Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.
PURPOSES : The objective of this study was to analyze variations in the vehicle driving behavior characteristics on signalized intersections according to the use of traffic enforcement camera (red light camera). METHODS : In order to analyze the driving behavior characteristics on signalized intersections when red light camera are installed, the target sites for investigation were selected depending on whether the red light camera is installed and accident rates increased after the installation. In particular, to analyze the characteristics of dilemma zones in signalized intersections, approach speed and deceleration speed of 3 type vehicles (passing vehicles during a yellow light, stopping at a yellow light, passing vehicles during a green light) were examined. Based on these data, the starting point, ending point, and distance of the dilemma zones were calculated. Also, the locations of increased traffic accidents and decreased accidents after the installation of the equipment were distinguished when analyzing the traffic accident characteristics. RESULTS : Analysis results revealed that there was a tendency for the dilemma zone distance to decrease after the installation of equipment(red light camera) in most sites. This tendency was found to be due to the decrease in the approaching speed of vehicles at intersections after the installation of equipment, resulting in the starting and ending points of dilemma zone to become closer to the stop line. Moreover, analysis showed that the number of traffic accidents decreased for most intersections after the installation of equipment and safety of the intersections increased somewhat. CONCLUSIONS : In general, installation of equipment(red light camera) caused the intersections approaching speed and dilemma zone distance to decrease. Decision-making is difficult for drivers in the dilemma zone, so the decrease in the dilemma zone distance implies an improvement in traffic safety. Furthermore, the number of accidents within intersections significantly decreased after the equipment was installed, leading to the conclusion that installation of the equipment affected the decrease in traffic accidents.
Journal of Korean Tunnelling and Underground Space Association
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v.20
no.6
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pp.931-946
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2018
In line with the increased usability of utility pipe conduits in urban areas, construction and R&D activities of utility tunnel, incorporated with the shield TBM method, are actively under way. The utility tunnels are installed through underground excavation, and thus are relatively weak in terms of construction safety. However, hazards associated with the utility tunnel construction have not been properly identified, despite the introduction of a policy to the 'Design for Safety' for the purpose of reducing accident rates in the construction industry. Therefore, in this study, following the derivation of hazards associated with utility tunnel, these hazards were then used as the basis to uncover key safety hazards requiring extensive management in a field, which were then used to conduct a risk assessment having applied the matrix method so that the results can be utilized in risk assessment during the stages of utility tunnel planning, design, and construction, while also serving as a data reference.
Currently, every person possesses a smart phone due to the development of the IT industry. However, crosswalk pedestrian accidents have been sharply increasing due to smart phone use. If a traffic light can recognize smart phones when a smart-phone user approaches and arrives at a given sign, many accidents could be reduced by using beacon signals. Before the era of smart phones, the accident rate involving cell phone use was relatively low. Nevertheless, when considering the development of IT equipment that produces a threat to human life, government cannot regulate smart phone use outside. The purpose of this paper is to indirectly warn a smart phone user in order to reduce the accident rates.
Park, Jae-Hong;Lee, Jong-In;Randall. K. Cole;Randall. O. Gauntt
Proceedings of the Korean Nuclear Society Conference
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1997.10a
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pp.772-777
/
1997
Previous MELCOR and SCDAP/RELAP5 nodalizations for simulating the counter-current, natural circulation behavior of vapor flow within the RCS hot legs and SG U-tubes when core damage progress can not be applied to the steady state and water-filled conditions during the initial period of accident progression because of the artificially high loss coefficients in the hot legs and SG U-tubes which were chosen from results of COMMIX calculation and the Westinghouse natural circulation experiments in a 1/7-scale facility for simulating steam natural circulation behavior in the vessel and in the hot leg and SG during the TMLB' scenrio. The objective of this study is to develop a natural circulation modeling which can be used both for the liquid flow condition at steady state and for the vapor flow condition at the later period of in-vessel core damage. For this, the drag forces resulting from the momentum exchange effects between the two vapor streams in the hot leg was modeled as a pressure drop by pump model. This hot leg natural circulation modeling of MELCOR was able to reproduce similar mass flow rates with those predicted by previous models.
Objectives: The purpose of this study was to propose an indirect exposure assessment method using a questionnaire survey at a time when direct exposure assessment would be impossible after a chemical accident. Methods: About two weeks after an accident, a questionnaire survey was performed with 1,264 persons from the local community. Variables related to exposure were extracted from the survey contents, weighted and then graded for comparison with subjective symptoms in order to evaluate the extent of exposure. Survey items suitable for reflecting the previous exposure level during the accident were extracted, weighted and divided into quartile ranges. Subjective symptoms showed an increasing tendency with higher exposure level when compared with final exposure level (p<0.01). Results: For the relationship between the final exposure grade and subjective symptoms, as the exposure grade was increasing the rates complaining of symptom also showed an increasing tendency. However, when adjusted for demographic characteristics, there was a tendency for the eye irritation symptom to appear higher in women, and respiratory organ irritation appeared higher in smokers. Conclusions: When the problem of recall bias is considered, this study may not have completely unraveled exposure and the characteristics of the participants can affect subjective symptoms. Nevertheless, the exposure rating method of using a questionnaire showed a significant relationship with symptom level. It can be deemed that assessment of past exposure may be successfully evaluated by questionnaire in cases such as chemical accidents.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.22
no.5
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pp.53-73
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2023
Although it is mandatory to wear a seat belt that can minimize human injury when traffic accident occurs, the number of traffic accident casualties not wearing seat belts still accounts for a significant proportion.The seat belt wearing detection system for all seats is a system that identifies whether all seat passengers wear a seat belt and encourages their usage, also it can be a useful technical countermeasure. Firstly, this study established the viability of system implementation by assessing the factors influencing the severity of injuries in traffic accidents through the development of an ordered probit model. Analysis results showed that the use of seat belts has statistically significant effects on the severity of traffic accidents, reducing the probability of death or serious injury by 0.054 times in the event of a traffic accident. Secondly, a meta-analysis was conducted based on prior research related to seat belts and injuries in traffic accidents to estimate the expected reduction in accident severity upon the implementation of the system.The analysis of the effect of accident severity reduction revealed that wearing seat belts would lead to a 63.3% decrease in fatal accidents, with the front seats showing a reduction of 75.7% and the rear seats showing a reduction of 58.1% in fatal accidents. Lastly, Using the results of the meta-analysis and traffic accident statistics, the expected decrease in the number of traffic accident casualties with the implementation of the system was derived to analyze the traffic safety effects of the proposed detection system. The analysis demonstrated that with an increase in the adoption rate of the system, the number of casualties in accidents where seat belts were not worn decreased. Specifically, at a system adoption rate of 60%, it is anticipated that the number of fatalities would decrease by more than three times compared to the current scenario. Based on the analysis results, operational strategies for the system were proposed to increase seat belt usage rates and reduce accident severity.
The purpose of this study is 1) to clarify that the house is no long the safe place through the cases of the senior safety accidents and to argue the need for housing repair and 2) to present the minimum standards for housing repair by comparing the cases here as well as the abroad and to back up the standards with the current senior housing environment 300 people at least 60 years old living in Seoul$\cdot$Metropolitan area were interviewed using the structured questionnaire. As the result, the following conclusions were made: 1. There was high accident rates of the senior residents due to physical deficits within the house, causing excessive medical cost and decreased housing satisfaction. This problem can be sufficiently prevented by housing repair which can not only solve the safety problem but also support self sufficient living for the senior residents. 2. Proper housing repair required the architectural know how as well as the expertise knowledge of the physical characteristics of the senior people. Therefore, it is essential to secure the professional (i.e., occupational therapist) who can analyze the needs of the senior residents and evaluate and/or predict the obstacles during repair. Furthermore, development and distribution of the standardized manual are also needed. 3. The minimum standard for housing repair could be approached in view of 'barrier-free' concept. First, the bumps should be removed, slippery prevented, and safety grab-bar installed for safety. Second, the entrance should be widened and the bathroom and kitchen restructured to support for the senior residents' self sufficiency. To make housing repair policy more efficient, the legal basis is required. It can be incorporated into the existing senior citizens 'Welfare Act' or the 'Senior Residents Medical Insurance' which will be effective starting in 2007.
In this paper, we present a study on an AI-based system utilizing the CCTV system within city buses to predict the intentions of boarding and alighting passengers, with the aim of preventing accidents. The proposed system employs the YOLOv7 Pose model to detect passengers, while utilizing an LSTM model to predict intentions of tracked passengers. The system can be installed on the bus's CCTV terminals, allowing for real-time visual confirmation of passengers' intentions throughout driving. It also provides alerts to the driver, mitigating potential accidents during passenger transitions. Test results show accuracy rates of 0.81 for analyzing boarding intentions and 0.79 for predicting alighting intentions onboard. To ensure real-time performance, we verified that a minimum of 5 frames per second analysis is achievable in a GPU environment. his algorithm enhance the safety of passenger transitions during bus operations. In the future, with improved hardware specifications and abundant data collection, the system's expansion into various safety-related metrics is promising. This algorithm is anticipated to play a pivotal role in ensuring safety when autonomous driving becomes commercialized. Additionally, its applicability could extend to other modes of public transportation, such as subways and all forms of mass transit, contributing to the overall safety of public transportation systems.
The goal of This study is to predict medical fee by accidents at home and the factors of accidents, and also to suggest the conditions of housing adaptations for elderly people. As the result of in-house accidents, on average 2.97 million Korean won was to be spent for medical care. Furthermore, 2808 billion Korean Won, which was predicted by multiplying the number of older people with the reported accident rates of 2.0% by the National Health and Nutrition Survey 2005, can be estimated to pay on medical care in 2005. And in addition it is analyzed on residential conditions and 65 cases of elderly housing. According to the 65 safety problem cases, it examines that in-house accidents of older people generally happen at the steps, toilet and bathroom. It is necessary to adapt physical conditions and it is more effective. As the result of research, medical fee by accident at home has been increasing and also it could be predicted to spend 280,800million won in 2005. To reduce medical fee, it is necessary to promote physical environment by renovation. When be decided to renovate a housing, we know that it is more effective to use a checklist of space using at home. And also it is suggested to amend a checklist with other factors including physical conditions and health condition and so on to promote a correctness.
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