• 제목/요약/키워드: Protective Factors

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Understanding the Biomechanical Factors Related to Successful Balance Recovery and Falls: A Literature Review

  • Junwoo Park;Jongwon Choi; Woochol Joseph Choi
    • 한국전문물리치료학회지
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    • 제30권1호
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    • pp.78-85
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    • 2023
  • Background: Despite fall prevention strategies suggested by researchers, falls are still a major health concern in older adults. Understanding factors that differentiate successful versus unsuccessful balance recovery may help improve the prevention strategies. Objects: The purpose of this review was to identify biomechanical factors that differentiate successful versus unsuccessful balance recovery in the event of a fall. Methods: The literature was searched through Google Scholar and PubMed. The following keywords were used: 'falls,' 'protective response,' 'protective strategy,' 'automated postural response,' 'slips,' 'trips,' 'stepping strategy,' 'muscle activity,' 'balance recovery,' 'successful balance recovery,' and 'failed balance recovery.' Results: A total of 64 articles were found and reviewed. Most of studies included in this review suggested that kinematics during a fall was important to recover balance successfully. To be successful, appropriate movements were required, which governed by several things depending on the direction and characteristics of the fall. Studies also suggested that lower limb muscle activity and joint moments were important for successful balance recovery. Other factors associated with successful balance recovery included fall direction, age, appropriate protective strategy, overall health, comorbidity, gait speed, sex and anticipation of the fall. Conclusion: This review discusses biomechanical factors related to successful versus unsuccessful balance recovery to help understand falls. Our review should help guide future research, or improve prevention strategies in the area of fall and injuries in older adults.

Determinants of neural tube defect (NTD)-protective circulating concentrations of folate in women of child-bearing age in the US post-folic acid fortification era

  • Piyathilake, Chandrika;Eom, Sang Yong;Hyun, Taisun;Badiga, Suguna;Robinson, Constance;Rahman, Nuzhat;Kim, Heon;Johanning, Gary L.
    • Nutrition Research and Practice
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    • 제7권4호
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    • pp.315-325
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    • 2013
  • We evaluated folate status of child-bearing age women diagnosed with abnormal pap smear in the US post-folic acid (FA) fortification era and assessed the determinants of NTD-protective and supra-physiologic (SP) concentrations of folate. The distribution of 843 women according to NTD-protective concentrations of RBC folate, plasma folate and SP concentrations of plasma folate were tested in relation to demographic and life-style factors. Logistic regression models specified NTD-protective concentrations of RBC and plasma folate or SP concentrations of plasma folate as dependent variables and demographic and life-style factors as independent predictors of interest. More than 82% reached NTD-protective concentrations of RBC and plasma folate and ~30% reached SP concentrations of plasma folate. FA supplement use was associated with having SP concentrations of plasma folate rather than NTD-protective concentrations of folate. African American (AA) women and smokers were significantly less likely to achieve NTD-protective concentrations of RBC and plasma folate. A large majority of women reached NTD-protective concentrations of folate with the current level of FA fortification without using supplementary FA. Therefore, the remaining disparities in AA women and in smokers should be addressed by targeted individual improvements in folate intake.

국내 골퍼들의 햇빛차단 행동 및 자외선차단 의복에 대한 태도 조사 (A Study on Korean Golfers' Sun Protective Behavior and Their Intention to Buy UV-protective Clothing)

  • 성희원;전양진
    • 한국의류학회지
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    • 제29권1호
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    • pp.189-197
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    • 2005
  • The purpose of this study was to find factors affecting sun protective behavior and intention to buy UV-protective clothing among Korean golfers. Health belief (HB) model and diffusion theory(DT) were used for the study. Dependent variable of HB model was sun protective behaviors (SPBs) and dependent variable of DT model was intention to buy (ITB) UV-protective clothing. Independent variables for HB model were cancer perception, perceived benefits, behavioral/psychological barriers and cues to actions, while independent variables of DT model were relative advantage, compatibility, complexity, friability, and observability, besides demographic variables. Perceived benefits and cues to action variables in addition to gender and age were significant determinants of SPB for Korean golfers. Also, relative advantage and compatibility. behavioral barriers and cues to action were significant in affecting intention to buy UV-protective clothes. Both HB model and extended DT model were useful to predict sun protective behavior of Korean golfers.

환경행동에 미치는 정서적 요인의 영향: -보호동기이론과 환경 책임성 행위모형에 근거한 잠정적 모형의 비교- (The Effects of Emotional Factors on Environment Behaviors - Comparing the Protective Motivation Theory with the ERB-Based Tentative Model -)

  • 이태연
    • 한국환경교육학회지:환경교육
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    • 제15권1호
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    • pp.18-30
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    • 2002
  • So far, the environmentally responsible behavior(ERB) model has been applied successfully to explain environment behaviors. But the ERB model has several limitations such as underestimation of social factors on environment behaviors. This study planned to point out that the emotional aspects should be considered seriously for explaining human's behaviors to conserve the environment in the ERB model. In this study, the effects of emotional aspects, such as perceived severity or perceived danger, on environment behaviors were investigated and the protective motivation theory(Rogers, 1983) and the ERB-based tentative model were compared Results showed that teenagers in urban areas realized clearly the severity and danger of environmental threats and do environmentally responsible behaviors more than ones in rural areas. Two model's goodness of fit to explain observed environment behaviors were analyzed through the regression analysis and the AMOS analysis. In the regression analysis, self-efficacy, confirmity toward social norm, and knowledge were involved in the regression equation as statistically meaningful variables in the ERB-based tentative model and self-efficacy and perceived severity were involved in the protective motivation theory. Especially, the AMOS analysis showed that the protective motivation theory was more valid model lot explaining environment behaviors than the ERB-based tentative model. In conclusion, it is reasonable that emotional aspects should be considered as meaningful variables for explaining environment behaviors.

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초등학생의 충동성과 자살행동의 관계에서 보호요인의 조절효과: 고학년을 중심으로 (The Moderating Effect of Protective Factors in the Relationship between Impulsivity and Suicide Behavior in Elementary School Students)

  • 김현정
    • 한국산학기술학회논문지
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    • 제20권2호
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    • pp.122-129
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    • 2019
  • 본 연구의 목적은 초등학교 고학년을 대상으로 충동성과 자살행동(자살계획, 자살시도) 간의 관계에서 보호요인(개인요인, 가족요인, 또래요인, 학교요인)의 조절효과를 검증하는 것이다. 이를 위하여 서울지역 초등학생 5~6학년 573명을 대상으로 충동성, 자살행동, 보호요인 척도에 대한 설문을 실시하였다. 먼저 자살행동의 실태를 파악하기 위하여 빈도 분석을 하였으며, 변인들의 관계를 알아보기 위하여 상관분석을 실시하였다. 또한 충동성과 자살행동과의 관계에서 보호요인의 조절효과를 알아보기 위해 위계적 회귀분석을 실시하였다. 이를 통한 본 연구의 결과는 다음과 같다. 첫째, 연구대상의 29명(5.1%)은 자살계획을 세워 본 적이 있으며, 17명(3.0%)은 자살시도를 해 본 것으로 나타났다. 또한 자살행동을 보고한 학생은 41명(7.1%)으로 집계되었다. 둘째, 초등학생의 충동성과 보호요인(개인요인, 가정요인, 또래요인, 학교요인)은 모두 유의미한 부적 상관을 보였으며, 충동성과 자살행동은 유의미한 정적 상관이 있는 것으로 나타났다. 셋째, 초등학생의 충동성이 자살행동에 미치는 영향에 보호요인 모두 조절효과가 있는 것으로 나타났다. 즉 충동적인 초등학생이라도 보호요인이 높을수록 낮은 자살행동을 보인다는 것이다. 이렇듯 보호요인은 초등학생의 충동성에 따른 자살행동에 대한 완충제로 작용하기 때문에 이를 강화하기 위한 다차원적인 노력이 필요함에 대하여 논의하였다.

의료사회복지사를 소진으로부터 보호하는 요인은 무엇인가? (Protective Factors for Social Workers in a Medical Setting that Prevent Burnout)

  • 최명민;현진희;전혜성
    • 한국사회복지학
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    • 제57권4호
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    • pp.343-370
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    • 2005
  • 본 연구는 사회복지사의 소진에 대해 그 유발 요인이나 과정에 집중해온 기존 연구들과 달리 의료사회복지사를 소진으로부터 보호하는 요인을 알아보기 위한 연구이다. 이를 위하여 7년 이상의 실무경력을 가진 의료사회복지사 중 동료들로부터 유능하다고 인정받은 10명의 사회복지사들을 대상으로 심층 면접을 하고 그 내용을 질적분석 컴퓨터소프트웨어인 Nvivo2를 활용하여 분석하였다. 그 결과 '전문적 역량', '성취와 보람', '일에 대한 확고한 가치와 신념', '좋은 팀워크', '개인적 자질', '구조적 뒷받침', '가족의 인정과 지원'의 소진보호요인들을 도출하였다. 이러한 결과는 그동안 소진연구의 부수적 결과로 다뤄져온 소진보호요인을 총체적으로 제시하는 것으로서, 의료사회복지사들이 다양한 기제를 활용하여 소진의 위험을 감소시키고 소진을 극복하고 있음을 보여주는 것이다. 이들 소진보호요인은 의료세팅이라는 특수성을 반영하고 있으며, 특히 전문적 역량의 개발 및 관리가 강조된다는 것이 특징적이었다.

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종교계고등학교 남학생의 자살위험성 보호요인 (The Protective Factors of Suicide Probability in Religious Male High School Students)

  • 김희숙;채영선;배영주
    • 대한간호학회지
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    • 제42권1호
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    • pp.1-8
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    • 2012
  • Purpose: This study was conducted to identify the protective factors that influence suicide probability in religious male high school students. Methods: The data was collected from Nov. 5 to Dec. 10, 2009. Data were collected by self-report questionnaire from 255 students selected from 2 religious male high schools in B city. The instruments for this study were the Suicide Probability Scale for Adolescence (SPS-A), Inventory Parents Peer Attachment-Revision (IPPA-R), Spiritual Well-being Scale (SWBS), and Ego-identity Scale. The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients and stepwise multiple regression with the SPSS 14.0 program. Results: The protective factors of suicide probability in religious male high school students were identified as existential spiritual well-being (${\beta}$= -.46, p<.001), self-identity (${\beta}$= -.30, p<.001), and mother attachment (${\beta}$= -.21, p<.001). These three factors explained 61.5% of the variance in suicide probability. Conclusions: The results suggest that improvement in spirituality, ego-identity, and mother attachment for religious male high school students is important to reduce the probability of suicide.

청소년의 보호 요인과 위험 요인이 비행과 공격성에 미치는 영향 (Effects of Protective and Risk Factors on Juvenile Delinquency and Aggression)

  • 조윤주
    • Human Ecology Research
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    • 제52권5호
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    • pp.495-507
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    • 2014
  • The purpose of this study was to explore the general tendencies of major variables and sex differences and to analyze the variables that affect delinquency and aggression. The protective factors considered in this study included parental education participation, parental supervision, and peer attachment, and the risk factors were academic stress and delinquency experiences of peers. The main results of this study are as follows: firstly, academic stress and parental education participation was slightly low, but parental supervision was high. Further, peer attachment showed a very high score. Delinquency experiences of peers, delinquency, and aggression of adolescents were extremely low. Secondly, the correlation of parental education participation, parental supervision, and peer attachment was negatively related to adolescent delinquency, but the delinquency experiences of peers were positively related to adolescent delinquency. The same results were obtained in the case of adolescent aggression. Further, academic stress was negatively related to adolescent aggression. Finally, hierarchical regression revealed that the variables explaining the juvenile delinquency were parental education participation, peer attachment, and delinquency experiences of peers. Adolescent aggression was explained by sex, academic stress, parental education participation, and the delinquency experiences of peers. In particular, more attention is needed for girls. Various interventions should be provided to prevent problem behaviors.

Inhibitory Activities of Palmatine from Coptis chinensis Against Helicobactor pylori and Gastric Damage

  • Jung, Joohee;Choi, Jae Sue;Jeong, Choon-Sik
    • Toxicological Research
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    • 제30권1호
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    • pp.45-48
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    • 2014
  • Helicobacter pylori (H. pylori) is the most important factor of gastric disease in clinical practice. Moreover, smoking, stress and a poor diet may be additive factors for gastric damage. With these factors, increasing infection of H. pylori triggers gastritis, gastric ulcers and gastric cancer. To develop a new protective agent, we are concerned with plant-derived extract. The extract of Coptis chinensis (C. chinensis) and its constituents were investigated to assess their protective activities against gastric damage. The C. chinensis extract showed a scavenging effect against 2, 2-diphenyl-1-picrylhydrazyl (DPPH) and superoxide radicals, inhibition of H. pylori colonization and antiulcerogenic activities in rat. In particular, palmatine derived from C. chinensis was found to be the novel protective agent. It is better than the C. chinensis extract, berberine, a well-known constituent of C. chinensis. We suggest that palmatine from the root cortex of C. chinensis may be a good candidate for the development of new pharmaceuticals to prevent gastric disease.

소규모 농가에서의 농약의 사용 행태 및 방제복 착용현황에 대한 조사 (Current Attitudes of Pesticide Use and Protective Clothing in Smallholder Farmers of Korea)

  • 유경숙
    • 한국의류학회지
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    • 제28권9_10호
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    • pp.1292-1299
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    • 2004
  • This survey was carried out on 256 smallholder farmers of the Jeonbuk Province to analyze their current behavior in pesticide usage and the use of protective clothing during spray work. The interviewees were at the age of about 50's in both males and females: they performed spray work mainly for their own farms. Many of them were not very well aware of the danger of pesticides and the adequate methods of pesticide handling. Water drinking and smoking during break time were the endangering factors of pesticide intoxication, reaching to 30-60% sprayers. Most of sprayers had experienced the exposures to pesticides during spray work and appealed some subjective clinical symptoms to the exposure, but they seldom sought medical treatments. More than 70% of respondents had not been wearing protective equipments during spray work. The results will be used as basic information in designing the improved protective clothing more acceptable by pesticide sprayers.