• Title/Summary/Keyword: Fall risk

Search Result 427, Processing Time 0.024 seconds

Effects of virtual reality combined with balance training on upper limb function, balance, and activities of daily living in persons with acute stroke: a preliminary study

  • Jeon, Min-Jae;Moon, Jong-Hoon;Cho, Hwi-young
    • Physical Therapy Rehabilitation Science
    • /
    • v.8 no.4
    • /
    • pp.187-193
    • /
    • 2019
  • Objective: The aim of this preliminary study was to investigate the effects of virtual reality combined with balance training on upper limb function, balance, and activities of daily living (ADL) in persons with acute stroke. Design: Randomized controlled trial. Methods: Fourteen acute stroke survivors were recruited and randomly assigned into two groups: the experimental group (n=7) and the control group (n=7). Both groups performed the conventional rehabilitation therapy for 30 minutes a day, 5 times a week, for 4 weeks. Additionally, the experimental group conducted the virtual reality training for 30 minutes on an unstable surface during each session, whereas the control group performed balance training for 30 minutes on a stable surface. All measurements were performed before and one day after intervention. Upper limb function, balance, and ADL were assessed using the Manual Function Test (MFT), the Berg Balance Scale (BBS), and the Korean version of the Modified Barthel Index (K-MBI), respectively. Results: Both groups showed significant improvements in MFT, BBS, K-MBI after intervention (p<0.05). There were no significant differences between the experimental and control groups with respect to MFT, BBS, and K-MBI after intervention. The experimental group showed a greater decrease in fall risk (BBS<45) after intervention than the control group (p<0.05). Conclusions: These findings suggest that virtual reality combined with balance training has a better effect on balance improvement than virtual reality training alone in persons with acute stroke.

Simulation of Effects of Swine Manure Application Rates on Nitrate Concentration in Runoff, Indiana, USA

  • Lim, Kyoung-Jae;Engel, Bernard A.;Jeon, Ji-Hong;Jones, Don;Sutton, Alan L.;Ok, Yang-Sik;Kim, Ki-Sung;Choi, Joong-Dae
    • Korean Journal of Environmental Agriculture
    • /
    • v.28 no.1
    • /
    • pp.38-46
    • /
    • 2009
  • Livestock manure is an important source of nutrients for crop production. However, farmers typically do not know the exact nutrient values for livestock manure. In many instances, manure has been viewed as a waste, and as a result it is applied close to the source resulting in over application of nutrients. Thus, the goal of nutrient application has often been applied to reduce the application expense rather than to maximize crop income. This results in wasted money and potentially negative impacts on water quality. Several livestock manure management scenarios were created based on agronomic nutrient requirements using the Utilization of Animal Manure as a Plant Nutrient (AMANURE) software to investigate water quality impacts with the National Agricultural Pesticide Risk Analysis (NAPRA) WWW modeling system. Application of manure at agronomic rates can result in high nitrate-nitrogen losses for some soil types, especially when applied in late fall. The application of manure at an agronomic rate does not necessarily equate to adequate water quality protection, and farmers must take care applying manure at agronomic rates, because nitrate-nitrogen loss potential varies spatially and temporarily. Nutrient loss probability maps for Indiana at 5%, 10%, 25%, and 50% values were created to demonstrate potential water quality impacts when livestock manure is applied to cropland at agronomic rates. The NAPRA WWW system coupled with AMANURE can be used to identify site-specific livestock manure management plans that are environmentally sound and agronomically appropriate.

Correlations Among the Berg Balance Scale, Gait Parameters, and Falling in the Elderly (노인에서 Berg 균형 척도, 보행 변수, 그리고 넘어짐과의 관계)

  • Lee, Hyun-Ju;Yi, Chung-Hwi;Yoo, Eun-Young
    • Physical Therapy Korea
    • /
    • v.9 no.3
    • /
    • pp.47-65
    • /
    • 2002
  • This study examined the correlations among the Berg Balance Scale, which is a clinical tool used to evaluate balance ability, spatiotemporal parameters of gait, and falling; determined the parameters most closely related to falling; and identified a discriminatory parameter and its predictability. Thirty-four subjects aged 72 to 92 years participated in this study. Following a questionnaire survey about falling, the Berg Balance Scale and spatiotemporal parameters of gait were measured. The results revealed that the incidence of falls increased with aging and an accompanying reduction in the flexion range of motion of the hip joint. The gait characteristics of elderly people who fell easily included a slower walking speed, shorter stride, and longer stance time than other elderly. When the cutoff score was set at 45, the Berg Balance Scale was able to identify correctly those individuals who truly have experience of falling than when the cutoff score was set at 39. But when the cutoff score was set at 39, the scale's specificity identifying correctly those individuals who truly have not experience of falling was higher than at the cutoff score of 45. Therefore, the Berg Balance Scale is an appropriate screening method in a clinical setting for the early detection of elderly people at risk of falling. In conclusion, elderly people with a Berg Balance Scale score. below 45 are the most likely to fall owing to their decreased balance ability.

  • PDF

Reviews on the Current Status and Appropriate Management of Polypharmacy in South Korea (우리나라의 다제약제 현황과 적정관리 방안에 대한 고찰)

  • Park, Hae-Young;Sohn, Hyun Soon;Kwon, Jin-Won
    • Korean Journal of Clinical Pharmacy
    • /
    • v.28 no.1
    • /
    • pp.1-9
    • /
    • 2018
  • Polypharmacy is increasing owing to an increase in the elderly population and multimorbidities associated with the increased risk of administration of potentially inappropriate medications (PIMs). The negative effects of polypharmacy on various health conditions and aspects, such as fall, fracture, mortality, cognitive function, and dementia, have been reported. The management of excess and inappropriate polypharmacy through proper interventions and local or national guidelines has been highlighted. The purpose of polypharmacy management is to appropriately prescribe medicines that are essential to treat diseases in patients and to avoid inappropriate polypharmacy, such as interactive or duplicate medicines under prescription and PIMs for specific diseases. Community pharmacists in Australia, the EU, USA, and Japan are collaborating with prescribers to review medications to ensure that the patients can be prescribed appropriate medications. The service cost is reimbursed by public or private insurers. A study in the United States has shown that even with medication review costs, the overall medication cost has reduced. In Korea, various projects such as Drug Utilization Review service and safe use of medicines have been conducted; however, no national guidelines or management measures have been established. It is necessary to implement a national long-term plan on polypharmacy management. Furthermore, a phased implementation plan is required. Shortly, active medication review services and education programs for healthcare professionals with the support of the government should be considered in Korea with reference to other countries in order to raise awareness of seriousness and risks of inappropriate polypharmacy.

A Study on Investment Agreement and Dispute Resolution System of FTA (FTA 투자협정과 분쟁해결제도에 관한 연구)

  • Choe, Tae-Parn
    • Journal of Arbitration Studies
    • /
    • v.17 no.2
    • /
    • pp.141-165
    • /
    • 2007
  • This study aims to make a contribution to the promotion of trade and economic development of South Korea, and, at the same time, call attention to the increasing trend of investment agreements concluded within Free Trade Agreements (FTA) by examining theoretically FTAs and dispute resolution and investigating systematically the conclusion procedure of agreements, and the system, institutions, and jurisdiction of dispute resolution, and presenting these findings to the government and investors involved. The most problematic aspect in the legal process of arbitration involving disputes over investment is that of arguments concerning the right of jurisdiction. When a dispute arises, even though an investor files for arbitration at an ICSID institution, the parties become involved in another energy-consuming argument even before proceeding to the hearing and decision of the original plan in cases in which the respondent of the dispute files an objection to the decision rights of the arbitral tribunal. As the main basis for this type of plea, the point of non-existence of jurisdiction is first raised where the applicable dispute does not fall under the range of investments defined in individual investment contracts or investment agreements such as a Bilateral Investment Treaty (BIT). To avoid an open-ended definition of investment for the range of investments, articles concerning investments in the FTA and NAFTA between Canada and the USA adopt the limited closed-list method. Article 96 of the FTA between Japan and Mexico applied the same abovementioned method of limited form of definition regarding range of investments and concluded BITs between member countries of APEC applied a similar method as well. Instead of employing the previously used inclusive definition, the BITs concluded between countries of Latin America and the USA are equipped with limited characteristics of an investment. Furthermore, to correspond with this necessary condition the three following requirements are needed : 1) fixed investment funding; 2) expected profits resulting from such investments; 3) and the existence of fixed risk bearing.

  • PDF

Development of Survivability Analysis Program for Atmospheric Reentry (지구 재진입 파편 생존성 분석 프로그램 개발)

  • Sim, Hyung-Seok;Choi, Kyu-Sung;Ko, Jeong-Hwan;Chung, Eui-Seung
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.43 no.2
    • /
    • pp.156-165
    • /
    • 2015
  • A survivability-analysis program has been developed to analyze the ground collision risk of atmospheric reentry objects, such the upper stages of a launch vehicle or satellites, which move at or near the orbital velocity. The aero-thermodynamic load during the free fall, the temperature variation due to thermal load, and the phase shift after reaching the melting point are integrated into the 3 degree-of-freedom trajectory simulation of the reentry objects to analyze the size and weight of its debris impacting the ground. The analysis results of the present method for simple-shaped objects are compared with the data predicted by similar codes developed by NASA and ESA. Also, the analysis for actual reentry orbital objects has been performed, of which results are compared with the measurement data.

Hearing Screening Test for High Risk Neonate (고위험군 신생아의 청각 스크린 검사)

  • Soh, Un-Ki;Na, Bak-Ju;Lee, Moo-Sik;Kim, Chul-Woung;Lim, Nam-Gu
    • Proceedings of the KAIS Fall Conference
    • /
    • 2009.05a
    • /
    • pp.599-602
    • /
    • 2009
  • 본 연구는 2006년 3월부터 2007년 2월까지 일개 대학병원에서 출생한 고위험군 신생아 121명을 대상으로 청각선별검사인 자동화 유발이음향방사와 확진검사인 청성뇌유발전위검사를 실시하여 임상양상과 청각장애 발생률, 검사소요 시간에 대해 조사하였다. 결과는 다음과 같다. 1. 청각장애발생률은 전체 고위험군 신생아 121명 중 5명의 신생아가 난청으로 조기에 진단되었다. 2. 난청으로 확진 받은 신생아 5명의 관련 질병을 살펴보면 고빌리루빈혈증 2명, 저체중 1명, 구개열 1명, 다운증후군 1명이었다. 3. 난청으로 확진 받은 신생아 5명의 청력손실정도는 양측 고도난청 1명(70dB), 양측 중도난청 2명(55dB), 편측성 난청 2명으로 나타났다. 4. 검사소요 시간은 선별검사인 유발이음향방사 검사를 실시하는 데 소요된 총 시간의 평균은 $107.5{\pm}65.2$초였고, 확진검사인 청성뇌유발전위 검사를 실시하는 데 소요된 총 시간의 평균은 $1,500{\pm}90.1$초가 소요되었다. 5. 연구를 진행하는 도중 11명의 고위험군 신생아가 이사, 연락처 변경, 경제적 사정으로 추적검사에 참여하지 않았다. 신생아 난청은 다른 질병에 비해 발병률이 높은 선천성 질환으로서 모든 신생아를 대상으로 청각검사를 실시하여 난청의 조기진단에 대한 선별검사의 정착이 필요하다고 생각된다.

  • PDF

A research for improvement methods in the aspect of safety engineering through risk analysis of facilities for multiple use - Focused on escalator and passenger conveyors - (다중이용시설물 위험분석을 통한 안전공학적 개선 방안에 관한 연구 (에스컬레이터 및 수평보행기를 중심으로))

  • Kwon, Sun-Geol;Kim, Jin-Soo;Kim, Chang-Eun
    • Journal of the Korea Safety Management & Science
    • /
    • v.15 no.1
    • /
    • pp.31-40
    • /
    • 2013
  • For the matter of elevator, one of the multi-use facilities for unspecified public, the JIS has re-established and reformed to apply to the environment in South Korea for the past 20 years. In the aspect of safety assurance, it was inevitable to suggest improved measures. The government, Ministry of Public Administration and Security has secured the safety by enhancing the safety management functions in the elevator inspection standards and expanding its safety device measures. Further, the international inspection standard has been introduced, which is about unifying inspection standard system into the international standard code. In March 14th 2012, the international standard (EN) has been amended and fully announced. Escalator and passenger conveyor among lift devices have several common danger factor that cause safety accident. First, the accident caused by decreased braking power of brake. Second, the accident caused by the rate difference between handrail and tread-board. Third, the accident caused by defects of contraflow preventing device or carelessness inspection. Fourth, the accident caused by wet tread-board or wet floor of platform which makes passenger slip and fall. As the improvements to prevent and reduce these negligent accidents, the inspection list to check and methods should be subdivided and applied for each accident likelihood cause for safety management enhancement and safety assurance of existing escalator and passenger conveyors. The escalators and passenger conveyors without safety devices in existence should be obliged to modify the part of the system or install additional safety device. With making these measures obligations, it requires to improve the system to be suitable for the international inspection standard and to have measures to prevent safety accidents. It also needs to arrange improvements for skid accident of tread-board by the external environment factors such as snow and rain.

Selecting Hazardous Volcanoes that May Cause a Widespread Volcanic Ash Disaster to the Korean Peninsula (한반도에 광역화산재 재해를 발생할 수 있는 위험화산의 선정)

  • Yun, Sung-Hyo;Choi, Eun-Kyeong;Chang, Cheolwoo
    • Journal of the Korean earth science society
    • /
    • v.37 no.6
    • /
    • pp.346-358
    • /
    • 2016
  • This study built the volcano Data Base(DB) of 289 active volcanoes around the Korean Peninsula, Japan, China (include Taiwan), and Russia Kamchatka area. Twenty nine more hazardous volcanoes including Baekdusan, Ulleungdo and 27 Japanese volcanoes that can cause a widespread ash-fall on the Korean peninsula by potentially explosive eruption were selected. This selection was based on the presence of volcanic activity, whether or not containing dangerous explosive eruption rock types, distance from Seoul, and volcanoes having Plinian eruption history with volcanic explosivity index (VEI) 4 or more. The results of this study are utilized for screening high-risk volcanoes that may affect the volcanic disaster caused by a widespread fallout ash. By predicting the extent of spread of ash caused by these hazardous volcanic activities and by analyzing the impact on the Korean peninsula, we suggest that it should be used for helping to predict volcanic ash damages and conduct hazards mitigation research as well.

Fragility Assessment of Agricultural Facilities Subjected to Volcanic Ash Fall Hazards (농업시설물에 대한 화산재 취약도 평가)

  • Ham, Hee Jung;Choi, Seung Hun;Lee, Sungsu;Kim, Ho-Jeong
    • Journal of the Computational Structural Engineering Institute of Korea
    • /
    • v.27 no.6
    • /
    • pp.493-500
    • /
    • 2014
  • This paper presents findings from the assessment of the volcanic ash fragility for multi-hazard resisting vinyl greenhouse and livestock shed among the agricultural facilities. The volcanic ash fragility was evaluated by using a combination of the FOSM (first-order second-moment) method, available statistics of volcanic load, facility specifications, and building code. In this study, the evaluated volcanic ash fragilities represent the conditional probability of failure of the agricultural facilities over the full range of volcanic ash loads. For the evaluation, 6 types(ie., 2 single span, 2 tree crop, and 2 double span types) of multi-hazard resisting vinyl greenhouses and 3 types(ie., standard, coast, and mountain types) of livestock sheds are considered. All volcanic ash fragilities estimated in this study were fitted by using parameters of the GEV(generalized extreme value) distribution function, and the obtained parameters were complied into a database to be used in future. The volcanic ash fragilities obtained in this study are planning to be used to evaluate risk by volcanic ash when Mt. Baekdu erupts.