study examines the effects of seasonal change in grass-derived resource availability on the base of the food chain of a mammalian predator. Seasonal changes in live grass cover were measured in two vegetation types at the Sevilleta National Wildlife Refuge in central New Mexico, USA. Non-invasive genetic sampling of scat was used to identify individuals in the local coyote (Canis latrans) population. Stable carbon and nitrogen isotope analysis of hair removed from scats of 45 different coyotes was used to assess seasonal variation in the diet of mammalian coyote prey that came from C4 grasses. Live grass cover increased from the spring to the summer and fall; contribution of C4 grasses to the diet of mammalian coyote prey increased from the summer to the fall and was higher in grassland areas. There were significant differences in the seasonal patterns in the prey diet between grassland and shrubland areas.

Toward Exploring the Synergy Between Cloud Radar Polarimetry and Doppler Spectral Analysis in Deep Cold Precipitating Systems in the Arctic

NASA Astrophysics Data System (ADS)

Oue, Mariko; Kollias, Pavlos; Ryzhkov, Alexander; Luke, Edward P.

2018-03-01

The study of Arctic ice and mixed-phase clouds, which are characterized by a variety of ice particle types in the same cloudy volume, is challenging research. This study illustrates a new approach to qualitative and quantitative analysis of the complexity of ice and mixed-phase microphysical processes in Arctic deep precipitating systems using the combination of Ka-band zenith-pointing radar Doppler spectra and quasi-vertical profiles of polarimetric radar variables measured by a Ka/W-band scanning radar. The results illustrate the frequent occurrence of multimodal Doppler spectra in the dendritic/planar growth layer, where locally generated, slower-falling particle populations are well separated from faster-falling populations in terms of Doppler velocity. The slower-falling particle populations contribute to an increase of differential reflectivity (ZDR), while an enhanced specific differential phase (KDP) in this dendritic growth temperature range is caused by both the slower and faster-falling particle populations. Another area with frequent occurrence of multimodal Doppler spectra is in mixed-phase layers, where both populations produce ZDR and KDP values close to 0, suggesting the occurrence of a riming process. Joint analysis of the Doppler spectra and the polarimetric radar variables provides important insight into the microphysics of snow formation and allows the separation of the contributions of ice of different habits to the values of reflectivity and ZDR.

Impact of soft and hard insole density on postural stability in older adults.

PubMed

Losa Iglesias, Marta Elena; Becerro de Bengoa Vallejo, Ricardo; Palacios Peña, Domingo

2012-01-01

A significant predictor of falls in the elderly population is attributed to postural instability. Thus, it is important to identify and implement practical clinical interventions to enhance postural stability in older adults. Shoe insoles have been identified as a mechanism to enhance postural control, and our study aimed to evaluate the impact of 2 shoe insoles on static standing balance in healthy, older adults compared with standing posture while barefoot. We hypothesized that both hard and soft shoe insoles would decrease postural sway compared with the barefoot condition. Indeed, excursion distances and sway areas were reduced, and sway velocity was decreased when wearing insoles. The hard insole was also effective when visual feedback was removed, suggesting that the more rigid an insole, the greater potential reduction in fall risk. Thus, shoe insoles may be a cost-effective, clinical intervention that is easy to implement to reduce the risk of falling in the elderly population. Copyright © 2012 Mosby, Inc. All rights reserved.

Yarning about fall prevention: community consultation to discuss falls and appropriate approaches to fall prevention with older Aboriginal and Torres Strait Islander people.

PubMed

Lukaszyk, Caroline; Coombes, Julieann; Turner, Norma Jean; Hillmann, Elizabeth; Keay, Lisa; Tiedemann, Anne; Sherrington, Cathie; Ivers, Rebecca

2017-08-01

Fall related injury is an emerging issue for older Indigenous people worldwide, yet few targeted fall prevention programs are currently available for Indigenous populations. In order to inform the development of a new Aboriginal-specific fall prevention program in Australia, we conducted community consultation with older Aboriginal people to identify perceptions and beliefs about falls, and to identify desired program elements. Yarning Circles were held with Aboriginal and Torres Strait Islander people aged 45 years and over. Each Yarning Circle was facilitated by an Aboriginal researcher who incorporated six indicative questions into each discussion. Questions explored the impact of falls on Yarning Circle participants, their current use of fall prevention services and investigated Yarning Circle participant's preferences regarding the design and mode of delivery of a fall prevention program. A total of 76 older Aboriginal people participated in ten Yarning Circles across six sites in the state of New South Wales. Participants associated falls with physical disability, a loss of emotional well-being and loss of connection to family and community. Many participants did not use existing fall prevention services due to a lack of availability in their area, having no referral provided by their GP and/or being unaware of fall prevention programs in general. Program elements identified as important by participants were that it be Aboriginal-specific, group-based, and on-going, with the flexibility to be tailored to specific communities, with free transport provided to and from the program. Older Aboriginal people reported falls to be a priority health issue, with a significant impact on their health and well-being. Few older Aboriginal people accessed prevention programs, suggesting there is an important need for targeted Aboriginal-specific programs. A number of important program elements were identified which if incorporated into prevention programs, may help to address the rising burden of falls.

Examining the relationship between specific cognitive processes and falls risk in older adults: a systematic review

PubMed Central

Hsu, Chun Liang; Nagamatsu, Lindsay S.; Davis, Jennifer C.; Liu-Ambrose, Teresa

2015-01-01

Purpose Recent evidence suggests that impaired cognition increases seniors’ risk of falling. The purpose of this review was to identify the cognitive domains that are significantly associated with falls or falls risk in older adults. Methods We conducted a systematic review of peer-reviewed journal articles published from 1948 to present, focusing on studies investigating different domains of cognitive function and their association with falls or falls risk in adults aged 60 years or older. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we completed a comprehensive search of MEDLINE, Pubmed, and EMBASE databases to identify studies examining the association between cognitive function and falls or falls risk. With an expert in the field, we developed a quality assessment questionnaire to rate the quality of the studies included in this systematic review. Results Twenty-five studies were included in the review. We categorized studies based on two related but distinct cognitive domains: 1) executive functions, or 2) dual-task ability. Twelve studies reported a significant association between executive functions and falls risk. Thirteen studies reported that dual-task performance is a predictor of falls or falls risk in older adults. Three studies did not report an association between cognition and falls risk. Conclusion Consistent evidence demonstrated that executive functions and dual-task performance were highly associated with falls or falls risk. The results from this review will aid healthcare professionals and researchers in developing innovative screening and treatment strategies for mitigating falls risk by targeting specific cognitive domains. PMID:22638707

Comparing the effects of hydrotherapy and land-based therapy on balance in patients with Parkinson's disease: a randomized controlled pilot study.

PubMed

Volpe, Daniele; Giantin, Maria Giulia; Maestri, Roberto; Frazzitta, Giuseppe

2014-12-01

Our aim was to evaluate the feasibility of a hydrotherapy treatment in patients with Parkinson's disease and the effectiveness of this treatment on balance parameters in comparison to a traditional land-based physical therapy. A randomized single-blind controlled trial. Outpatients. Thirty-four patients with Parkinson's disease in Hoehn-Yahr stage 2.5-3. Group 1 hydrotherapy treatment, group 2 land-based rehabilitation treatment. The two groups underwent the same rehabilitation period (60 minutes of treatment, five days a week for two months). The primary outcome measures were the centre of the pressure sway area recorded with open and closed eyes, using a stabilometric platform. Secondary outcome measures were Unified Parkinson's Disease Rating Scale II and III, Timed Up and Go Test, Berg Balance Scale, Activities-specific Balance Confidence Scale, Falls Efficacy Scale, Falls diary and Parkinson's Disease Questionnaire-39. Hydrotherapy treatment proved to be feasible and safe. Patients in both groups had a significant improvement in all outcome variables. There was a better improvement in patients who underwent hydrotherapy than in patients treated with land-based therapy in the centre of pressure sway area closed eyes (mean SD change: 45.4 SD64.9 vs. 6.9 SD45.3, p = 0.05), Berg Balance Scale (51.2 SD3.1 vs. 6.0 SD3.1, p = 0.005), Activities-specific Balance Confidence Scale (16.8 SD10.6 vs. 4.1 SD5.4, p = 0.0001), Falls Efficacy Scale (-5.9 SD4.8 vs. -1.9 SD1.4, p = 0.003), Parkinson's Disease Quetionnaire-39 (-18.4 SD12.9 vs. -8.0 SD7.0, p = 0.006) and falls diary (-2.4 SD2.2 vs. -0.4 SD0.5, p = 0.001). Our study suggests that hydrotherapy may constitute a possible treatment for balance dysfunction in Parkinsonian patients with moderate stage of disease. © The Author(s) 2014.

Does a geographical context of deprivation affect differences in injury mortality? A multilevel analysis in South Korean adults residing in metropolitan cities.

PubMed

Lee, JeSuk; Lee, Weon-Young; Noh, Maengseok; Khang, Young-Ho

2014-05-01

This study aimed to examine whether the socioeconomic context of urban areas affects differences in adult mortality from injuries in the districts of all seven South Korean metropolitan cities, after adjusting for individual demographic and socioeconomic indicators. Two different sets of data were used in this study: (1) the National Death Registration data from 2003 to 2008; and (2) the National Census in 2005. Variables for individual characteristics were gender, age, residential area and educational level. A geographic deprivation index was calculated based on the Carstairs Index. Multilevel Poisson regression models were used to analyse the relationship between area deprivation levels and injury mortality. Greater mortality risks of traffic accidents, falls, suicide and all injuries were found in the elderly, the less educated and men, compared with their counterparts. The most deprived districts were at greater risks of death due to traffic accidents (risk ratio (RR)=1.34; 95% CI 1.05 to 1.73), falls (RR=1.63; 95% CI 1.20 to 2.20), suicide (RR=1.09; 95% CI 1.01 to 1.17) and all injuries (RR=1.14; 95% CI 1.07 to 1.22) compared with the least deprived districts, even after individual level socioeconomic variables were controlled for. However, area level deprivation did not show cross level interactions with the individual level education in estimating fatal injury risks. Both contextual and compositional effects of socioeconomic status on injury mortality among urban areas in South Korea should be considered in allocating resources for injury prevention.

Evaporation by mechanical vapor recompression. Technical progress report, September 1-December 31, 1979

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

Iverson, C.H.; Coury, G.E.

1979-01-01

Progress to date in the development of a study of the application of the technologies of mechanical vapor recompression and falling film evaporators as applied to the beet sugar industry is reported. Progress is reported in the following areas: technical literature search and plant visitations of existing applications of VR/FFE.

Effects of Journeys Reading Intervention on Reading Achievement of Students with Disabilities

ERIC Educational Resources Information Center

Cloud, Antre'

2017-01-01

In Georgia, students with disabilities are falling behind students without disabilities in reading. Students with disabilities need to learn how to read fluently and comprehend because reading is embedded in all academic areas. Guided by LaBerge and Samuels's theory of automatic information processing in reading, the purpose of the study was to…

Evidence Summary for First-Grade Classroom Prevention Program (Good Behavior Game Plus Enhanced Academic Curriculum). Top Tier Evidence Initiative

ERIC Educational Resources Information Center

Coalition for Evidence-Based Policy, 2010

2010-01-01

U.S. social programs, set up to address important problems, often fall short by funding specific models/strategies ("interventions") that are not effective. When evaluated in scientifically-rigorous studies, social interventions in K-12 education, job training, crime prevention, and other areas are frequently found ineffective or…

An Analysis of Test Equating Models for the Alabama High School Graduation Examination.

ERIC Educational Resources Information Center

Glowacki, Margaret L.

The purpose of this study was to determine which equating models are appropriate for the Alabama High School Graduation Examination (AHSGE) by equating two previously administered fall forms for each subject area of the AHSGE and determining whether differences exist in the test score distributions or passing scores resulting from the equating…

Los Angeles County Office Survey, Research Study Number 80-9.

ERIC Educational Resources Information Center

Rudnitsky, Andrea

A survey of area employers was conducted by Los Angeles City College in Fall 1979 to determine: (1) the skill requirements for entry-level secretarial and clerical workers, (2) the salaries earned by these employees, (3) the word processing equipment commonly used by employers, (4) future employment trends in secretarial/clerical fields, and (5)…

Writing Self-Efficacy and Self-Regulated Strategy Development Instruction: Perceptions of Three Sixth-Grade Students with Learning Disabilities

ERIC Educational Resources Information Center

Kinsler, Kathryn Lynn

2017-01-01

Students with learning disabilities (LD) continue to fall behind their typical peers in the area of writing (Graham & Harris, 2011; National Joint Committee on Learning Disabilities, 2008). Studies indicate that self-efficacy influences writing performance and that self-regulation may be an important aspect of both metacognitive and affective…

Survivorship of Pileated Woodpeckers in northeastern Oregon.

Treesearch

Evelyn L. Bull

2001-01-01

Knowledge of the survival of the Pileated Woodpecker (Dryocopus pileatus) is essential in managing viable populations of the species. In eight study areas in northeastern Oregon, survivorship of adult Pileated Woodpeckers was 0.60 after 6 mo, 0.47 after 12 me, and 0.35 after 18 mo. Of three juveniles radio-tagged in late summer or fall, two...

Preparing Students To Work on Newspaper Copy Desks: Are Educators Meeting Editors' Expectations?

ERIC Educational Resources Information Center

Auman, Ann E.; Cook, Betsy B.

A study surveyed two groups in the fall of 1994, journalism educators and newspaper editors. Educators completed a survey regarding the course content and skill areas emphasized in beginning level copy editing courses, while editors were asked to respond to questions regarding the skills they expect entry-level copy editors to have. Respondents…

Coordinated School Health and the Contribution of a District Wellness Coordinator

ERIC Educational Resources Information Center

Westrich, Lisa; Sanchez, Monika; Strobel, Karen

2015-01-01

Background: A San Francisco Bay Area school health initiative was established in fall 2010 to improve wellness programs in 4 local school districts using the Coordinated School Health (CSH) model. This study examines the role of district-wide wellness coordinators and the ways in which they contribute to intentional coordination of health and…

Intelligent transportation system (ITS) study for the Buffalo and Niagara Falls metropolitan area, Erie and Niagara Counties, New York : alternative technologies, working paper #6

DOT National Transportation Integrated Search

1997-06-18

The current paper provides a discussion of the technologies available to collect/transmit process and disseminate the needed data in order to meet the needs of the Buffalo ITS data sources, system users and their needs. The technologies which could b...

Seasonal distribution, aggregation, and habitat selection of common carp in Clear Lake, Iowa

USGS Publications Warehouse

Penne, C.R.; Pierce, C.L.

2008-01-01

The common carp Cyprinus carpio is widely distributed and frequently considered a nuisance species outside its native range. Common carp are abundant in Clear Lake, Iowa, where their presence is both a symptom of degradation and an impediment to improving water quality and the sport fishery. We used radiotelemetry to quantify seasonal distribution, aggregation, and habitat selection of adult and subadult common carp in Clear Lake during 2005-2006 in an effort to guide future control strategies. Over a 22-month period, we recorded 1,951 locations of 54 adults and 60 subadults implanted with radio transmitters. Adults demonstrated a clear tendency to aggregate in an offshore area during the late fall and winter and in shallow, vegetated areas before and during spring spawning. Late-fall and winter aggregations were estimated to include a larger percentage of the tracked adults than spring aggregations. Subadults aggregated in shallow, vegetated areas during the spring and early summer. Our study, when considered in combination with previous research, suggests repeatable patterns of distribution, aggregation, and habitat selection that should facilitate common carp reduction programs in Clear Lake and similar systems. ?? Copyright by the American Fisheries Society 2008.

Subsurface application enhances benefits of manure redistribution

USDA-ARS?s Scientific Manuscript database

Sustainable nutrient management requires redistribution of livestock manure from nutrient-excess areas to nutrient-deficit areas. Field experiments were conducted to assess agronomic and environmental effects of different poultry litter application methods (surface vs. subsurface) and timings (fall ...

5. Roof Truss Above Service Area, Roof Truss Above Ward, ...

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

5. Roof Truss Above Service Area, Roof Truss Above Ward, Roof Framing Axonometric - National Home for Disabled Volunteer Soldiers - Battle Mountain Sanitarium, Ward 4, 500 North Fifth Street, Hot Springs, Fall River County, SD

Changing fluvial styles in volcaniclastic successions: A cretaceous example from the Cerro Barcino Formation, Patagonia

NASA Astrophysics Data System (ADS)

Umazano, A. Martín; Krause, J. Marcelo; Bellosi, Eduardo S.; Perez, Mariano; Visconti, Graciela; Melchor, Ricardo N.

2017-08-01

The Cretaceous Puesto La Paloma (PLPM) and Cerro Castaño (CCM) members (Cerro Barcino Formation, Chubut Group) are pyroclastic-rich, alluvial successions deposited in the Somuncurá-Cañadón Asfalto Basin during sag and endorheic conditions. The PLPM comprises sheet-like tuffaceous sandstone strata, whereas the overlying CCM includes sheet-to ribbon-channel sandstone bodies intercalated within tuffaceous and fine-grained sediments. In this context, the goals of this contribution were: i) to make a detailed documentation of the contrasting sedimentary palaeonvironments; and ii) to infer the allocyclic controls that governed the sedimentation of both units. The study area is located in the western sector of the basin, where six localities, which were studied. Six facies associations were defined including ash-falls, sheet-floods, shallow lakes, aeolian, fluvial channel-belts, and reworked debris-flows. We defined four stratigraphic intervals for the studied sections, denominated 1 to 4 in chronological order of deposition, which increase their thicknesses toward the Puesto Mesa-Cerro León site. The interval 1 (18-42 m thick) corresponds to the PLPM and includes numerous pedogenized sheet-flood deposits, carbonate-rich lacustrine, aeolian sandy facies, and ash-fall beds. The interval 1 is interpreted as an ephemeral and unconfined alluvial system that interacted with aeolian dunes and dry interdune zones. The interval 2 (20-47 m thick) represents the lower part of the CCM. It shows an alternation of fluvial channel-belt deposits and vegetated floodplain facies with sediments originated from sheet-floods, lakes, and few ash-falls and debris-flows. The mean palaeoflow was toward E-SE, except in the northernmost locality where the drainage was towards SW. Proportion of channel-belt bodies ranges from 10 to 36%, reaching higher values in the northern part of the study area, where they are also thicker. The interval 2 represents a permanent, meandering or locally low-sinuosity, fluvial system, and displays both an increase of lacustrine facies and a decrease of ash-fall deposits. The interval 3 (7.5-27 m thick) corresponds to the middle part of the CCM, and lacks channel-belt bodies. It has the highest participation of sheet-flood and ash-fall deposits. This interval entirely records a pedogenized floodplain setting. In relation to the interval 2, participation of debris-flow deposits remains constant and lacustrine facies subtly increases. The interval 4 (18-148 m thick) represents the upper part of the CCM. It comprises an alternation of channel-belt bodies and pedogenized floodplain facies, the last characterized by sheet-flood, lake, debris-flow, and volcanic ash rain deposits. The mean palaeoflow was toward E-SE, except in the two localities positioned further north where the drainage was towards NE and SSE. Proportion of channel-belt deposits ranges from 6 to 32%. It represents channelized and perennial fluvial systems with meandering and locally low-sinuosity styles. Increase in channel proportion and thicker channel bodies are in the northern part of the study area. Particularly, in Puesto Mesa-Cerro León locality this interval is the thickest and has the highest proportion of thicker channel-belt bodies. We interpret these changes in facies architecture as the response to alternated periods of high (intervals 1 and 3) and low (intervals 2 and 4) primary pyroclastic sediment supply. Moreover, there was a climatic change to wetter conditions (intervals 1 to 2-4); as well as intrabasinal tectonic activity in northern area for intervals 2 and 4 inferred from palaeocurrent data.

Appraisal of water in bedrock aquifers, northern Cascade County, Montana

USGS Publications Warehouse

Wilke, K.R.

1982-01-01

Suburban residential expansion of the city of Great Falls has resulted in an increased demand on water supplies from bedrock aquifers in northern Cascade County. The unconsolidated deposits aquifer of Quaternary age, including alluvium and glacial lake deposits, also is an important source of water in the area. Water levels in the Madison-Swift aquifer and all overlying aquifers, including the Quaternary deposits aquifer, reflect unconfined (water-table) conditions in the Great Falls vicinity. This interconnected hydrologic system is the result of breaching of the major anticlinal structure, by ancestral and present day erosion of drainage channels by the Missouri River and its tributaries. Significant vertical inter-aquifer mixing of water, as well as surface water/groundwater interchange, probably occurs in the central part of the study area. Characterization of the chemical composition of water in individual aquifers based on samples from wells in this area probably is unreliable because of this mixing. Quality of water from two wells in the Madison-Swift aquifer near Giant Springs is similar to water from the springs. Water from these three samples is less mineralized than most groundwater in the study area; dissolved solids concentrations for the three samples range from 516 to 550 mg/L. The quality of water varies among aquifers and throughout the study area. The ranges of dissolved solids concentrations determined by chemical analysis are Madison-Swift aquifer, about 520 to 1,570 mg/L; Morrison Formation, 908 to 1 ,480 mg/L; Kootenai Formation, 558 to 1,550 mg/L; Colorado Group , 2,690 and 2,740 mg/L (two samples); and unconsolidated Quaternary deposits, 383 to 2,060 mg/L. The chemical quality of water from the Colorado Group in the western one-third of the area generally is more mineralized than water from aquifers in the rest of the area. Specific conductance of water from eight wells completed in the Colorado Group averages 4,440 micromhos at 25 C. (Author 's abstract)

The Roles of Microbial Communities in n-Alkane Distribution of The Nanjenshan Lowland Subtropical Rainforest in Taiwan

NASA Astrophysics Data System (ADS)

Chen, Y. W.; Huang, T. Y.; Fan, C. W.; Chao, W. C.; Yang, T. N.; Huang, C. P.; Hsu, B. M.

2016-12-01

Analysis of total organic carbon in Nanjenshan, a lowland subtropical rainforest in southern Taiwan, revealed that the carbon storage of litter-layer was about 35% lower in ravine area than in windward and leeward areas, while the soil storage in these areas were similar. In this one year follow-up study, we aimed to investigate the kinetic changes of n-alkane (C14-C35) concentration from litter fall, litter-layer, surface soil, soil in -10 cm depth, and soil in -30 cm depth by a GC-FID method. The n-alkane distribution and n-alkane flux of these areas were also analyzed. Next generation sequencing was carried out to examine the metagenomics of uncultured microbial community in litter-layer of these areas. Our results showed that the net weight of one year-litter fall in ravine area was 30% higher than the others. The average concentration of n-alkane in leaves in ravine was 90% and 50% higher than in windward area and leeward area, respectively. Although the n-alkane flux in ravine area was twice higher than the other areas, the n-alkane concentrations in litter-layer and soils of different layers were similar among all areas, suggesting a rapid degradation of n-alkane in liter layer in ravine area. Interestingly, the character of odd over even predominance of n-alkane was gradually lost in soil layer in ravine area. Metagenomic data have showed that the structure of microbial abundance in ravine area was different from windward and leeward areas. In ravine area, the numbers in phyla of Bacteroidetes, Actinobacteria, and Proteobacteria, were higher than the other areas, while in phyla of Acidobacteria and Planctomycetes were lower. Our data provided evidence that microbial communities may not only play a role on n-alkane degradation but also change the profile in abundance of high-chain length n-alkanes.

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

PubMed

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

2016-10-01

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

A method of measuring rainfall on windy slopes

Treesearch

G. L. Hayes

1944-01-01

The object of precipitation measurement, as stated by Brooks (1), is to obtain "a fair sample of the fall reaching the earth's surface over the area represented by the measurement." The area referred to is horizontal, or map area. Even when measured on a slope, precipitation is always expressed as depth of water on a horizontal area.

Fall Detection Devices and their Use with Older Adults: A Systematic Review

PubMed Central

Chaudhuri, Shomir; Thompson, Hilaire; Demiris, George

2013-01-01

Background Falls represent a significant threat to the health and independence of adults 65 years of age and older. As a wide variety and large amount of passive monitoring systems are currently and increasingly available to detect when an individual has fallen, there is a need to analyze and synthesize the evidence regarding their ability to accurately detect falls to determine which systems are most effective. Objectives The purpose of this literature review is to systematically assess the current state of design and implementation of fall detection devices. This review also examines the extent to which these devices have been tested in the real world as well as the acceptability of these devices to older adults. Data sources A systematic literature review was conducted in PubMed, CINAHL, EMBASE and PsycINFO from their respective inception dates to June 25, 2013. Study Eligibility Criteria and Interventions Articles were included if they discussed a project or multiple projects involving a system with the purpose of detecting a fall in adults. It was not a requirement for inclusion in this review that the system targets persons over the age of 65. Articles were excluded if they were not written in English or if they looked at fall risk, fall detection in children, fall prevention or a Personal Emergency Response device. Study appraisal and synthesis methods Studies were initially divided into those using sensitivity, specificity or accuracy in their evaluation methods, and those using other methods to evaluate their devices. Studies were further classified into wearable devices and non-wearable devices. Studies were appraised for inclusion of older adults in sample and if evaluation included real world settings. Results This review identified 57 projects that used wearable systems and 35 projects using non-wearable systems, regardless of evaluation technique. Non-wearable systems included cameras, motion sensors, microphones and floor sensors. Of the projects examining wearable systems, only 7.1% reported monitoring older adults in a real world setting. There were no studies of non-wearable devices that used older adults as subjects in either a lab or a real world setting. In general, older adults appear to be interested in using such devices although they express concerns over privacy and understanding exactly what the device is doing at specific times. Limitations This systematic review was limited to articles written in English and did not include gray literature. Manual paper screening and review processes may have been subject to interpretive bias. Conclusions and implications of key findings There exists a large body of working describing various fall detection devices. The challenge in this area is to create highly accurate unobtrusive devices. From this review it appears that the technology is becoming more able to accomplish such a task. There is a need now for more real world tests as well as standardization of the evaluation of these devices. PMID:24406708

The Klamath Falls, Oregon, earthquakes on September 20, 1993

USGS Publications Warehouse

Brantley, S.R.

1993-01-01

The mainshocks caused light moderate damage at Klamath Falls, a town of about 18,000 residents located only about 20 km east of the epicentral area. Damage included toppled chimneys, cracked masonry, and fallen parapets. Power outages occurred after the strongest shocks. In addition, strong shaking broke water mains, and landslides temporarily blocked highways. the earthquakes also caused two fatalities. A rockfall crushed an automobile, killing a motorist, and an elderly lady had a heart attack. the low population density in the epicentral area- less than five people per sq km- kept the toatl dollar loss to about 7.5 million dollars. 

Obesity and bone.

PubMed

Compston, Juliet

2013-03-01

Recent studies indicate that fractures in obese postmenopausal women and older men contribute significantly to the overall fracture burden. The effect of obesity is to some extent site-dependent, the risk being increased for some fractures and decreased for others, possibly related to different patterns of falling and the presence or absence of soft tissue padding. Risk factors for fracture in obese individuals appear to be similar to those in the nonobese population, although falls may be particularly important in the obese. There is some evidence that the morbidity associated with fractures in obese individuals is greater than in the nonobese; however, a recent study indicates that the mortality associated with fracture is lower in obese and overweight people than in those of normal weight. The evidence base for strategies to prevent fractures in obese individuals is weak and is an important area for future research.

Selection cutting reduces ponderosa pine losses at Pringle Falls.

Treesearch

Edwin L. Mowat

1948-01-01

One of the aims of selection cutting in ponderosa pine forests is to reduce the heavy mortality, from bark beetle attack and other causes that is common in most virgin stands. How much the loss can be reduced is shown by a 10-year record at the Pringle Falls Experimental Forest in central Oregon. Here selection cutting has reduced loss on cutting areas to only about...

Predicting the impacts of a high-voltage transmission line on big game hunting opportunities in Western Montana

Treesearch

Stewart Allen

1985-01-01

The State of Montana, in cooperation with the U.S. Forest Service and Bonneville Power Administration, is conducting a five-vear study on the impacts of a 500-kV transmission line on elk habitat and hunter opportunity. In fall 1983, baseline data on hunting patterns and quality were collected from over 600 hunters interviewed in three western Montana study areas. A...

The Imperial Valley College Freshman; A Demographic Study of the Full-Time Day Students Who Attended College for the First Time in the Fall Semester, 1968.

ERIC Educational Resources Information Center

Novak, Ruth V.

This comprehensive study incorporates as many characteristics as possible of 352 students in this agricultural region, an area much influenced by Mexican culture and by several other ethnic groups. The data came from student questionnaires, registration cards, and high school transcripts. With tables, discussion, and summary, the survey covers the…

Burden, distribution and impact of domestic accidents in a semi-urban area of coastal Tamil Nadu, India.

PubMed

Stalin, P; Senthilvel, V; Kanimozhy, K; Singh, Zile; Rajkamal, R; Purty, Anil J

2015-01-01

The objectives of this study are to determine the prevalence of domestic accidents, describe the factors associated with domestic accidents and assess the medical and economical consequences of domestic accidents. Community-based cross-sectional study was conducted in a semi-urban area of Tamil Nadu during February 2013. A total of 3947 study participants were interviewed using a structured questionnaire. Study variables included were socio-demography, housing conditions, epidemiological factors, medical and economical consequences of domestic accidents. Means and proportions were calculated. The prevalence of domestic accidents was 12.7%. Out of 500 domestic accidents, falls (54.4%) was the most common type of domestic accident. Females and the respondents in age group of 21-40 years were more commonly affected. About 60% of victims received treatment. Mean duration of hospital stay, mean amount of money spent for treatment and mean number of days away from routine work for falls category were 16 days, US$25 and 8 days, respectively, which are higher than other types of accidents. The burden and impact of domestic accidents was high. Therefore, in order to prevent and control domestic accidents, promotion of house safety measures and creation of awareness among the community using IEC programmes have to be undertaken.

Nuclear reactor control column

DOEpatents

Bachovchin, Dennis M.

1982-01-01

The nuclear reactor control column comprises a column disposed within the nuclear reactor core having a variable cross-section hollow channel and containing balls whose vertical location is determined by the flow of the reactor coolant through the column. The control column is divided into three basic sections wherein each of the sections has a different cross-sectional area. The uppermost section of the control column has the greatest cross-sectional area, the intermediate section of the control column has the smallest cross-sectional area, and the lowermost section of the control column has the intermediate cross-sectional area. In this manner, the area of the uppermost section can be established such that when the reactor coolant is flowing under normal conditions therethrough, the absorber balls will be lifted and suspended in a fluidized bed manner in the upper section. However, when the reactor coolant flow falls below a predetermined value, the absorber balls will fall through the intermediate section and into the lowermost section, thereby reducing the reactivity of the reactor core and shutting down the reactor.

From Fall to Spring, or Spring to Fall? Seasonal Cholera Transmission Cycles and Implications for Climate Change

NASA Astrophysics Data System (ADS)

Akanda, A. S.; Jutla, A. S.; Huq, A.; Colwell, R.; Islam, S.; WE Reason

2010-12-01

Cholera remains a major public health threat in many developing countries around the world. The striking seasonality and the annual recurrence of this infectious disease in endemic areas continues to be of considerable interest to scientists and public health workers. Despite major advances in the ecological, and microbiological understanding of Vibrio cholerae, the causative agent, the role of underlying macro-scale hydroclimatic processes in propagating the disease in different seasons and years is not well understood. The incidence of cholera in the Bengal Delta region, the ‘native homeland’ of cholera, shows distinct biannual peaks in the southern floodplains, as opposed to single annual peaks in coastal areas and the northern parts of Bangladesh, as well as other cholera-endemic regions in the world. A coupled analysis of the regional hydroclimate and cholera incidence reveals a strong association of the spatio-temporal variability of incidence peaks with seasonal processes and extreme events. At a seasonal scale, the cycles indicate a spring-fall transmission pattern, contrary to the prevalent notion of a fall-spring transmission cycle. We show that the asymmetric seasonal hydroclimatology affects regional cholera dynamics by providing a coastal growth environment for bacteria in spring, while propagating transmission to fall by flooding. This seasonal interpretation of the progression of cholera has important implications, for formulating effective cholera intervention and mitigation efforts through improved water management and understanding the impacts of changing climate patterns on seasonal cholera transmission. (Water Environental Research Education Actionable Solutions Network)

Late Holocene stratigraphy of the Tetimpa archaeological sites, northeast flank of Popocatepetl volcano, central Mexico

USGS Publications Warehouse

Panfil, M.S.; Gardner, T.W.; Hirth, K.G.

1999-01-01

Late Holocene (240 km2 on the east side of the volcano with >25 cm of tephra. Lavas from eruptive sequence I dammed drainage in the lowland area near the town of San Nicolas and caused local upstream deposition of as much as 30 m of lacustrine silts, clays, and sands. These lacustrine deposits record an eruptive hiatus for the Tetimpa area of about 750 14C yr: between ca. 2100 and ca. 1350 yr B.P., no major tephras were deposited in the Tetimpa area. In upland areas, this time period is represented by an unconformity and by Entisols formed in the top of pumice deposits and lavas from eruptive sequence I. Artifacts, agricultural furrows, and dwellings record human reoccupation of this surface. At the end of this hiatus, several lahars were deposited above the lacustrine sequence and locally above the Entisol in upland positions adjacent to streams. Between ca. 1350 and ca. 1200 yr B.P., tephras from eruptive sequence II buried these paleosols, occupation sites, lacustrine sediments, and lahars. Andesitic (~62% SiO2) pumice lapilli deposits in the Tetimpa area record three pumice-fall eruptions directed northeast and east of the crater. The first and smallest of these (maximum Tetimpa area thickness = 12 cm; >52 km2 covered by >25 cm) took place at ca. 1350 yr B.P. and was accompanied by pyroclastic surge events preserved in the Tetimpa area by charcoal, sand waves, and cross-stratified sand-sized tephra. At ca. 1200 yr B.P., the products of two Plinian-style events and additional pyroclastic surges reached the Tetimpa area. The largest of these tephra-fall events covered the Tetimpa area with 0.5-1 m of tephra and blanketed an area of >230 km2 with a thickness of >25 cm. The Tetimpa record confirms two of the four periods of explosive volcanism recognized by studies conducted around Popocatepetl in the past 30 yr. Eruptive sequence I corresponds to the explosive period between 2100 and 2500 yr B.P., and eruptive sequence II corresponds to the period between 900 and 1400 yr B.P. The archaeology and lacustrine stratigraphy of the Tetimpa area help constrain the timing of the Plinian phase of eruptive sequence I to ca. 2100 yr B.P. and suggest that the pumice-fall eruptions of eruptive sequence II took place in at least two intervals between ca. 1350 and ca. 1200 yr B.P.

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].

Survival of Columbian white-tailed deer in western Oregon

USGS Publications Warehouse

Ricca, Mark A.; Anthony, Robert G.; Jackson, Dewaine H.; Wolfe, Scott A.

2002-01-01

Columbian white-tailed deer (Odocoileus virginianus leucurus; CWTD) are an endangered subspecies on which little demographic information exists. We determined survival rates and causes of mortality for 64 radiocol- lared adults from 1996 to 1998, and for 63 radiocollared neonatal fawns during the summer and fall months of 1996-2001 in Douglas County, Oregon, USA. Annual adult survival rates averaged 0.74 over 3 years, and most mor- tality (73%) occurred between fall and winter. Seasonal survival was lowest (0.75) for the fall-winter 1997-1998, and was 20.90 during all spring-summer periods. Annual and seasonal survival rates did not differ by gender. Average annual survival was 0.77 for deer in wildland areas compared with 0.66 for deer in suburban areas, but these dif- ferences were not consistent between years and seasons. Survival over the entire 3-year study was low (0.38). Eight deer died from a combination of emaciation and disease, and almost all (92%) necropsied deer were in poor body condition. Fawn survival to 7 months was low (0.14, 95% CI = 0.02-0.26) and declined most rapidly during the first 1.5 months of life. Predation (n = 21) and abandonment (n = 6) were the most frequent known causes of death for fawns. Our results suggest that CWTD may have responded to density-dependent factors during this short-term study, although the effects of other environmental or intrinsic factors cannot be ignored. Fawn survival may be insufficient to produce enough recruits for population growth and eventual range expansion.

The 1793 Eruption of San Martin Volcano (Los Tuxtlas, Veracruz, Mexico)

NASA Astrophysics Data System (ADS)

Espindola, J. M.; Zamora-Camacho, A.; Godinez, M. L.; Rodriguez-Elizarraras, S.

2007-12-01

San Martin Tuxtla Volcano is located in the State of Veracruz, Eastern Mexico (18.572N, 95.169W, 1650 masl). Its last eruption, which occurred 1793, was described by D. Jose Moziño, a naturalist sent by the Viceroy-of the then New Spain-to report on the eruption. The activity lasted for several months with distinct events of explosive character, which produced thick ash fall deposits in its vicinity. The explosions were heard, among other places, in the coasts of Tampico some 500km NW from the volcano. The ash fall reached distances up to 200 Km from the crater and covered an area of about 112,000 Km2. Following the description of Moziño and the results of field studies we make a reconstruction of the eruption. We identified the air fall deposit from this eruption and present an isopach map. We present radiocarbon ages of the paleosoils under the ash bed as an indirect evidence of its age. This data together with present day wind velocities, and a diffusion-advection model of the dispersion of ashes allow to estimate in at least 10km the altitude reached by some of the eruptive plumes. An estimation of the minimum volume of ash erupted, based on the reconstructed isopachs, is of about 1.3 x 108 m3. Microphotographs of the ashes suggest that the activity was of phreatomagmatic and strombolian nature. Finally, we address some aspects of the volcanic risk in the area derived from our study.

Distribution and migration chronology of Eastern population sandhill cranes

USGS Publications Warehouse

Fronczak, David L.; Andersen, David; Hanna, Everett E.; Cooper, Thomas R.

2017-01-01

The Eastern Population (EP) of greater sandhill cranes (Antigone canadensis tabida; cranes) is expanding in size and geographic range. Little information exists regarding the geographic extent of breeding, migration, and wintering ranges, migration chronology, or use of staging areas for cranes in the EP. To obtain these data, we attached solar global positioning system (GPS) platform transmitting terminals (PTTs) to 42 sandhill cranes and monitored daily locations from December 2009 through August 2014. On average, tagged cranes settled in summer areas during late‐March in Minnesota (7%), Wisconsin (29%), Michigan, USA (21%), and Ontario, Canada (38%) and arrived at their winter terminus beginning mid‐December in Indiana (15%), Kentucky (3%), Tennessee (45%), Georgia (5%), and Florida (32%). Cranes initiated spring migration beginning mid‐February to their respective summer areas on routes similar to those used during fall migration. Twenty‐five marked cranes returned to the same summer area after a second spring migration, of which 19 (76%) settled <3 km from the estimated mean center of the summer area of the previous year. During the 2010–2012 United States Fish and Wildlife Service (USFWS) Cooperative Fall Abundance Survey for cranes in the EP, we estimated that approximately 29–31% of cranes that summered in both Wisconsin and the Lower Peninsula of Michigan were not in areas included in the survey. The information we collected on crane movements provides insight into distribution and migration chronology that will aid in assessment of the current USFWS fall survey. In addition, information on specific use sites can assist state and federal managers to identify and protect key staging and winter areas particularly during current and future recreational harvest seasons.

Cost of falls in old age: a systematic review.

PubMed

Heinrich, S; Rapp, K; Rissmann, U; Becker, C; König, H-H

2010-06-01

The purpose of this study was to review the evidence of the economic burden of falls in old age. This review showed that falls are a relevant economic burden. Efforts should be directed to fall-prevention programmes. Falls are a common mechanism of injury and a leading cause of costs of injury in the elderly. The purpose of this study was to review for the first time the evidence of the economic burden caused by falls in old age. A systematic review was conducted in the databases of PubMed, of the Centre for Reviews and Dissemination and in the Cochrane Database of Systematic Reviews until June 2009. Studies were assessed for inclusion, classified and synthesised. Costs per inhabitant, the share of fall-related costs in total health care expenditures and in gross domestic products (GDP) were calculated. If appropriate, cost data were inflated to the year 2006 and converted to US Dollar (USD PPP). A total of 32 studies were included. National fall-related costs of prevalence-based studies were between 0.85% and 1.5% of the total health care expenditures, 0.07% to 0.20% of the GDP and ranged from 113 to 547 USD PPP per inhabitant. Direct costs occurred especially in higher age groups, in females, in hospitals and long-term care facilities and for fractures. Mean costs per fall victim, per fall and per fall-related hospitalisation ranged from 2,044 to 25,955; 1,059 to 10,913 and 5,654 to 42,840 USD PPP and depended on fall severity. A more detailed comparison is restricted by the limited number of studies. Falls are a relevant economic burden to society. Efforts should be directed to economic evaluations of fall-prevention programmes aiming at reducing fall-related fractures, which contribute substantially to fall-related costs.

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.

Multiple constraints on the age of a Pleistocene lava dam across the Little Colorado River at Grand Falls, Arizona

USGS Publications Warehouse

Duffield, W.; Riggs, N.; Kaufman, D.; Champion, D.; Fenton, C.; Forman, S.; McIntosh, W.; Hereford, R.; Plescia, J.; Ort, M.

2006-01-01

The Grand Falls basalt lava flow in northern Arizona was emplaced in late Pleistocene time. It flowed 10 km from its vent area to the Little Colorado River, where it cascaded into and filled a 65-m-deep canyon to form the Grand Falls lava dam. Lava continued ???25 km downstream and ???1 km onto the far rim beyond where the canyon was filled. Subsequent fluvial sedimentation filled the reservoir behind the dam, and eventually the river established a channel along the margin of the lava flow to the site where water falls back into the pre-eruption canyon. The ca. 150 ka age of the Grand Falls flow provided by whole-rock K-Ar analysis in the 1970s is inconsistent with the preservation of centimeter-scale flow-top features on the surface of the flow and the near absence of physical and chemical weathering on the flow downstream of the falls. The buried Little Colorado River channel and the present-day channel are at nearly the same elevation, indicating that very little, if any, regional downcutting has occurred since emplacement of the flow. Newly applied dating techniques better define the age of the lava dam. Infrared-stimulated luminescence dating of silty mudstone baked by the lava yielded an age of 19.6 ?? 1.2 ka. Samples from three noneroded or slightly eroded outcrops at the top of the lava flow yielded 3He cosmogenic ages of 16 ?? 1 ka, 17 ?? 1 ka, and 20 ?? 1 ka. A mean age of 8 ?? 19 ka was obtained from averaging four samples using the 40Ar/39Ar step-heating method. Finally, paleomagnetic directions in lava samples from two sites at Grand Falls and one at the vent area are nearly identical and match the curve of magnetic secular variation at ca. 15 ka, 19 ka, 23 ka, and 28 ka. We conclude that the Grand Falls flow was emplaced at ca. 20 ka. ?? 2006 Geological Society of America.

Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study

PubMed Central

Loganathan, Annaletchumy; Ng, Chirk Jenn; Tan, Maw Pin; Low, Wah Yun

2015-01-01

Objective To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. Research design The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guide was used to facilitate the interviews, which were audio recorded, transcribed verbatim and checked for accuracy. Data were analysed thematically using WeftQDA software. Participants 20 HCPs who managed falls in older people. Setting This study was conducted at the Primary Care Clinic in the University Malaya Medical Centre (UMMC), Malaysia. Results Four categories of barriers emerged—these were related to perceived barriers for older people, HCPs’ barriers, lack of caregiver support and healthcare system barriers. HCPs perceived that older people normalised falls, felt stigmatised, were fatalistic, as well as in denial regarding falls-related advice. HCPs themselves trivialised falls and lacked the skills to manage falls. Rehabilitation was impeded by premature decisions to admit older people to nursing homes. Lastly, there was a lack of healthcare providers as well as a dearth of fall education and training on fall prevention for HCPs. Conclusions This study identified barriers that explain poor fall management in older people with a high risk of falls. The lack of structured fall prevention guidelines and insufficient training in fall management made HCPs unable to advise patients on how to prevent falls. The findings of this study warrant evidence-based structured fall prevention intervention targeted to patients as well as to HCPs. PMID:26546140

Use of antiepileptic drugs and risk of falls in old age: A systematic review.

PubMed

Haasum, Ylva; Johnell, Kristina

2017-12-01

The aim of this study is to systematically review the scientific literature to investigate if use of antiepileptic drugs (AEDs) is associated with falls and/or recurrent falls in old age. We searched the literature for relevant articles in PubMed and Embase published up until 3rd December 2015. Studies on people aged 60 years and over with an observational design assessing the risk of fall in people exposed to AEDs compared to people not exposed to AED were included. We found 744 studies by searching Medline and Embase and an additional 9 studies by reviewing relevant reference lists. Of these studies, 13 fulfilled our predefined criteria. The articles were of various study design, sizes and follow-up times, and presented the results in different ways. Also, confounder adjustment varied considerably between the studies. Ten studies presented results for the association between use of any AED and any fall/injurious fall. Of these studies, 6 presented adjusted estimates, of which all but one showed statistically significant associations between use of any AED and any fall/injurious fall. Six studies investigated the association between use of any AED and recurrent falls. Of these, only 3 studies presented adjusted effect estimates of which 2 reached statistical significance for the association between use of AEDs and recurrent falls in elderly people. Our results indicate an association between use of AEDs and risk of falls and recurrent falls in older people. This finding may be clinically important given that a substantial amount of older people use these drugs. However, further research is needed to increase the knowledge about the actual risk of falls when using these drugs in old age. Copyright © 2017 Elsevier B.V. All rights reserved.

The Effects of the A Matter of Balance Program on Falls and Physical Risk of Falls, Tampa, Florida, 2013.

PubMed

Chen, Tuo-Yu; Edwards, Jerri D; Janke, Megan C

2015-09-24

This study investigated the effects of the A Matter of Balance (MOB) program on falls and physical risk factors of falling among community-dwelling older adults living in Tampa, Florida, in 2013. A total of 110 adults (52 MOB, 58 comparison) were enrolled in this prospective cohort study. Data on falls, physical risk of falling, and other known risk factors of falling were collected at baseline and at the end of the program. Multivariate analysis of covariance with repeated measures and logistic regressions were used to investigate the effects of this program. Participants in the MOB group were less likely to have had a fall and had significant improvements in their physical risk of falling compared with adults in the comparison group. No significant effects of the MOB program on recurrent falls or the number of falls reported were found. This study contributes to our understanding of the MOB program and its effectiveness in reducing falls and the physical risk of falling among older adults. The findings support extended use of this program to reduce falls and physical risk of falling among older adults.

Investigations into the Early History of Naturally Produced Spring Chinook Salmon in the Grand Ronde Basin : Fish Research Project Oregon : Annual Progress Report Project Period September 1, 1996 to August 31, 1997.

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

Johasson, Brian C.; Tranquilli, J. Vincent; Keefe, MaryLouise

1998-10-28

We have documented two general life history strategies utilized by juvenile spring chinook salmon in the Grande Ronde River basin: (1) juveniles migrate downstream out of summer rearing areas in the fall, overwinter in river valley habitats, and begin their seaward migration in the spring, and (2) juveniles remain in summer rearing areas through the winter and begin seaward migration in the spring. In migration year 96-97, the patterns evident from migrant trap data were similar for the three Grande Ronde River populations studied, with 42% of the Lostine River migrants and 76% of the Catherine Creek migrants leaving uppermore » rearing areas in the fall. Contrary to past years, the majority (98%) of upper Grande Ronde River migrants moved out in the fall. Total trap catch for the upper Grande Ronde River was exceedingly low (29 salmon), indicating that patterns seen this year may be equivocal. As in previous years, approximately 99% of chinook salmon juveniles moved past our trap at the lower end of the Grande Ronde River valley in the spring, reiterating that juvenile chinook salmon overwinter within the Grande Ronde valley section of the river. PIT-tagged fish were recaptured at Grande Ronde River traps and mainstem dams. Recapture data showed that fish that overwintered in valley habitats left as smolts and arrived at Lower Granite Dam earlier than fish that overwintered in upstream rearing areas. Fish from Catherine Creek that overwintered in valley habitats were recaptured at the dams at a higher rate than fish that overwintered upstream. In this first year of data for the Lostine River, fish tagged during the fall migration were detected at a similar rate to fish that overwintered upstream. Abundance estimates for migration year 96-97 were 70 for the upper Grande Ronde River, 4,316 for the Catherine Creek, and 4,323 for the Lostine River populations. Although present in most habitats, juvenile spring chinook salmon were found in the greatest abundance in pool habitats, particularly alcove and backwater pools. These results were consistent for both summer and winter surveys.« less

Systematic Review of Falls in Older Adults with Cancer

PubMed Central

Wildes, Tanya M; Dua, Priya; Fowler, Susan A.; Miller, J. Philip; Carpenter, Christopher R.; Avidan, Michael S.; Stark, Susan

2014-01-01

Objectives lder adults frequently experience falls, at great cost to themselves and society. Older adults with cancer may be at greater risk for falls and have unique risk factors. Materials and Methods We undertook a systematic review of the available medical literature to examine the current evidence regarding factors associated with falls in older adults with cancer. PubMed, Embase, CINAHL, CENTRAL, DARE, Cochrane Database of Systematic Reviews and clinical trials.gov were searched using standardized terms for concepts of oncology/cancer, people 60 and older, screening, falls and diagnosis. Eligible studies included cohort or case-control studies or clinical trials in which all patients, or a subgroup of patients, had a diagnosis of cancer and in which falls were either the primary or secondary outcome. Results We identified 31 studies that met our inclusion criteria. Several studies suggest that falls are more common in older adults with a diagnosis of cancer than those without. Among the 11 studies that explored factors associated with outpatient falls, some risk factors for falls established in the general population were also associated with falls in older adults with cancer, including dependence in activities of daily living and prior falls. Other factors associated with falls in a general population, such as age, polypharmacy and opioid use, were not predictive of falls among oncology populations. Falls among older adults with cancer in the inpatient setting were associated with established risk factors for falls in people without cancer, but also with factors unique to an oncology population, such as brain metastases. Conclusions Falls in older adults with cancer are more common than in the general population, and are associated with risk factors unique to people with cancer. Further study is needed to establish methods of screening older adults with cancer for fall risk and ultimately implement interventions to reduce their risk of falls. Identifying which older adults with cancer are at greater risk for falls is a requisite step to ultimately intervene and prevent falls in this vulnerable population. PMID:25454770

Conditioning of sandhill cranes during fall migration

USGS Publications Warehouse

Krapu, Gary L.; Johnson, Douglas H.

1990-01-01

Body mass of adult female and male sandhill cranes (Grus canadensis) increased an average of 17 and 20%, respectively, from early September to late October on staging areas in central North Dakota and varied by year. Increases in body mass averaged 550 and 681 g among female and male G. c. canadensis, respectively, and 616 and 836 g among female and male G. c. rowani. Adult and juvenile G. c. rowani were lean at arrival, averaging 177 and 83 g of fat, respectively, and fat reserves increased to 677 and 482 g by mid-October. Fat-free dry mass increased by 12% among juveniles, reflecting substantial growth, but remained constant among adults. The importance of fall staging areas as conditioning sites for sandhill cranes, annual variation in body mass, and vulnerability of cranes to habitat loss underscore the need to monitor status of fall staging habitat in the northern plains region and to take steps to maintain suitable habitat where necessary.

An evaluation of the usefulness of consensus definitions of sarcopenia in older men: results from the observational Osteoporotic Fractures in Men (MrOS) cohort study

PubMed Central

Cawthon, Peggy M; Blackwell, Terri L; Cauley, Jane; Kado, Deborah M; Barrett-Connor, Elizabeth; Lee, Christine G; Hoffman, Andrew R; Nevitt, Michael M; Stefanick, Marcia L; Lane, Nancy E; Ensrud, Kristine E; Cummings, Steven R; Orwoll, Eric S

2016-01-01

Background Recently, several consensus definitions for sarcopenia have been developed. Objective To evaluate the associations and discriminative ability of definitions of sarcopenia against clinical outcomes. Design Osteoporotic Fractures in Men study Setting Six clinical centers Participants 5,934 community-dwelling men aged ≥65 yrs Measurements Sarcopenia definitions evaluated were: International Working Group (IWG), European Working Group for Sarcopenia in Older Persons (EWGSOP), Foundation for the NIH (FNIH) Sarcopenia, Baumgartner, and Newman. Recurrent falls were defined as ≥2 self-reported falls in the year after baseline (N=694, 11.9%). Incident hip fractures (N=207, 3.5 %) and deaths (N=2003, 34.1%) were confirmed by central review of medical records over 9.8 years. Self-reported functional limitations were assessed at baseline and again 4.6 years later. Logistic regression or proportional hazards models estimated associations between sarcopenia and falls, hip fractures or death. The discriminative ability of the sarcopenia definitions (compared to referent models) for these outcomes was evaluated with areas under the receiver operator curve (AUCs) or C-statistics. Referent models included age alone for falls, function limitations and mortality, and age and BMD for hip fractures. Results The association between sarcopenia by the various definitions and risk of falls, functional limitations, and hip fractures was variable; all definitions were associated with increased mortality risk. However, none of the definitions materially changed discrimination based on AUC and C-statistic when compared to referent models (change ≤1% in all models). Conclusions Sarcopenia definitions as currently constructed did not consistently improve prediction of clinical outcomes in relatively healthy older men. PMID:26502831

Annual and Spatial Variation of the Kelp Forest Fish Assemblage at San Nicolas Island, California

USGS Publications Warehouse

Cowen, R.J.; Bodkin, James L.

1993-01-01

The kelp forest fishes of San Nicolas Island, California were studied from 1981-1986 to examine the causes of among-site and among-year variation in the fish assemblages. Fish counts and seven physical and biological variables were recorded at six sites around the island every spring and fall. Over the study period, a total of 45 fish species from 18 families were recorded, though members of nive families dominated at all sites. Among-site variation was considereable with two sites on the south side of the island having two to four times as many non-schooling fishes as the other four sites. Three variables, based on stepwise multiple regression techniques, were important predictors of site-specific fish abundance: 1) vertical relief; 2) sand cover and 3) understory algal cover. The total number of fishes varied interannually by a factor of three. Due to recruitment occuring each spring, there was a strong seasonal component to the variation in fish abundance. The extent of seasonal and interannual variaton of fish abundance is an indication of the variable nature of recruitment to this area. Over the 6 yr period, there were three distinct groupings of fish assemblages correspondong to pre- (Fall 1981 - Fall 1982), during spring (Spring 1983 - Spring 1984) and post El Nino (Fall 1984 - Fall 1986) sampling dates. During El Nino sampling period, there was considerable recruitment of southern affinity fish species, increasing both the abundance and diversity of the fish assemblages. Large-scale oceanographic processes, coupled with site-specific features of the reef habitat, produce a moderately diverse, though relatively abundant fish fauna at San Nicolas Island.

Effect of hormone therapy on postural balance in postmenopausal women.

PubMed

Rodrigues Barral, Ana Beatriz Cesar; Nahas, Eliana Aguiar Petri; Nahas-Neto, Jorge; Cangussu, Luciana Mendes; Buttros, Davi de Araujo

2012-07-01

The aim of this study was to analyze the effects of hormone therapy (HT) on postural balance in postmenopausal women and its association with risk of falls. In this cross-sectional study, a total of 225 Brazilian postmenopausal women aged 45 to 75 years were included and divided into two groups: HT users (n = 102) and nonusers (n = 123). HT users were women who had continuously taken HT throughout the preceding 6 months, whereas nonusers received no such therapy during the same period. Women with amenorrhea for more than 12 months and aged 45 years or older were included. Those with neurological or musculoskeletal disorders, vestibulopathies, uncorrected visual deficit, or drug use that could affect balance were excluded. Histories of falls (previous 24 mo) as well as clinical and anthropometric characteristics were analyzed. Postural balance was assessed through stabilometry (computerized force platform), Romberg test, and crouching test. Statistical analysis included the median test, χ test, Spearman correlation coefficient, and logistic regression method (odds ratio). Women users of HT were younger (53.0 vs 57.0 y) and with a shorter time since menopause (5.5 vs 10.0 y) than nonusers (P < 0.05). No anthropometric differences were observed. The number of women who had experienced falls was significantly lower among HT users than nonusers: 51 vs 88 falls, respectively (P < 0.05), and presented an adjusted risk of falls of 0.49 (95% CI, 0.27-0.88) times lower than the nonusers group. For the stabilometric parameters, HT users showed significantly lower amplitude in body oscillation (latero-lateral and antero-posterior) and a smaller oscillation area compared with nonusers (P < 0.05). There was no significant correlation between the Romberg test and fall rate (P > 0.05). In the crouching test, 47.1% of the participants showed an adequate level of muscle strength in lower limbs without differences between the groups (P > 0.05). Postmenopausal women using HT showed lower frequency of falls and a better performance in stabilometric parameters than did nonusers.

Tree stands, not guns, are the midwestern hunter's most dangerous weapon.

PubMed

Crockett, Andrew; Stawicki, Stanislaw P; Thomas, Yalaunda M; Jarvis, Amy M; Wang, Cecily F; Beery, Paul R; Whitmill, Melissa L; Lindsey, David E; Steinberg, Steven M; Cook, Charles H

2010-09-01

Although the prevailing stereotype is that most hunting injuries are gunshot wounds inflicted by intoxicated hunting buddies, our experience led us to hypothesize that falls comprise a significant proportion of hunting related injuries. Trauma databases of two Level I trauma centers in central Ohio were queried for all hunting related injuries during a 10-year period. One hundred and thirty patients were identified (90% male, mean age 41.0 years, range 17-76). Fifty per cent of injuries resulted from falls, whereas gunshot wounds accounted for 29 per cent. Most hunters were hunting deer and 92 per cent of falls were from tree stands. Alcohol was involved in only 2.3 per cent, and drugs of abuse in 4.6 per cent. Of gunshots, 58 per cent were self-inflicted, and 42 per cent were shot by another hunter. Tree stand falls were highly morbid, with 59 per cent of fall victims suffering spinal fractures, 47 per cent lower extremity fractures, 18 per cent upper extremity fractures, and 18 per cent closed head injuries. Surgery was required for 81 per cent of fall-related injuries, and 8.2 per cent of fall victims had permanent neurological deficits. In contrast to prevailing beliefs, in our geographic area tree-stand falls are the most common mechanism of hunting related injury requiring admission to a Level 1 trauma center.

Characteristics of Older Adults on Waiting Lists for Meals on Wheels: Identifying Areas for Intervention

PubMed Central

Thomas, Kali S.; Smego, Raul; Akobundu, Ucheoma; Dosa, David

2016-01-01

The purpose of this study was to characterize the population of seniors on Meals on Wheels’ (MOW) waiting lists and identify their rate of depression, anxiety, falls, and fear of falling. Data come from surveys of 626 seniors on waiting lists across the country and the 2013 National Health and Aging Trends Study (NHATS). Results suggest that seniors on waiting lists for MOW were more likely to be widowed, less educated, older, Black, Hispanic, and receive Medicaid than the population of community-dwelling older adults. In addition, 31% of seniors on MOW waiting lists were depressed, compared with 12% of seniors in the national population (p < .001), and 28% exhibited signs and symptoms of anxiety, compared with 10% of the national population of seniors (p < .001). Seniors on waiting lists were significantly more likely to have fallen in the last month and be fearful of falling than the national population of seniors (p < .001). Individuals on MOW waiting lists are a vulnerable and high-risk group. By seeking to better understand clients’ needs, appropriate services can be tailored to promote independent living and improve older adults’ well-being. PMID:26597791

Prevalence of key care indicators of pressure injuries, incontinence, malnutrition, and falls among older adults living in nursing homes in New Zealand.

PubMed

Carryer, Jenny; Weststrate, Jan; Yeung, Polly; Rodgers, Vivien; Towers, Andy; Jones, Mark

2017-12-01

Pressure injuries, incontinence, malnutrition, and falls are important indicators of the quality of care in healthcare settings, particularly among older people, but there is limited information on their prevalence in New Zealand (NZ). The aim of this study was to establish the prevalence of these four problems among older people in nursing home facilities. The cross-sectional study was an analysis of data collected on a single day for the 2016 National Care Indicators Programme-New Zealand (NCIP-NZ). The sample included 276 people ages 65 and older who were residents in 13 nursing home facilities in a geographically diverse area of central NZ. Data were analyzed with descriptive statistics. Prevalence rates in these nursing home settings was pressure injuries 8%; urinary incontinence 57%; fecal incontinence 26%; malnutrition 20%, and falls 13%, of which half resulted in injuries. As people age, complex health issues can lead to increasing care dependency and more debilitating and costly health problems. Measuring the prevalence of basic care problems in NZ healthcare organizations and contributing to a NZ database can enable monitoring of the effectiveness of national and international guidelines. © 2017 Wiley Periodicals, Inc.

Relationship of roof falls in underground coal mines to fractures mapped on ERTS-1 imagery. [Indiana and Illinois

NASA Technical Reports Server (NTRS)

Wier, C. E.; Wobber, F. J.; Russell, O. R.; Amato, R. V.; Leshendok, T. V.

1974-01-01

ERTS imagery is of unique value for mapping of certain fractures that are not identifiable on aircraft imagery. Because color infrared and ERTS imagery complement each other both sources of data were used to map fractures in western Indiana and eastern Illinois. In the Kings Station Mine, Gibson County, Indiana, most roof falls reported had occurred in areas where mapped fractures were closely spaced and intersecting. Using this information as a basis for extrapolation, roof fall hazard maps were prepared for other mine sites. Various coal resources programs related to energy and environment also were conducted.

Landslides caused by the Klamath Falls, Oregon, earthquakes of September 20, 1993

USGS Publications Warehouse

Keefer, D.K.; Schuster, R.L.

1993-01-01

In the Klamath Falls area, the most numerous earthquake-induced rock falls were along the east-to southeast-facing flank of a ridge immediately south and west of Howard Bay (locality 1 on the accompanying map), 18 km east-southeast of the epicenter of the magntiude 6.0 shock at 10:45 p.m. This ridge is more than 240 m high and has slopes steeper than 45° in places. The upper part of the ridge is composed of material from basaltic lava flows, an the lower slopes are covered with colluvium and talus deposits containing abundant boulders. 

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

PubMed

Sawers, Andrew; Hafner, Brian

2018-04-11

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

Preliminary tephra-fall records from three lakes in the Anchorage, Alaska area: advances towards a regional tephrochronostratigraphic framework

NASA Astrophysics Data System (ADS)

Wallace, K. L.; Kaufman, D. S.; Schiff, C. J.; Kathan, K.; Werner, A.; Hancock, J.; Hagel, L. A.

2010-12-01

Sediment cores recovered from three kettle lakes, all within 10 km of Anchorage, Alaska contain a record of tephra fall from major eruptive events of Cook Inlet volcanoes during the past 11250 yr. Prominent tephra layers from multiple cores within each lake were first correlated within each basin using physical properties, major-oxide glass geochemistry, and constrained by bracketing radiocarbon age. Distinct tephra from each lake were then correlated among all three lakes using the same criteria to develop a composite tephrostratigraphic framework for the Anchorage area. Lorraine Lake, the northern-most lake contains 17 distinct tephra layers; Goose Lake, the eastern most lake contains 10 distinct tephra layers; and Little Campbell Lake, to the west, contains 7 distinct tephra layers. Thinner, less-prominent tephra layers, reflecting smaller or more distant eruptions, also occur but are not included as part of this study. Of the 33 tephra layers, only two could be confidently correlated among all three lakes, and four other correlative deposits were recognized in two of the three lakes. The minimum number of unique major tephra-fall events in the Anchorage area is 22 in the past 11200 years, or about 1 event every 500 years. This number underestimates the actual number of eruptions because not attempt was made to locate crypto-tephra. All but perhaps one tephra deposit originated from Cook Inlet volcanoes with the most prolific source being Mount Spurr/Crater Peak, which is accountable for at least 8 deposits. Combining radiocarbon ages to produce an independent age model for each lake is in progress and will aid in confirming correlations and assigning detailed modeled-tephra age and uncertainty to each tephra layer.

Spatial prediction and validation of zoonotic hazard through micro-habitat properties: where does Puumala hantavirus hole - up?

PubMed

Khalil, Hussein; Olsson, Gert; Magnusson, Magnus; Evander, Magnus; Hörnfeldt, Birger; Ecke, Frauke

2017-07-26

To predict the risk of infectious diseases originating in wildlife, it is important to identify habitats that allow the co-occurrence of pathogens and their hosts. Puumala hantavirus (PUUV) is a directly-transmitted RNA virus that causes hemorrhagic fever in humans, and is carried and transmitted by the bank vole (Myodes glareolus). In northern Sweden, bank voles undergo 3-4 year population cycles, during which their spatial distribution varies greatly. We used boosted regression trees; a technique inspired by machine learning, on a 10 - year time-series (fall 2003-2013) to develop a spatial predictive model assessing seasonal PUUV hazard using micro-habitat variables in a landscape heavily modified by forestry. We validated the models in an independent study area approx. 200 km away by predicting seasonal presence of infected bank voles in a five-year-period (2007-2010 and 2015). The distribution of PUUV-infected voles varied seasonally and inter-annually. In spring, micro-habitat variables related to cover and food availability in forests predicted both bank vole and infected bank vole presence. In fall, the presence of PUUV-infected voles was generally restricted to spruce forests where cover was abundant, despite the broad landscape distribution of bank voles in general. We hypothesize that the discrepancy in distribution between infected and uninfected hosts in fall, was related to higher survival of PUUV and/or PUUV-infected voles in the environment, especially where cover is plentiful. Moist and mesic old spruce forests, with abundant cover such as large holes and bilberry shrubs, also providing food, were most likely to harbor infected bank voles. The models developed using long-term and spatially extensive data can be extrapolated to other areas in northern Fennoscandia. To predict the hazard of directly transmitted zoonoses in areas with unknown risk status, models based on micro-habitat variables and developed through machine learning techniques in well-studied systems, could be used.

Satellite based remote sensing technique as a tool for real time monitoring of leaf retention in natural rubber plantations affected by abnormal leaf fall disease

NASA Astrophysics Data System (ADS)

Pradeep, B.; Meti, S.; James, J.

2014-11-01

Most parts of the traditional natural rubber growing regions of India, extending from Kanyakumari district of Tamil Nadu in the South to Kasaragod district of Kerala in the North received excess and prolonged rains during 2013. This led to severe incidence of Abnormal Leaf Fall (ALF) disease caused by the fungus, Phytophthora sp. The present study demonstrated the first time use of satellite remote sensing technique to monitor ALF disease by estimating Leaf Area Index (LAI) in natural rubber holdings in near real time. Leaf retention was monitored in between April and December 2012 and 2013 by estimating LAI using MODIS 15A2 product covering rubber holdings spread across all districts in the traditional rubber growing region of the country that was mapped using Resourcesat LISS III 2012 and 2013 data. It was found that as the monsoon advanced, LAI decreased substantially in both years, but the reduction was much more substantial and prolonged in many districts during 2013 than 2012 reflecting increased leaf fall due to ALF disease in 2013. The decline was more pronounced in central and northern Kerala than in the South. Kanyakumari district of Tamil Nadu is generally known to be free from ALF disease, but there was considerable leaf loss due to ALF in June 2012 and June and July 2013 even as the monsoon was unusually severe in 2013. Weighted mean LAI during for the entire period of April to December was estimated as a weighted average of LAI and per cent of total area under rubber in each district in the study area for the two years. This was markedly less in 2013 than 2012. The implications of poor leaf retention for biomass production (net primary productivity), carbon sequestration and rubber yield are discussed.

Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services.

PubMed

Solis, Guillermina R; Champion, Jane Dimmitt

2017-03-01

Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person's quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health and risk for fall recurrence. Most fall studies focus on fall risk with few studies on fall recurrence in older adults receiving home health care services unrelated to fall incident. A descriptive pilot study of 30 homebound Hispanic older adults receiving home care services who reported a fall within 3 months was conducted by a multidisciplinary team to evaluate risk of fall recurrence. A heightened risk for fall recurrence was identified with high number of chronic illnesses, high intake of medications, vision problems, and prevalence of urinary incontinence. Findings highlight significant number of intrinsic factors for fall risk recurrence and injuries in a Hispanic older adults population that is homebound and receiving home care services. A multidisciplinary evaluation and culturally appropriate interventions to lessen the risk of fall recurrence are recommended.

Effects of the Just One Mentoring Program on Student Persistence at Milwaukee Area Technical College

ERIC Educational Resources Information Center

Palmer, Emma

2015-01-01

This dissertation investigated the effects of the intervention of the Just One Mentoring Program on student persistence in completing their career programs. The population for this study consisted of a heterogeneous group of students enrolled in the Just One Mentoring Program during summer 2003 through fall 2006 at a community college located in…

Youth Attitude Tracking Study. Volume 2. Fall 1976.

DTIC Science & Technology

1976-01-01

Advertising Copy Identification.......... . .......... ..... 15 Target Market Profile of :Reserve Components....... i5 Target Market Profile of Active...in the Tracking Areas to test such factors as -promotional materials, recruiting practices, and advertising strategy . A special feature included in the...8217 .. :~ . .’..;- .":, ,:,,.", . ’ .. €,. . . - .. " . " :" . . ". " . . .." ,"- .-- :-,, ". . ’ . -.-- . .: ’.-. :. -I MARKET FACTS " I age 15

Journeys, Adventures, Bridges and Puzzles: A Case Study Approach to Understanding Teachers' Conceptions of STEM

ERIC Educational Resources Information Center

Kenney, Meghan

2013-01-01

Legislative changes and discussions about the United States falling further and further behind other nations in science, technology, engineering, and math (STEM) achievement are growing. As they grow, STEM instruction in elementary school has earned its place as a national area of interest in education. In the case of Ivory School District,…

A Case Study on Environmental Perspectives of Boulderers and Access Issues at the Niagara Glen Nature Reserve

ERIC Educational Resources Information Center

Thompson, Jeremy; Davidson, Justin; Hutson, Garrett

2008-01-01

Currently, there are concerns about access restrictions to bouldering, a form of rock climbing, and other outdoor activities practiced at the Niagara Glen Nature Reserve located near Niagara Falls, Ontario, Canada. The Niagara Parks Commission is currently in the process of exploring ways to balance protection of the natural area with sustainable…

Survey of New Jersey Public School Districts Using Computers and Data Entry Equipment.

ERIC Educational Resources Information Center

Gaydos, Irvin A.

The twelve tables in this study represent the results of a Fall 1975 survey of the 589 operating school districts in the State of New Jersey to determine the status of computer and data entry equipment utilization. Results show that the number of users of this equipment increased noticeably, primarily in administrative processing areas such as…