• Title/Summary/Keyword: Fall risk

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Clinical aspects of injury and acute poisoning in Korean pediatric patients (소아의 응급질환 - 우리나라 소아 및 청소년의 손상과 급성 중독을 중심으로 -)

  • Lee, Mi Jin;Park, Joon Seok
    • Clinical and Experimental Pediatrics
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    • v.51 no.2
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    • pp.116-121
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    • 2008
  • Unintentional injuries are the most important cause of morbidity and mortality in the pediatric population, and the home is the most common site of injury for children in Korea. The most common cause of injury was slip down. Fall down and burn were frequent in infant/toddlers group, automobile and bicycle accident more frequent in preschool children. Findings from the survey could then be used to provide targets for direct educational efforts by medical services and to direct environmental safety modifications tailored to the unique situation of each family. Pediatric toxic ingestions are treated commonly by pediatricians and emergency physicians. Significant injury after these ingestions is infrequent, but identifying the dangerous ingestion is sometimes a difficult task. By performing a detailed history, focused physical examination, and directed laboratory evaluation, an estimation of risk can be developed. According to recent Korean poison papers, there were bimodal peak of age distribution in poisoned children patient on the whole: infant and adolescents group. Various types of materials belonged the classes of drugs, household products, and industrial solvents. Most of the poisoned children patients had been poisoned accidentally, while most cases of adolescents poisoning had been intentional. More than half of the adolescents group had a suicidal purpose in Korea, so an understanding of the demographic factors associated with self-harm poisoning may provide useful information to improve prevention and treatment strategies.

Effects of Increasing Ankle Range of Motion Program on Ambulation and Balance for the Elderly With Balance Disorder (발목관절 가동범위 증진 프로그램이 노인의 보행과 균형능력 향상에 미치는 효과)

  • Lee, Sung-Eun
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.28-36
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    • 2005
  • The purpose of this study was to investigate the effects of the increasing ankle range motion program on ambulation and balance for the elderly with balance disorder. Eighteen elderly subjects were administered with a timed test twice; approximately 4 weeks apart. The exercise group participated in a fall prevention exercise class at the Y.S. Senior Welfare Center of the Seoul Metropolitan Government. The session consisted of a stationary cycle, static stretching ankle joints, balance boards, and progressive resistive exercises using the Thera-band. The results were as follows: Firstly, the increasing ankle range of motion program was effective on the exercise group. Gait-speed was improved (p<.005). Secondly, balance was significantly improved (p<.000). Thirdly, increasing ankle range of motion program was effective in ankle dorsiflexion which was the major risk factor for falls among the elderly. Differences in gait and balance between the groups were examined using a paired t-test (p<.05). The exercise group demonstrated significantly higher values of gait-speed, ankle range of motion, and balance when compared with the non-exercise group. The results of this study suggest that the increasing ankle range of motion program is an effective intervention for the elderly with balance disorder.

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Physical Activity and Exercise Intervention for Cancer Survivors (암 환자의 신체활동 및 운동)

  • Chae, Jean;Park, Hyeong-Jun;Lee, Ji-Yeong;Jung, Hyun-Sik;Lee, Sang-Hun
    • Journal of Korean Traditional Oncology
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    • v.17 no.1
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    • pp.27-38
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    • 2012
  • Objective : To present an overview of current reports and guidelines of physical activity and exercise intervention for cancer survivors Methods : We searched Pubmed for the related studies such as randomized controlled trials and observational studies, as well as published guidelines or recommendations for exercise intervention. Results : Physical activity and exercise intervention is considered safe and effective for most cancer survivors. According to the guidelines, patients with peripheral neuropathy, musculoskeletal disorder, or those who are at risk of fracture, should undergo proper medical assessment before starting exercise intervention. Also, patients with bone metastasis, thrombocytopenia, symptomatic anemia, or acute infection may fall into one of the contraindications of exercise intervention. Conclusions : Physical activity and exercise intervention may play a major role in improving physical functioning, quality of life, or treatment-related symptoms of cancer survivors. It is necessary to recognize the benefits and precautions of exercise in caring cancer patients.

Virtual Reality Community Gait Training Using a 360° Image Improves Gait Ability in Chronic Stroke Patients

  • Kim, Myung-Joon
    • The Journal of Korean Physical Therapy
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    • v.32 no.3
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    • pp.185-190
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    • 2020
  • Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.

Financial Intermediation and the Post-Crisis Financial System with Implications for Korea (위기 이후 금융중개와 금융제도 변천 및 한국에 대한 시사점)

  • Shin, Hyun Song
    • KDI Journal of Economic Policy
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    • v.32 no.1
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    • pp.1-26
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    • 2010
  • Securitization was meant to disperse credit risk to those who were better able to bear it. In practice, securitization appears to have concentrated the risks in the financial intermediary sector itself. This paper outlines an accounting framework for the financial system for assessing the impact of securitization on financial stability. If securitization leads to the lengthening of intermediation chains, then risks become concentrated in the intermediary sector with damaging consequences for financial stability. Covered bonds are one form of securitization that do not fall foul of this principle. I discuss the role of countercyclial capital requirements and the Spanish-style statistical provisioning in mitigating the harmful effects of lengthening intermediation chains. For Korea, the stability of funding emerges as a key consideration. Covered bonds may play a role in stabilizing the funding arrangement for banks.

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Postural Strategy by the Difference of Shoe Heel Height During Quiet Standing on an Unstable Surface (불안정 지지면에서 정적 서기 동안 구두 굽 높이의 변화에 따른 자세 조절 전략)

  • Sagong, Woo-Won;An, Duk-Hyun
    • Physical Therapy Korea
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    • v.21 no.2
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    • pp.28-36
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    • 2014
  • The purpose of this study was to evaluate the changes in the electromyographic (EMG) activity of the trunk and the lower limb muscles during quiet standing on an unstable surface while wearing low-heeled shoes (3 cm), high-heeled shoes (7 cm) and without footwear (0 cm) in 20 young healthy women. The subjects stood on an unstable surface for 30 seconds. We examined the differences in the EMG data of the erector spinae, rectus abdominis, biceps femoris, rectus femoris, tibialis anterior, and the gastrocnemius medialis muscle. A one-way repeated analysis of variance was used to compare the effects of shoe heel height on the EMG activity with the level of significance set at ${\alpha}=.05$. The EMG activity of the erector spinae and the rectus femoris were significantly increased (p<.05) in the subjects who wore elevated heel height, while the tibialis anterior and the gastrocnemius medialis were significantly decreased (p<.05). However, the rectus abdominis and the biceps femoris exhibited no significant difference among the three conditions. The above results indicate that wearing high-heeled shoes may change the postural strategy. The findings of this study suggest that excessive heel height could contribute to an increased fall risk during quiet standing.

Prototype of Fall Impact Protective Pants for Elderly Women (노년 여성을 위한 낙상충격 보호팬츠 디자인 프로토타입)

  • Park, Jung Hyun;Lee, Jeong Ran
    • Journal of the Korean Society of Costume
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    • v.66 no.4
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    • pp.45-60
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    • 2016
  • Elderly women have a high risk of falling down in their daily lives. The purpose of this study is to develop protective pants for elderly women, which will mitigate the impact of falls, and play a major role in reducing injuries. The two types of design were proposed for development of protective pants by selecting pad insertion point and inserting lining for keeping pad in place through the checklist to investigate from the interviews with the medical workers and the investigation of the user requirement. Design A has protective pads in the hip, hip joint, and knee, while design B has protective pads in the hip and hip joint area. For the impact absorbing material, CR (chloroprene rubber) foam was selected for its flexibility, lightness, and impact absorbing capacity, and its pad shapes were designed to produce much flexibility in consideration of the activity and human body fitness of the wearers. Three kinds of pad types, which are the cut type, the porous type, and the honeycomb type, were proposed, and were manufactured to fit into the protective parts according to their design types.

A Study on the Prevention of Fall Accident for on the Roof in Rail road Vehicle (철도차량 옥상 작업시 추락사고 예방에 관한연구)

  • An, Jong-Gon;Won, Bong-Eui;Kim, Dong-Min
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.58-68
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    • 2007
  • Thorough preparations and investigations must be done in order to prevent the hazards which will happen when workers work on the roof of the rolling stocks. Some industrial disasters can be prevented by solving the risks involved in the working of the work processes. Falling accidents tend to happen from the roof of the trains when workers work in the high position. So through the analysis of the 4M( Man. Machine, Media, Management), this paper analyzed the risk factors among the roof works and all problems of the maintenance. Also this paper suggests new devices or new methods to prevent falling disasters and to relieve the mental senses of uneasiness.

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Instrumental Activities of Daily Living, Leg Muscle Strength, Cognitive and Visual Function According to Demographic Variables and the Experience of Falling in Community Resident Elderly Koreans (지역사회 재가 노인의 인구학적 특성과 낙상경험에 따른 일상생활 수행능력, 하지근력, 인지기능 및 시각기능)

  • Sohng, Kyeong-Yae;Choi, Dong-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.221-229
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    • 2007
  • Purpose: To investigate the instrumental activities of daily living (IADL), leg muscle strength, cognitive and visual functions according to the participants' demographic characters and experiences of falling in Korean elder who are residents in the community. Method: Data were collected from 351 participants aged 65 or more, who were ambulatory, A structured questionnaire and several physical function measurements were used to collect the data which were analyzed using the SAS program. Results: The participants' IADL scores were significantly different according to their age, educational level and living situation. The leg muscle strength of the elders were significantly different according to gender and age, and were also related the risk of falling. Cognitive scores were significantly different according to gender, age, education level and marital status. Visual acuity and depth perception were significantly different according to age, education level, and marital status. Conclusion: Demographic variables and experience of falling were identified as variables related to IADL, leg muscle strength, cognitive and visual function of elders. Further study with a larger and nation-wide sample is needed to identify the variables related to the physical and cognitive functions of elders.

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Public's Recognition of the Space Object's Re-entry Situations and the National Space Disaster Management Policy (우리나라 국민의 우주위험인식 수준과 국가 재난정책)

  • Kim, Syeun;Cho, Sungki;Hong, Jeongyoo
    • Journal of the Korean Society of Safety
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    • v.31 no.6
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    • pp.84-92
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    • 2016
  • Since the mankind started its space mission, the number of artificial space objects has been increasing exponentially. It contains not just the space machines which are in use but the machines which are out of order. Meantime, those dead machines are being a serious danger, a real threat to human's lives and property because of it could re-enter into the earth's atmosphere and fall to the ground causing mega-disaster. As the number of space activities gets growing so far, the re-entry of the space objects will be a lot more happened in the future. Therefore, not just natural space object like asteroids but the artificial space object like artificial satellite and space station can cause the disaster by falling to the ground. To protect our nation and our property, the government has set up the space disaster management center in Korea astronomy and Space science Institute. In this study, we surveyed public's recognition of the space object's re-entry situation and analyzed it to contribute building national space disaster management policy.