• Title/Summary/Keyword: falling-preventive

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Barriers related to Walking Activity according to the Age Group of Rural residents (농촌 지역주민들의 연령대에 따른 신체활동의 장애요인)

  • Kim, Bokyoung;Lee, Gyeong-Ye;Seo, Ae-Rim;Kim, Mi-Ji;Seo, Sung-Hyo;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.45 no.2
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    • pp.89-99
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    • 2020
  • Objective: This study aimed to report the relationship between walking activity and perceived physical activity barriers after classifying the age group(≤64, 65-74, ≥75). Methods: The subjects were conducted on 1500 residents of two areas, and the walking activity was defined as five or more times a week, 10 minutes or more at a time, and 30 minutes or more per day. Perceived physical activity barriers were lack of time, lack of social support, lack of energy, lack of willpower, and fear of falling. Results: In the group under 64 year, the lack of time (exp(B)=0.819, p=0.002) and the lack of willpower (exp(B)=0.656, p<0.001) were significantly associated. In the 65-74 year old group, the lack of willpower (exp(B)=0.714, p<0.001) and fear of falling (exp(B)=0.787, p=0.003) were a significant association. In the group aged 75 years and over, lack ofwill power (exp(B)=0.734, p<0.001) and fear of falling (exp(B)=0.807, p=0.003) were significantly associated. Conclusion: In order to solve the lack of willpower and lack of time, a walking activity should be performed together at a certain time in the village, and the elderly in the late ages should reduce the fear of falling by performing a fall prevention exercise in parallel.

A Study of Decreasing Critical Disaterous Accidents in Small Construction Sites (소규모 건설현장의 중대재해 저감 방안 도출을 위한 연구)

  • Paik, Sin-Won;Kim, Han-Joong;Choi, Don-Heung
    • Journal of The Korean Society of Agricultural Engineers
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    • v.54 no.6
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    • pp.121-131
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    • 2012
  • Many of the falling which is the number one risk factor in lethal accidents in construction could have been prevented if the right activity or supervising had been taken in time. All other measures do not preventive the fall, but rather intercept the fallen itself or preventive severe injury. The most common and the bets measures on the preventive measures are guardrails which are to be worn on the site. Workers always exposed the risk of serious accidents induced by causal effects related with environments around construction sites. In order to represent how to decrease the risk of workers, this study was accomplished with a number of interview with experienced site director, cheief of instructors, workers. And the questionaire survey (2012. 5~2012. 10) were used to make proposed policies which are expected to reduce critical disastrous accidents and strength authorized limits of director's management automatically.

Comparison of Fear of Falling, Self-Efficacy of Falling and Fall Prevention Behavior According to the Fall Experience of the Elderly (노인의 낙상경험에 따른 낙상 두려움, 낙상 효능감, 낙상예방행위 비교)

  • Jeong, Kyeongsook;Heo, Jeeun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.253-263
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    • 2020
  • Purpose : The purpose of this study was conducted to compare the fear of falling, self-efficacy and fall prevention behavior according to the fall experience of the elderly. Methods : The subjects of this study were 162 elderly in B metropolitan city. The data collection period was from September 10th to November 30th of 2018. The collected data was processed using SPSS 21.0 and was analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test. Results : The mean scores for fear of falling according to the fall experience and no fall experience of the elderly were 2.28±0.63 and 1.84±0.64 respectively and the results showed that fear of falling (t=4.26, p<.001) and self-efficacy of falling (t=3.88, p<.001) were significantly different between the two groups, but the mean scores for fall prevention behavior according to the fall experience and no fall experience of the elderly were 1.63±0.20 and 1.67±0.17 respectively and there was no significantly different in fall prevention behavior (t=-1.16, p=.25). Fear of falling according to the fall experience was significantly different by age (F=3.25, p<.05) and physical activity related to daily life (F=13.22, p<.001). Self-efficacy according to the fall experience was significantly different by age (F=3.03, p<.05), income per month (F=3.74, p<.05) and physical activity related to daily life (F=11.99, p<.001). But fall prevention behavior was no significantly different of general characteristics. Fear of falling according to the no fall experience was significantly different by age (F=3.37, p<.05), marriage status (F=3.37, p<.05), education level (F=5.15, p<.01), income per month (F=3.58, p<.05) and physical activity related to daily life (F=15.71, p<.001). Self-efficacy according to the no fall experience was significantly different by sex (t=2.32, p<.05), age (F=5.20, p<.01), marriage status (F=5.04, p<.01), education level (F=6.55, p<.001), income per month (F=5.99, p<.001) and physical activity related to daily life (F=18.86, p<.001). Fall prevention behavior was significantly different by marriage status (F=3.51, p<.05). Conclusion : The results of this study suggest the following : it is necessary to develop a program that can lower the fear of falling in the elderly and to increase the self-efficacy of falling, and to develop an education program that can improve the elderly's practice of fall prevention behavior regardless of the fall experience and to verify its effectiveness.

Finding on Preventive Intervention of Fatal Occupational Injuries Through Empirical Analysis of Accident Death (사고사망자의 심층적 실증분석을 통한 예방적 개입점 발견 연구)

  • Yi, Kwan Hyung;Rhee, Hong Suk
    • Journal of the Korean Society of Safety
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    • v.34 no.3
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    • pp.83-88
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    • 2019
  • The 7,993 cases of Survey Report of Fatal Industrial Accidents conducted jointly by the MEOL and the KOSHA for the recent seven years(2007-2013) were categorized according to personal and occupational characteristics, industry types, business sizes, job types, activities at the time accident, types of accidents, material agents(assailing materials), unsafe conditions, and unsafe acts. And it is found that among the 72.2 percent of fatal occupational accidents in the construction and manufacturing industries are caused by falling, sticking, bumping and being caught under objects & overturning. For this study, through the empirical analysis on causes of fatal industrial accidents, was used to identity high risk groups based on total data of 7,993 victims of occupational accidents. An annual fatal occupational injury (FOI) rate per 10,000 workers was about 0.47‱. The middle-aged group and the elderly group showed the highest FOI rates per 10,000 workers (0.73‱, 0.80‱), and the daily workers showed the highest FOI rate (1.46‱), and the craft and related trades workers showed the highest FOI rate (2.17‱). In case of industry type the mining industry (7.26‱) showed the highest FOI rate, followed by the sewerage, waste management, materials recovery and remediation activity industry (3.91‱) and the construction industry (2.71‱). The primary high risk target group that requires a strategy designed to reduce fatal occupation injuries caused by falling and bumping & contact(collision) is the construction industry, and the secondary high risk target group in the construction industry is classified as the equipment, machine operating and assembling workers in the construction industry, those aged 50 years old and above need the prevention measures against bumping & contact(collision) and being caught under an object & falling(objects), while those aged less than 50 years old need prevention measures against falling(persons).

Fear of Falling, Falls Efficacy and Fall Prevention Behaviors according to the Fall Experience among Older Adults in Outpatient Settings (외래방문 노인의 낙상경험 유무에 따른 낙상에 대한 두려움, 효능감 및 예방행위)

  • Uhm, In Ae;Hwang, Seon Young
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.61-69
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    • 2021
  • Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (𝛘2=14.32, p<.001), education (𝛘2=6.05, p=.049), income (𝛘2=9.93, p=.019), physical activity status (𝛘2=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (𝛘2=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.

Safety of Industrial Overhead Doors : A Review of Maintenance and Parallel Safety Devices (산업용 오버헤드 도어의 사고 예방 : 유지관리 및 병렬구조 안전장치를 중심으로)

  • Bok Ki Kim;Jaewook Jeong
    • Journal of the Korean Society of Safety
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    • v.39 no.1
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    • pp.33-40
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    • 2024
  • This study analyzes the impact of regular preventive maintenance (PM) on reducing the failure rate and occurrence of falling accidents of industrial overhead doors. A reliable safety device model with an additional safety device, which is installed to replace a defective one, is proposed. The research methodology involves collecting breakdown and falling accident records, comparing and analyzing data before and after regular PM implementation, and experimenting with two types of retrofittable safety devices. Key findings are as follows. 1. Regular PM implementation significantly reduces the failure rate of old overhead doors. 2. A parallel structured model with two alternative safety devices can minimize falling accident risks. The study's contributions include the following. 1. The positive impact of PM on extending overhead door lifespan is quantified. 2. A general safety device model that can be retrofitted and used as replacement with a fail-safe function is proposed.

Mortality Characteristic and Prediction of Nasopharyngeal Carcinoma in China from 1991 to 2013

  • Xu, Zhen-Xi;Lin, Zhi-Xiong;Fang, Jia-Ying;Wu, Ku-Sheng;Du, Pei-Ling;Zeng, Yang;Tang, Wen-Rui;Xu, Xiao-Ling;Lin, Kun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6729-6734
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    • 2015
  • Background: To analyze the mortality distribution of nasopharyngeal carcinoma in China from 1991 to 2013, to predict the mortality in the ensuing five years, and to provide evidence for prevention and treatment of nasopharyngeal carcinoma. Materials and Methods: Mortality data for Nasopharyngeal Carcinoma in China from 1991 to 2013 were used to describe its epidemiological characteristics, such as the change of the standardized mortality rate, sex and age differences, urban-rural differences. Trend-surface analysis was used to study the geographical distribution of the mortality. Curve estimation, time series, gray modeling, and joinpoint regression were used to predict the mortality for the ensuing five years in the future. Results: In China, the standardized mortality rate of Nasopharyngeal Carcinoma increased with time from 1996, reaching the peak values of $1.45/10^5$ at the year of 2002, and decreased gradually afterwards. With males being 1.51 times higher than females, and the city had a higher rate than the rural during the past two decades. The mortality rate increased from age 40. Geographical analysis showed the mortality rate increased from middle to southern China. Conclusions: The standardized mortality rate of Nasopharyngeal Carcinoma is falling. The regional disease control for Nasopharyngeal Carcinoma should be focused on Guangdong province of China, and the key targets for prevention and treatment are rural men, especially after the age of 40. The mortality of Nasopharyngeal Carcinoma will decrease in the next five years.

Effects of the Specialization on the Profit of Oriental Medicine Clinics (한의원의 전문화가 경영성과에 미치는 영향)

  • Lee Joung-Seok;Lee Sun-Dong;Kim Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.2 no.1
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    • pp.145-163
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    • 1998
  • At the result of data analysis with sample survey, oriental medicine clinics which treat particular kinds of illness with specialization make the profit of 1.6 times and the expense of 0.74 times more than those which treat general diseases, namely, the former gain the profit of about 2.9 times more than the latter. After excluding other variables which affect in the profit of oriental medicine clinics with multiple regression model, when considering only advantage of treatment for particular kinds of illness, specialized oriental medicine clinics win the more profit of 18.3 percent than general oriental medicine clinics. The specialization of oriental medicine clinics can become one of the positive measures in the situation of enlargement of medical of oriental medicine, falling of oriental medicine price and conflict of western and oriental medicine, etc. The specialization can help western medicine replace with oriental medicine, and level and scientific system of oriental medicine improve. Medical service for particular diseases, one of the better devices for improving profit of oriental medicine clinics, can theoretically make more advantage of oriental medicine clinics through measure of price discrimination than general medicine clinics.

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Nutrition and Psychosocial Factors were associated with Possible Sarcopenia in the Rural Elderly (농촌지역 주민의 영양결핍 및 사회심리적 요인과 근감소증 가능군과의 관련성)

  • Kim, Bokyoung;Lee, Gyeong-Ye;Seo, Ae-Rim;Kim, Mi-Ji;Seo, Sung-Hyo;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.47 no.2
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    • pp.90-98
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    • 2022
  • Objective: This study aimed to provide basic data for preventing and managing sarcopenia by identifying the relationship between sarcopenia, malnutrition, and psychosocial factors among the elderly in the community. Methods: The study included 1,019 subjects aged 60 and over. "Possible sarcopenia" was defined by low handgrip strength with or without reduced physical performance. Nutrition was evaluated according to the mini nutrition assessment (MNA), and the psychosocial factors examined were self-efficacy, social isolation, fear of falling, and social capital (trust and participation). A logistic regression analysis was also performed on the relationship between risk of malnutrition, psychosocial factors, and sarcopenia. Results: MNA was significantly associated with social participation (OR = 1.747, p <0.001), fear of falling (OR = 2.905, p <0.001), and self-efficacy (high/low, OR = 0.654, p = 0.011). In model 3, which included both MNA and psychosocial factors, sarcopenia was significantly associated with MNA (OR = 2.529, p <0.001) and fear of falling (OR = 1.544, p = 0.045). Compared with the low self-efficacy group, the high group (OR = 0.589, p = 0.009) was significant. The factors related to possible sarcopenia include risk of malnutrition, fear of falls, and low self-efficacy. Conclusion: It will be necessary to improve self-efficacy so that individuals feel they can do activities of daily living themselves and to reduce their fear of falling through muscle strength and balance exercises. Finally, it is also necessary to increase regular participation in community social activities.

Non-Fatal Injuries among Preschool Children in Daegu and Kyungpook (대구, 경북지역 학령전기 아동의 사고 발생 현황)

  • Heo, Youn-Jeong;Lee, Sang-Won;Park, Jung-Han;Park, Soon-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.3
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    • pp.274-281
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    • 2004
  • Objectives : This study was performed to investigate the injury rates and risk factors for preschool children in Daegu city and Kyungpook province. Method : A questionnaire survey about medically attended injuries during the preschool period was performed in nine primary schools located in Daegu city, Pohang city and Goryung County. The overall injury rate was estimated using person-year. The causes and patterns of the injuries, and their risk factors were examined. Result : A total of 469 medically attended injuries were reported in 330 of the 959 study subjects during the preschool period. The overall annual injury rate was 7.5 per 100 children. The injury rate increased sharply during the period from infant (2.4) to 1 year of age (7.5), and the peak injury rate (9.2) was reported for 5 year olds. The most common causes of injuries were falling (36.0%), followed by being struck by an object (23.7%), and traffic accidents (14.1%). Among the traffic accidents, 72.8% occurred while playing on the road, riding a bicycle or roller-skating. A proportional hazard model showed that males (hazard ratio=1.49, p<0.001 compared with female) and the mother's higher education level (hazard ratio of college or higher= 1.51, p=0.013; high school=1.32, p=0.085 compared with those of middle school or lower) were significant risk factors of childhood injury. Conclusion : The results of this study suggested that efforts for children's safety should be made, especially from the toddler stage, and in male children. To develop a more specific childhood injury prevention program, a surveillance system for injuries should be established. Further study of the relationship between mother's occupation and injury rates is also needed.