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  1. Rates and factors associated with falls in older European Americans, Afro-Caribbeans, African-Americans, and Hispanics

    Directory of Open Access Journals (Sweden)

    Vieira ER

    2015-10-01

    Full Text Available Edgar Ramos Vieira,1,2 Ruth Tappen,3 Gabriella Engstrom,3 Bruno R da Costa11Department of Physical Therapy, 2Department of Neuroscience, Florida International University, Miami, FL, USA; 3Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USAPurpose: To evaluate rates and factors associated with older adult falls in different ethnic groups.Participants and methods: Information on demographics, medical and falls history, and pain and physical activity levels was collected from 550 community-dwelling older adults (75±9 years old, 222 European Americans, 109 Afro-Caribbeans, 106 African-Americans, and 113 Hispanics.Results: Taking medications for anxiety (risk ratio [RR] =1.4, 95% confidence interval [CI] =1.1–2.0, having incontinence (RR =1.4, 95% CI =1.1–1.8, P=0.013, back pain (RR =1.4, 95% CI =1.0–1.8, feet swelling (RR =1.3, 95% CI =1.1–1.7, and age ≥75 years (RR =1.3, 95% CI =1.0–1.6 were associated with falls. The associations were stronger for Afro-Caribbeans, but they presented approximately 40% lower prevalence of falls than the other groups.Conclusion: Taking anxiety medication, incontinence, back pain, feet swelling, and age ≥75 years were associated with falls, and Afro-Caribbeans presented lower prevalence of falls. These findings need to be taken into consideration in clinical interventions in aging.Keywords: ethnicity, falls, risks, community dwelling, older adults

  2. Mobility limitations and fear of falling in non-English speaking older Mexican-Americans.

    Science.gov (United States)

    James, Eric G; Conatser, Phillip; Karabulut, Murat; Leveille, Suzanne G; Hausdorff, Jeffrey M; Cote, Sarah; Tucker, Katherine L; Barton, Bruce; Bean, Jonathan F; Al Snih, Soham; Markides, Kyriakos S

    2017-10-01

    To determine whether older Mexican-Americans who cannot speak and/or understand spoken English have higher rates of mobility limitations or fear of falling than their English-speaking counterparts. We conducted a cross-sectional analysis of 1169 community-dwelling Mexican-Americans aged 72-96 years from the 2000-2001 wave of the Hispanic Established Population for the Epidemiological Study of the Elderly. Mobility limitations were defined as having a Short Physical Performance Battery score ≤9, and fear of falling by participant report of being somewhat, fairly, or very afraid of falling. We determined the rates and odds ratios, for having mobility limitations and fear of falling as a function of English ability in those who were 72-96, English 85.7% had mobility limitations and 61.6% were afraid of falling, compared to 77.6% and 57.5%, respectively, of English speakers. Before adjusting for covariates, participants who did not speak and/or understand spoken English were more likely to have mobility limitations (odds ratio: 1.7; 95% CI: 1.3-2.4) but not fear of falling, compared to English speakers. Among those aged ≥80 years, but not those English were more likely to have mobility limitations (odds ratio: 4.8; 95% CI:2.0-11.5) and fear of falling (odds ratio: 2.0; 95% CI:1.3-3.1). Older Mexican-Americans who do not speak or understand spoken English have a higher rate of mobility limitations and fear of falling than their English-speaking counterparts.

  3. Understanding Falls Risk and Impacts in Chinese American Older Patients at a Community Health Center.

    Science.gov (United States)

    Huang, Susan; Duong, Thomas; Ieong, Liss; Quach, Thu

    2017-08-01

    While falls are highly prevalent and costly for older adults, little is known about falls for Asian Americans. Using a custom, evidence-based, bilingual fall risk assessment and management tool, our study examined the prevalence of falls among older Chinese-speaking patients at a community health center. We identified the risks for falls and explored an association of fall risk with emergency room (ER) and hospital use in this population. The setting was at a community health center in Oakland, CA. Participants included 839 older Asian American adults (ages 65-80 years) who spoke Cantonese/Mandarin. Primary care clinic staff administered a fall risk assessment and management tool at the time of clinic visits to assess patients' risk factors for falls. Of the total, 173 (20.6%) reported having fallen in the past year, with women comprising a majority (71.7%). 362 patients in the cohort (43.1%) reported fear of falling. For the subset of Medicaid managed care patients (n = 455, 54.3% of total) for whom we were able to obtain ER and hospital utilization data, 31 patients (14.5%) who reported a fall risk had an ER/hospital episode compared to 15 (6.2%) of those who did not self-report fall risks (statistically significant, p cultural competence to focus on Asian American older adults, can help establish the prevalence of falls in this understudied population and effectively identify those at higher risk for falls and subsequent ER/hospital utilization. More research is needed to understand the risk and impacts of falls in understudied populations and identify ways to prevent these costly falls.

  4. SAGE (Summer of Applied Geophysical Experience): Learning Geophysics by Doing Geophysics

    Science.gov (United States)

    Jiracek, G. R.; Baldridge, W. S.; Biehler, S.; Braile, L. W.; Ferguson, J. F.; Gilpin, B. E.; Pellerin, L.

    2005-12-01

    SAGE, a field-based educational program in applied geophysical methods has been an REU site for 16 years and completed its 23rd year of operation in July 2005. SAGE teaches the major geophysical exploration methods (including seismics, gravity, magnetics, and electromagnetics) and applies them to the solution of specific local and regional geologic problems. These include delineating buried hazardous material; mapping archaeological sites; and studying the structure, tectonics, and water resources of the Rio Grande rift in New Mexico. Nearly 600 graduates, undergraduates, and professionals have attended SAGE since 1983. Since 1990 REU students have numbered 219 coming from dozens of different campuses. There have been 124 underrepresented REU students including 100 women, 14 Hispanics, 7 Native Americans, and 3 African Americans. Tracking of former REU students has revealed that 81% have gone on to graduate school. Keys to the success of SAGE are hands-on immersion in geophysics for one month and a partnership between academia, industry, and a federal laboratory. Successful approaches at SAGE include: 1) application of the latest equipment by all students; 2) continued updating of equipment, computers, and software by organizing universities and industry affiliates; 3) close ties with industry who provide supplemental instruction, furnish new equipment and software, and alert students to the current industry trends and job opportunities; 4) two-team, student data analysis structure that simultaneously addresses specific geophysical techniques and their integration; and 5) oral and written reports patterned after professional meetings and journals. An eight member, 'blue ribbon' advisory panel from academia, industry, and the federal government has been set up to maintain the vitality of SAGE by addressing such issues as funding, new faculty, organization, and vision. SAGE is open to students from any university (or organization) with backgrounds including

  5. Geophysical methods for evaluation of plutonic rocks

    International Nuclear Information System (INIS)

    Gibb, R.A.; Scott, J.S.

    1986-04-01

    Geophysical methods are systematically described according to the physical principle and operational mode of each method, the type of information produced, limitations of a technical and/or economic nature, and the applicability of the method to rock-mass evaluation at Research Areas of the Nuclear Fuel Waste Management Program. The geophysical methods fall into three categories: (1) airborne and other reconnaissance surveys, (2) detailed or surface (ground) surveys, and (3) borehole or subsurface surveys. The possible roles of each method in the site-screening and site-evaluation processes of disposal vault site selection are summarized

  6. Preventing Falls in Older Persons.

    Science.gov (United States)

    Moncada, Lainie Van Voast; Mire, L Glen

    2017-08-15

    The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling older adults who are at increased risk of falls. Although the U.S. Preventive Services Task Force and American Academy of Family Physicians do not recommend routine multifactorial intervention to prevent falls in all community-dwelling older adults, they state that it may be appropriate in individual cases. The Centers for Disease Control and Prevention developed an algorithm to aid in the implementation of the American Geriatrics Society/British Geriatrics Society guideline. The algorithm suggests assessment and multifactorial intervention for those who have had two or more falls or one fall-related injury. Multifactorial interventions should include exercise, particularly balance, strength, and gait training; vitamin D supplementation with or without calcium; management of medications, especially psychoactive medications; home environment modification; and management of postural hypotension, vision problems, foot problems, and footwear. These interventions effectively decrease falls in the community, hospital, and nursing home settings. Fall prevention is reimbursed as part of the Medicare Annual Wellness Visit.

  7. The clinical practice guideline for falls and fall risk

    OpenAIRE

    Vance, Jacqueline

    2011-01-01

    Falling is a significant cause of injury and death in frail older adults. Residents in long-term care (LTC) facilities fall for a variety of reasons and are more likely to endure injuries after a fall than those in the community The American Medical Directors Association (AMDA) Clinical Practice Guideline is written to give LTC staff an understanding of risk factors for falls and provide guidance for a systematic approach to patient assessment and selection of appropriate interventions. It is...

  8. Common interests bind AGU and geophysical groups around the globe

    Science.gov (United States)

    McEntee, Christine

    2012-02-01

    In continuation of our work to strengthen alliances with key organizations in the Earth and space science community, AGU president Michael McPhaden, president-elect Carol Finn, and I held a series of meetings with leaders from other science societies during the 2011 Fall Meeting. Over the course of 2 days we met with leaders from the Geophysical Society of America, European Geosciences Union, Japan Geosciences Union, Ethiopian Geophysical Union, Asia Oceania Geosciences Society, Chinese Geophysical Society, and Asociación Latinoamericana de Geofísica Espacial. This gave us a valued opportunity to discuss the common interests and challenges we all face and to learn from each other's experience. The meetings allowed AGU to strengthen existing cooperative agreements and reach new levels of understanding between us and other societies. Additionally, we met with representatives from the Korean Ocean Research and Development Institute to discuss their intention to establish a geophysical union modeled after AGU.

  9. Numerical Simulation of Atmospheric Boundary Layer Flow Over Battlefield-scale Complex Terrain: Surface Fluxes From Resolved and Subgrid Scales

    Science.gov (United States)

    2015-07-06

    Geophysical Union, Fall Meeting, San Francisco, CA Li Q, Bou-Zeid E, Anderson W, Grimmond S, 2014: Proc. of American Physical Society, Division of Fluid...the existence of hairpin packets (and “ cane ” structures: inclined coherent par- cel with only one leg of the hairpin[41] around the low momentum...Department. Conference Proceedings : • Anderson W, Li Q, Bou-Zeid E, 2014: Proc. of American Geophysical Union, Fall Meeting, San Francisco, CA. • Anderson

  10. Mitigating fall risk: A community fall reduction program.

    Science.gov (United States)

    Reinoso, Humberto; McCaffrey, Ruth G; Taylor, David W M

    One fourth of all American's over 65 years of age fall each year. Falls are a common and often devastating event that can pose a serious health risk for older adults. Healthcare providers are often unable to spend the time required to assist older adults with fall risk issues. Without a team approach to fall prevention the system remains focused on fragmented levels of health promotion and risk prevention. The specific aim of this project was to engage older adults from the community in a fall risk assessment program, using the Stopping Elderly Accidents, Deaths & Injuries (STEADI) program, and provide feedback on individual participants' risks that participants could share with their primary care physician. Older adults who attended the risk screening were taking medications that are known to increase falls. They mentioned that their health care providers do not screen for falls and appreciated a community based screening. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Niagara Falls Storage Site, Lewiston, New York: geologic report

    International Nuclear Information System (INIS)

    1984-06-01

    This report is one of a series of engineering and environmental reports planned for the US Department of Energy's properties at Niagara Falls, New York. It describes the essential geologic features of the Niagara Falls Storage Site. It is not intended to be a definitive statement of the engineering methods and designs required to obtain desired performance features for any permanent waste disposal at the site. Results are presented of a geological investigation that consisted of two phases. Phase 1 occurred during July 1982 and included geologic mapping, geophysical surveys, and a limited drilling program in the vicinity of the R-10 Dike, planned for interim storage of radioactive materials. Phase 2, initiated in December 1982, included excavation of test pits, geophysical surveys, drilling, observation well installation, and field permeability testing in the South Dike Area, the Northern Disposal Area, and the K-65 Tower Area

  12. Niagara Falls Storage Site, Lewiston, New York: geologic report

    Energy Technology Data Exchange (ETDEWEB)

    1984-06-01

    This report is one of a series of engineering and environmental reports planned for the US Department of Energy's properties at Niagara Falls, New York. It describes the essential geologic features of the Niagara Falls Storage Site. It is not intended to be a definitive statement of the engineering methods and designs required to obtain desired performance features for any permanent waste disposal at the site. Results are presented of a geological investigation that consisted of two phases. Phase 1 occurred during July 1982 and included geologic mapping, geophysical surveys, and a limited drilling program in the vicinity of the R-10 Dike, planned for interim storage of radioactive materials. Phase 2, initiated in December 1982, included excavation of test pits, geophysical surveys, drilling, observation well installation, and field permeability testing in the South Dike Area, the Northern Disposal Area, and the K-65 Tower Area.

  13. Community College Estimated Growth: Fall 2010

    Science.gov (United States)

    Phillippe, Kent; Mullin, Christopher M.

    2011-01-01

    A survey from the American Association of Community Colleges (AACC) found that enrollment growth in fall 2010 slowed its pace at community colleges, increasing 3.2% from the previous year. This contrasts with more dramatic increases in recent years: more than 11% between fall 2008 and fall 2009, and nearly 17% between fall 2007 and fall 2009,…

  14. Person-Centered Fall Risk Awareness Perspectives: Clinical Correlates and Fall Risk.

    Science.gov (United States)

    Verghese, Joe

    2016-12-01

    To identify clinical correlates of person-centered fall risk awareness and their validity for predicting falls. Prospective cohort study. Community. Ambulatory community-dwelling older adults without dementia (N = 316; mean age 78, 55% female). Fall risk awareness was assessed using a two-item questionnaire that asked participants about overall likelihood of someone in their age group having a fall and their own personal risk of falling over the next 12 months. Incident falls were recorded over study follow-up. Fifty-three participants (16.8%) responded positively to the first fall risk awareness question about being likely to have a fall in the next 12 months, and 100 (31.6%) reported being at personal risk of falling over the next 12 months. There was only fair correlation (κ = 0.370) between responses on the two questions. Prior falls and depressive symptoms were associated with positive responses on both fall risk awareness questions. Age and other established fall risk factors were not associated with responses on either fall risk awareness question. The fall risk awareness questionnaire did not predict incident falls or injurious falls. Fall risk awareness is low in older adults. Although person-centered fall risk awareness is not predictive of falls, subjective risk perceptions should be considered when designing fall preventive strategies because they may influence participation and behaviors. © 2016, Copyright the Author Journal compilation © 2016, The American Geriatrics Society.

  15. EGS Richardson AGU Chapman NVAG3 Conference: Nonlinear Variability in Geophysics: scaling and multifractal processes

    OpenAIRE

    D. Schertzer; S. Lovejoy; S. Lovejoy

    1994-01-01

    1. The conference The third conference on "Nonlinear VAriability in Geophysics: scaling and multifractal processes" (NVAG 3) was held in Cargese, Corsica, Sept. 10-17, 1993. NVAG3 was joint American Geophysical Union Chapman and European Geophysical Society Richardson Memorial conference, the first specialist conference jointly sponsored by the two organizations. It followed NVAG1 (Montreal, Aug. 1986), NVAG2 (Paris, June 1988; Schertzer and Lovejoy, 1991), five consecutive annual ...

  16. EGS Richardson AGU Chapman NVAG3 Conference: Nonlinear Variability in Geophysics: scaling and multifractal processes

    OpenAIRE

    Schertzer , D; Lovejoy , S.

    1994-01-01

    International audience; 1. The conference The third conference on "Nonlinear VAriability in Geophysics: scaling and multifractal processes" (NVAG 3) was held in Cargese, Corsica, Sept. 10-17, 1993. NVAG3 was joint American Geophysical Union Chapman and European Geophysical Society Richardson Memorial conference, the first specialist conference jointly sponsored by the two organizations. It followed NVAG1 (Montreal, Aug. 1986), NVAG2 (Paris, June 1988; Schertzer and Lovejoy, 1991), five conse...

  17. Falls following discharge after an in-hospital fall

    Directory of Open Access Journals (Sweden)

    Kessler Lori A

    2009-12-01

    Full Text Available Abstract Background Falls are among the most common adverse events reported in hospitalized patients. While there is a growing body of literature on fall prevention in the hospital, the data examining the fall rate and risk factors for falls in the immediate post-hospitalization period has not been well described. The objectives of the present study were to determine the fall rate of in-hospital fallers at home and to explore the risk factors for falls during the immediate post-hospitalization period. Methods We identified patients who sustained a fall on one of 16 medical/surgical nursing units during an inpatient admission to an urban community teaching hospital. After discharge, falls were ascertained using weekly telephone surveillance for 4 weeks post-discharge. Patients were followed until death, loss to follow up or end of study (four weeks. Time spent rehospitalized or institutionalized was censored in rate calculations. Results Of 95 hospitalized patients who fell during recruitment, 65 (68% met inclusion criteria and agreed to participate. These subjects contributed 1498 person-days to the study (mean duration of follow-up = 23 days. Seventy-five percent were African-American and 43% were women. Sixteen patients (25% had multiple falls during hospitalization and 23 patients (35% suffered a fall-related injury during hospitalization. Nineteen patients (29% experienced 38 falls at their homes, yielding a fall rate of 25.4/1,000 person-days (95% CI: 17.3-33.4. Twenty-three patients (35% were readmitted and 3(5% died. One patient experienced a hip fracture. In exploratory univariate analysis, persons who were likely to fall at home were those who sustained multiple falls in the hospital (p = 0.008. Conclusion Patients who fall during hospitalization, especially on more than one occasion, are at high risk for falling at home following hospital discharge. Interventions to reduce falls would be appropriate to test in this high-risk population.

  18. An Integral, Multidisciplinary and Global Geophysical Field Experience for Undergraduates

    Science.gov (United States)

    Vázquez, O.; Carrillo, D. J.; Pérez-Campos, X.

    2007-05-01

    The udergraduate program of Geophysical Engineering at the School of Engineering, of the Univesidad Nacional Autónoma de México (UNAM), went through an update process that concluded in 2006. As part of the program, the student takes three geophysical prospecting courses (gravity and magnetics, electric, electromagnetics, and seismic methods). The older program required a three-week field experience for each course in order to gradute. The new program considers only one extended field experience. This work stresses the importance of international academic exchange, where undergraduate students could participate, such as the Summer of Applied Geophysical Experience (SAGE), and interaction with research programs, such as the MesoAmerican Subduction Experiment (MASE). Also, we propose a scheeme for this activity based on those examples; both of them have in common real geophysical problems, from which students could benefit. Our proposal covers academic and logistic aspects to be taken into account, enhancing the relevance of interaction between other academic institutions, industry, and UNAM, in order to obtain a broader view of geophysics.

  19. [Comments on “Solid earth geophysics” and “More on South American geophysics”] More on S.A. geophysics

    Science.gov (United States)

    Verma, Surendra P.

    I would like to add to the analyses of J. Urrutia Fucugauchi (Eos, 63, June 8, 1982, p. 529) and C. Lomnitz (Eos, 63, September 21, 1982, p. 786) on South American geophysics. I believe that the lack of a proper infrastructure and of funds on a medium- to long-term basis and the existence of a highly bureaucratic setup constitute further causes of the slow progress of geophysics in Latin America. Although it is true, as C. Lomnitz correctly points out, that in Mexico there has been an increase in funding over the past decade, it has not been applied on carefully planned long-term projects. Instead, the individual projects have received ‘short quantum’ of money input. Thus, all of a sudden, there is a ‘big’ investment for purchasing costly equipment, but no adequate follow-up efforts are made to be able to use it efficiently. Further, the research projects are bound to fail because the excessive bureaucratic set-up makes it difficult to obtain parts or accessories in a reasonable time. The ‘outside’ companies are very eager to sell costly equipment to Latin America, but they do very little to provide adequate technical support to see that such equipment is properly calibrated and kept operational for any reasonable time. In most cases their job is over when the equipment is sold.

  20. The teaching of geophysics in Latin America: An updated assessment

    Science.gov (United States)

    Valencio, Daniel A.; Schneider, Otto

    The situation of geophysics in developing countries has been the subject of discussions and analysis by diverse international organizations. It was also discussed in some articles in Eos [e.g., Lomnitz, 1982; Urrutia Fucugauchi, 1982; Bolt, 1982]. We have been requested to contribute a current evaluation of the problem, with particular reference to geophysical education in Latin America.In the following report on specialized training of geophysicists in Latin American countries, we consider the “exact earth sciences” in the broader sense, i.e., the mathematical and physical (and, to a certain extent, chemical) aspects of the planet earth as a whole, including its fluid portions, as opposed to the more restricted concept of just solid earth geophysics. In other words, our inquiry follows the scope of both AGU and the International Union of Geodesy and Geophysics (IUGG), so geodesy, although not explicitly covered, will still be mentioned occasionally. We will also consider the applied branches, especially exploration geophysics, since these areas furnish powerful motivation for fostering our sciences, both in the governmental circles of developing countries and among the young people looking for a promising professional future.

  1. Falls in multiple sclerosis.

    Science.gov (United States)

    Matsuda, Patricia N; Shumway-Cook, Anne; Bamer, Alyssa M; Johnson, Shana L; Amtmann, Dagmar; Kraft, George H

    2011-07-01

    To examine incidence, associated factors, and health care provider (HCP) response to falls in persons with multiple sclerosis (MS). Cross-sectional retrospective design. Community setting. Four hundred seventy-four persons with MS. Mailed survey questionnaire examined incidence, risk factors, and HCP response to falls in persons with MS who were dwelling in the community. Univariate and multiple ordinal regression analysis identified variables associated with single and multiple falls. Falls, causes and perceived reasons for falls, and HCP response. A total of 265 participants (58.2%) reported one or more falls in the previous 6 months, and 58.5% of falls were medically injurious. Trips/slips while walking accounted for 48% of falls. Factors associated with falls included use of a cane or walker (odds ratio [OR] 2.62; 95% confidence interval [CI] 1.66-4.14), income falls; recommended strategies included safety strategies (53.2%), use of gait assistive devices (42.1%), exercise/balance training (22.2%), and home modifications (16.6%). Factors associated with falls in persons with MS are similar to those in other populations with neurologic diseases. Despite the high incidence of falls, fewer than 50% of people with MS receive information about prevention of falls from an HCP. Copyright © 2011 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  2. Functional Performances on Admission Predict In-Hospital Falls, Injurious Falls, and Fractures in Older Patients: A Prospective Study.

    Science.gov (United States)

    Hars, Mélany; Audet, Marie-Claude; Herrmann, François; De Chassey, Jean; Rizzoli, René; Reny, Jean-Luc; Gold, Gabriel; Ferrari, Serge; Trombetti, Andrea

    2018-05-01

    Falls are common among older inpatients and remain a great challenge for hospitals. Despite the relevance of physical impairments to falls, the prognostic value of performance-based functional measures for in-hospital falls and injurious falls remains unknown. This study aimed to determine the predictive ability and accuracy of various functional tests administered at or close to admission in a geriatric hospital to identify in-hospital fallers and injurious fallers. In this prospective study, conducted in a geriatric hospital in Geneva, Switzerland, 807 inpatients (mean age 85.0 years) were subjected to a battery of functional tests administered by physiotherapists within 3 days (interquartile range 1 to 6) of admission, including Short Physical Performance Battery (SPPB), simplified Tinetti, and Timed Up and Go tests. Patients were prospectively followed up for falls and injurious falls until discharge using mandatory standardized incident report forms and electronic patients' records. During a median length of hospital stay of 23 days (interquartile range 14 to 36), 329 falls occurred in 189 (23.4%) patients, including 161 injurious falls of which 24 were serious. In-hospital fallers displayed significantly poorer functional performances at admission on all tests compared with non-fallers (p performances on all functional tests predicted in-hospital falls and injurious falls (p poor functional performances, as assessed by SPPB, are independent predictors of in-hospital falls, injurious falls, and fractures in patients admitted to a geriatric hospital. These findings should help to design preventive strategies for in-hospital falls and support the adoption of objective performance-based functional measures into routine hospital practice. © 2018 American Society for Bone and Mineral Research. © 2018 American Society for Bone and Mineral Research.

  3. Sustainable urban development and geophysics

    Science.gov (United States)

    Liu, Lanbo; Chan, L. S.

    2007-09-01

    -hazards. The three papers by B Zhao et al and Z Zhao et al address the problem of earthquake strong ground motion in urban regions using case studies from Osaka, Japan and the city of Yinchuan, China. The other two papers study the geological hazard of surface subsidence using geophysical tools: G Leucci reported a comprehensive study in Nardo, Italy, while Kim et al reported a similar case study for a small city in South Korea. One striking feature of all the papers in this special issue is that multiple authors with at least 3 co-authors wrote the majority of the papers, which is an indication of strong team work and interdisciplinary collaboration. This is essential for the successful application of geophysical science and technology in tackling a variety of engineering and environmental problems for the urban setting. The only sole author, Dr Leucci, expressed deep gratitude in his acknowledgements to his team members who carried out substantial parts of the data acquisition. We are pleased to present this special issue to the engineering and environmental geophysics community and hope that it can serve as a snapshot of the current state-of-the-art studies in urban geophysics. References [1] United Nations 1990 World Demographic Estimates and Projections (1950-2025) (New York: Press of United Nations) [2] Chen Y, L-S Chan and S Yu 2003 J. Geodesy & Geodynamics 23 1-4 (in Chinese) [3] American Geophysics Union 2006 Eos Trans. AGU 87 (36)

  4. Racial and Ethnic Difference in Falls Among Older Adults: Results from the California Health Interview Survey.

    Science.gov (United States)

    Kwon, Simona C; Han, Benjamin H; Kranick, Julie A; Wyatt, Laura C; Blaum, Caroline S; Yi, Stella S; Trinh-Shevrin, Chau

    2018-04-01

    Research suggests that fall risk among older adults varies by racial/ethnic groups; however, few studies have examined fall risk among Hispanics and Asian American older adults. Using 2011-2012 California Health Interview Survey data, this study examines falling ≥2 times in the past year by racial/ethnic groups (Asian Americans, Hispanics, and Blacks) aged ≥65, adjusting for socio-demographic characteristics, body mass index, co-morbidities, and functional limitations. A secondary analysis examines differences in fall risk by English language proficiency and race/ethnicity among Asian Americans and Hispanics. Asian Americans were significantly less likely to fall compared to non-Hispanic whites, individuals with ≥2 chronic diseases were significantly more likely to fall than individuals with fall risk, when adjusting for all factors. African Americans and Hispanics did not differ significantly from non-Hispanic whites. Analysis adjusting for race/ethnicity and English language proficiency found that limited English proficient Asian Americans were significantly less likely to fall compared to non-Hispanic whites, individuals with ≥2 chronic diseases were significantly more likely to fall than individuals with fall risk, when adjusting for all factors. No differences were found when examining by racial/ethnic and English proficient/limited English proficient groups. Further research is needed to explore factors associated with fall risks across racial/ethnic groups. Culturally relevant and targeted interventions are needed to prevent falls and subsequent injuries in the increasingly diverse aging population in the USA.

  5. Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults.

    Science.gov (United States)

    Nilsson, Martin; Eriksson, Joel; Larsson, Berit; Odén, Anders; Johansson, Helena; Lorentzon, Mattias

    2016-11-01

    To investigate the role of a fall risk assessment, using the Downton Fall Risk Index (DFRI), in predicting fall-related injury, fall-related head injury and hip fracture, and death, in a large cohort of older women and men residing in Sweden. Cross sectional observational study. Sweden. Older adults (mean age 82.4 ± 7.8) who had a fall risk assessment using the DFRI at baseline (N = 128,596). Information on all fall-related injuries, all fall-related head injuries and hip fractures, and all-cause mortality was collected from the Swedish Patient Register and Cause of Death Register. The predictive role of DFRI was calculated using Poisson regression models with age, sex, height, weight, and comorbidities as covariates, taking time to outcome or end of study into account. During a median follow-up of 253 days (interquartile range 90-402 days) (>80,000 patient-years), 15,299 participants had a fall-related injury, 2,864 a head injury, and 2,557 a hip fracture, and 23,307 died. High fall risk (DFRI ≥3) independently predicted fall-related injury (hazard ratio (HR) = 1.43, 95% confidence interval (CI) = 1.39-1.49), hip fracture (HR = 1.51, 95% CI =1.38-1.66), head injury (HR = 1.12, 95% CI = 1.03-1.22), and all-cause mortality (HR = 1.39, 95% CI = 1.35-1.43). DFRI more strongly predicted head injury (HR = 1.29, 95% CI = 1.21-1.36 vs HR = 1.08, 95% CI = 1.04-1.11) and hip fracture (HR = 1.41, 95% CI = 1.30-1.53 vs HR = 1.08, 95% CI = 1.05-1.11) in 70-year old men than in 90-year old women (P Fall risk assessment using DFRI independently predicts fall-related injury, fall-related head injury and hip fracture, and all-cause mortality in older men and women, indicating its clinical usefulness to identify individuals who would benefit from interventions. © 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

  6. Geophysical Research Letters: New policies improve top-cited geosciences journal

    Science.gov (United States)

    Calais, Eric; Diffenbaugh, Noah; D'Odorico, Paolo; Harris, Ruth; Knorr, Wolfgang; Lavraud, Benoit; Mueller, Anne; Peterson, William; Rignot, Eric; Srokosz, Meric; Strutton, Peter; Tyndall, Geoff; Wysession, Michael; Williams, Paul

    2010-01-01

    Geophysical Research Letters (GRL) is the American Geophysical Union's premier journal of fast, groundbreaking communication. It rapidly publishes high- impact,letter-length articles, and it is the top-cited multidisciplinary geosciences journal over the past 10 years, with an impact factor that increased again in 2009, to 3.204. For manuscripts submitted to GRL, the median time to first and final decision is 23 and 27 days, respectively—a 35% improvement since 2007—and the median time from submission to publication is 13 weeks for 90% of GRL papers—a 25% improvement since 2007. Among high-impact publications in the geosciences, GRL has the fastest turnaround.

  7. Geophysical Field Theory

    International Nuclear Information System (INIS)

    Eloranta, E.

    2003-11-01

    The geophysical field theory includes the basic principles of electromagnetism, continuum mechanics, and potential theory upon which the computational modelling of geophysical phenomena is based on. Vector analysis is the main mathematical tool in the field analyses. Electrostatics, stationary electric current, magnetostatics, and electrodynamics form a central part of electromagnetism in geophysical field theory. Potential theory concerns especially gravity, but also electrostatics and magnetostatics. Solid state mechanics and fluid mechanics are central parts in continuum mechanics. Also the theories of elastic waves and rock mechanics belong to geophysical solid state mechanics. The theories of geohydrology and mass transport form one central field theory in geophysical fluid mechanics. Also heat transfer is included in continuum mechanics. (orig.)

  8. Fundamentals of Geophysics

    Science.gov (United States)

    Lowrie, William

    1997-10-01

    This unique textbook presents a comprehensive overview of the fundamental principles of geophysics. Unlike most geophysics textbooks, it combines both the applied and theoretical aspects to the subject. The author explains complex geophysical concepts using abundant diagrams, a simplified mathematical treatment, and easy-to-follow equations. After placing the Earth in the context of the solar system, he describes each major branch of geophysics: gravitation, seismology, dating, thermal and electrical properties, geomagnetism, paleomagnetism and geodynamics. Each chapter begins with a summary of the basic physical principles, and a brief account of each topic's historical evolution. The book will satisfy the needs of intermediate-level earth science students from a variety of backgrounds, while at the same time preparing geophysics majors for continued study at a higher level.

  9. Geophysical borehole logging

    International Nuclear Information System (INIS)

    McCann, D.; Barton, K.J.; Hearn, K.

    1981-08-01

    Most of the available literature on geophysical borehole logging refers to studies carried out in sedimentary rocks. It is only in recent years that any great interest has been shown in geophysical logging in boreholes in metamorphic and igneous rocks following the development of research programmes associated with geothermal energy and nuclear waste disposal. This report is concerned with the programme of geophysical logging carried out on the three deep boreholes at Altnabreac, Caithness, to examine the effectiveness of these methods in crystalline rock. Of particular importance is the assessment of the performance of the various geophysical sondes run in the boreholes in relation to the rock mass properties. The geophysical data can be used to provide additional in-situ information on the geological, hydrogeological and engineering properties of the rock mass. Fracturing and weathering in the rock mass have a considerable effect on both the design parameters for an engineering structure and the flow of water through the rock mass; hence, the relation between the geophysical properties and the degree of fracturing and weathering is examined in some detail. (author)

  10. HMF-Geophysics - An Update

    Science.gov (United States)

    Crook, N.; Knight, R.; Robinson, D.

    2007-12-01

    There is growing recognition of the challenges we face, in many parts of the world, in finding and maintaining clean sources of water for human consumption and agricultural use, while balancing the needs of the natural world. Advancements in hydrologic sciences are needed in order to develop an improved understanding of the controls on the quantity, movement, and quality of water, thus enhancing our ability to better protect and manage our water resources. Geophysical methods can play a central role in these investigations. CUAHSI (Consortium of Universities for the Advancement of Hydrologic Sciences) is developing, with the support of the National Science Foundation, a Hydrologic Measurement Facility (HMF), which contains a Geophysics module, referred to as HMF-Geophysics. The Geophysics module will support and advance the use of geophysics for hydrologic applications. Currently in second year of a 3 year pilot study, the main aim of HMF-Geophysics is to develop the infrastructure necessary to provide geophysical techniques and the expertise to apply them correctly for the hydrological community. The current working model consists of a central HMF-Geophysics facility and a number of volunteer nodes. The latter consists of individuals at universities who have volunteered to be part of HMF-Geophysics by using their equipment, and/or software, and expertise, in research partnerships with hydrologists. In response to an inquiry the central facility takes on the evaluation of the potential of geophysics to the area of research/watershed. The central facility can then undertake a feasibility study to determine how/if geophysical methods could be of use, and to evaluate the "value-added" by geophysics to the science. Once it is clear that the geophysics can contribute in a significant way to addressing the science questions the central facility works with the hydrologist to set up the next step. Our assumption is that at this point, the hydrologist (perhaps with a

  11. Predicting falls using two instruments (the Hendrich Fall Risk Model and the Morse Fall Scale) in an acute care setting in Lebanon.

    Science.gov (United States)

    Nassar, Nada; Helou, Nancy; Madi, Chantal

    2014-06-01

    To assess the predictive value of two instruments (the Morse Fall Scale (MFS) and the Heindrich II Fall Risk Model (HFRM)] in a Middle Eastern country (Lebanon) and to evaluate the factors that are related to falls. A prospective observational cross-sectional design was used. Falls and fall-related injuries in the acute care settings contribute a substantial health and economic burden on patients and organisations. Preventing falls is a priority for most healthcare organisations. While the risk of falling cannot be eliminated, it can be significantly reduced through accurate assessment of patients' risk of falling. Data from 1815 inpatients at the American University of Beirut Medical Center (AUBMC) in Lebanon were evaluated using two instruments to predict falls: the MFS and the HFRM. The incidence of falls was 2·7% in one year. The results indicate that while the instruments were significantly correlated, the HFRM was more sensitive in predicting falls than the MFS. The internal consistency of both scales was moderate, but inter-rater reliability was high. Patients using antiepileptic drugs and assistance devises had higher odds of falling. Although both instruments were easy to use in a Middle Eastern country, the HFRM rather than the MFS is recommended for inpatients in an acute care setting as it had higher sensitivity and specificity. It is recommended that while the HFRM had adequate sensitivity, it is not seamless, and as such, nurses should not rely entirely on it. Rather, nurses should use their expert clinical judgement, their ethical obligations and cultural considerations to implement a safer environment of care for the patient. © 2013 John Wiley & Sons Ltd.

  12. Issues in Geriatric Care: Falls.

    Science.gov (United States)

    Patel, Dipesh; Ackermann, Richard J

    2018-05-01

    One in three older adults falls each year. There are approximately 2.5 million falls among older adults treated in emergency departments. Falls account for 87% of all fractures in this age group. The biggest risk factor for falling is a history of falls. Other risk factors include frailty, sedative and anticholinergic drugs, polypharmacy, and a variety of medical conditions. Current recommendations are that all patients age 65 years and older should be asked about falls each year. Patients also can be screened for fall risk with a variety of approaches including questionnaires and the Timed Up & Go test. For patients who have fallen or are at risk, care should focus on correcting reversible home environmental factors that predispose to falls, minimizing the use of drugs with sedating properties, addressing vision conditions, recommending physical exercise (including balance, strength, and gait training), and managing postural hypotension as well as foot conditions and footwear. In addition, vitamin D and calcium supplementation should be considered. For patients needing anticoagulation for medical reasons, an assessment must balance fall risk (and thus bleeding from a fall) versus the risk of discontinuing anticoagulation (eg, sustaining an embolic stroke from atrial fibrillation). Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  13. Relationship Between Perceived Risk of Falling and Adoption of Precautions to Reduce Fall Risk.

    Science.gov (United States)

    Blalock, Susan J; Gildner, Paula L; Jones, Jennifer L; Bowling, James M; Casteel, Carri H

    2016-06-01

    To better understand the relationship between perceived risk of falling and awareness and adoption of four specific precautions that older adults have taken to reduce this risk. Cross-sectional. Data were collected in in-person interviews conducted in the homes of study participants. Interviews conducted between March 2011 and September 2013 and lasted an average of 60-90 minutes. A stratified sampling strategy designed to enroll an equal number of homebound and nonhomebound participants was used. All participants (N = 164) were recruited from central North Carolina. Participants were asked about 1-year fall history, perceived risk of falling, restriction of activities because of fear of falling, awareness of four recommended fall prevention behaviors (exercise, annual medication review, bathroom grab bars, safe footwear), and current practice of these behaviors. In bivariate analyses, individuals who were aware of two behaviors recommended to reduce the risk of falling (exercise, use of safe footwear) and had adopted these behaviors perceived their risk of falling as lower than individuals who were aware of the recommended behaviors but had not adopted them. Moreover, in multivariate analyses, individuals who did not know that exercise is recommended to reduce the risk of falling perceived their risk of falling as lower than those who were aware of this recommendation and had adopted it. Individuals were least likely to be aware that medication reviews and exercise are recommended to reduce fall risk. Awareness of behaviors recommended to reduce fall risk appears necessary for adoption of these behaviors to reduce perceived risk. Fall-prevention campaigns should emphasize behaviors where awareness is low. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  14. Risks of falls in subjects with multiple sclerosis.

    Science.gov (United States)

    Cattaneo, Davide; De Nuzzo, Carmela; Fascia, Teresa; Macalli, Marco; Pisoni, Ivana; Cardini, Roldano

    2002-06-01

    To quantify fall risk among patients with multiple sclerosis (MS) and to report the importance of variables associated with falls. Retrospective case-control study design with a 2-group sample of convenience. A hospital and home settings in Italy. A convenience sample of 50 people with MS divided into 2 groups according to their reports of falls. Not applicable. Subjects were assessed with questionnaires for cognitive ability and were measured on their ability to maintain balance, to walk, and to perform daily life activities. Data regarding patients' strength, spasticity, and transfer skills impairment were also collected. No statistical differences were found between groups of fallers and nonfallers using variables pertaining to years after onset, age, gender, and Mini-Mental State Examination. Near statistically significant differences were found in activities of daily living and transfer skills (Pfall status: balance, ability to walk, and use of a cane (Pcane differed between fallers and nonfallers groups and the incidence of those variables can be used as a predictive model to quantify fall risk in patients suffering from MS. These findings emphasize the multifactorial nature of falls in this patient population. Assessment of different aspects of motor impairment and the accurate determination of factors contributing to falls are necessary for individual patient management and therapy and for the development of a prevention program for falls. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

  15. Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls.

    Science.gov (United States)

    Lee, Hsuei-Chen; Chang, Ku-Chou; Tsauo, Jau-Yih; Hung, Jen-Wen; Huang, Yu-Ching; Lin, Sang-I

    2013-04-01

    To evaluate effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults. Multicenter randomized controlled trial. Three medical centers and adjacent community health centers. Community-dwelling older adults (N=616) who have fallen in the previous year or are at risk of falling. After baseline assessment, eligible subjects were randomly allocated into the intervention group (IG) or the control group (CG), stratified by the Physiological Profile Assessment (PPA) fall risk level. The IG received a 3-month multifactorial intervention program including 8 weeks of exercise training, health education, home hazards evaluation/modification, along with medication review and ophthalmology/other specialty consults. The CG received health education brochures, referrals, and recommendations without direct exercise intervention. Primary outcome was fall incidence within 1 year. Secondary outcomes were PPA battery (overall fall risk index, vision, muscular strength, reaction time, balance, and proprioception), Timed Up & Go (TUG) test, Taiwan version of the International Physical Activity Questionnaire, EuroQol-5D, Geriatric Depression Scale (GDS), and the Falls Efficacy Scale-International at 3 months after randomization. Participants were 76±7 years old and included low risk 25.6%, moderate risk 25.6%, and marked risk 48.7%. The cumulative 1-year fall incidence was 25.2% in the IG and 27.6% in the CG (hazard ratio=.90; 95% confidence interval, .66-1.23). The IG improved more favorably than the CG on overall PPA fall risk index, reaction time, postural sway with eyes open, TUG test, and GDS, especially for those with marked fall risk. The multifactorial fall prevention program with exercise intervention improved functional performance at 3 months for community-dwelling older adults with risk of falls, but did not reduce falls at 1-year follow-up. Fall incidence might have been decreased simultaneously in both

  16. Geophysics

    CERN Document Server

    Bolt, Bruce

    1973-01-01

    Methods in Computational Physics, Volume 13: Geophysics is a 10-chapter text that focuses with the theoretical solid-earth geophysics. This volume specifically covers the general topics of terrestrial magnetism and electricity, the Earth's gravity field, tidal deformations, dynamics of global spin, spin processing, and convective models for the deep interior. This volume surveys first the construction of mathematical models, such as the representation of the geomagnetic field by assuming arrangements of multipole sources in the core and the fast computer evaluation of two- and three-dimensiona

  17. Advances in geophysics

    CERN Document Server

    Sato, Haruo

    2013-01-01

    The critically acclaimed serialized review journal for over 50 years, Advances in Geophysics is a highly respected publication in the field of geophysics. Since 1952, each volume has been eagerly awaited, frequently consulted, and praised by researchers and reviewers alike. Now in its 54th volume, it contains much material still relevant today--truly an essential publication for researchers in all fields of geophysics.Key features: * Contributions from leading authorities * Informs and updates on all the latest developments in the field

  18. Introduction to the geophysical methods applicable to coal

    CSIR Research Space (South Africa)

    Fourie, S

    2015-01-01

    Full Text Available 2, it is the differences in the magnetic susceptibility of rocks that are exploited by the magnetic method. Units and terminology The internationally accepted unit for the magnetic field strength or intensity is the Tesla (named after Nikola Tesla..., the famous Serbian-American engineer and inventor). The Tesla is too large a unit for practical purposes and the nanotesla (nT, one billionth of a Tesla) is used in geophysical magnetic exploration. The name gamma (γ) was previously used instead...

  19. Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls.

    Science.gov (United States)

    Fu, Amy S; Gao, Kelly L; Tung, Arthur K; Tsang, William W; Kwan, Marcella M

    2015-12-01

    To use Nintendo's Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls. Randomized controlled trial. Nursing home for older adults. Adults aged 65 years and older (N=60). Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment or conventional exercise. Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses. Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all Pfalls, Wii Fit balance training was more effective than conventional balance training in reducing the risk and incidence of falls. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  20. Airborne geophysical surveys conducted in western Nebraska, 2010: contractor reports and data

    Science.gov (United States)

    ,

    2014-01-01

    This report contains three contractor reports and data files for an airborne electromagnetic survey flown from June 28 to July 7, 2010. The first report; “SkyTEM Survey: Nebraska, USA, Data” describes data aquisition and processing from a time-domain electromagnetic and magnetic survey performed by SkyTEM Canada, Inc. (the North American SkyTEM subsidiary), in western Nebraska, USA. Digital data for this report are given in Appendix 1. The airborne geophysical data from the SkyTEM survey subsequently were processed and inverted by Aarhus Geophysics ApS, Aarhus, Denmark, to produce resistivity depth sections along each flight line. The result of that processing is described in two reports presented in Appendix 2, “Processing and inversion of SkyTEM data from USGS Area UTM–13” and “Processing and inversion of SkyTEM data from USGS Area UTM–14.” Funding for these surveys was provided by the North Platte Natural Resources District, the South Platte Natural Resources District, and the Twin Platte Natural Resources District, in Scottsbluff, Sidney, and North Platte, Nebraska, respectively. Any additional information concerning the geophysical data may be obtained from the U.S. Geological Survey Crustal Geophysics and Geochemistry Science Center, Denver Colorado.

  1. Nuclear geophysics in space and atmospheric reserch at INPE/BRAZIl

    International Nuclear Information System (INIS)

    Nordemann, D.J.R.; Pereira, E.B.; Marinho, E.V.A.; Sircilli Neto, F.

    1986-05-01

    During the last years, INPE's research in Nuclear Geophysics has developed in fields of interest to the Institute, the scientific community and the society in general. In the space research field it may be considered as a contribution to the history of meteorite falls in our planet or possible collision with big meteorites which may have been the cause of important effects such as biological extinction and extraterrestrial matter gathering. In the atmospheric research field, spatial and temporal variations of radon measurements in the lower atmosphere allow correlations from micrometeorology to worlwide scale through mesoscale, in the interpretation of phenomena which deal with the dynamics of air masses. (Author) [pt

  2. Geophysical studies of the Crump Geyser known geothermal resource area, Oregon, in 1975

    Science.gov (United States)

    Plouff, Donald

    2006-01-01

    sediment thickness was estimated at 820 meters. A three-dimensional gravity model would have yielded a greater thickness. Audiomagnotelluric measurements were not made as far south as the location of the gravity low, as determined in the field, due to a lack of communication at that time. A boat was borrowed to collect gravity measurements along the edge of Crump Lake, but the attempt was curtailed by harsh, snowy weather on May 21, 1975, which shortly followed days of hot temperature. Most of the geophysical data and illustrations in Appendix 1 have been published (Gregory and Martinez, 1975; Plouff, 1975; and Plouff and Conradi, 1975), and Donald Plouff (1986) discussed a gravity interpretation of Warner Valley at the Fall 1986 American Geophysical Union meeting in San Francisco. Further interpretation of possible subsurface geologic sources of geophysical anomalies was not discussed in Appendix 1. For example, how were apparent resistivity lows (Appendix 1, figs. 3-6) centered near Crump Geyser affected by a well and other manmade electrically conductive or magnetic objects? What is the geologic significance of the 15-milligal eastward decrease across Warner Valley? The explanation that the two-dimensional gravity model (Appendix 1, fig. 14) was based on an inverse iterative method suggested by Bott (1960) was not included. Inasmuch as there was no local subsurface rock density distribution information to further constrain the gravity model, the three-dimensional methodology suggested by Plouff (1976) was not attempted. Inasmuch as the associated publication by Plouff (1975), which released the gravity data, is difficult to obtain and not in digital format, that report is reproduced in Appendix 2. Two figures of the publication are appended to the back of the text. A later formula for the theoretical value of gravity for the given latitudes at sea level (International Association of Geodesy, 1971) should be used to re-compute gravity anomalies. To merge t

  3. Primary Care Fall Risk Assessment for Elderly West Virginians.

    Science.gov (United States)

    Minkemeyer, Vivian M; Meriweather, Matt; Shuler, Franklin D; Mehta, Saurabh P; Qazi, Zain N

    2015-01-01

    West Virginia is ranked second nationally for the percent of its population 65 years of age. The elderly are especially susceptible to falls with fall risk increasing as age increases. Because falls are the number one cause of injury-related morbidity and mortality in the West Virginia elderly, evaluation of fall risk is a critical component of the patient evaluation in the primary care setting. We therefore highlight fall risk assessments that require no specialized equipment or training and can easily be completed at an established office visit. High quality clinical practice guidelines supported by the American Geriatric Society recommend yearly fall risk evaluation in the elderly. Those seniors at greatest risk of falls will benefit from the standardized therapy protocols outlined and referral to a balance treatment center. Patients with low-to-moderate fall risk attributed to muscle weakness or fatigue should be prescribed lower extremity strengthening exercises, such as kitchen counter exercises, to improve strength and balance.

  4. Check for Safety: A Home Fall Prevention Checklist for Older Adults

    Science.gov (United States)

    ... for Safety A Home Fall Prevention Checklist for Older Adults For more information, contact: Centers for Disease Control and Prevention 770-488-1506 www.cdc.gov/injury “Making changes in ... AT HOME Each year, thousands of older Americans fall at home. Many of them are ...

  5. Feasibility of interdisciplinary community-based fall risk screening.

    Science.gov (United States)

    Elliott, Sharon J; Ivanescu, Andrada; Leland, Natalie E; Fogo, Jennifer; Painter, Jane A; Trujillo, Leonard G

    2012-01-01

    This pilot study examined the feasibility of (1) conducting interdisciplinary fall risk screens at a communitywide adult fall prevention event and (2) collecting preliminary follow-up data from people screened at the event about balance confidence and home and activity modifications made after receiving educational information at the event. We conducted a pilot study with pre- and posttesting (4-mo follow-up) with 35 community-dwelling adults ≥55 yr old. Approximately half the participants were at risk for falls. Most participants who anticipated making environmental or activity changes to reduce fall risk initiated changes (n = 8/11; 72.7%) during the 4-mo follow-up period. We found no significant difference in participants' balance confidence between baseline (median = 62.81) and follow-up (median = 64.06) as measured by the Activities-specific Balance Confidence scale. Conducting interdisciplinary fall risk screens at an adult fall prevention event is feasible and can facilitate environmental and behavior changes to reduce fall risk. Copyright © 2012 by the American Occupational Therapy Association, Inc.

  6. Geophysical Investigations in the Caucasus (1925 - 2012): Initial, Basic and Modern Stages

    Science.gov (United States)

    Eppelbaum, L. V.

    2012-04-01

    testing different geophysical methods and methodologies in complicated environments. Airborne magnetic and gravity surveys covered all the Caucasus, regional seismic and magnetotelluric studies were used as reference profiles for deep structure investigation. Numerous effective applications of geophysical methods for searching ore, oil&gas deposits, building raw, fresh water localization, solving engineering, etc. was demonstrated. Seismological investigations (including different methods) were widely applied throughout the entire Caucasian region. Satellite geophysical examinations were successfully combined with other methods. Finally, destruction of the former Soviet Union in 1991 (beginning of the modern stage) caused a sharp common decreasing of the geophysical activity in this region. Only foreign oil-&gas companies (mainly American and England) demonstrated some industrial geophysical activity basically in the Caspian Sea. In the last few years the situation began to straighten out, especially in the field of seismology. This presentation is based of the author's experience (e.g., Eppelbaum, 1989, 1991, 2009; Eppelbaum et al., 1987; Eppelbaum and Finkelstein, 1998; Eppelbaum and Khesin, 1988, 1992, 2002, 2004, 2011, 2012; Eppelbaum and Mishne, 2011; Eppelbaum et al., 2003, 2004; Khesin et al., 1988, 1993a, 1993b, 1996, 1997; Khesin and Eppelbaum, 1986, 1994, 1997, 2007; Pilchin and Eppelbaum, 1997, 2011) and corresponding publications and reviews of other authors.

  7. Influences of a Church-Based Intervention on Falls Risk Among Seniors.

    Science.gov (United States)

    Briggs, Morgan; Morzinski, Jeffrey A; Ellis, Julie

    2017-08-01

    Prior studies illustrate that community-based programs effectively decrease falls risk in older adults and that faith-based programs improve health behaviors. The literature is unclear whether faith-based initiatives reduce seniors' fall risks. To tackle this gap, a long-term partnership led by 10 urban churches, a nearby nursing school, and a medical school developed a study with 3 objectives: determine baseline health concerns associated with falls (eg, depression, polypharmacy), implement a nurse-led, faith-based health education initiative for community-dwelling African American seniors at-risk of hospitalization, and assess pre- to post -program fall frequency. The 100 Healthy, At-Risk Families study team implemented 8 monthly educational health sessions promoting self-care and social support. Community nurses led the 60- to 90-minute sessions at each of 10 churches. To collect study data, nurses interviewed enrolled seniors pre- and post-intervention. Descriptive and comparison statistics were analyzed in Excel and Statistical Package for Social Sciences. Senior data at baseline found high rates of polypharmacy and physical imbalance, and no significant depression or gaps in social support. There was not a statistically significant change pre- to post-program in fall frequency "in prior year." Study findings reveal insights about African American senior health and fall risks. Church settings may provide a protective, psychosocial buffer for seniors, while polypharmacy and mobility/balance concerns indicate need for continued attention to fall risks. No increase in pre- to post-program falls was encouraging.

  8. ANNALS OF GEOPHYSICS: AD MAJORA

    Directory of Open Access Journals (Sweden)

    Fabio Florindo

    2014-03-01

    Full Text Available Annals of Geophysics is a bimonthly international journal, which publishes scientific papers in the field of geophysics sensu lato. It derives from Annali di Geofisica, which commenced publication in January 1948 as a quarterly periodical devoted to general geophysics, seismology, earth magnetism, and atmospheric studies. The journal was published regularly for a quarter of a century until 1982 when it merged with the French journal Annales de Géophysique to become Annales Geophysicae under the aegis of the European Geophysical Society. In 1981, this journal ceased publication of the section on solid earth geophysics, ending the legacy of Annali di Geofisica. In 1993, the Istituto Nazionale di Geofisica (ING, founder of the journal, decided to resume publication of its own journal under the same name, Annali di Geofisica. To ensure continuity, the first volume of the new series was assigned the volume number XXXVI (following the last issue published in 1982. In 2002, with volume XLV, the name of the journal was translated into English to become Annals of Geophysics and in consequence the journal impact factor counter was restarted. Starting in 2010, in order to improve its status and better serve the science community, Annals of Geophysics has instituted a number of editorial changes including full electronic open access, freely accessible online, the possibility to comment on and discuss papers online, and a board of editors representing Asia and the Americas as well as Europe. [...

  9. Fluorescent signatures of 2 Ma old travertine deposits in Death Valley, CA

    Czech Academy of Sciences Publication Activity Database

    Adachi, T.; Kletetschka, Günther

    2005-01-01

    Roč. 86, č. 52 (2005), B31B-0998 ISSN 0096-3941. [American Geophysical Union Fall Meeting. 05.12.2005-09.12.2005, San Francisco] Institutional research plan: CEZ:AV0Z30130516 Keywords : astrobiology * travertine * fluorescent Subject RIV: DB - Geology ; Mineralogy

  10. Fall prevention in the elderly

    Science.gov (United States)

    Ungar, Andrea; Rafanelli, Martina; Iacomelli, Iacopo; Brunetti, Maria Angela; Ceccofiglio, Alice; Tesi, Francesca; Marchionni, Niccolò

    2013-01-01

    Summary Falls are frequent in the elderly and affect mortality, morbidity, loss of functional capacity and institutionalization. In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is often difficult to reconstruct the dynamics. It is quite common that forms due to syncope are associated with retrograde amnesia and in 40 to 60% of the cases falls happen in the absence of witnesses. The pathogenesis of falls is often multifactorial, due to physiological age-related changes or more properly pathological factors, or due to the environment. The identification of risk factors is essential in the planning of preventive measures. Syncope is one of major causes of falls. About 20% of cardiovascular syncope in patients older than 70 appears as a fall and more than 20% of older people with Carotid Sinus Syndrome complain of falls as well as syncope. These data clearly state that older patients with history of falls should undergo a cardiovascular and neuroautonomic assessment besides the survey of other risk factors. Multifactorial assessment requires a synergy of various specialists. The geriatrician coordinates the multidisciplinary intervention in order to make the most effective evaluation of the risk of falling, searching for all predisposing factors, aiming towards a program of prevention. In clear pathological conditions it is possible to enact a specific treatment. Particular attention must indeed be paid to the re-evaluation of drug therapy, with dose adjustments or withdrawal especially for antihypertensive, diuretics and benzodiazepines. The Guidelines of the American Geriatrics Society recommend modification of environmental hazards, training paths, hip protectors and appropriate use of support tools (sticks, walkers), which can be effective elements of a multifactorial intervention program. Balance exercises are also recommended. In conclusion, an initial assessment

  11. Fall prevention in the elderly.

    Science.gov (United States)

    Ungar, Andrea; Rafanelli, Martina; Iacomelli, Iacopo; Brunetti, Maria Angela; Ceccofiglio, Alice; Tesi, Francesca; Marchionni, Niccolò

    2013-05-01

    Falls are frequent in the elderly and affect mortality, morbidity, loss of functional capacity and institutionalization. In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is often difficult to reconstruct the dynamics. It is quite common that forms due to syncope are associated with retrograde amnesia and in 40 to 60% of the cases falls happen in the absence of witnesses. The pathogenesis of falls is often multifactorial, due to physiological age-related changes or more properly pathological factors, or due to the environment. The identification of risk factors is essential in the planning of preventive measures. Syncope is one of major causes of falls. About 20% of cardiovascular syncope in patients older than 70 appears as a fall and more than 20% of older people with Carotid Sinus Syndrome complain of falls as well as syncope. These data clearly state that older patients with history of falls should undergo a cardiovascular and neuroautonomic assessment besides the survey of other risk factors. Multifactorial assessment requires a synergy of various specialists. The geriatrician coordinates the multidisciplinary intervention in order to make the most effective evaluation of the risk of falling, searching for all predisposing factors, aiming towards a program of prevention. In clear pathological conditions it is possible to enact a specific treatment. Particular attention must indeed be paid to the re-evaluation of drug therapy, with dose adjustments or withdrawal especially for antihypertensive, diuretics and benzodiazepines. The Guidelines of the American Geriatrics Society recommend modification of environmental hazards, training paths, hip protectors and appropriate use of support tools (sticks, walkers), which can be effective elements of a multifactorial intervention program. Balance exercises are also recommended. In conclusion, an initial assessment, supported by a

  12. Developments in geophysical exploration methods

    CERN Document Server

    1982-01-01

    One of the themes in current geophysical development is the bringing together of the results of observations made on the surface and those made in the subsurface. Several benefits result from this association. The detailed geological knowledge obtained in the subsurface can be extrapolated for short distances with more confidence when the geologi­ cal detail has been related to well-integrated subsurface and surface geophysical data. This is of value when assessing the characteristics of a partially developed petroleum reservoir. Interpretation of geophysical data is generally improved by the experience of seeing the surface and subsurface geophysical expression of a known geological configuration. On the theoretical side, the understanding of the geophysical processes themselves is furthered by the study of the phenomena in depth. As an example, the study of the progress of seismic wave trains downwards and upwards within the earth has proved most instructive. This set of original papers deals with some of ...

  13. Chaos theory in geophysics: past, present and future

    International Nuclear Information System (INIS)

    Sivakumar, B.

    2004-01-01

    The past two decades of research on chaos theory in geophysics has brought about a significant shift in the way we view geophysical phenomena. Research on chaos theory in geophysics continues to grow at a much faster pace, with applications to a wide variety of geophysical phenomena and geophysical problems. In spite of our success in understanding geophysical phenomena also from a different (i.e. chaotic) perspective, there still seems to be lingering suspicions on the scope of chaos theory in geophysics. The goal of this paper is to present a comprehensive account of the achievements and status of chaos theory in geophysics, and to disseminate the hope and scope for the future. A systematic review of chaos theory in geophysics, covering a wide spectrum of geophysical phenomena studied (e.g. rainfall, river flow, sediment transport, temperature, pressure, tree ring series, etc.), is presented to narrate our past achievements not only in understanding and predicting geophysical phenomena but also in improving the chaos identification and prediction techniques. The present state of chaos research in geophysics (in terms of geophysical phenomena, problems, and chaos methods) and potential for future improvements (in terms of where, why and possibly how) are also highlighted. Our popular views of nature (i.e. stochastic and deterministic), and of geophysical phenomena in particular, are discussed, and the usefulness of chaos theory as a bridge between such views is also put forth

  14. Growth characteristics and Otolith analysis on Age-0 American Shad

    Science.gov (United States)

    Sauter, Sally T.; Wetzel, Lisa A.

    2011-01-01

    Otolith microstructure analysis provides useful information on the growth history of fish (Campana and Jones 1992, Bang and Gronkjaer 2005). Microstructure analysis can be used to construct the size-at-age growth trajectory of fish, determine daily growth rates, and estimate hatch date and other ecologically important life history events (Campana and Jones 1992, Tonkin et al. 2008). This kind of information can be incorporated into bioenergetics modeling, providing necessary data for estimating prey consumption, and guiding the development of empirically-based modeling scenarios for hypothesis testing. For example, age-0 American shad co-occur with emigrating juvenile fall Chinook salmon originating from Hanford Reach and the Snake River in the lower Columbia River reservoirs during the summer and early fall. The diet of age-0 American shad appears to overlap with that of juvenile fall Chinook salmon (Chapter 1, this report), but juvenile fall Chinook salmon are also known to feed on age-0 American shad in the reservoirs (USGS unpublished data). Abundant, energy-dense age-0 American shad may provide juvenile fall Chinook salmon opportunities for rapid growth during the time period when large numbers of age-0 American shad are available. Otolith analysis of hatch dates and the growth curve of age-0 American shad could be used to identify when eggs, larvae, and juveniles of specific size classes are temporally available as food for fall Chinook salmon in the lower Columbia River reservoirs. This kind of temporally and spatially explicit life history information is important to include in bioenergetics modeling scenarios. Quantitative estimates of prey consumption could be used with spatially-explicit estimates of prey abundance to construct a quantitative assessment of the age-0 American shad impact on a reservoir food web.

  15. Underreporting of Fall Injuries of Older Adults: Implications for Wellness Visit Fall Risk Screening.

    Science.gov (United States)

    Hoffman, Geoffrey J; Ha, Jinkyung; Alexander, Neil B; Langa, Kenneth M; Tinetti, Mary; Min, Lillian C

    2018-04-17

    To compare the accuracy of and factors affecting the accuracy of self-reported fall-related injuries (SFRIs) with those of administratively obtained FRIs (AFRIs). Retrospective observational study SETTING: United States PARTICIPANTS: Fee-for-service Medicare beneficiaries aged 65 and older (N=47,215). We used 24-month self-report recall data from 2000-2012 Health and Retirement Study data to identify SFRIs and linked inpatient, outpatient, and ambulatory Medicare data to identify AFRIs. Sensitivity and specificity were assessed, with AFRIs defined using the University of California at Los Angeles/RAND algorithm as the criterion standard. Logistic regression models were used to identify sociodemographic and health predictors of sensitivity. Overall sensitivity and specificity were 28% and 92%. Sensitivity was greater for the oldest adults (38%), women (34%), those with more functional limitations (47%), and those with a prior fall (38%). In adjusted results, several participant factors (being female, being white, poor functional status, depression, prior falls) were modestly associated with better sensitivity and specificity. Injury severity (requiring hospital care) most substantively improved SFRI sensitivity (73%). An overwhelming 72% of individuals who received Medicare-reimbursed health care for FRIs failed to report a fall injury when asked. Future efforts to address underreporting in primary care of nonwhite and healthier older adults are critical to improve preventive efforts. Redesigned questions-for example, that address stigma of attributing injury to falling-may improve sensitivity. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

  16. Annals of the International Geophysical Year solar radio emission during the International Geophysical Year

    CERN Document Server

    Smerd, S F

    1969-01-01

    Annals of the International Geophysical Year, Volume 34: Solar Radio Emission During the International Geophysical Year covers the significant solar radio emission events observed during the International Geophysical Year (IGY). This book is composed of six chapters, and begins with a summary of tabulated quantities describing solar radio emission during the IGY. The tabulated figures illustrate the method of recording the position of radio sources on the sun, the use of symbols in describing the structure of bursts observed at single frequencies, and the different types used in a spectral

  17. Determinants of Falls and Fear of Falling in Ambulatory Persons With Late Effects of Polio.

    Science.gov (United States)

    Brogårdh, Christina; Flansbjer, Ulla-Britt; Lexell, Jan

    2017-05-01

    Falls and fear of falling (FOF) are common in persons with late effects of polio, but there is limited knowledge of associated factors. To determine how knee muscle strength, dynamic balance, and gait performance (adjusted for gender, age, and body mass index) are associated with falls and FOF in persons with late effects of polio. A cross-sectional study. A university hospital outpatient clinic. Eighty-one ambulatory persons with verified late effects of polio (43 men; mean age 67 years). Number of falls the past year, Falls Efficacy Scale-International to assess FOF, a Biodex dynamometer to measure knee muscle strength, the Timed Up & Go test to assess dynamic balance, and the 6-Minute Walk test to assess gait performance. Univariate and multivariate logistic regression analyses were used for falls (categorical data) and linear regression analyses for FOF (continuous data) as dependent variables. Fifty-nine percent reported at least 1 fall during the past year, and 79% experienced FOF. Reduced knee muscle strength in the more affected limb and gait performance were determinants of falls. An increase of 10 Nm in knee flexor and knee extensor strength reduced the odds ratio between 0.70 and 0.83 (P = .01), and an increase of 100 m in 6-Minute Walk test reduced the odds ratio to 0.41 (P = .001). All factors were determinants of FOF; reduced knee muscle strength in the more and less affected limbs explained 17%-25% of the variance in FOF, dynamic balance 30%, and gait performance 41%. Gender, age, and body mass index only marginally influenced the results. Reduced gait performance, knee muscle strength, and dynamic balance are to a varying degree determinants of falls and FOF in ambulatory persons with late effects of polio. Future studies need to evaluate whether rehabilitation programs targeting these factors can reduce falls and FOF in this population. IV. Copyright © 2017 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All

  18. Geophysical images of basement rocks. Geophysical images in the Guianese basement. Airborne geophysical campaign in French Guiana - 1996

    International Nuclear Information System (INIS)

    Delor, C.; Perrin, J.; Truffert, C.; Asfirane, F.; Rossi, Ph.; Bonjoly, D.; Dubreuihl, J.; Chardon, D.

    1998-01-01

    The French Office for Geological and Mining Research (BRGM) has carried out a high sensitivity airborne geophysical survey of northern French Guiana during the second half of 1996. The aim was to realize a high resolution magnetic and gamma spectrometric mapping for future prospecting, land use and environment management. This paper describes in details the geophysical campaign, the material used, the navigation techniques, the processing of magnetic data, the gamma radiation sources used, the spectrometric calibrations and the geologic interpretation of the results. (J.S.)

  19. Introduction to the JEEG Agricultural Geophysics Special Issue

    Science.gov (United States)

    Allred, Barry J.; Smith, Bruce D.

    2010-01-01

    Near-surface geophysical methods have become increasingly important tools in applied agricultural practices and studies. The great advantage of geophysical methods is their potential rapidity, low cost, and spatial continuity when compared to more traditional methods of assessing agricultural land, such as sample collection and laboratory analysis. Agricultural geophysics investigations commonly focus on obtaining information within the soil profile, which generally does not extend much beyond 2 meters beneath the ground surface. Although the depth of interest oftentimes is rather shallow, the area covered by an agricultural geophysics survey can vary widely in scale, from experimental plots (10 s to 100 s of square meters), to farm fields (10 s to 100 s of hectares), up to the size of watersheds (10 s to 100 s of square kilometers). To date, three predominant methods—resistivity, electromagnetic induction (EMI), and ground-penetrating radar (GPR)—have been used to obtain surface-based geophysical measurements within agricultural settings. However, a recent conference on agricultural geophysics (Bouyoucos Conference on Agricultural Geophysics, September 8–10, 2009, Albuquerque, New Mexico; www.ag-geophysics.org) illustrated that other geophysical methods are being applied or developed. These include airborne electromagnetic induction, magnetometry, seismic, and self-potential methods. Agricultural geophysical studies are also being linked to ground water studies that utilize deeper penetrating geophysical methods than normally used.

  20. Can echocardiographic findings predict falls in older persons?

    NARCIS (Netherlands)

    N. van der Velde (Nathalie); B.H.Ch. Stricker (Bruno); J.R.T.C. Roelandt (Jos); F.J. ten Cate (Folkert); T.J.M. van der Cammen (Tischa)

    2007-01-01

    textabstractBackground. The European and American guidelines state the need for echocardiography in patients with syncope. 50% of older adults with syncope present with a fall. Nonetheless, up to now no data have been published addressing echocardiographic abnormalities in older fallers. Method and

  1. Geophysical Institute. Biennial report, 1993-1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-01-01

    The 1993-1994 Geophysical Institute Biennial Report was published in November 1995 by the Geophysical Institute of the University of Alaska Fairbanks. It contains an overview of the Geophysical Institute, the Director`s Note, and research presentations concerning the following subjects: Scientific Predictions, Space Physics, Atmospheric Sciences, Snow, Ice and Permafrost, Tectonics and Sedimentation, Seismology, Volcanology, Remote Sensing, and other projects.

  2. Weinberger-Powell and transformation perceptions of American power from the fall of Saigon to the fall of Baghdad

    OpenAIRE

    Abonadi, Earl E. K.

    2006-01-01

    Throughout American history, policymakers have struggled with the use of American military power. The Limited War argument holds that the use of force needs to remain an option to support American diplomacy. The Never Again argument, meanwhile, holds that the use of American military power should be undertaken only in the face of threats against vital national interests. The most influential Never Again argument has been the 1984 Weinberger Doctrine, later expanded to the Weinberger-Powell Do...

  3. Predictive geophysics: geochemical simulations to geophysical targets

    Science.gov (United States)

    Chopping, R. G.; Cleverley, J.

    2017-12-01

    With an increasing focus on deep exploration for covered targets, new methods are required to target mineral systems under cover. Geophysical responses are driven by physical property contrasts; for example, density contrasts provide a gravity signal, acoustic impedance contrasts provide a seismic reflection signal. In turn, the physical properties for basement, crystalline rocks which host the vast majority of mineral systems are determined almost wholly by the mineralogy of the rocks in question. Mineral systems, through the transport of heat and reactive fluids, will serve to modify the physical properties of country rock as they chemically alter the hosting strata. To understand these changes, we have performed 2D reactive transport modelling that simulates the formation of Archean gold deposits of the Yilgarn Craton, Western Australia. From this, we derive a model of mineralogy that we can use to predict the density, magnetic susceptibility and seismic reflection changes associated with ore formation. It is then possible to predict the gravity, magnetic and seismic reflection responses associated with these deposits. Scenario mapping, such as testing the ability to resolve buried ore bodies or the geophysical survey spacing required to resolve the mineral system, can be performed to produce geophysical targets from these geochemical simulations. We find that there is a gravity response of around 9% of the unaltered response for deposits even buried by 1km of cover, and there is a magnetic spike associated with proximal alteration of the ore system. Finally, seismic reflection response is mostly characterised by additional reflections along faults that plumb the alteration system.

  4. Can echocardiographic findings predict falls in older persons?

    NARCIS (Netherlands)

    van der Velde, Nathalie; Stricker, Bruno H. Ch; Roelandt, Jos R. T. C.; ten Cate, Folkert J.; van der Cammen, Tischa J. M.

    2007-01-01

    BACKGROUND: The European and American guidelines state the need for echocardiography in patients with syncope. 50% of older adults with syncope present with a fall. Nonetheless, up to now no data have been published addressing echocardiographic abnormalities in older fallers. METHOD AND FINDINGS: In

  5. What Does the Employee Diversity Team Have in Store for Fall? | Poster

    Science.gov (United States)

    By Andrea Frydl, Contributing Writer Fall Activities The Employee Diversity Team (EDT) is out and about this fall, making the NCI at Frederick community aware of various cultural traditions and events around Frederick County that employees can participate in. The team is working with staff members of Native American descent to feature a display case and movie selection

  6. Anxiety, depression, and fall-related psychological concerns in community-dwelling older people.

    Science.gov (United States)

    Hull, Samantha L; Kneebone, Ian I; Farquharson, Lorna

    2013-12-01

    Establish the association between affect and fall-related psychological concerns (fear of falling, fall-related self-efficacy, balance confidence, and outcome expectancy). A total of 205 community-dwelling older people (mean age 81, SD 7.5 years) completed the Geriatric Depression Scale-15, Geriatric Anxiety Inventory, Modified Survey of Activities and Fear of Falling, Falls-Efficacy Scale- International, Activity-Specific Balance Confidence Scale, and the Consequences of Falling Scale. Hierarchical regression models showed that anxiety was independently associated with all fall-related psychological concerns; depression was only associated with falls efficacy. Associations between fall-related psychological concerns and age, gender, accommodation,medications, self-rated physical health, falls history, mobility, and sensory aids are also discussed. This is the first study that investigates the association between affect and the four fall-related psychological concerns. Anxiety was a significant factor associated with all four, whereas depression was only associated with activity avoidance. Implications for healthcare providers are discussed. Copyright © 2013 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  7. Space, geophysical research related to Latin America - Part 2

    Science.gov (United States)

    Mendoza, Blanca; Shea, M. A.

    2016-11-01

    For the last 25 years, every two to three years the Conferencia Latinoamericana de Geofísica Espacial (COLAGE) is held in one of the Latin American countries for the purpose of promoting scientific exchange among scientists of the region and to encourage continued research that is unique to this area of the world. At the more recent conference, the community realized that many individuals both within and outside Latin America have contributed greatly to the understanding of the space sciences in this area of the world. It was therefore decided to assemble a Special Issue Space and Geophysical Physics related to Latin America, presenting recent results and where submissions would be accepted from the world wide community of scientists involved in research appropriate to Latin America. Because of the large number of submissions, these papers have been printed in two separate issues. The first issue was published in Advances in Space Research, Vol. 57, number 6 and contained 15 papers. This is the second issue and contains 25 additional papers. These papers show the wide variety of research, both theoretical and applied, that is currently being developed or related to space and geophysical sciences in the Sub-Continent.

  8. A review of nuclear geophysics

    International Nuclear Information System (INIS)

    Clayton, C.G.; Schweitzer, J.S.

    1992-01-01

    This paper summarizes the development of nuclear geophysics in scientific and technological content and in range from its beginnings early in this century to the present day. We note that the early work in nuclear geophysics was originally referred to under the umbrella of open-quotes isotope applicationsclose quotes and the origin of the term open-quotes nuclear geophysicsclose quotes (which is seen to clarify and to focus work in this area) is exposed in this paper. The current expansion of nuclear geophysics front its original concern with oil well logging is an important trend because much of the underlying science, technology, and instrumentation is common ground. A review of nuclear geophysics would be a barren document without reference to long-term and, in some cases, short-term commercial and economic as well as to technological considerations, since these factors are the principal motivation for further development

  9. Older Adult Knowledge and Behavior Change in the Stepping On Fall Prevention Program in a Community Setting

    OpenAIRE

    Jane Strommen; Sean E. Brotherson; Zhen Yang

    2017-01-01

    One out of every three Americans age 65 and over falls at least once annually. Fall-related injuries among older adults are a major public health concern, and prevention of falls has emerged as a key issue in avoiding the risks to mobility and health that exist due to falls. Stepping On is an evidence-based fall prevention program designed to help older adults take control of their fall risk factors, explore different behavioral steps, and reduce their fall risk. This study shares findings...

  10. Magnetic coercivity and intensity of Mars crust: Dichotomy formation via unicellular convection mechanism

    Czech Academy of Sciences Publication Activity Database

    Kletetschka, Günther; Acuna, M. H.; Connerney, J. E.; Wasilewski, P. J.; Ness, F. N.

    2005-01-01

    Roč. 86, č. 52 (2005), GP43A-0884 ISSN 0096-3941. [American Geophysical Union Fall Meeting. 05.12.2005-05.12.2005, San Francisco] Institutional research plan: CEZ:AV0Z30130516 Keywords : magnetic coercivity * magnetic intesity * plate tectonics Subject RIV: BM - Solid Matter Physics ; Magnetism

  11. Low Temperature Magnetic Transition in Meteoritic Troilites – Simple Mmarker for Highly Stoichiometric Iron(II) Sulphide Systems?

    Czech Academy of Sciences Publication Activity Database

    Kohout, Tomáš; Čuda, J.; Tuček, J.; Zbořil, R.; Haloda, J.; Filip, J.

    2010-01-01

    Roč. 91, Suppl. (2010), , GP42A-07-GP42A-07 ISSN 0096-3941. [American Geophysical Union Fall Meeting 2010. 13.12.2010-17.12.2010, San Francisco] Institutional research plan: CEZ:AV0Z30130516 Keywords : troilite * magnetism Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics

  12. Falls From the O.R. or Procedure Table.

    Science.gov (United States)

    Prielipp, Richard C; Weinkauf, Julia L; Esser, Thomas M; Thomas, Brian J; Warner, Mark A

    2017-09-01

    Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is when patients fall off an operating room or procedure table during anesthesia care. Because such events are (fortunately) uncommon, and because very little information is published in our literature, we queried 2 independent closed claims databases (the American Society of Anesthesiologists Closed Claims Project and the secure records of a private, anesthesia specialty-specific liability insurer) for information. We acquired documentation of patient events where a fall occurred during anesthesia care, noting the surrounding conditions of the provider, the patient, and the environment at the time of the event. We identified 21 claims (1.2% of cases) from the American Society of Anesthesiologists Closed Claims Project, while information from a private liability insurer identified falls in only 0.07% of cases. The percentage of these patients under general, regional, or monitored anesthesia care anesthesia was 71.5%, 19.5%, and 9.5%, respectively. To educate personnel about these uncommon events, we summarized this cohort with illustrative examples in a series of mini-case reports, noting that both inpatients and outpatients undergoing a broad array of procedures with various anesthetic techniques within and outside operating rooms may be vulnerable to patient falls. Based on detailed reports, we created 2 supplementary videos to further illuminate some of the unique mechanisms by which these events and their resulting injuries occur. When such information was available, we also noted the associated liability costs of defending and settling malpractice claims associated with these events. Our goal is to inform anesthesia and perioperative personnel about the common patient, provider, and environmental risk factors

  13. Digital Underground (Shh. It's really Applied Geophysics!)

    Science.gov (United States)

    McAdoo, B. G.

    2003-12-01

    Digital Underground (Geology/Physics 241) at Vassar College is an applied geophysics course designed for a liberal arts curriculum, and has nothing to do with Shock G and Tupac Shakur. Applied geophysics courses have a history of using geophysical methods on environmental contamination-type applications (underground storage tanks, leach fields, etc.). Inspired in large part by the Keck Geology Consortium project run by Franklin and Marshall College geophysicist (Robert Sternberg) and archaeologist (James Delle) in an old slave village in Jamaica in 1999, this class examines the history of slavery in New York's Hudson Valley region by way of its forgotten African-American graveyards. This multidisciplinary approach to an issue draws students from across the curriculum- we have had our compliments of geologists and physicists, along with students from sociology, environmental studies, history, and Africana studies. The name of the class and content are designed to attract a non-traditional student of geophysics.- The project-based nature of the class appeals to student yearning for an out-of-classroom experience. The uncontrolled nature of the class demonstrates the complications that occur in real-word situations. The class has in the past broken itself into two teams- a surveying team and an archival research team. Archival research is done (usually by the social scientists in the class) to add a human dimension to the geophysical. The surveying equipment used in delineating these forgotten graveyards includes a Total Station surveyor, an electrical resistivity meter, a magnetometer, and a ground penetrating radar. All students must have a rudimentary understanding of the physics behind the equipment (to the level of where they can explain it to the general public), and the methods used by those studying the archives. This is a project-based class, where the instructor acts as a project manager, and the students make the decisions regarding the survey itself. Every

  14. Development of STEADI: a fall prevention resource for health care providers.

    Science.gov (United States)

    Stevens, Judy A; Phelan, Elizabeth A

    2013-09-01

    Falls among people aged ≥65 years are the leading cause of both injury deaths and emergency department visits for trauma. Research shows that many falls are preventable. In the clinical setting, an effective fall intervention involves assessing and addressing an individual's fall risk factors. This individualized approach is recommended in the American and British Geriatrics Societies' (AGS/BGS) practice guideline. This article describes the development of STEADI (Stopping Elderly Accidents, Deaths, and Injuries), a fall prevention tool kit that contains an array of health care provider resources for assessing and addressing fall risk in clinical settings. As researchers at the Centers for Disease Control and Prevention's Injury Center, we reviewed relevant literature and conducted in-depth interviews with health care providers to determine current knowledge and practices related to older adult fall prevention. We developed draft resources based on the AGS/BGS guideline, incorporated provider input, and addressed identified knowledge and practice gaps. Draft resources were reviewed by six focus groups of health care providers and revised. The completed STEADI tool kit, Preventing Falls in Older Patients-A Provider Tool Kit, is designed to help health care providers incorporate fall risk assessment and individualized fall interventions into routine clinical practice and to link clinical care with community-based fall prevention programs.

  15. Falling Down on the Job: Evaluation and Treatment of Fall Risk Among Older Adults With Upper Extremity Fragility Fractures.

    Science.gov (United States)

    McDonough, Christine M; Colla, Carrie H; Carmichael, Donald; Tosteson, Anna N A; Tosteson, Tor D; Bell, John-Erik; Cantu, Robert V; Lurie, Jonathan D; Bynum, Julie P W

    2017-03-01

    Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. The aim of this study was to describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and treatment for fall risk. Observational cohort. Participants were fee-for-service beneficiaries age 66 to 99 treated as outpatients for proximal humerus or distal radius/ulna ("wrist") fragility fractures. -Participants were studied using Carrier and Outpatient Hospital files. The proportion of patients evaluated or treated for fall risk up to 6 months after proximal humerus or wrist fracture from 2007-2009 was examined based on evaluation, treatment, and diagnosis codes. Time to evaluation and number of treatment sessions were calculated. Logistic regression was used to analyze patient characteristics that predicted receiving evaluation or treatment. Narrow (gait training) and broad (gait training or therapeutic exercise) definitions of service were used. There were 309,947 beneficiaries who sustained proximal humerus (32%) or wrist fracture (68%); 10.7% received evaluation or treatment for fall risk or gait issues (humerus: 14.2%; wrist: 9.0%). Using the broader definition, the percentage increased to 18.5% (humerus: 23.4%; wrist: 16.3%). Factors associated with higher likelihood of services after fracture were: evaluation or treatment for falls or gait prior to fracture, more comorbidities, prior nursing home stay, older age, humerus fracture (vs wrist), female sex, and white race. Claims analysis may underestimate physician and physical therapist fall assessments, but it is not likely to qualitatively change the results. A small proportion of older adults with upper extremity fracture received fall risk assessment and treatment. Providers and health systems must advance efforts to provide timely evidence-based management of fall risk in this population. © 2017

  16. A fractured rock geophysical toolbox method selection tool

    Science.gov (United States)

    Day-Lewis, F. D.; Johnson, C.D.; Slater, L.D.; Robinson, J.L.; Williams, J.H.; Boyden, C.L.; Werkema, D.D.; Lane, J.W.

    2016-01-01

    Geophysical technologies have the potential to improve site characterization and monitoring in fractured rock, but the appropriate and effective application of geophysics at a particular site strongly depends on project goals (e.g., identifying discrete fractures) and site characteristics (e.g., lithology). No method works at every site or for every goal. New approaches are needed to identify a set of geophysical methods appropriate to specific project goals and site conditions while considering budget constraints. To this end, we present the Excel-based Fractured-Rock Geophysical Toolbox Method Selection Tool (FRGT-MST). We envision the FRGT-MST (1) equipping remediation professionals with a tool to understand what is likely to be realistic and cost-effective when contracting geophysical services, and (2) reducing applications of geophysics with unrealistic objectives or where methods are likely to fail.

  17. Informing groundwater models with near-surface geophysical data

    DEFF Research Database (Denmark)

    Herckenrath, Daan

    Over the past decade geophysical methods have gained an increased popularity due to their ability to map hydrologic properties. Such data sets can provide valuable information to improve hydrologic models. Instead of using the measured geophysical and hydrologic data simultaneously in one inversion...... approach, many of the previous studies apply a Sequential Hydrogeophysical Inversion (SHI) in which inverted geophysical models provide information for hydrologic models. In order to fully exploit the information contained in geophysical datasets for hydrological purposes, a coupled hydrogeophysical...... inversion was introduced (CHI), in which a hydrologic model is part of the geophysical inversion. Current CHI-research has been focussing on the translation of simulated state variables of hydrologic models to geophysical model parameters. We refer to this methodology as CHI-S (State). In this thesis a new...

  18. Efficacy of a short multidisciplinary falls prevention program for elderly persons with osteoporosis and a fall history: a randomized controlled trial.

    Science.gov (United States)

    Smulders, Ellen; Weerdesteyn, Vivian; Groen, Brenda E; Duysens, Jacques; Eijsbouts, Agnes; Laan, Roland; van Lankveld, Wim

    2010-11-01

    To evaluate the efficacy of the Nijmegen Falls Prevention Program (NFPP) for persons with osteoporosis and a fall history in a randomized controlled trial. Persons with osteoporosis are at risk for fall-related fractures because of decreased bone strength. A decrease in the number of falls therefore is expected to be particularly beneficial for these persons. Randomized controlled trial. Hospital. Persons with osteoporosis and a fall history (N=96; mean ± SD age, 71.0±4.7y; 90 women). After baseline assessment, participants were randomly assigned to the exercise (n=50; participated in the NFPP for persons with osteoporosis [5.5wk]) or control group (n=46; usual care). Primary outcome measure was fall rate, measured by using monthly fall calendars for 1 year. Secondary outcomes were balance confidence (Activity-specific Balance Confidence Scale), quality of life (QOL; Quality of Life Questionnaire of the European Foundation for Osteoporosis), and activity level (LASA Physical Activity Questionnaire, pedometer), assessed posttreatment subsequent to the program and after 1 year of follow-up. The fall rate in the exercise group was 39% lower than for the control group (.72 vs 1.18 falls/person-year; risk ratio, .61; 95% confidence interval, .40-.94). Balance confidence in the exercise group increased by 13.9% (P=.001). No group differences were observed in QOL and activity levels. The NFPP for persons with osteoporosis was effective in decreasing the number of falls and improving balance confidence. Therefore, it is a valuable new tool to improve mobility and independence of persons with osteoporosis. Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  19. Multiscale geophysical imaging of the critical zone

    Science.gov (United States)

    Parsekian, Andy; Singha, Kamini; Minsley, Burke J.; Holbrook, W. Steven; Slater, Lee

    2015-01-01

    Details of Earth's shallow subsurface—a key component of the critical zone (CZ)—are largely obscured because making direct observations with sufficient density to capture natural characteristic spatial variability in physical properties is difficult. Yet this inaccessible region of the CZ is fundamental to processes that support ecosystems, society, and the environment. Geophysical methods provide a means for remotely examining CZ form and function over length scales that span centimeters to kilometers. Here we present a review highlighting the application of geophysical methods to CZ science research questions. In particular, we consider the application of geophysical methods to map the geometry of structural features such as regolith thickness, lithological boundaries, permafrost extent, snow thickness, or shallow root zones. Combined with knowledge of structure, we discuss how geophysical observations are used to understand CZ processes. Fluxes between snow, surface water, and groundwater affect weathering, groundwater resources, and chemical and nutrient exports to rivers. The exchange of gas between soil and the atmosphere have been studied using geophysical methods in wetland areas. Indirect geophysical methods are a natural and necessary complement to direct observations obtained by drilling or field mapping. Direct measurements should be used to calibrate geophysical estimates, which can then be used to extrapolate interpretations over larger areas or to monitor changing processes over time. Advances in geophysical instrumentation and computational approaches for integrating different types of data have great potential to fill gaps in our understanding of the shallow subsurface portion of the CZ and should be integrated where possible in future CZ research.

  20. Management of falls in community-dwelling older adults: clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.

    Science.gov (United States)

    Avin, Keith G; Hanke, Timothy A; Kirk-Sanchez, Neva; McDonough, Christine M; Shubert, Tiffany E; Hardage, Jason; Hartley, Greg

    2015-06-01

    Falls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall prevention and management are not targeted to physical therapists. The purpose of this clinical guidance statement (CGS) is to provide recommendations to physical therapists to help improve outcomes in the identification and management of fall risk in community-dwelling older adults. The Subcommittee on Evidence-Based Documents of the Practice Committee of the Academy of Geriatric Physical Therapy developed this CGS. Existing CPGs were identified by systematic search and critically appraised using the Appraisal of Guidelines, Research, and Evaluation in Europe II (AGREE II) tool. Through this process, 3 CPGs were recommended for inclusion in the CGS and were synthesized and summarized. Screening recommendations include asking all older adults in contact with a health care provider whether they have fallen in the previous year or have concerns about balance or walking. Follow-up should include screening for balance and mobility impairments. Older adults who screen positive should have a targeted multifactorial assessment and targeted intervention. The components of this assessment and intervention are reviewed in this CGS, and barriers and issues related to implementation are discussed. A gap analysis supports the need for the development of a physical therapy-specific CPG to provide more precise recommendations for screening and assessment measures, exercise parameters, and delivery models. This CGS provides recommendations to assist physical therapists in the identification and management of fall risk in older community-dwelling adults. © 2015 American Physical Therapy Association.

  1. Symptoms of Knee Instability as Risk Factors for Recurrent Falls.

    Science.gov (United States)

    Nevitt, Michael C; Tolstykh, Irina; Shakoor, Najia; Nguyen, Uyen-Sa D T; Segal, Neil A; Lewis, Cora; Felson, David T

    2016-08-01

    Whether knee instability contributes to the increased risk of falls and fractures observed in persons with knee osteoarthritis (OA) has not been studied. We examined the association of knee buckling with the risk of falling and fall-related consequences in older adults with, or at high risk for, knee OA. At the 60-month visit of the Multicenter Osteoarthritis Study, men and women ages 55-84 years were asked about knee buckling in the past 3 months and whether they fell when a knee buckled. Falls and fall-related injuries in the past 12 months and balance confidence were assessed at 60 and 84 months. Multivariate logistic regression was used to assess the association of knee buckling with falls and their consequences. A total of 1,842 subjects (59% women, mean ± SD age 66.9 ± 7.8 years, and body mass index 30.3 ± 5.7) were included. At 60 months 16.8% reported buckling and at 84 months 14.1% had recurrent (≥2) falls. Bucklers at 60 months had a 1.6- to 2.5-fold greater odds of recurrent falls, fear of falling, and poor balance confidence at 84 months. Those who fell when a knee buckled at baseline had a 4.5-fold, 2-fold, and 3-fold increased odds 2 years later of recurrent falls, significant fall injuries, and fall injuries that limited activity, respectively, and were 4 times more likely to have poor balance confidence. Interventions that reduce knee buckling may help prevent falls, fall-related injuries, and adverse psychological consequences of falls in persons with knee OA. © 2016, American College of Rheumatology.

  2. The Efforts of the American Geophysical Union Space Physics and Aeronomy Section Education and Public Outreach Committee to Use NASA Research in Education and Outreach

    Science.gov (United States)

    Bering, E. A., III; Dusenbery, P.; Gross, N. A.; Johnson, R.; Lopez, R. E.; Lysak, R. L.; Moldwin, M.; Morrow, C. A.; Nichols-Yehling, M.; Peticolas, L. M.; Reiff, P. H.; Scherrer, D. K.; Thieman, J.; Wawro, M.; Wood, E. L.

    2017-12-01

    The American Geophysical Union Space Physics and Aeronomy Section Education and Public Outreach Committee (AGU SPA-EPO Committee) was established in 1990 to foster the growth of a culture of outreach and community engagement within the SPA Section of the AGU. The SPA was the first AGU Section to establish an EPO Committee. The Committee has initiated several key Section EPO programs that have grown to become Union programs. NASA sponsored research is central to the mission of the SPE-EPO. Programs highlighting NASA research include the Student Paper Competition, Exploration Station, a precursor to the GIFT workshops, the Student mixer, and more. The Committee played a key role in coordinating the AGU's outreach activities relating to the International Heliophysical Year in 2007-2008. This paper will review the triumphs, the failures, and the lessons learned about recruiting colleagues to join with us from the last quarter century of effort.

  3. How Collecting and Freely Sharing Geophysical Data Broadly Benefits Society

    Science.gov (United States)

    Frassetto, A.; Woodward, R.; Detrick, R. S.

    2017-12-01

    Valuable but often unintended observations of environmental and human-related processes have resulted from open sharing of multidisciplinary geophysical observations collected over the past 33 years. These data, intended to fuel fundamental academic research, are part of the Incorporated Research Institutions for Seismology (IRIS), which is sponsored by the National Science Foundation and has provided a community science facility supporting earthquake science and related disciplines since 1984. These community facilities have included arrays of geophysical instruments operated for EarthScope, an NSF-sponsored science initiative designed to understand the architecture and evolution of the North American continent, as well as the Global Seismographic Network, Greenland Ice Sheet Monitoring Network, a repository of data collected around the world, and other community assets. All data resulting from this facility have been made openly available to support researchers across any field of study and this has expanded the impact of these data beyond disciplinary boundaries. This presentation highlights vivid examples of how basic research activities using open data, collected as part of a community facility, can inform our understanding of manmade earthquakes, geomagnetic hazards, climate change, and illicit testing of nuclear weapons.

  4. Methodological Developments in Geophysical Assimilation Modeling

    Science.gov (United States)

    Christakos, George

    2005-06-01

    This work presents recent methodological developments in geophysical assimilation research. We revisit the meaning of the term "solution" of a mathematical model representing a geophysical system, and we examine its operational formulations. We argue that an assimilation solution based on epistemic cognition (which assumes that the model describes incomplete knowledge about nature and focuses on conceptual mechanisms of scientific thinking) could lead to more realistic representations of the geophysical situation than a conventional ontologic assimilation solution (which assumes that the model describes nature as is and focuses on form manipulations). Conceptually, the two approaches are fundamentally different. Unlike the reasoning structure of conventional assimilation modeling that is based mainly on ad hoc technical schemes, the epistemic cognition approach is based on teleologic criteria and stochastic adaptation principles. In this way some key ideas are introduced that could open new areas of geophysical assimilation to detailed understanding in an integrated manner. A knowledge synthesis framework can provide the rational means for assimilating a variety of knowledge bases (general and site specific) that are relevant to the geophysical system of interest. Epistemic cognition-based assimilation techniques can produce a realistic representation of the geophysical system, provide a rigorous assessment of the uncertainty sources, and generate informative predictions across space-time. The mathematics of epistemic assimilation involves a powerful and versatile spatiotemporal random field theory that imposes no restriction on the shape of the probability distributions or the form of the predictors (non-Gaussian distributions, multiple-point statistics, and nonlinear models are automatically incorporated) and accounts rigorously for the uncertainty features of the geophysical system. In the epistemic cognition context the assimilation concept may be used to

  5. Telephone Care Management of Fall Risk:: A Feasibility Study.

    Science.gov (United States)

    Phelan, Elizabeth A; Pence, Maureen; Williams, Barbara; MacCornack, Frederick A

    2017-03-01

    Care management has been found to be more effective than usual care for some chronic conditions, but few studies have tested care management for prevention of elder falls. This study aimed to assess the feasibility and preliminary efficacy of telephone care management of older adults presenting for medical attention due to a fall. The setting was an independent practice association in western Washington serving 1,300 Medicare Advantage-insured patients. Patients aged ≥65 years treated for a fall in an emergency department or their primary care provider's office were contacted via telephone by a care manager within 48 hours of their fall-related visit and invited to participate in a telephone-administered interview to identify modifiable fall risk factors and receive recommendations and follow-up to address identified risk factors. Data from care manager records, patient medical records, and healthcare claims for the first 6 months (November 2009-April 2010) of program implementation were analyzed in 2011. The feasibility of screening and management of fall risk factors over the telephone and the effect on medically attended falls were assessed. Twenty-two patients eligible for fall care management were reached and administered the protocol. Administration took 15-20 minutes and integrated easily with the care manager's other responsibilities. Follow-through on recommendations varied, from 45% for those for whom exercise participation was recommended to 100% for other recommendations. No medically attended falls occurred over 6 months of follow-up. Telephone care management of fall risk appears feasible and may reduce falls requiring medical attention. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  6. Formulating the American Geophysical Union's Scientific Integrity and Professional Ethics Policy: Challenges and lessons learned: Chapter 8

    Science.gov (United States)

    Gundersen, Linda C.; Townsend, Randy

    2017-01-01

    Creating an ethics policy for a large, diverse geosciences organization is a challenge, especially in the midst of the current contentious dialogue in the media related to such issues as climate change, sustaining natural resources, and responding to natural hazards. In 2011, the American Geophysical Union (AGU) took on this challenge, creating an Ethics Task Force to update their ethics policies to better support their new Strategic Plan and respond to the changing scientific research environment. Dialogue with AGU members and others during the course of creating the new policy unveiled some of the following issues to be addressed. Scientific results and individual scientists are coming under intense political and public scrutiny, with the efficacy of the science being questioned. In some cases, scientists are asked to take sides and/or provide opinions on issues beyond their research, impacting their objectivity. Pressure related to competition for funding and the need to publish high quality and quantities of papers has led to recent high profile plagiarism, data fabrication, and conflict of interest cases. The complexities of a continuously advancing digital environment for conducting, reviewing, and publishing science has raised concerns over the ease of plagiarism, fabrication, falsification, inappropriate peer review, and the need for better accessibility of data and methods. Finally, students and scientists need consistent education and encouragement on the importance of ethics and integrity in scientific research. The new AGU Scientific Integrity and Ethics Policy tries to address these issues and provides an inspirational code of conduct to encourage a responsible, positive, open, and honest scientific research environment.

  7. 36 CFR 902.59 - Geological and geophysical information.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Geological and geophysical information. 902.59 Section 902.59 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT... Geological and geophysical information. Any geological or geophysical information and data (including maps...

  8. 25 CFR 211.56 - Geological and geophysical permits.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Geological and geophysical permits. 211.56 Section 211.56... FOR MINERAL DEVELOPMENT Rents, Royalties, Cancellations and Appeals § 211.56 Geological and geophysical permits. Permits to conduct geological and geophysical operations on Indian lands which do not...

  9. 25 CFR 212.56 - Geological and geophysical permits.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Geological and geophysical permits. 212.56 Section 212.56... FOR MINERAL DEVELOPMENT Rents, Royalties, Cancellations, and Appeals § 212.56 Geological and geophysical permits. (a) Permits to conduct geological and geophysical operations on Indian lands which do not...

  10. DVS-SOFTWARE: An Effective Tool for Applying Highly Parallelized Hardware To Computational Geophysics

    Science.gov (United States)

    Herrera, I.; Herrera, G. S.

    2015-12-01

    Most geophysical systems are macroscopic physical systems. The behavior prediction of such systems is carried out by means of computational models whose basic models are partial differential equations (PDEs) [1]. Due to the enormous size of the discretized version of such PDEs it is necessary to apply highly parallelized super-computers. For them, at present, the most efficient software is based on non-overlapping domain decomposition methods (DDM). However, a limiting feature of the present state-of-the-art techniques is due to the kind of discretizations used in them. Recently, I. Herrera and co-workers using 'non-overlapping discretizations' have produced the DVS-Software which overcomes this limitation [2]. The DVS-software can be applied to a great variety of geophysical problems and achieves very high parallel efficiencies (90%, or so [3]). It is therefore very suitable for effectively applying the most advanced parallel supercomputers available at present. In a parallel talk, in this AGU Fall Meeting, Graciela Herrera Z. will present how this software is being applied to advance MOD-FLOW. Key Words: Parallel Software for Geophysics, High Performance Computing, HPC, Parallel Computing, Domain Decomposition Methods (DDM)REFERENCES [1]. Herrera Ismael and George F. Pinder, Mathematical Modelling in Science and Engineering: An axiomatic approach", John Wiley, 243p., 2012. [2]. Herrera, I., de la Cruz L.M. and Rosas-Medina A. "Non Overlapping Discretization Methods for Partial, Differential Equations". NUMER METH PART D E, 30: 1427-1454, 2014, DOI 10.1002/num 21852. (Open source) [3]. Herrera, I., & Contreras Iván "An Innovative Tool for Effectively Applying Highly Parallelized Software To Problems of Elasticity". Geofísica Internacional, 2015 (In press)

  11. Rapid Geophysical Surveyor

    International Nuclear Information System (INIS)

    Roybal, L.G.; Carpenter, G.S.; Josten, N.E.

    1993-01-01

    The Rapid Geophysical Surveyor (RGS) is a system designed to rapidly and economically collect closely-spaced geophysical data used for characterization of US Department of Energy waste sites. Geophysical surveys of waste sites are an important first step in the remediation and closure of these sites; especially older sites where historical records are inaccurate and survey benchmarks have changed because of refinements in coordinate controls and datum changes. Closely-spaced data are required to adequately differentiate pits, trenches, and soil vault rows whose edges may be only a few feet from each other. A prototype vehicle designed to collect magnetic field data was built at the Idaho National Engineering Laboratory (INEL) during the summer of 1992. The RGS was funded by the Buried Waste Integrated Demonstration program. This vehicle was demonstrated at the Subsurface Disposal Area (SDA) within the Radioactive Waste Management Complex at the INEL in September 1992. Magnetic data were collected over two areas in the SDA, with a total survey area of about 1.7 acres. Data were collected at a nominal density of 2 1/2 in. along survey lines spaced 1-ft apart. Over 350,000 data points were collected over a 6 day period corresponding to about 185 worker-days using conventional ground survey techniques

  12. Can echocardiographic findings predict falls in older persons?

    Directory of Open Access Journals (Sweden)

    Nathalie van der Velde

    Full Text Available BACKGROUND: The European and American guidelines state the need for echocardiography in patients with syncope. 50% of older adults with syncope present with a fall. Nonetheless, up to now no data have been published addressing echocardiographic abnormalities in older fallers. METHOD AND FINDINGS: In order to determine the association between echocardiographic abnormalities and falls in older adults, we performed a prospective cohort study, in which 215 new consecutive referrals (age 77.4, SD 6.0 of a geriatric outpatient clinic of a Dutch university hospital were included. During the previous year, 139 had experienced a fall. At baseline, all patients underwent routine two-dimensional and Doppler echocardiography. Falls were recorded during a three-month follow-up. Multivariate adjustment for confounders was performed with a Cox proportional hazards model. 55 patients (26% fell at least once during follow-up. The adjusted hazard ratio of a fall during follow-up was 1.35 (95% CI, 1.08-1.71 for pulmonary hypertension, 1.66 (95% CI, 1.01 to 2.89 for mitral regurgitation, 2.41 (95% CI, 1.32 to 4.37 for tricuspid regurgitation and 1.76 (95% CI, 1.03 to 3.01 for pulmonary regurgitation. For aortic regurgitation the risk of a fall was also increased, but non-significantly (hazard ratio, 1.57 [95% CI, 0.85 to 2.92]. Trend analysis of the severity of the different regurgitations showed a significant relationship for mitral, tricuspid and pulmonary valve regurgitation and pulmonary hypertension. CONCLUSIONS: Echo (Doppler cardiography can be useful in order to identify risk indicators for falling. Presence of pulmonary hypertension or regurgitation of mitral, tricuspid or pulmonary valves was associated with a higher fall risk. Our study indicates that the diagnostic work-up for falls in older adults might be improved by adding an echo (Doppler cardiogram in selected groups.

  13. Women's perspectives on falls and fall prevention during pregnancy.

    Science.gov (United States)

    Brewin, Dorothy; Naninni, Angela

    2014-01-01

    Falls are the leading cause of unintentional injury in women. During pregnancy, even a minor fall can result in adverse consequences. Evidence to inform effective and developmentally appropriate pregnancy fall prevention programs is lacking. Early research on pregnancy fall prevention suggests that exercise may reduce falls. However, acceptability and effectiveness of pregnancy fall prevention programs are untested. To better understand postpartum women's perspective and preferences on fall prevention strategies during pregnancy to formulate an intervention. Focus groups and individual interviews were conducted with 31 postpartum women using descriptive qualitative methodology. Discussion of falls during pregnancy and fall prevention strategies was guided by a focus group protocol and enhanced by 1- to 3-minute videos on proposed interventions. Focus groups were audio recorded, transcribed, and analyzed using NVivo 10 software. Emerging themes were environmental circumstances and physical changes of pregnancy leading to a fall, prevention strategies, barriers, safety concerns, and marketing a fall prevention program. Wet surfaces and inappropriate footwear commonly contributed to falls. Women preferred direct provider counseling and programs including yoga and Pilates. Fall prevention strategies tailored to pregnant women are needed. Perspectives of postpartum women support fall prevention through provider counseling and individual or supervised exercise programs.

  14. Unleashing Geophysics Data with Modern Formats and Services

    Science.gov (United States)

    Ip, Alex; Brodie, Ross C.; Druken, Kelsey; Bastrakova, Irina; Evans, Ben; Kemp, Carina; Richardson, Murray; Trenham, Claire; Wang, Jingbo; Wyborn, Lesley

    2016-04-01

    Geoscience Australia (GA) is the national steward of large volumes of geophysical data extending over the entire Australasian region and spanning many decades. The volume and variety of data which must be managed, coupled with the increasing need to support machine-to-machine data access, mean that the old "click-and-ship" model delivering data as downloadable files for local analysis is rapidly becoming unviable - a "big data" problem not unique to geophysics. The Australian Government, through the Research Data Services (RDS) Project, recently funded the Australian National Computational Infrastructure (NCI) to organize a wide range of Earth Systems data from diverse collections including geoscience, geophysics, environment, climate, weather, and water resources onto a single High Performance Data (HPD) Node. This platform, which now contains over 10 petabytes of data, is called the National Environmental Research Data Interoperability Platform (NERDIP), and is designed to facilitate broad user access, maximise reuse, and enable integration. GA has contributed several hundred terabytes of geophysical data to the NERDIP. Historically, geophysical datasets have been stored in a range of formats, with metadata of varying quality and accessibility, and without standardised vocabularies. This has made it extremely difficult to aggregate original data from multiple surveys (particularly un-gridded geophysics point/line data) into standard formats suited to High Performance Computing (HPC) environments. To address this, it was decided to use the NERDIP-preferred Hierarchical Data Format (HDF) 5, which is a proven, standard, open, self-describing and high-performance format supported by extensive software tools, libraries and data services. The Network Common Data Form (NetCDF) 4 API facilitates the use of data in HDF5, whilst the NetCDF Climate & Forecasting conventions (NetCDF-CF) further constrain NetCDF4/HDF5 data so as to provide greater inherent interoperability

  15. Description of geophysical data in the SKB database GEOTAB

    International Nuclear Information System (INIS)

    Sehlstedt, S.

    1988-02-01

    For the storage of different types of data collected by SKB a database called Geotab has been created. The following data are stored in the database: Background data, geological data, geophysical data, hydrogeological data, hydrochemical data. This report describes the data flow for different types of geophysical measurements. The descriptions start with measurements and end with the storage of data in Geotab. Each process and the resulting data volume is presented separately. The geophysical measurements have been divided into the following subjects: Geophysical ground surface measurements, profile measurements; geophysical ground surface measurements, grid net measurements; geophysical borehole logging; petrophysical measurements. Each group of measurements is described in an individual chapter. In each chapter several measuring techniques are described and each method has a data table and a flyleaf table in Geotab. (orig.)

  16. Russian Meteorological and Geophysical Rockets of New Generation

    Science.gov (United States)

    Yushkov, V.; Gvozdev, Yu.; Lykov, A.; Shershakov, V.; Ivanov, V.; Pozin, A.; Afanasenkov, A.; Savenkov, Yu.; Kuznetsov, V.

    2015-09-01

    To study the process in the middle and upper atmosphere, ionosphere and near-Earth space, as well as to monitor the geophysical environment in Russian Federal Service for Hydrology and Environmental Monitoring (ROSHYDROMET) the development of new generation of meteorological and geophysical rockets has been completed. The modern geophysical research rocket system MR-30 was created in Research and Production Association RPA "Typhoon". The basis of the complex MR-30 is a new geophysical sounding rocket MN-300 with solid propellant, Rocket launch takes place at an angle of 70º to 90º from the launcher, which is a farm with a guide rail type required for imparting initial rotation rocket. The Rocket is spin stabilized with a spin rate between 5 and 7 Hz. Launch weight is 1564 kg, and the mass of the payload of 50 to 150 kg. MR-300 is capable of lifting up to 300 km, while the area of dispersion points for booster falling is an ellipse with parameters 37x 60 km. The payload of the rocket MN-300 consists of two sections: a sealed, located below the instrument compartment, and not sealed, under the fairing. Block of scientific equipment is formed on the platform in a modular layout. This makes it possible to solve a wide range of tasks and conduct research and testing technologies using a unique environment of space, as well as to conduct technological experiments testing and research systems and spacecraft equipment. New Russian rocket system MERA (MEteorological Rocket for Atmospheric Research) belongs to so called "dart" technique that provide lifting of small scientific payload up to altitude 100 km and descending with parachute. It was developed at Central Aerological Observatory jointly with State Unitary Enterprise Instrument Design Bureau. The booster provides a very rapid acceleration to about Mach 5. After the burning phase of the buster the dart is separated and continues ballistic flight for about 2 minutes. The dart carries the instrument payload+ parachute

  17. Calibration and Confirmation in Geophysical Models

    Science.gov (United States)

    Werndl, Charlotte

    2016-04-01

    For policy decisions the best geophysical models are needed. To evaluate geophysical models, it is essential that the best available methods for confirmation are used. A hotly debated issue on confirmation in climate science (as well as in philosophy) is the requirement of use-novelty (i.e. that data can only confirm models if they have not already been used before. This talk investigates the issue of use-novelty and double-counting for geophysical models. We will see that the conclusions depend on the framework of confirmation and that it is not clear that use-novelty is a valid requirement and that double-counting is illegitimate.

  18. Fundamentals of Geophysics

    Science.gov (United States)

    Frohlich, Cliff

    Choosing an intermediate-level geophysics text is always problematic: What should we teach students after they have had introductory courses in geology, math, and physics, but little else? Fundamentals of Geophysics is aimed specifically at these intermediate-level students, and the author's stated approach is to construct a text “using abundant diagrams, a simplified mathematical treatment, and equations in which the student can follow each derivation step-by-step.” Moreover, for Lowrie, the Earth is round, not flat—the “fundamentals of geophysics” here are the essential properties of our Earth the planet, rather than useful techniques for finding oil and minerals. Thus this book is comparable in both level and approach to C. M. R. Fowler's The Solid Earth (Cambridge University Press, 1990).

  19. Geophysical and geochemical techniques for exploration of hydrocarbons and minerals

    International Nuclear Information System (INIS)

    Sittig, M.

    1980-01-01

    The detailed descriptive information in this book is based on 389 US patents that deal with geophysical and geochemical techniques useful for the exploration of hydrocarbons and minerals. Where it was necessary to round out the complete technological picture, a few paragraphs from cited government reports have been included. These techniques are used in prospecting for oil, coal, oil shale, tar sand and minerals. The patents are grouped under the following chapters: geochemical prospecting; geobiological prospecting; geophysical exploration; magnetic geophysical prospecting; gravitational geophysical prospecting; electrical geophysical prospecting; nuclear geophysical prospecting; seismic geophysical prospecting; and exploratory well drilling. This book serves a double purpose in that it supplies detailed technical information and can be used as a guide to the US patent literature in this field. By indicating all the information that is significant, and eliminating legal jargon and juristic phraseology, this book presents an advanced, industrially oriented review of modern methods of geophysical and geochemical exploration techniques

  20. Airman Scholar Journal. Volume 17, Fall 2011

    Science.gov (United States)

    2011-01-01

    contends there must be a balance of the formal rea- soning of the social sciences and the informal reasoning of the humanities, which is one reason...USAFA’s founding, the “American Clausewitz,” Bernard Brodie ruminated : Economists …have a theoretical train- ing that in its fundamentals bears...kindled. - Plutarch 6 Airman Scholar • Fall 2011 16 Ibid., 5-1. Admiral Larson contended that concentrating like functions within

  1. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people.

    Science.gov (United States)

    Shimada, Hiroyuki; Suzukawa, Megumi; Ishizaki, Tatsuro; Kobayashi, Kumiko; Kim, Hunkyung; Suzuki, Takao

    2011-08-12

    Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotomous questions to screen for fall risks during movements and behaviours such as walking, transferring, and wandering. The history of falls and fall-related fractures during the previous year was reported by participants or determined from an interview with the participant's family and care staff. All SRRST items showed significant differences between the participants with and without falls and fall-related fractures. In multiple logistic regression analysis adjusted for age, sex, diseases, and behavioural variables, the SRRST score was independently associated with history of falls and fractures. Odds ratios for those in the high-risk SRRST group (≥ 5 points) compared with the no risk SRRST group (0 point) were 6.15 (p fall, 15.04 (p falls, and 5.05 (p fall-related fractures. The results remained essentially unchanged in subgroup analysis accounting for locomotion status. These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research.

  2. Marine geophysical data management and presentation system

    Digital Repository Service at National Institute of Oceanography (India)

    Kunte, P.D.

    ) of the National Institute of Oceanography, Goa, India. GPDMPS is designed for the computerized storage retrieval and presentation of marine geophysical data and information. For the systematic management of geophysical data and information, GPDMPS is subdivided...

  3. Dual-stiffness flooring: can it reduce fracture rates associated with falls?

    Science.gov (United States)

    Knoefel, Frank; Patrick, Louise; Taylor, Jodie; Goubran, Rafik

    2013-04-01

    Falls cause significant morbidity and mortality in long term care facilities. Dual-stiffness flooring (DSF) has previously shown promise in reducing such morbidity in experimental models. This study set out to measure the impact of SmartCell flooring on falls-related morbidity in a nursing home. All falls occurring at an Arizona nursing home between July 1, 2008, and December 31, 2010, were reviewed for age, sex, diagnosis of osteoporosis, number of medications, history of previous falls, type of flooring (normal vs DSF), time of day, type of injury, and resulting actions. Fall-related outcomes were compared across room types using chi-square and logistic regression methods. Eighty-two falls on the DSF were compared with 85 falls on the regular floor. There was a tendency for residents falling on DSF to have less bruising and abrasions, while having more redness and cuts. There were 2 fractures on regular flooring (2.4% fracture rate) and none on the DSF flooring (0% fracture rate). The fracture rate of 2.4% of falls on the regular floor is consistent with previous reports in the literature, whereas a 0% rate found on the DSF floor is a clinically significant improvement. This suggests that DSF may be a practical approach for institutions and consumers to reduce fall-related injuries. A larger scale controlled study to confirm these encouraging preliminary findings is warranted. Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  4. Effect of Exercise and Cognitive Training on Falls and Fall-Related Factors in Older Adults With Mild Cognitive Impairment: A Systematic Review.

    Science.gov (United States)

    Lipardo, Donald S; Aseron, Anne Marie C; Kwan, Marcella M; Tsang, William W

    2017-10-01

    To evaluate the effect of exercise and cognitive training on falls reduction and on factors known to be associated with falls among community-dwelling older adults with mild cognitive impairment (MCI). Seven databases (PubMed, CINAHL, Cochrane Library, Web of Science, ProQuest, ProQuest Dissertations and Theses, Digital Dissertation Consortium) and reference lists of pertinent articles were searched. Randomized controlled trials (RCTs) on the effect of exercise, cognitive training, or a combination of both on falls and factors associated with falls such as balance, lower limb muscle strength, gait, and cognitive function among community-dwelling older adults with MCI were included. Data were extracted using the modified Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) tool. Study quality was assessed using the JBI-MAStARI appraisal instrument. Seventeen RCTs (1679 participants; mean age ± SD, 74.4±2.4y) were included. Exercise improved gait speed and global cognitive function in MCI; both are known factors associated with falls. Cognitive training alone had no significant effect on cognitive function, while combined exercise and cognitive training improved balance in MCI. Neither fall rate nor the number of fallers was reported in any of the studies included. This review suggests that exercise, and combined exercise and cognitive training improve specific factors associated with falls such as gait speed, cognitive function, and balance in MCI. Further research on the direct effect of exercise and cognitive training on the fall rate and incidence in older adults with MCI with larger sample sizes is highly recommended. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  5. Optimism, Cynical Hostility, Falls, and Fractures: The Women's Health Initiative Observational Study (WHI-OS).

    Science.gov (United States)

    Cauley, Jane A; Smagula, Stephen F; Hovey, Kathleen M; Wactawski-Wende, Jean; Andrews, Christopher A; Crandall, Carolyn J; LeBoff, Meryl S; Li, Wenjun; Coday, Mace; Sattari, Maryam; Tindle, Hilary A

    2017-02-01

    Traits of optimism and cynical hostility are features of personality that could influence the risk of falls and fractures by influencing risk-taking behaviors, health behaviors, or inflammation. To test the hypothesis that personality influences falls and fracture risk, we studied 87,342 women enrolled in WHI-OS. Optimism was assessed by the Life Orientation Test-Revised and cynical hostility, the cynicism subscale of the Cook-Medley questionnaire. Higher scores indicate greater optimism and hostility. Optimism and hostility were correlated at r = -0. 31, p optimism and hostility with tests for trends; Q1 formed the referent group. The average follow-up for fractures was 11.4 years and for falls was 7.6 years. In multivariable (MV)-adjusted models, women with the highest optimism scores (Q4) were 11% less likely to report ≥2 falls in the past year (odds ratio [OR] = 0.89; 95% confidence intervals [CI] 0.85-0.90). Women in Q4 for hostility had a 12% higher risk of ≥2 falls (OR = 1.12; 95% CI 1.07-1.17). Higher optimism scores were also associated with a 10% lower risk of fractures, but this association was attenuated in MV models. Women with the greatest hostility (Q4) had a modest increased risk of any fracture (MV-adjusted hazard ratio = 1. 05; 95% CI 1.01-1.09), but there was no association with specific fracture sites. In conclusion, optimism was independently associated with a decreased risk of ≥2 falls, and hostility with an increased risk of ≥2 falls, independent of traditional risk factors. The magnitude of the association was similar to aging 5 years. Whether interventions aimed at attitudes could reduce fall risks remains to be determined. © 2016 American Society for Bone and Mineral Research. © 2016 American Society for Bone and Mineral Research.

  6. Geophysical Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Geophysical Research Facility (GRF) is a 60 ft long × 22 ft wide × 7 ft deep concrete basin at CRREL for fresh or saltwater investigations and can be temperature...

  7. Triangulation and Gender Perspectives in ‘Falling Man’ by Don DeLillo

    OpenAIRE

    Noemi Abe

    2011-01-01

    Falling Man has often been read as the tale of of an American family trying to reinstate their ordinary lives after the 9/11 attacks, and their inability to do so due to the main protagonist’s entrapment in a traumatic state. I would argue instead that Falling Man adheres to a tradition of representations of masculinity distinguished by repressed grief and prolonged adolescence. Susannah Radstone argues that the rhetorical response to 9/11 by the Bush administration is based on the opposit...

  8. US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow: a qualitative study

    NARCIS (Netherlands)

    Vandenberg, Ann E.; van Beijnum, Bernhard J.F.; Overdevest, Vera G.P.; Capezuti, Elizabeth; Johnson II, Theodore M.

    2017-01-01

    Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses' environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning

  9. US and Dutch nurse experiences with fall prevention technology within nursing home environment and workflow : a qualitative study

    NARCIS (Netherlands)

    Vandenberg, Ann E.; van Beijnum, Bernhard J.F.; Overdevest, Vera G.P.; Capezuti, Elizabeth; Johnson II, Theodore M.

    2017-01-01

    Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses' environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning

  10. Orthostatic Hypotension in Middle-Age and Risk of Falls.

    Science.gov (United States)

    Juraschek, Stephen P; Daya, Natalie; Appel, Lawrence J; Miller, Edgar R; Windham, Beverly Gwen; Pompeii, Lisa; Griswold, Michael E; Kucharska-Newton, Anna; Selvin, Elizabeth

    2017-02-01

    One-third of older adults fall each year. Orthostatic hypotension (OH) has been hypothesized as an important risk factor for falls, but findings from prior studies have been inconsistent. We conducted a prospective study of the association between baseline OH (1987-1989) and risk of falls in the Atherosclerosis Risk in Communities (ARIC) Study. Falls were ascertained during follow-up via ICD-9 hospital discharge codes or Centers for Medicare & Medicaid Services claims data. OH was defined as a drop in systolic blood pressure (SBP) ≥20mm Hg or diastolic blood pressure (DBP) ≥10mm Hg within 2 minutes of moving from the supine to standing position. Changes in SBP or DBP during OH assessments were also examined as continuous variables. During a median follow-up of 23 years, there were 2,384 falls among 12,661 participants (mean age 54 years, 55% women, 26% black). OH was associated with risk of falls even after adjustment for demographic characteristics and other risk factors (hazard ratio (HR): 1.30; 95% confidence interval (CI): 1.10, 1.54; P = 0.002). Postural change in DBP was more significantly associated with risk of falls (HR 1.09 per -5mm Hg change in DBP; 95% CI: 1.05, 1.13; P postural change in SBP (HR 1.03 per -5mm Hg change in SBP; 95% CI: 1.01, 1.05; P = 0.002). In a community-based, middle-aged population, OH, and in particular, postural change in DBP, were independent risk factors for falls over 2 decades of follow-up. Future studies are needed to examine OH thresholds associated with increased risk of falls. © American Journal of Hypertension, Ltd 2016. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  11. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people

    Directory of Open Access Journals (Sweden)

    Shimada Hiroyuki

    2011-08-01

    Full Text Available Abstract Background Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST to screen for fall risks and falls and fall-related fractures in frail elderly people. Methods The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotomous questions to screen for fall risks during movements and behaviours such as walking, transferring, and wandering. The history of falls and fall-related fractures during the previous year was reported by participants or determined from an interview with the participant's family and care staff. Results All SRRST items showed significant differences between the participants with and without falls and fall-related fractures. In multiple logistic regression analysis adjusted for age, sex, diseases, and behavioural variables, the SRRST score was independently associated with history of falls and fractures. Odds ratios for those in the high-risk SRRST group (≥ 5 points compared with the no risk SRRST group (0 point were 6.15 (p Conclusion These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research.

  12. Artificial intelligence and dynamic systems for geophysical applications

    CERN Document Server

    Gvishiani, Alexei

    2002-01-01

    The book presents new clustering schemes, dynamical systems and pattern recognition algorithms in geophysical, geodynamical and natural hazard applications. The original mathematical technique is based on both classical and fuzzy sets models. Geophysical and natural hazard applications are mostly original. However, the artificial intelligence technique described in the book can be applied far beyond the limits of Earth science applications. The book is intended for research scientists, tutors, graduate students, scientists in geophysics and engineers

  13. Taking Steps to Prevent Falls (A Minute of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2016-09-22

    More than one in four adults U.S. adults over 65 fell at least once in the preceding year. This podcast discusses the importance of preventing falls among older Americans.  Created: 9/22/2016 by MMWR.   Date Released: 9/22/2016.

  14. Radioactivity and geophysics

    International Nuclear Information System (INIS)

    Radvanyi, P.

    1992-01-01

    The paper recalls a few steps of the introduction of radioactivity in geophysics and astrophysics: contribution of radioelements to energy balance of the Earth, age of the Earth based on radioactive disintegration and the discovery of cosmic radiations

  15. Patient centered fall risk awareness perspectives: clinical correlates and fall risk

    Science.gov (United States)

    Verghese, Joe

    2016-01-01

    Background While objective measures to assess risk of falls in older adults have been established; the value of patient self-reports in the context of falls is not known. Objectives To identify clinical correlates of patient centered fall risk awareness, and their validity for predicting falls. Design Prospective cohort study. Setting and Participants 316 non-demented and ambulatory community-dwelling older adults (mean age 78 years, 55% women). Measurements Fall risk awareness was assessed with a two-item questionnaire, which asked participants about overall likelihood and personal risk of falling over the next 12 months. Incident falls were recorded over study follow-up. Results Fifty-three participants (16.8%) responded positively to the first fall risk awareness question about being likely to have a fall in the next 12 months, and 100 (31.6%) reported being at personal risk of falling over the next 12 months. There was only fair correlation (kappa 0.370) between responses on the two questions. Prior falls and depressive symptoms were associated with positive responses on both fall risk awareness questions. Age and other established fall risk factors were not associated with responses on both fall risk awareness questions. The fall risk awareness questionnaire did not predict incident falls or injurious falls. Conclusion Fall risk awareness is low in older adults. While patient centered fall risk awareness is not predictive of falls, subjective risk perceptions should be considered when designing fall preventive strategies as they may influence participation and behaviors. PMID:27801936

  16. Review of geophysical characterization methods used at the Hanford Site

    International Nuclear Information System (INIS)

    GV Last; DG Horton

    2000-01-01

    This paper presents a review of geophysical methods used at Hanford in two parts: (1) shallow surface-based geophysical methods and (2) borehole geophysical methods. This review was not intended to be ''all encompassing'' but should represent the vast majority (>90% complete) of geophysical work conducted onsite and aimed at hazardous waste investigations in the vadose zone and/or uppermost groundwater aquifers. This review did not cover geophysical methods aimed at large-scale geologic structures or seismicity and, in particular, did not include those efforts conducted in support of the Basalt Waste Isolation Program. This review focused primarily on the more recent efforts

  17. Fall-related activity avoidance in relation to a history of falls or near falls, fear of falling and disease severity in people with Parkinson's disease.

    Science.gov (United States)

    Kader, Manzur; Iwarsson, Susanne; Odin, Per; Nilsson, Maria H

    2016-06-02

    There is limited knowledge concerning fall-related activity avoidance in people with Parkinson's disease (PD); such knowledge would be of importance for the development of more efficient PD-care and rehabilitation. This study aimed to examine how fall-related activity avoidance relates to a history of self-reported falls/near falls and fear of falling (FOF) as well as to disease severity in people with PD. Data were collected from 251 (61 % men) participants with PD; their median (min-max) age and PD duration were 70 (45-93) and 8 (1-43) years, respectively. A self-administered postal survey preceded a home visit which included observations, clinical tests and interview-administered questionnaires. Fall-related activity avoidance was assessed using the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) as well as by using a dichotomous (Yes/No) question. Further dichotomous questions concerned: the presence of FOF and the history (past 6 months) of falls or near falls, followed by stating the number of incidents. Disease severity was assessed according to the Hoehn and Yahr (HY) stages. In the total sample (n = 251), 41 % of the participants reported fall-related activity avoidance; the median mSAFFE score was 22. In relation to a history of fall, the proportions of participants (p fall-related activity avoidance were: non-fallers (30 %), single fallers (50 %) and recurrent fallers, i.e. ≥ 2 falls (57 %). Among those that reported near falls (but no falls), 51 % (26 out of 51) reported fall-related activity avoidance. Of those that reported FOF, 70 % reported fall-related activity avoidance. Fall-related activity avoidance ranged from 24 % in the early PD-stage (HY I) to 74 % in the most severe stages (HY IV-V). Results indicate that fall-related activity avoidance may be related to a history of self-reported falls/near falls, FOF and disease severity in people with PD. Importantly, fall-related activity avoidance is

  18. Geophysical data fusion for subsurface imaging

    International Nuclear Information System (INIS)

    Hoekstra, P.; Vandergraft, J.; Blohm, M.; Porter, D.

    1993-08-01

    A geophysical data fusion methodology is under development to combine data from complementary geophysical sensors and incorporate geophysical understanding to obtain three dimensional images of the subsurface. The research reported here is the first phase of a three phase project. The project focuses on the characterization of thin clay lenses (aquitards) in a highly stratified sand and clay coastal geology to depths of up to 300 feet. The sensor suite used in this work includes time-domain electromagnetic induction (TDEM) and near surface seismic techniques. During this first phase of the project, enhancements to the acquisition and processing of TDEM data were studied, by use of simulated data, to assess improvements for the detection of thin clay layers. Secondly, studies were made of the use of compressional wave and shear wave seismic reflection data by using state-of-the-art high frequency vibrator technology. Finally, a newly developed processing technique, called ''data fusion,'' was implemented to process the geophysical data, and to incorporate a mathematical model of the subsurface strata. Examples are given of the results when applied to real seismic data collected at Hanford, WA, and for simulated data based on the geology of the Savannah River Site

  19. Marine and land active-source seismic investigation of geothermal potential, tectonic structure, and earthquake hazards in Pyramid Lake, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Eisses, A.; Kell, A.; Kent, G. [UNR; Driscoll, N. [UCSD; Karlin, R.; Baskin, R. [USGS; Louie, J. [UNR; Pullammanappallil, S. [Optim

    2016-08-01

    Amy Eisses, Annie M. Kell, Graham Kent, Neal W. Driscoll, Robert E. Karlin, Robert L. Baskin, John N. Louie, Kenneth D. Smith, Sathish Pullammanappallil, 2011, Marine and land active-source seismic investigation of geothermal potential, tectonic structure, and earthquake hazards in Pyramid Lake, Nevada: presented at American Geophysical Union Fall Meeting, San Francisco, Dec. 5-9, abstract NS14A-08.

  20. Path tortuosity in everyday movements of elderly persons increases fall prediction beyond knowledge of fall history, medication use, and standardized gait and balance assessments.

    Science.gov (United States)

    Kearns, William D; Fozard, James L; Becker, Marion; Jasiewicz, Jan M; Craighead, Jeffrey D; Holtsclaw, Lori; Dion, Charles

    2012-09-01

    We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. Prospective, observational study using telesurveillance technology. Two ALFs. The sample consisted of 69 older ALF residents (53 female) aged 76.9 (SD ± 11.9 years). Daytime movement in ALF common use areas was automatically tracked using a commercially available ultra-wideband radio real-time location sensor network with a spatial resolution of approximately 20 cm. Movement path variability (tortuosity) was gauged using fractal dimension (fractal D). A logistic regression was performed predicting movement related falls from fractal D, presence of a fall in the prior year, psychoactive medication use, and movement path length. Fallers and non-fallers were also compared on activities of daily living requiring supervision or assistance, performance on standardized static and dynamic balance, and stride velocity assessments gathered at the start of a 1-year fall observation period. Fall risk due to cognitive deficit was assessed by the Mini Mental Status Examination (MMSE), and by clinical dementia diagnoses from participant's activities of daily living health record. Logistic regression analysis revealed odds of falling increased 2.548 (P = .021) for every 0.1 increase in fractal D, and having a fall in the prior year increased odds of falling by 7.36 (P = .006). There was a trend for longer movement paths to reduce the odds of falling (OR .976 P = .08) but it was not significant. Number of psychoactive medications did not contribute significantly to fall prediction in the model. Fallers had more variable stride-to-stride velocities and required more activities of daily living assistance. High fractal D levels can be detected using commercially available telesurveillance technologies and offers a new tool for health services administrators seeking to reduce falls at their

  1. Field Geophysics at SAGE: Strategies for Effective Education

    Science.gov (United States)

    Braile, L. W.; Baldridge, W. S.; Jiracek, G. R.; Biehler, S.; Ferguson, J. F.; Pellerin, L.; McPhee, D. K.; Bedrosian, P. A.; Snelson, C. M.; Hasterok, D. P.

    2011-12-01

    SAGE (Summer of Applied Geophysical Experience) is a unique program of education and research in geophysical field methods for undergraduate and graduate students from any university and for professionals. The core program is held for 4 weeks each summer in New Mexico and for an additional week in the following academic year in San Diego for U.S. undergraduates supported by the NSF Research Experience for Undergraduates (REU) program. Since SAGE was initiated in 1983, 730 students have participated in the program. NSF REU funding for SAGE began in 1990 and 319 REU students have completed SAGE through 2011. The primary objectives of SAGE are to teach the major geophysical exploration methods (seismic, gravity, magnetics, electromagnetics); apply these methods to the solution of specific problems (environmental, archaeological, hydrologic, geologic structure and stratigraphy); gain experience in processing, modeling and interpretation of geophysical data; and integrate the geophysical models and interpretations with geology. Additional objectives of SAGE include conducting research on the Rio Grande rift of northern New Mexico, and providing information on geophysics careers and professional development experiences to SAGE participants. Successful education, field and research strategies that we have implemented over the years include: 1. learn by doing; 2. mix lecture/discussion, field work, data processing and analysis, modeling and interpretation, and presentation of results; 3. a two-tier team approach - method/technique oriented teams and interpretation/integration teams (where each team includes persons representing different methods), provides focus, in-depth study, opportunity for innovation, and promotes teamwork and a multi-disciplinary approach; 4. emphasis on presentations/reports - each team (and all team members) make presentation, each student completes a written report; 5. experiment design discussion - students help design field program and consider

  2. Falls and Fear of Falling After Stroke: A Case-Control Study.

    Science.gov (United States)

    Goh, Hui-Ting; Nadarajah, Mohanasuntharaam; Hamzah, Norhamizan Binti; Varadan, Parimalaganthi; Tan, Maw Pin

    2016-12-01

    Falls are common after stroke, with potentially serious consequences. Few investigations have included age-matched control participants to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population. To compare the fall history between older adults with and without a previous stroke and to identify the determinants of falls and fear of falling in older stroke survivors. Case-control observational study. Primary teaching hospital. Seventy-five patients with stroke (mean age ± standard deviation, 66 ± 7 years) and 50 age-matched control participants with no previous stroke were tested. Fall history, fear of falling, and physical, cognitive, and psychological function were assessed. A χ 2 test was performed to compare characteristics between groups, and logistic regression was performed to determine the risk factors for falls and fear of falling. Fall events in the past 12 months, Fall Efficacy Scale-International, Berg Balance Scale, Functional Ambulation Category, Fatigue Severity Scale, Montreal Cognitive Assessment, and Patient Healthy Questionnaire-9 were measured for all participants. Fugl-Meyer Motor Assessment was used to quantify severity of stroke motor impairments. Twenty-three patients and 13 control participants reported at least one fall in the past 12 months (P = .58). Nine participants with stroke had recurrent falls (≥2 falls) compared with none of the control participants (P falling than did nonstroke control participants (P falls in the nonstroke group, whereas falls in the stroke group were not significantly associated with any measured outcomes. Fear of falling in the stroke group was associated with functional ambulation level and balance. Functional ambulation level alone explained 22% of variance in fear of falling in the stroke group

  3. Geophysical Methods for Investigating Ground-Water Recharge

    Science.gov (United States)

    Ferre, Ty P.A.; Binley, Andrew M.; Blasch, Kyle W.; Callegary, James B.; Crawford, Steven M.; Fink, James B.; Flint, Alan L.; Flint, Lorraine E.; Hoffmann, John P.; Izbicki, John A.; Levitt, Marc T.; Pool, Donald R.; Scanlon, Bridget R.

    2007-01-01

    While numerical modeling has revolutionized our understanding of basin-scale hydrologic processes, such models rely almost exclusively on traditional measurements?rainfall, streamflow, and water-table elevations?for calibration and testing. Model calibration provides initial estimates of ground-water recharge. Calibrated models are important yet crude tools for addressing questions about the spatial and temporal distribution of recharge. An inverse approach to recharge estimation is taken of necessity, due to inherent difficulties in making direct measurements of flow across the water table. Difficulties arise because recharging fluxes are typically small, even in humid regions, and because the location of the water table changes with time. Deep water tables in arid and semiarid regions make recharge monitoring especially difficult. Nevertheless, recharge monitoring must advance in order to improve assessments of ground-water recharge. Improved characterization of basin-scale recharge is critical for informed water-resources management. Difficulties in directly measuring recharge have prompted many efforts to develop indirect methods. The mass-balance approach of estimating recharge as the residual of generally much larger terms has persisted despite the use of increasing complex and finely gridded large-scale hydrologic models. Geophysical data pertaining to recharge rates, timing, and patterns have the potential to substantially improve modeling efforts by providing information on boundary conditions, by constraining model inputs, by testing simplifying assumptions, and by identifying the spatial and temporal resolutions needed to predict recharge to a specified tolerance in space and in time. Moreover, under certain conditions, geophysical measurements can yield direct estimates of recharge rates or changes in water storage, largely eliminating the need for indirect measures of recharge. This appendix presents an overview of physically based, geophysical methods

  4. Review of geophysical characterization methods used at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    GV Last; DG Horton

    2000-03-23

    This paper presents a review of geophysical methods used at Hanford in two parts: (1) shallow surface-based geophysical methods and (2) borehole geophysical methods. This review was not intended to be ``all encompassing'' but should represent the vast majority (>90% complete) of geophysical work conducted onsite and aimed at hazardous waste investigations in the vadose zone and/or uppermost groundwater aquifers. This review did not cover geophysical methods aimed at large-scale geologic structures or seismicity and, in particular, did not include those efforts conducted in support of the Basalt Waste Isolation Program. This review focused primarily on the more recent efforts.

  5. Geophysical Surveys of the Hydrologic Basin Underlying Yosemite Valley, California.

    Science.gov (United States)

    Maher, E. L.; Shaw, K. A.; Carey, C.; Dunn, M. E.; Whitman, S.; Bourdeau, J.; Eckert, E.; Louie, J. N.; Stock, G. M.

    2017-12-01

    UNR students in an Applied Geophysics course conducted geophysical investigations in Yosemite Valley during the months of March and August 2017. The goal of the study is to understand better the depth to bedrock, the geometry of the bedrock basin, and the properties of stratigraphy- below the valley floor. Gutenberg and others published the only prior geophysical investigation in 1956, to constrain the depth to bedrock. We employed gravity, resistivity, and refraction microtremor(ReMi) methods to investigate the interface between valley fill and bedrock, as well as shallow contrasts. Resistivity and ReMi arrays along three north-south transects investigated the top 50-60m of the basin fill. Gravity results constrained by shallow measurements suggest a maximum depth of 1000 m to bedrock. ReMi and resistivity techniques identified shallow contrasts in shear velocity and electrical resistivity that yielded information about the location of the unconfined water table, the thickness of the soil zone, and spatial variation in shallow sediment composition. The upper several meters of sediment commonly showed shear velocities below 200 m/s, while biomass-rich areas and sandy river banks could be below 150 m/s. Vs30 values consistently increased towards the edge of the basin. The general pattern for resistivity profiles was a zone of relatively high resistivity, >100 ohm-m, in the top 4 meters, followed by one or more layers with decreased resistivity. According to gravity measurements, assuming either -0.5 g/cc or -0.7 g/cc density contrast between bedrock and basin sediments, a maximum depth to bedrock is found south of El Capitan at respectively, 1145 ± 215 m or 818 ± 150 m. Longitudinal basin geometry coincides with the basin depth geometry discussed by Gutenberg in 1956. Their results describe a "double camel" shape where the deepest points are near El Capitan and the Ahwahnee Hotel and is shallowest near Yosemite Falls, in a wider part of the valley. An August Deep

  6. Solar Wind Monitor--A School Geophysics Project

    Science.gov (United States)

    Robinson, Ian

    2018-01-01

    Described is an established geophysics project to construct a solar wind monitor based on a nT resolution fluxgate magnetometer. Low-cost and appropriate from school to university level it incorporates elements of astrophysics, geophysics, electronics, programming, computer networking and signal processing. The system monitors the earth's field in…

  7. Mobility device use in older adults and incidence of falls and worry about falling: findings from the 2011-2012 national health and aging trends study.

    Science.gov (United States)

    Gell, Nancy M; Wallace, Robert B; LaCroix, Andrea Z; Mroz, Tracy M; Patel, Kushang V

    2015-05-01

    To examine the prevalence of mobility device use in community-dwelling older adults in the United States and to investigate the incidence of falls and worry about falling according to type and number of mobility devices used. Analysis of cross-sectional and longitudinal data from the 2011-12 National Health and Aging Trends Study. In-person interviews in the homes of study participants. Nationally representative sample of Medicare beneficiaries (n=7,609). Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, 1-year fall history and worry about falling. Twenty-four percent of adults aged 65 and older reported mobility device use in 2011, and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with nonwhite race and ethnicity, female sex, lower education level, greater multimorbidity, and obesity (all Pfalls and recurrent falls was not associated with the use of multiple devices or any particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users than in nonusers. The percentage of older adults reporting mobility device use is higher than results from previous national surveys, and multiple device use is common in those who use any device. Mobility device use is not associated with greater incidence of falls. Cane-only users may compensate for worry about falling by limiting activity. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.

  8. Fall and winter movements and habitat use of the introduced American bullfrog (Lithobates catesbeiana) in a Montana pond

    Science.gov (United States)

    Sepulveda, Adam; Layhee, Megan J.

    2015-01-01

    American Bullfrogs (Lithobates catesbeianus) have been introduced across the globe, including in many northern latitude habitats where wetlands are ice-covered for part of the year. Because bullfrogs are less mobile at low temperatures, greater knowledge about their overwintering habitat may provide additional opportunities for control. Here, we described fall and early-winter movements and habitat associations for introduced juvenile bullfrogs in a pond within the Yellowstone River corridor near Billings, Montana, USA. We attached radio-transmitters to 13 juvenile bullfrogs and located individuals from 28 August to 10 December 2014. Bullfrogs moved greater distances in late summer and early autumn, and later during brief warming periods. Collectively, all bullfrog locations were distributed across a 15,384 m2 area during the active season, but contracted to a 130 m2 area in the east cove of the pond by the time the study site froze over. Our research provides evidence that managers in northern latitude regions like Montana may be able to use the long, cold winters to their advantage because the site-specific distributions of introduced bullfrogs contracted as temperatures decreased.

  9. Fear of falling as seen in the Multidisciplinary falls consultation.

    Science.gov (United States)

    Gaxatte, C; Nguyen, T; Chourabi, F; Salleron, J; Pardessus, V; Delabrière, I; Thévenon, A; Puisieux, F

    2011-06-01

    Fear of falling may be as debilitating as the fall itself, leading to a restriction in activities and even a loss of autonomy. The main objective was to evaluate the prevalence of the fear of falling among elderly fallers. The secondary objectives were to determine the factors associated with the fear of falling and evaluate the impact of this fear on the activity "getting out of the house". Prospective study conducted between 1995 and 2006 in which fallers and patients at high risk for falling were seen at baseline by the multidisciplinary falls consultation team (including a geriatrician, a neurologist and a physical medicine and rehabilitation physician) and then, again 6 month later, by the same geriatrician. The fear of falling was evaluated with a yes/no question: "are you afraid of falling?". Out of 635 patients with a mean age of 80.6 years, 502 patients (78%) expressed a fear of falling. Patients with fear of falling were not older than those who did not report this fear, but the former were mostly women (Pfear of falling were not going out alone as much as the fearless group (31% vs 53%, Pfearful group admitted to avoiding going out because they were afraid of falling. The strong prevalence of the fear of falling observed in this population and its consequences in terms of restricted activities justifies systematically screening for it in fallers or patients at risk for falling. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  10. Exercise for falls prevention in Parkinson disease: a randomized controlled trial.

    Science.gov (United States)

    Canning, Colleen G; Sherrington, Catherine; Lord, Stephen R; Close, Jacqueline C T; Heritier, Stephane; Heller, Gillian Z; Howard, Kirsten; Allen, Natalie E; Latt, Mark D; Murray, Susan M; O'Rourke, Sandra D; Paul, Serene S; Song, Jooeun; Fung, Victor S C

    2015-01-20

    To determine whether falls can be prevented with minimally supervised exercise targeting potentially remediable fall risk factors, i.e., poor balance, reduced leg muscle strength, and freezing of gait, in people with Parkinson disease. Two hundred thirty-one people with Parkinson disease were randomized into exercise or usual-care control groups. Exercises were practiced for 40 to 60 minutes, 3 times weekly for 6 months. Primary outcomes were fall rates and proportion of fallers during the intervention period. Secondary outcomes were physical (balance, mobility, freezing of gait, habitual physical activity), psychological (fear of falling, affect), and quality-of-life measures. There was no significant difference between groups in the rate of falls (incidence rate ratio [IRR] = 0.73, 95% confidence interval [CI] 0.45-1.17, p = 0.18) or proportion of fallers (p = 0.45). Preplanned subgroup analysis revealed a significant interaction for disease severity (p falls in the exercise group compared with controls (IRR = 0.31, 95% CI 0.15-0.62, p falls in the exercise group (IRR = 1.61, 95% CI 0.86-3.03, p = 0.13). Postintervention, the exercise group scored significantly (p controls on the Short Physical Performance Battery, sit-to-stand, fear of falling, affect, and quality of life, after adjusting for baseline performance. An exercise program targeting balance, leg strength, and freezing of gait did not reduce falls but improved physical and psychological health. Falls were reduced in people with milder disease but not in those with more severe Parkinson disease. This study provides Class III evidence that for patients with Parkinson disease, a minimally supervised exercise program does not reduce fall risk. This study lacked the precision to exclude a moderate reduction or modest increase in fall risk from exercise. Australian New Zealand Clinical Trials Registry (ACTRN12608000303347). © 2014 American Academy of Neurology.

  11. Contribution to the study of the geophysical behaviour of lead-210 by application of alpha spectrometry

    International Nuclear Information System (INIS)

    Nezami, M.

    1965-06-01

    A study of the changes in the lead-210 contents of rain-water and of water produced by melting polar ice has required the development of a method for dosing lead-210, an α emitter. This method is 40 times more sensitive than that which measures the lead-210 by bismuth-210, a (β emitter. The first part of the report presents the study of a spectrometry using semiconductor detectors; a catalogue of a spectra shows the advantages of this method. In the second part will be found at first a new chemical separation method for polonium-210 and the results obtained with this method. The main results obtained on the geophysical behaviour of lead-210 are the following: - the monthly lead-210 and polonium-210 contents in rain water are approximately constant with time. - in the Gif-sur-Yvette region, the clean-up by 'dry fall-out' can attain 40 to 50 per cent of the total fall-out. - a study of Antarctic ice samples makes it possible to determine an annual accumulation rate equivalent to 13.8 cm of water and to show discrepancies in the periodic concentrations which correspond to the latest maxima of solar activity. - a balance is drawn up between the radon produced by the continents and the lead-210 fall-out. (author) [fr

  12. Redesigning Curricula in Geology and Geophysics

    Science.gov (United States)

    Sparks, D. W.; Ewing, R. C.; Fowler, D.; Macik, M.; Marcantonio, F.; Miller, B.; Newman, J.; Olszewski, T.; Reece, R.; Rosser, S.

    2015-12-01

    In the summer of 2014, the Texas A&M Department of Geology and Geophysics partnered with the Texas A&M Center for Teaching Excellence to implement TAMU's curriculum revision process: a data-informed, faculty-driven, educational-developer-supported rebuilding of our degree programs and course offerings. The current curricula (B.S. and B.A. in Geology, B.S. in Geophysics) were put into place in 1997, following the merger of two separate departments. The needs and capabilities of the Department and the student body have changed significantly since that time: more than 50% turnover of the faculty, a rapidly-changing job climate for geologists and geophysicists, and a nearly five-fold increase in the undergraduate population to over 500 majors in Fall 2015. Surveys of former students, employers and faculty at other universities revealed more reasons to address the curriculum. Some of the most desired skills are also those at which our graduates feel and are perceived to be least prepared: oral communication and the ability to learn software packages (skills that are most challenging to teach with growing class sizes). The challenge facing the Department is to accommodate growing student numbers while maintaining strength in traditional instructor-intensive activities such as microscopy and field mapping, and also improving our graduates' non-geological skills (e.g., communication, software use, teamwork, problem-solving) to insulate them from volatility in the current job market. We formed the Curriculum Study Group, consisting of faculty, graduate students, advisors and curriculum experts, to gather and analyze data and define the knowledge and skill base a graduate of our department must have. In addition to conducting external surveys, this group interviewed current students and faculty to determine the strengths and weaknesses of our program. We developed program learning goals that were further specified into over fifty criteria. For each criteria we defined

  13. Report of the Cerro Chato ultrabasic geophysical studies

    International Nuclear Information System (INIS)

    Cicalese, H.; Mari, C.; Lema, F.; Valverde, C.; Haut, R.

    1987-01-01

    This report refers to the obtained results of geophysical practiced during the year 1985 in the area of the ultrabasic of Cerro Chato, located in the area called Puntas del Malbajar in Durazno province. The aim was rehearsed an answer of an ultrabasic behaviour of the geophysical prospecting methods.They were carried out studies in magnetometry, induced polarization, electromagnetism and resistivity measurements in electric vertical sound. As well conclusions as recommendations express that applied geophysical methods allow to make ultrabasic charts or maps.

  14. Application of nuclear-geophysical methods to reserves estimation

    International Nuclear Information System (INIS)

    Bessonova, T.B.; Karpenko, I.A.

    1980-01-01

    On the basis of the analysis of reports dealing with calculations of mineral reserves considered are shortcomings in using nuclear-geophysical methods and in assessment of the reliability of geophysical sampling. For increasing efficiency of nuclear-geophysical investigations while prospecting ore deposits, it is advisable to introduce them widely instead of traditional geological sampling methods. For this purpose it is necessary to increase sensitivity and accuracy of radioactivity logging methods, to provide determination of certain elements in ores by these methods

  15. Groundwater geophysics. A tool for hydrology. 2. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Kirsch, Reinhard (ed.) [Landesamt fuer Natur und Umwelt, Flintbek (Germany). Abt. Geologie/Boden

    2009-07-01

    Access to clean water is a human right and a basic requirement for economic development. The safest kind of water supply is the use of groundwater. Since groundwater normally has a natural protection against pollution by the covering layers, only minor water treatment is required. Detailed knowledge on the extent, hydraulic properties, and vulnerability of groundwater reservoirs is necessary to enable a sustainable use of the resources. This book addresses students and professionals in Geophysics and Hydrogeology. The aim of the authors is to demonstrate the application of geophysical techniques to provide a database for hydrogeological decisions like drillhole positioning or action plans for groundwater protection. Physical fundamentals and technical aspects of modern geophysical reconnaissance methods are discussed in the first part of the book. Beside 'classical' techniques like seismic, resistivity methods, radar, magnetic, and gravity methods emphasis is on relatively new techniques like complex geoelectric, radiomagnetotellurics, vertical groundwater flow determination, or nuclear magnetic resonance. An overview of direct push techniques is given which can fill the gap between surface and borehole geophysics. The applications of these techniques for hydrogeological purposes are illustrated in the second part of the book. The investigation of pore aquifers is demonstrated by case histories from Denmark, Germany, and Egypt. Examples for the mapping of fracture zone and karst aquifers as well as for saltwater intrusions leading to reduced groundwater quality are shown. The assessment of hydraulic conductivities of aquifers by geophysical techniques is discussed with respect to the use of porosity - hydraulic conductivity relations and to geophysical techniques like NMR or SIP which are sensitive to the effective porosity of the material. The classification of groundwater protective layers for vulnerability maps as required by the EU water framework

  16. Falling and fall risk in adult patients with severe haemophilia.

    Science.gov (United States)

    Rehm, Hanna; Schmolders, Jan; Koob, Sebastian; Bornemann, Rahel; Goldmann, Georg; Oldenburg, Johannes; Pennekamp, Peter; Strauss, Andreas C

    2017-05-10

    The objective of this study was to define fall rates and to identify possible fall risk factors in adult patients with severe haemophilia. 147 patients with severe haemophilia A and B were evaluated using a standardized test battery consisting of demographic, medical and clinical variables and fall evaluation. 41 (27.9 %) patients reported a fall in the past 12 months, 22 (53.7 %) of them more than once. Young age, subjective gait insecurity and a higher number of artificial joints seem to be risk factors for falling. Falls seem to be a common phenomenon in patients with severe haemophilia. Fall risk screening and fall prevention should be implemented into daily practice.

  17. Processing the War in Iraq while Learning about American Politics

    Science.gov (United States)

    Rankin, David M.

    2010-01-01

    When political knowledge is scarce, affective attitudes, which can consist of emotion-driven feelings regarding political figures, government, country, and foreign nations, often assist policy judgment. Based on pre- and post-surveys administered in Introduction to American Politics courses, fall 2003-fall 2005, this study examines how political…

  18. An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall.

    Science.gov (United States)

    Chu, Mary Man-Lai; Fong, Kenneth Nai-Kuen; Lit, Albert Chau-Hung; Rainer, Timothy Hudson; Cheng, Stella Wai-Chee; Au, Frederick Lap-Yan; Fung, Henry Kwok-Kwong; Wong, Chit-Ming; Tong, Hon-Kuan

    2017-02-01

    To investigate the effects of an occupational therapy fall reduction home visit program for older adults admitted to the emergency department (ED) for a fall and discharged directly home. Single-blind, multicenter, randomized, controlled trial. EDs in three acute care hospitals in Hong Kong. Individuals aged 65 and older who had fallen (N = 311). After screening for eligibility, 204 consenting individuals were randomly assigned to an intervention group (IG) and received a single home visit from an occupational therapist (OT) within 2 weeks after discharge from the hospital or a control group (CG) and received a well-wishing visit from a research assistant not trained in fall prevention. Both groups were followed for 12 months through telephone calls made every 2 weeks by blinded assessors with a focus on the frequency of falls. Another blinded assessor followed up on their status with telephone calls 4, 8, and 12 months after ED discharge. Prospective fall records on hospital admissions were retrieved from electronic databases; 198 individuals were followed for 1 year on an intention-to-treat basis. The percentage of fallers over 1 year was 13.7% in the IG (n = 95) and 20.4% in the CG (n = 103). There were significant differences in the number of fallers (P = .03) and the number of falls (P = .02) between the two groups over 6 months. Significant differences were found in survival analysis for first fall at 6 months (log-rank test 5.052, P = .02) but not 9 or 12 months. One OT visit after a fall was more effective than a well-wishing visit at reducing future falls at 6 months. A booster OT visit at 6 months is suggested. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  19. Application of surface geophysics to ground-water investigations

    Science.gov (United States)

    Zohdy, Adel A.R.; Eaton, Gordon P.; Mabey, Don R.

    1974-01-01

    This manual reviews the standard methods of surface geophysics applicable to ground-water investigations. It covers electrical methods, seismic and gravity methods, and magnetic methods. The general physical principles underlying each method and its capabilities and limitations are described. Possibilities for non-uniqueness of interpretation of geophysical results are noted. Examples of actual use of the methods are given to illustrate applications and interpretation in selected geohydrologic environments. The objective of the manual is to provide the hydrogeologist with a sufficient understanding of the capabilities, imitations, and relative cost of geophysical methods to make sound decisions as to when to use of these methods is desirable. The manual also provides enough information for the hydrogeologist to work with a geophysicist in designing geophysical surveys that differentiate significant hydrogeologic changes.

  20. Two-Year Trajectory of Fall Risk in People With Parkinson Disease: A Latent Class Analysis.

    Science.gov (United States)

    Paul, Serene S; Thackeray, Anne; Duncan, Ryan P; Cavanaugh, James T; Ellis, Theresa D; Earhart, Gammon M; Ford, Matthew P; Foreman, K Bo; Dibble, Leland E

    2016-03-01

    To examine fall risk trajectories occurring naturally in a sample of individuals with early to middle stage Parkinson disease (PD). Latent class analysis, specifically growth mixture modeling (GMM), of longitudinal fall risk trajectories. Assessments were conducted at 1 of 4 universities. Community-dwelling participants with PD of a longitudinal cohort study who attended at least 2 of 5 assessments over a 2-year follow-up period (N=230). Not applicable. Fall risk trajectory (low, medium, or high risk) and stability of fall risk trajectory (stable or fluctuating). Fall risk was determined at 6 monthly intervals using a simple clinical tool based on fall history, freezing of gait, and gait speed. The GMM optimally grouped participants into 3 fall risk trajectories that closely mirrored baseline fall risk status (P=.001). The high fall risk trajectory was most common (42.6%) and included participants with longer and more severe disease and with higher postural instability and gait disability (PIGD) scores than the low and medium fall risk trajectories (Pfall risk (posterior probability fall risk trajectories over 2 years. Further investigation is required to determine whether interventions to improve gait and balance may improve fall risk trajectories in people with PD. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  1. Balance confidence and falls in nondemented essential tremor patients: the role of cognition.

    Science.gov (United States)

    Rao, Ashwini K; Gilman, Arthur; Louis, Elan D

    2014-10-01

    To examine (1) the effect of cognitive ability on balance confidence and falls, (2) the relationship of balance confidence and falls with quantitative measures of gait, and (3) measures that predict falls, in people with essential tremor (ET). Cross-sectional study. General community. People with ET (n=132) and control subjects (n=48). People with ET were divided into 2 groups based on the median score on the Modified Mini-Mental State Examination: those with lower cognitive test scores (ET-LCS) and those with higher cognitive test scores (ET-HCS). Not applicable. Six-item Activities of Balance Confidence (ABC-6) Scale and falls in the previous year. Participants with ET-LCS had lower ABC-6 scores and a greater number of falls than those with ET-HCS (Pcontrol subjects (Pfalls. Gait speed (Pfalls. Receiver operating characteristic curve analysis revealed that gait speed balance confidence and a higher number of falls than their counterparts (ET-HCS) and than control subjects. We have identified assessments that are easily administered (gait speed, ABC-6 Scale) and are associated with falls in ET. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  2. Geophysical background and as-built target characteristics

    International Nuclear Information System (INIS)

    Allen, J.W.

    1994-09-01

    The US Department of Energy (DOE) Grand Junction Projects Office (GJPO) has provided a facility for DOE, other Government agencies, and the private sector to evaluate and document the utility of specific geophysical measurement techniques for detecting and defining cultural and environmental targets. This facility is the Rabbit Valley Geophysics Performance Evaluation Range (GPER). Geophysical surveys prior to the fiscal year (FY) 1994 construction of new test cells showed the primary test area to be relatively homogeneous and free from natural or man-made artifacts, which would generate spurious responses in performance evaluation data. Construction of nine new cell areas in Rabbit Valley was completed in June 1994 and resulted in the emplacement of approximately 150 discrete targets selected for their physical and electrical properties. These targets and their geophysical environment provide a broad range of performance evaluation parameters from ''very easy to detect'' to ''challenging to the most advanced systems.'' Use of nonintrusive investigative techniques represents a significant improvement over intrusive characterization methods, such as drilling or excavation, because there is no danger of exposing personnel to possible hazardous materials and no risk of releasing or spreading contamination through the characterization activity. Nonintrusive geophysical techniques provide the ability to infer near-surface structure and waste characteristics from measurements of physical properties associated with those targets

  3. Looking Forward to the electronic Geophysical Year

    Science.gov (United States)

    Kamide, Y.; Baker, D. N.; Thompson, B.; Barton, C.; Kihn, E.

    2004-12-01

    During the International Geophysical Year (1957-1958), member countries established many new capabilities pursuing the major IGY objectives of collecting geophysical data as widely as possible and providing free access to these data for all scientists around the globe. A key achievement of the IGY was the establishment of a worldwide system of data centers and physical observatories. The worldwide scientific community has now endorsed and is promoting an electronic Geophysical Year (eGY) initiative. The proposed eGY concept would both commemorate the 50th anniversary of the IGY in 2007-2008 and would provide a forward impetus to geophysics in the 21st century, similar to that provide by the IGY fifty years ago. The eGY concept advocates the establishment of a series of virtual geophysical observatories now being deployed in cyberspace. We discuss plans to aggregate measurements into a readily accessible database along with analysis, visualization, and display tools that will make information available and useful to the scientific community, to the user community, and to the general public. We are examining the possibilities for near-realtime acquisition of data and utilization of forecast tools in order to provide users with advanced space weather capabilities. This program will provide powerful tools for education and public outreach concerning the connected Sun-Earth System.

  4. Rapid geophysical surveyor

    International Nuclear Information System (INIS)

    Roybal, L.G.; Carpenter, G.S.; Josten, N.E.

    1993-01-01

    The Rapid Geophysical Surveyor (RGS) is a system designed to rapidly and economically collect closely-spaced geophysical data used for characterization of Department of Energy (DOE) waste sites. Geophysical surveys of waste sites are an important first step in the remediation and closure of these sites; especially older sties where historical records are inaccurate and survey benchmarks have changed due to refinements in coordinate controls and datum changes. Closely-spaced data are required to adequately differentiate pits, trenches, and soil vault rows whose edges may be only a few feet from each other. A prototype vehicle designed to collect magnetic field data was built at the Idaho national Engineering Laboratory (INEL) during the summer of 1992. The RGS was one of several projects funded by the Buried Waste Integrated Demonstration (BWID) program. This vehicle was demonstrated at the Subsurface Disposal Area (SDA) within the Radioactive Waste Management Complex (RWMC) on the INEL in September of 1992. Magnetic data were collected over two areas in the SDA, with a total survey area of about 1.7 acres. Data were collected at a nominal density of 2 1/2 inches along survey lines spaced 1 foot apart. Over 350,000 data points were collected over a 6 day period corresponding to about 185 man-days using conventional ground survey techniques. This report documents the design and demonstration of the RGS concept including the presentation of magnetic data collected at the SDA. The surveys were able to show pit and trench boundaries and determine details of their spatial orientation never before achieved

  5. Development of Geophysical Ideas and Institutions in Ottoman Empire

    Science.gov (United States)

    Ozcep, Ferhat; Ozcep, Tazegul

    2015-04-01

    In Anatolia, the history of geophysical sciences may go back to antiquity (600 BC), namely the period when Thales lived in Magnesia (Asia Minor). In the modern sense, geophysics started with geomagnetic works in the 1600s. The period between 1600 and 1800 includes the measurement of magnetic declination, inclination and magnetic field strength. Before these years, there is a little information, such as how to use a compass, in the Kitab-i Bahriye (the Book of Navigation) of Piri Reis, who is one of the most important mariners of the Ottoman Empire. However, this may not mean that magnetic declination was generally understood. The first scientific book relating to geophysics is the book Fuyuzat-i Miknatissiye that was translated by Ibrahim Müteferrika and printed in 1731. The subject of this book is earth's magnetism. There is also information concerning geophysics in the book Cihannuma (Universal Geography) that was written by Katip Celebi and in the book Marifetname written by Ibrahim Hakki Erzurumlu, but these books are only partly geophysical books. In Istanbul the year 1868 is one of the most important for geophysical sciences because an observatory called Rasathane-i Amire was installed in the Pera region of this city. At this observatory the first systematic geophysical observations such as meteorological, seismological and even gravimetrical were made. There have been meteorological records in Anatolia since 1839. These are records of atmospheric temperature, pressure and humidity. In the Ottoman Empire, the science of geophysics is considered as one of the natural sciences along with astronomy, mineralogy, geology, etc., and these sciences are included as a part of physics and chemistry.

  6. Construction of a groundwater-flow model for the Big Sioux Aquifer using airborne electromagnetic methods, Sioux Falls, South Dakota

    Science.gov (United States)

    Valder, Joshua F.; Delzer, Gregory C.; Carter, Janet M.; Smith, Bruce D.; Smith, David V.

    2016-09-28

    The city of Sioux Falls is the fastest growing community in South Dakota. In response to this continued growth and planning for future development, Sioux Falls requires a sustainable supply of municipal water. Planning and managing sustainable groundwater supplies requires a thorough understanding of local groundwater resources. The Big Sioux aquifer consists of glacial outwash sands and gravels and is hydraulically connected to the Big Sioux River, which provided about 90 percent of the city’s source-water production in 2015. Managing sustainable groundwater supplies also requires an understanding of groundwater availability. An effective mechanism to inform water management decisions is the development and utilization of a groundwater-flow model. A groundwater-flow model provides a quantitative framework for synthesizing field information and conceptualizing hydrogeologic processes. These groundwater-flow models can support decision making processes by mapping and characterizing the aquifer. Accordingly, the city of Sioux Falls partnered with the U.S. Geological Survey to construct a groundwater-flow model. Model inputs will include data from advanced geophysical techniques, specifically airborne electromagnetic methods.

  7. The falls and the fear of falling among elderly institutionalized

    Directory of Open Access Journals (Sweden)

    Patrícia Almeida

    2013-06-01

    Full Text Available In the present study it is intended to characterize the history of falls and to evaluate the fear to fall in aged institutionalized. The sample is composed for 113 institutionalized aged people, 32 men and 81 women with a average 82,96 ± 7,03 age of years. The data had been collected by means of a questionnaire and statistical analyzed (descriptive statistics, parametric tests - Test T and Anova - Test U-Mann Whitney, and Test of Kruskal-Wallis – and the Test of Tukey. The results point in the direction of that the women present a bigger number of falls (24.8% and greater fear to fall (Med=55. The falls had occurred in its majority in the context of the room of the institutions. It was verified that people who had at least a fall experience present greater fear to fall comparatively (Med=55 with that they had not the same had no incident of fall in period of time (Med=77. Our results come to strengthen the hypothesis of the changeable sex to be able to be considered a factor of fall risk. Aged that they present a history of falls seems to be more vulnerable to develop the fear to fall.

  8. Geophysical investigations in Jordan

    Science.gov (United States)

    Kovach, R.L.; Andreasen, G.E.; Gettings, M.E.; El-Kaysi, K.

    1990-01-01

    A number of geophysical investigations have been undertaken in the Hashemite Kingdom of Jordan to provide data for understanding the tectonic framework, the pattern of seismicity, earthquake hazards and geothermal resources of the country. Both the historical seismic record and the observed recent seismicity point to the dominance of the Dead Sea Rift as the main locus of seismic activity but significant branching trends and gaps in the seismicity pattern are also seen. A wide variety of focal plane solutions are observed emphasizing the complex pattern of fault activity in the vicinity of the rift zone. Geophysical investigations directed towards the geothermal assessment of the prominent thermal springs of Zerga Ma'in and Zara are not supportive of the presence of a crustal magmatic source. ?? 1990.

  9. Falls efficacy, postural balance, and risk for falls in older adults with falls-related emergency department visits: prospective cohort study.

    Science.gov (United States)

    Pua, Yong-Hao; Ong, Peck-Hoon; Clark, Ross Allan; Matcher, David B; Lim, Edwin Choon-Wyn

    2017-12-21

    Risk for falls in older adults has been associated with falls efficacy (self-perceived confidence in performing daily physical activities) and postural balance, but available evidence is limited and mixed. We examined the interaction between falls efficacy and postural balance and its association with future falls. We also investigated the association between falls efficacy and gait decline. Falls efficacy, measured by the Modified Falls Efficacy Scale (MFES), and standing postural balance, measured using computerized posturography on a balance board, were obtained from 247 older adults with a falls-related emergency department visit. Six-month prospective fall rate and habitual gait speed at 6 months post baseline assessment were also measured. In multivariable proportional odds analyses adjusted for potential confounders, falls efficacy modified the association between postural balance and fall risk (interaction P = 0.014): increasing falls efficacy accentuated the increased fall risk related to poor postural balance. Low baseline falls efficacy was strongly predictive of worse gait speed (0.11 m/s [0.06 to 0.16] slower gait speed per IQR decrease in MFES; P falls efficacy but poor postural balance were at greater risk for falls than those with low falls efficacy; however, low baseline falls efficacy was strongly associated with worse gait function at follow-up. Further research into these subgroups of older adults is warranted. ClinicalTrials.gov identifier: NCT01713543 .

  10. The QuakeSim Project: Web Services for Managing Geophysical Data and Applications

    Science.gov (United States)

    Pierce, Marlon E.; Fox, Geoffrey C.; Aktas, Mehmet S.; Aydin, Galip; Gadgil, Harshawardhan; Qi, Zhigang; Sayar, Ahmet

    2008-04-01

    We describe our distributed systems research efforts to build the “cyberinfrastructure” components that constitute a geophysical Grid, or more accurately, a Grid of Grids. Service-oriented computing principles are used to build a distributed infrastructure of Web accessible components for accessing data and scientific applications. Our data services fall into two major categories: Archival, database-backed services based around Geographical Information System (GIS) standards from the Open Geospatial Consortium, and streaming services that can be used to filter and route real-time data sources such as Global Positioning System data streams. Execution support services include application execution management services and services for transferring remote files. These data and execution service families are bound together through metadata information and workflow services for service orchestration. Users may access the system through the QuakeSim scientific Web portal, which is built using a portlet component approach.

  11. Geophysical fluid dynamics

    CERN Document Server

    Pedlosky, Joseph

    1982-01-01

    The content of this book is based, largely, on the core curriculum in geophys­ ical fluid dynamics which land my colleagues in the Department of Geophysical Sciences at The University of Chicago have taught for the past decade. Our purpose in developing a core curriculum was to provide to advanced undergraduates and entering graduate students a coherent and systematic introduction to the theory of geophysical fluid dynamics. The curriculum and the outline of this book were devised to form a sequence of courses of roughly one and a half academic years (five academic quarters) in length. The goal of the sequence is to help the student rapidly advance to the point where independent study and research are practical expectations. It quickly became apparent that several topics (e. g. , some aspects of potential theory) usually thought of as forming the foundations of a fluid-dynamics curriculum were merely classical rather than essential and could be, however sadly, dispensed with for our purposes. At the same tim...

  12. Geophysical fluid dynamics

    CERN Document Server

    Pedlosky, Joseph

    1979-01-01

    The content of this book is based, largely, on the core curriculum in geophys­ ical fluid dynamics which I and my colleagues in the Department of Geophysical Sciences at The University of Chicago have taught for the past decade. Our purpose in developing a core curriculum was to provide to advanced undergraduates and entering graduate students a coherent and systematic introduction to the theory of geophysical fluid dynamics. The curriculum and the outline of this book were devised to form a sequence of courses of roughly one and a half academic years (five academic quarters) in length. The goal of the sequence is to help the student rapidly advance to the point where independent study and research are practical expectations. It quickly became apparent that several topics (e. g. , some aspects of potential theory) usually thought of as forming the foundations of a fluid-dynamics curriculum were merely classical rather than essential and could be, however sadly, dispensed with for our purposes. At the same ti...

  13. Responsibilities, opportunities and challenges in geophysical exploration

    International Nuclear Information System (INIS)

    Rytle, R.J.

    1982-01-01

    Geophysical exploration for engineering purposes is conducted to decrease the risk in encountering site uncertainties in construction of underground facilities. Current responsibilities, opportunities and challenges for those with geophysical expertise are defined. These include: replacing the squiggly line format, developing verification sites for method evaluations, applying knowledge engineering and assuming responsibility for crucial national problems involving rock mechanics expertise

  14. Global status of and prospects for protection of terrestrial geophysical diversity.

    Science.gov (United States)

    Sanderson, Eric W; Segan, Daniel B; Watson, James E M

    2015-06-01

    Conservation of representative facets of geophysical diversity may help conserve biological diversity as the climate changes. We conducted a global classification of terrestrial geophysical diversity and analyzed how land protection varies across geophysical diversity types. Geophysical diversity was classified in terms of soil type, elevation, and biogeographic realm and then compared to the global distribution of protected areas in 2012. We found that 300 (45%) of 672 broad geophysical diversity types currently meet the Convention on Biological Diversity's Aichi Target 11 of 17% terrestrial areal protection, which suggested that efforts to implement geophysical diversity conservation have a substantive basis on which to build. However, current protected areas were heavily biased toward high elevation and low fertility soils. We assessed 3 scenarios of protected area expansion and found that protection focused on threatened species, if fully implemented, would also protect an additional 29% of geophysical diversity types, ecoregional-focused protection would protect an additional 24%, and a combined scenario would protect an additional 42%. Future efforts need to specifically target low-elevation sites with productive soils for protection and manage for connectivity among geophysical diversity types. These efforts may be hampered by the sheer number of geophysical diversity facets that the world contains, which makes clear target setting and prioritization an important next step. © 2015 Society for Conservation Biology.

  15. A piece of paper falling faster than free fall

    International Nuclear Information System (INIS)

    Vera, F; Rivera, R

    2011-01-01

    We report a simple experiment that clearly demonstrates a common error in the explanation of the classic experiment where a small piece of paper is put over a book and the system is let fall. This classic demonstration is used in introductory physics courses to show that after eliminating the friction force with the air, the piece of paper falls with acceleration g. To test if the paper falls behind the book in a nearly free fall motion or if it is dragged by the book, we designed a version of this experiment that includes a ball and a piece of paper over a book that is forced to fall using elastic cords. We recorded a video of our experiment using a high-speed video camera at 300 frames per second that shows that the book and the paper fall faster than the ball, which falls well behind the book with an acceleration approximately equal to g. Our experiment shows that the piece of paper is dragged behind the book and therefore the paper and book demonstration should not be used to show that all objects fall with acceleration g independently of their mass.

  16. A piece of paper falling faster than free fall

    Energy Technology Data Exchange (ETDEWEB)

    Vera, F; Rivera, R, E-mail: fvera@ucv.cl [Instituto de Fisica, Pontificia Universidad Catolica de ValparaIso, Av. Universidad 330, Curauma, ValparaIso (Chile)

    2011-09-15

    We report a simple experiment that clearly demonstrates a common error in the explanation of the classic experiment where a small piece of paper is put over a book and the system is let fall. This classic demonstration is used in introductory physics courses to show that after eliminating the friction force with the air, the piece of paper falls with acceleration g. To test if the paper falls behind the book in a nearly free fall motion or if it is dragged by the book, we designed a version of this experiment that includes a ball and a piece of paper over a book that is forced to fall using elastic cords. We recorded a video of our experiment using a high-speed video camera at 300 frames per second that shows that the book and the paper fall faster than the ball, which falls well behind the book with an acceleration approximately equal to g. Our experiment shows that the piece of paper is dragged behind the book and therefore the paper and book demonstration should not be used to show that all objects fall with acceleration g independently of their mass.

  17. Brief overview of geophysical probing technology

    International Nuclear Information System (INIS)

    Ramirez, A.L.; Lytle, R.J.

    1982-01-01

    An evaluation of high-resolution geophysical techniques which can be used to characterize a nulcear waste disposal site is being conducted by the Lawrence Livermore National Laboratory (LLNL) at the request of the US Nuclear Regulatory Commisson (NRC). LLNL is involved in research work aimed at evaluating the current capabilities and limitations of geophysical methods used for site selection. This report provides a brief overview of the capabilities and limitations associated with this technology and explains how our work addresses some of the present limitations. We are examining both seismic and electromagnetic techniques to obtain high-resolution information. We are also assessing the usefulness of geotomography in mapping fracture zones remotely. Finally, we are collecting core samples from a site in an effort to assess the capability of correlating such geophysical data with parameters of interest such as fracture continuity, orientation, and fracture density

  18. Geophysical Signitures From Hydrocarbon Contaminated Aquifers

    Science.gov (United States)

    Abbas, M.; Jardani, A.

    2015-12-01

    The task of delineating the contamination plumes as well as studying their impact on the soil and groundwater biogeochemical properties is needed to support the remediation efforts and plans. Geophysical methods including electrical resistivity tomography (ERT), induced polarization (IP), ground penetrating radar (GPR), and self-potential (SP) have been previously used to characterize contaminant plumes and investigate their impact on soil and groundwater properties (Atekwana et al., 2002, 2004; Benson et al., 1997; Campbell et al., 1996; Cassidy et al., 2001; Revil et al., 2003; Werkema et al., 2000). Our objective was to: estimate the hydrocarbon contamination extent in a contaminated site in northern France, and to adverse the effects of the oil spill on the groundwater properties. We aim to find a good combination of non-intrusive and low cost methods which we can use to follow the bio-remediation process, which is planned to proceed next year. We used four geophysical methods including electrical resistivity tomography, IP, GPR, and SP. The geophysical data was compared to geochemical ones obtained from 30 boreholes installed in the site during the geophysical surveys. Our results have shown: low electrical resistivity values; high chargeability values; negative SP anomalies; and attenuated GPR reflections coincident with groundwater contamination. Laboratory and field geochemical measurements have demonstrated increased groundwater electrical conductivity and increased microbial activity associated with hydrocarbon contamination of groundwater. Our study results support the conductive model suggested by studies such as Sauck (2000) and Atekwana et al., (2004), who suggest that biological alterations of hydrocarbon contamination can substantially modify the chemical and physical properties of the subsurface, producing a dramatic shift in the geo-electrical signature from resistive to conductive. The next stage of the research will include time lapse borehole

  19. Geophysical monitoring in a hydrocarbon reservoir

    Science.gov (United States)

    Caffagni, Enrico; Bokelmann, Goetz

    2016-04-01

    Extraction of hydrocarbons from reservoirs demands ever-increasing technological effort, and there is need for geophysical monitoring to better understand phenomena occurring within the reservoir. Significant deformation processes happen when man-made stimulation is performed, in combination with effects deriving from the existing natural conditions such as stress regime in situ or pre-existing fracturing. Keeping track of such changes in the reservoir is important, on one hand for improving recovery of hydrocarbons, and on the other hand to assure a safe and proper mode of operation. Monitoring becomes particularly important when hydraulic-fracturing (HF) is used, especially in the form of the much-discussed "fracking". HF is a sophisticated technique that is widely applied in low-porosity geological formations to enhance the production of natural hydrocarbons. In principle, similar HF techniques have been applied in Europe for a long time in conventional reservoirs, and they will probably be intensified in the near future; this suggests an increasing demand in technological development, also for updating and adapting the existing monitoring techniques in applied geophysics. We review currently available geophysical techniques for reservoir monitoring, which appear in the different fields of analysis in reservoirs. First, the properties of the hydrocarbon reservoir are identified; here we consider geophysical monitoring exclusively. The second step is to define the quantities that can be monitored, associated to the properties. We then describe the geophysical monitoring techniques including the oldest ones, namely those in practical usage from 40-50 years ago, and the most recent developments in technology, within distinct groups, according to the application field of analysis in reservoir. This work is performed as part of the FracRisk consortium (www.fracrisk.eu); this project, funded by the Horizon2020 research programme, aims at helping minimize the

  20. Are triage questions sufficient to assign fall risk precautions in the ED?

    Science.gov (United States)

    Southerland, Lauren T; Slattery, Lauren; Rosenthal, Joseph A; Kegelmeyer, Deborah; Kloos, Anne

    2017-02-01

    The American College of Emergency Physicians Geriatric Emergency Department (ED) Guidelines and the Center for Disease Control recommend that older adults be assessed for risk of falls. The standard ED assessment is a verbal query of fall risk factors, which may be inadequate. We hypothesized that the addition of a functional balance test endorsed by the Center for Disease Control Stop Elderly Accidents, Deaths, and Injuries Falls Prevention Guidelines, the 4-Stage Balance Test (4SBT), would improve the detection of patients at risk for falls. Prospective pilot study of a convenience sample of ambulatory adults 65 years and older in the ED. All participants received the standard nursing triage fall risk assessment. After patients were stabilized in their ED room, the 4SBT was administered. The 58 participants had an average age of 74.1 years (range, 65-94), 40.0% were women, and 98% were community dwelling. Five (8.6%) presented to the ED for a fall-related chief complaint. The nursing triage screen identified 39.7% (n=23) as at risk for falls, whereas the 4SBT identified 43% (n=25). Combining triage questions with the 4SBT identified 60.3% (n=35) as at high risk for falls, as compared with 39.7% (n=23) with triage questions alone (Ppatients at high risk by 4SBT and missed by triage questions were inpatients unaware that they were at risk for falls (new diagnoses). Incorporating a quick functional test of balance into the ED assessment for fall risk is feasible and significantly increases the detection of older adults at risk for falls. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Modeling geophysical complexity: a case for geometric determinism

    Directory of Open Access Journals (Sweden)

    C. E. Puente

    2007-01-01

    Full Text Available It has been customary in the last few decades to employ stochastic models to represent complex data sets encountered in geophysics, particularly in hydrology. This article reviews a deterministic geometric procedure to data modeling, one that represents whole data sets as derived distributions of simple multifractal measures via fractal functions. It is shown how such a procedure may lead to faithful holistic representations of existing geophysical data sets that, while complementing existing representations via stochastic methods, may also provide a compact language for geophysical complexity. The implications of these ideas, both scientific and philosophical, are stressed.

  2. New Insights Into Valley Formation and Preservation: Geophysical Imaging of the Offshore Trinity River Paleovalley

    Science.gov (United States)

    Speed, C. M.; Swartz, J. M.; Gulick, S. P. S.; Goff, J.

    2017-12-01

    The Trinity River paleovalley is an offshore stratigraphic structure located on the inner continental shelf of the Gulf of Mexico offshore Galveston, Texas. Its formation is linked to the paleo-Trinity system as it existed across the continental shelf during the last glacial period. Newly acquired high-resolution geophysical data have imaged more complexity to the valley morphology and shelf stratigraphy than was previously captured. Significantly, the paleo-Trinity River valley appears to change in the degree of confinement and relief relative to the surrounding strata. Proximal to the modern shoreline, the interpreted time-transgressive erosive surface formed by the paleo-river system is broad and rugose with no single valley, but just 5 km farther offshore the system appears to become confined to a 10 km wide valley structure before again becoming unconfined once again 30 km offshore. Fluvial stratigraphy in this region has a similar degree of complexity in morphology and preservation. A dense geophysical survey of several hundred km is planned for Fall 2017, which will provide unprecedented imaging of the paleovalley morphology and associated stratigraphy. Our analysis leverages robust chirp processing techniques that allow for imaging of strata on the decimeter scale. We will integrate our geophysical results with a wide array of both newly collected and previously published sediment cores. This approach will allow us to address several key questions regarding incised valley formation and preservation on glacial-interglacial timescales including: to what extent do paleo-rivers remain confined within a single broad valley structure, what is the fluvial systems response to transgression, and what stratigraphy is created and preserved at the transition from fluvial to estuarine environments? Our work illustrates that traditional models of incised valley formation and subsequent infilling potentially fail to capture the full breadth of dynamics of past river

  3. Geophysics comes of age in oil sands development

    Energy Technology Data Exchange (ETDEWEB)

    Bauman, P. [WorleyParsons Komex, Calgary, AB (Canada); Birch, R.; Parker, D.; Andrews, B. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics

    2008-07-01

    This paper discussed geophysical techniques developed for oil sands exploration and production applications in Alberta's oil sands region. Geophysical methods are playing an important role in mine planning, tailings containment, water supply, and land reclamation activities. Geophysics techniques are used to estimate the volume of muskeg that needs to be stripped and stored for future reclamation activities as well as to site muskeg piles and delineate the thickness of clay Clearwater formations overlying Cretaceous oil-bearing sands. 2-D electrical resistivity mapping is used to map river-connected deep bedrock Pleistocene paleovalleys in the region. Geophysical studies are also used to investigate the interiors of dikes and berms as well as to monitor salt migration within tailings piles. Sonic and density logs are used to create synthetic seismograms for mapping the Devonian surface in the region. The new applications included the calculation of bitumen saturation from surface sands and shales; muskeg thickness mapping; and non-intrusive monitoring of leachate plumes. Geophysical techniques included 2-D electrical resistivity imaging; transient electromagnetic (EM) technologies; ground penetrating radar; and high-resolution seismic reflections. Polarization, surface nuclear magnetic resonance and push-probe sensing techniques were also discussed. Techniques were discussed in relation to Alberta's Athabasca oil sands deposits. 4 refs.

  4. The application actualities and prospects of geophysical methods to uranium prospecting

    International Nuclear Information System (INIS)

    Liu Qingcheng

    2010-01-01

    Basic principles of geophysical methods to uranium prospect are briefly introduced, and the effects as well as problems in using those methods are analysed respectively. Combining with the increasing demand of uranium resources for Chinese nuclear power development and the higher requirements of geophysical techniques, the developing directions and the thoughts of geophysical techniques in uranium prospecting were proposed. A new pattern with producing, teaching and researching together is brought forward to develop advancing uranium prospecting key technologies and to break through technological bottlenecks depending on independent innovation. Integrated geophysical methods for prospecting uranium deposits are suggested. The method includes geophysical techniques as follows: gravity, magnetic, seismic, radioactive, remote sensing, and geochemical method in some proving grounds. Based on the experimental research, new uranium deposits prospecting models with efficient integrated geophysical methods can be established. (authors)

  5. Optimal fall indicators for slip induced falls on a cross-slope.

    Science.gov (United States)

    Domone, Sarah; Lawrence, Daniel; Heller, Ben; Hendra, Tim; Mawson, Sue; Wheat, Jonathan

    2016-08-01

    Slip-induced falls are among the most common cause of major occupational injuries in the UK as well as being a major public health concern in the elderly population. This study aimed to determine the optimal fall indicators for fall detection models which could be used to reduce the detrimental consequences of falls. A total of 264 kinematic variables covering three-dimensional full body model translation and rotational measures were analysed during normal walking, successful recovery from slips and falls on a cross-slope. Large effect sizes were found for three kinematic variables which were able to distinguish falls from normal walking and successful recovery. Further work should consider other types of daily living activities as results show that the optimal kinematic fall indicators can vary considerably between movement types. Practitioner Summary: Fall detection models are used to minimise the adverse consequences of slip-induced falls, a major public health concern. Optimal fall indicators were derived from a comprehensive set of kinematic variables for slips on a cross-slope. Results suggest robust detection of falls is possible on a cross-slope but may be more difficult than level walking.

  6. The University of Texas Institute for Geophysics Marine Geology and Geophysics Field Course

    Science.gov (United States)

    Duncan, D.; Davis, M. B.; Goff, J. A.; Gulick, S. P. S.; McIntosh, K. D.; Saustrup, S., Sr.

    2014-12-01

    The University of Texas Institute for Geophysics, part of the Jackson School of Geosciences, annually offers a three-week marine geology and geophysics field course during the spring-summer intersession. The course provides hands-on instruction and training for graduate and upper-level undergraduate students in high-resolution seismic reflection, CHIRP sub-bottom profiling, multibeam bathymetry, sidescan sonar, several types of sediment coring, grab sampling, and the sedimentology of resulting seabed samples. Students participate in an initial three days of classroom instruction designed to communicate geological context of the field area along with theoretical and technical background on each field method. The class then travels to the Gulf Coast for a week of at-sea field work. Our field sites at Port Aransas, and Galveston, TX, and Grand Isle, LA, provide ideal locations for students to investigate coastal processes of the Gulf Coast and continental shelf through application of geophysical techniques in an exploratory mode. At sea, students assist with survey design and instrumentation set up while learning about acquisition parameters, data quality control, trouble-shooting, and safe instrument deployment and retrieval. In teams of four, students work in onshore field labs preparing sediment samples for particle size analysis and data processing. During the course's final week, teams return to the classroom where they integrate, interpret, and visualize data in a final project using industry-standard software such as Echos, Landmark, Caris, and Fledermaus. The course concludes with a series of final presentations and discussions in which students examine geologic history and/or sedimentary processes represented by the Gulf Coast continental shelf with academic and industry supporters. Students report a greater understanding of marine geology and geophysics through the course's intensive, hands-on, team approach and low instructor to student ratio (sixteen

  7. Falling chains

    OpenAIRE

    Wong, Chun Wa; Yasui, Kosuke

    2005-01-01

    The one-dimensional fall of a folded chain with one end suspended from a rigid support and a chain falling from a resting heap on a table is studied. Because their Lagrangians contain no explicit time dependence, the falling chains are conservative systems. Their equations of motion are shown to contain a term that enforces energy conservation when masses are transferred between subchains. We show that Cayley's 1857 energy nonconserving solution for a chain falling from a resting heap is inco...

  8. Basic elements of nuclear geophysics

    International Nuclear Information System (INIS)

    Nordemann, D.J.R.; Pereira, E.B.

    1984-01-01

    Nuclear Geophysics applies the nuclear radiation detection methodology to the geosciences, specially to study the dynamical processes of the lithosphere, the hydrosphere and the atmosphere as well as some aspects of planetology and astrophysics. Here the main methods are described: alpha-ray and gamma-ray spectrometry, the interaction of alpha and gamma radiation with matter and the detectors used (grid chambers, surface barrier silicon detector for alpha radiation; and sodium iodide thallium activated phosphors, hyperpure and lithium drifted germanium semiconductor detectors for gamma radiation). The principal applications of Nuclear Geophysics are given as examples to ilustrate the use of the methods described. (AUthor) [pt

  9. The geology and geophysics of the Oslo rift

    Science.gov (United States)

    Ruder, M. E.

    1981-01-01

    The regional geology and geophysical characteristics of the Oslo graben are reviewed. The graben is part of a Permian age failed continental rift. Alkali olivine, tholefitic, and monzonitic intrusives as well as basaltic lavas outline the extent of the graben. Geophysical evidence indicates that rifting activity covered a much greater area in Skagerrak Sea as well as the Paleozoic time, possibly including the northern Skagerrak Sea as well as the Oslo graben itself. Much of the surficial geologic characteristics in the southern part of the rift have since been eroded or covered by sedimentation. Geophysical data reveal a gravity maximum along the strike of the Oslo graben, local emplacements of magnetic material throughout the Skagerrak and the graben, and a slight mantle upward beneath the rift zone. Petrologic and geophysical maps which depict regional structure are included in the text. An extensive bibliography of pertinent literature published in English between 1960 and 1980 is also provided.

  10. Geophysical characterisation of the groundwater-surface water interface

    Science.gov (United States)

    McLachlan, P. J.; Chambers, J. E.; Uhlemann, S. S.; Binley, A.

    2017-11-01

    Interactions between groundwater (GW) and surface water (SW) have important implications for water quantity, water quality, and ecological health. The subsurface region proximal to SW bodies, the GW-SW interface, is crucial as it actively regulates the transfer of nutrients, contaminants, and water between GW systems and SW environments. However, geological, hydrological, and biogeochemical heterogeneity in the GW-SW interface makes it difficult to characterise with direct observations. Over the past two decades geophysics has been increasingly used to characterise spatial and temporal variability throughout the GW-SW interface. Geophysics is a powerful tool in evaluating structural heterogeneity, revealing zones of GW discharge, and monitoring hydrological processes. Geophysics should be used alongside traditional hydrological and biogeochemical methods to provide additional information about the subsurface. Further integration of commonly used geophysical techniques, and adoption of emerging techniques, has the potential to improve understanding of the properties and processes of the GW-SW interface, and ultimately the implications for water quality and environmental health.

  11. Site characterization and validation - geophysical single hole logging

    International Nuclear Information System (INIS)

    Andersson, Per

    1989-05-01

    A total of 15 boreholes have been drilled for preliminary characterization of a previously unexplored site at the 360 and 385 m level in the Stripa mine. To adequately described the rock mass in the vicinity of these boreholes, a comprehensive program utilizing a large number of geophysical borehole methods has been carried out in 10 of these boreholes. The specific geophysical character of the rock mass and the major deformed units distinguished in the vicinity of the boreholes are recognized, and in certain cases also correlated between the boreholes. A general conclusion based on the geophysical logging results, made in this report, is that the preliminary predictions made in stage 2, of the site characterization and validation project (Olsson et.al, 1988), are adequate. The results from the geophysical logging can support the four predicted fracture/ fracture zones GHa, GHb, GA and GB whereas the predicted zones GC and GI are hard to confirm from the logging results. (author)

  12. Cognitive processing speed is related to fall frequency in older adults with multiple sclerosis.

    Science.gov (United States)

    Sosnoff, Jacob J; Balantrapu, Swathi; Pilutti, Lara A; Sandroff, Brian M; Morrison, Steven; Motl, Robert W

    2013-08-01

    To examine mobility, balance, fall risk, and cognition in older adults with multiple sclerosis (MS) as a function of fall frequency. Retrospective, cross-sectional design. University research laboratory. Community-dwelling persons with MS (N=27) aged between 50 and 75 years were divided into 2 groups-single-time (n=11) and recurrent (n=16; >2 falls/12 mo) fallers-on the basis of fall history. Not applicable. Mobility was assessed using a variety of measures including Multiple Sclerosis Walking Scale-12, walking speed (Timed 25-Foot Walk test), endurance (6-Minute Walk test), and functional mobility (Timed Up and Go test). Balance was assessed with the Berg Balance Scale, posturography, and self-reported balance confidence. Fall risk was assessed with the Physiological Profile Assessment. Cognitive processing speed was quantified with the Symbol Digit Modalities Test and the Paced Auditory Serial Addition Test. Recurrent fallers had slower cognitive processing speed than single-time fallers (P ≤.01). There was no difference in mobility, balance, or fall risk between recurrent and single-time fallers (P>.05). Results indicated that cognitive processing speed is associated with fall frequency and may have implications for fall prevention strategies targeting recurrent fallers with MS. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. Geophysical investigations in the Syyry area, Finland

    International Nuclear Information System (INIS)

    Heikkinen, E.; Kurimo, M.

    1992-12-01

    Investigations were carried out at the Syyry site at Sievi using geological, geophysical, geohydrological and geochemical methods in 1987-1991 to determine the suitability of the bedrock for the final disposal of spent nuclear fuel. In this survey airborne, ground and borehole geophysical methods were used to study the rock type distribution, fracturing and hydraulic conductivity of the bedrock to a depth of one kilometre

  14. Geophysical investigations in the Olkiluoto area, Finland

    International Nuclear Information System (INIS)

    Heikkinen, E.; Paananen, M.

    1992-12-01

    Investigations were carried out at the Olkiluoto site at Eurajoki using geological, geophysical, geohydrological and geochemical methods in 1987-1992 to determine the suitability of the bedrock for the final disposal of spent nuclear fuel. In this survey airborne, ground and borehole geophysical methods were used to study the rock type distribution, fracturing and hydraulic conductivity of the bedrock to a depth of one kilometre

  15. Geophysical investigations in the Kivetty area, Finland

    International Nuclear Information System (INIS)

    Heikkinen, E.; Paananen, M.; Oehberg, A.; Front, K.; Okko, O.; Pitkaenen, P.

    1992-09-01

    Investigations were carried out at Kivetty site in Konginkangas, in central Finland, by geological, geophysical, geohydrological and geochemical methods in 1987-1991 to determine the suitability of the bedrock for the final disposal of spent nuclear fuel. Airborne, ground and borehole geophysical methods were used to study the rock type distribution, fracturing and hydraulic conductivity of the bedrock to a depth of one kilometre

  16. Increasing fall risk awareness using wearables: A fall risk awareness protocol.

    Science.gov (United States)

    Danielsen, Asbjørn; Olofsen, Hans; Bremdal, Bernt Arild

    2016-10-01

    Each year about a third of elderly aged 65 or older experience a fall. Many of these falls may have been avoided if fall risk assessment and prevention tools where available in a daily living situation. We identify what kind of information is relevant for doing fall risk assessment and prevention using wearable sensors in a daily living environment by investigating current research, distinguishing between prospective and context-aware fall risk assessment and prevention. Based on our findings, we propose a fall risk awareness protocol as a fall prevention tool integrating both wearables and ambient sensing technology into a single platform. Copyright © 2016. Published by Elsevier Inc.

  17. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people

    OpenAIRE

    Shimada, Hiroyuki; Suzukawa, Megumi; Ishizaki, Tatsuro; Kobayashi, Kumiko; Kim, Hunkyung; Suzuki, Takao

    2011-01-01

    Abstract Background Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. Methods The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotom...

  18. Fall Protection Introduction, #33462

    Energy Technology Data Exchange (ETDEWEB)

    Chochoms, Michael [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-06-23

    The proper use of fall prevention and fall protection controls can reduce the risk of deaths and injuries caused by falls. This course, Fall Protection Introduction (#33462), is designed as an introduction to various types of recognized fall prevention and fall protection systems at Los Alamos National Laboratory (LANL), including guardrail systems, safety net systems, fall restraint systems, and fall arrest systems. Special emphasis is given to the components, inspection, care, and storage of personal fall arrest systems (PFASs). This course also presents controls for falling object hazards and emergency planning considerations for persons who have fallen.

  19. Moving Beyond IGY: An Electronic Geophysical Year (eGY) Concept

    Science.gov (United States)

    Baker, D. N.; Barton, C. E.; Rodger, A. S.; Thompson, B. J.; Fraser, B.; Papitashvili, V.

    2003-12-01

    During the International Geophysical Year (1957-1958), member countries established many new geophysical observatories pursuing the major IGY objectives - to collect geophysical data as widely as possible and to provide free access to these data for all scientists around the globe. Today, geophysics has attained a rather good understanding within traditional regions, i.e., the atmosphere, ionosphere, magnetosphere, and other such geospheres. At the same time, it has become clear that much of the new and important science is coming from the studies of interfaces and coupling between geospheres. Thus, if geophysical data are made `'transparently'' available to a much wider range of scientists and students than to those who do the observations, then new and exciting discoveries can be expected. An International Association of Geomagnetic and Aeronomy (IAGA) task force, recognizing that a key achievement of the IGY was the establishment of a worldwide system of data centers and physical observatories, proposes that for the 50th anniversary of IGY, the worldwide scientific community should endorse and promote an electronic Geophysical Year (eGY) initiative. The proposed eGY concept would both commemorate the IGY in 2007-2008 and provide a forward impetus to geophysics in 21st century, similar to that provided by the IGY fifty years ago. The IAGA task force strongly advocates: (1) Securing permission and release of existing data; (2) Creating access to information; and (3) Conversion of relevant analog data to digital form. The eGY concept embraces all available and upcoming geophysical data (e.g., atmospheric, ionospheric, geomagnetic, gravity, etc.) through the establishment of a series of virtual geophysical observatories now being `'deployed'' in cyberspace. The eGY concept is modern, global, and timely; it is attractive, pragmatic, and affordable. The eGY is based on the existing and continually developing computing/networking technologies (e.g., XML, Semantic Web

  20. Notes on the history of geophysics in the Ottoman Empire

    Science.gov (United States)

    Ozcep, F.; Ozcep, T.

    2014-09-01

    In Anatolia, the history of geophysical sciences may go back to antiquity (600 BC), namely the period when Thales lived in Magnesia (Asia Minor). In the modern sense, geophysics started with geomagnetic works in the 1600s. The period between 1600 and 1800 includes the measurement of magnetic declination, inclination and magnetic field strength. Before these years, there is a little information, such as how to use a compass, in the Kitab-i Bahriye (the Book of Navigation) of Piri Reis, who is one of the most important mariners of the Ottoman Empire. However, this may not mean that magnetic declination was generally understood. The first scientific book relating to geophysics is the book Fuyuzat-i Miknatissiye that was translated by Ibrahim Müteferrika and printed in 1731. The subject of this book is earth's magnetism. There is also information concerning geophysics in the book Cihannuma (Universal Geography) that was written by Katip Celebi and in the book Marifetname written by Ibrahim Hakki Erzurumlu, but these books are only partly geophysical books. In Istanbul the year 1868 is one of the most important for geophysical sciences because an observatory called Rasathane-i Amire was installed in the Pera region of this city. At this observatory the first systematic geophysical observations such as meteorological, seismological and even gravimetrical were made. There have been meteorological records in Anatolia since 1839. These are records of atmospheric temperature, pressure and humidity. In the Ottoman Empire, the science of geophysics is considered as one of the natural sciences along with astronomy, mineralogy, geology, etc., and these sciences are included as a part of physics and chemistry.

  1. Association of Reduced eGFR and Albuminuria with Serious Fall Injuries among Older Adults.

    Science.gov (United States)

    Bowling, C Barrett; Bromfield, Samantha G; Colantonio, Lisandro D; Gutiérrez, Orlando M; Shimbo, Daichi; Reynolds, Kristi; Wright, Nicole C; Curtis, Jeffrey R; Judd, Suzanne E; Franch, Harold; Warnock, David G; McClellan, William; Muntner, Paul

    2016-07-07

    Falls are common and associated with adverse outcomes in patients on dialysis. Limited data are available in earlier stages of CKD. We analyzed data from 8744 Reasons for Geographic and Racial Differences in Stroke Study participants ≥65 years old with Medicare fee for service coverage. Serious fall injuries were defined as a fall-related fracture, brain injury, or joint dislocation using Medicare claims. Hazard ratios (HRs) for serious fall injuries were calculated by eGFR and albumin-to-creatinine ratio (ACR). Among 2590 participants with CKD (eGFRfall injury compared with age-matched controls without a fall injury was calculated. Overall, 1103 (12.6%) participants had a serious fall injury over 9.9 years of follow-up. The incidence rates per 1000 person-years of serious fall injuries were 21.7 (95% confidence interval [95% CI], 20.3 to 23.2), 26.6 (95% CI, 22.6 to 31.3), and 38.3 (95% CI, 31.2 to 47.0) at eGFR levels ≥60, 45-59, and fall injuries were 0.91 (95% CI, 0.76 to 1.09) and 1.09 (95% CI, 0.86 to 1.37) for eGFR=45-59 and fall and age-matched controls were 21.0% and 5.5%, respectively. Elevated ACR but not lower eGFR was associated with serious fall injuries. Evaluation for fall risk factors and fall prevention strategies should be considered for older adults with elevated ACR. Copyright © 2016 by the American Society of Nephrology.

  2. Prediction of falls and/or near falls in people with mild Parkinson's disease.

    Directory of Open Access Journals (Sweden)

    Beata Lindholm

    Full Text Available To determine factors associated with future falls and/or near falls in people with mild PD.The study included 141 participants with PD. Mean (SD age and PD-duration were 68 (9.7 and 4 years (3.9, respectively. Their median (q1-q3 UPDRS III score was 13 (8-18. Those >80 years of age, requiring support in standing or unable to understand instructions were excluded. Self-administered questionnaires targeted freezing of gait, turning hesitations, walking difficulties in daily life, fatigue, fear of falling, independence in activities of daily living, dyskinesia, demographics, falls/near falls history, balance problems while dual tasking and pain. Clinical assessments addressed functional balance performance, retropulsion, comfortable gait speed, motor symptoms and cognition. All falls and near falls were subsequently registered in a diary during a six-month period. Risk factors for prospective falls and/or near falls were determined using logistic regression.Sixty-three participants (45% experienced ≥ 1 fall and/or near fall. Three factors were independent predictors of falls and/or near falls: fear of falling (OR = 1.032, p<0.001 history of near falls (OR = 3.475, p = 0.009 and retropulsion (OR = 2.813, p = 0.035. The strongest contributing factor was fear of falling, followed by a history of near falls and retropulsion.Fear of falling seems to be an important issue to address already in mild PD as well as asking about prior near falls.

  3. Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients).

    Science.gov (United States)

    Chiara, Mussi; Gianluigi, Galizia; Pasquale, Abete; Alessandro, Morrione; Alice, Maraviglia; Gabriele, Noro; Paolo, Cavagnaro; Loredana, Ghirelli; Giovanni, Tava; Franco, Rengo; Giulio, Masotti; Gianfranco, Salvioli; Niccolò, Marchionni; Andrea, Ungar

    2013-01-01

    To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82 ± 7 years, range 65-101). Falls were defined "accidental" (fall explained by a definite accidental cause), "medical" (fall caused directly by a specific medical disease), "dementia-related" (fall in patients affected by moderate-severe dementia), and "unexplained" (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause). According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury.

  4. Geophysical characterization from Itu intrusive suite

    International Nuclear Information System (INIS)

    Pascholati, M.E.

    1989-01-01

    The integrated use of geophysical, geological, geochemical, petrographical and remote sensing data resulted in a substantial increase in the knowledge of the Itu Intrusive Suite. The main geophysical method was gamma-ray spectrometry together with fluorimetry and autoradiography. Three methods were used for calculation of laboratory gamma-ray spectrometry data. For U, the regression method was the best one. For K and Th, equations system and absolute calibration presented the best results. Surface gamma-ray spectrometry allowed comparison with laboratory data and permitted important contribution to the study of environmental radiation. (author)

  5. A portable marine geophysical data access and management system

    Digital Repository Service at National Institute of Oceanography (India)

    Kunte, P.D.; Narvekar, P.

    Geophysical Oracle Database Management System (GPODMS) that is residing on UNIX True 64 Compaq Alpha server. GPODMS is a stable Oracle database system for longterm storage and systematic management of geophysical data and information of various disciplines...

  6. Older Adult Knowledge and Behavior Change in the Stepping On Fall Prevention Program in a Community Setting

    Directory of Open Access Journals (Sweden)

    Jane Strommen

    2017-10-01

    Full Text Available One out of every three Americans age 65 and over falls at least once annually. Fall-related injuries among older adults are a major public health concern, and prevention of falls has emerged as a key issue in avoiding the risks to mobility and health that exist due to falls. Stepping On is an evidence-based fall prevention program designed to help older adults take control of their fall risk factors, explore different behavioral steps, and reduce their fall risk. This study shares findings from evaluation efforts conducted with 182 older adult participants in Stepping On from 2013 to 2015. Older adults in the program demonstrated (1 high satisfaction with program quality; (2 positive impacts on knowledge related to fall risk factors and prevention; and (3 substantial followthrough on behavioral steps designed to minimize fall risk. Program participants also shared positive feedback on the program in response to open-ended questions. Implications of the findings for fall risk reduction and programs to enhance fall prevention among older adults are discussed. Programs designed to reduce fall risk factors and enhance quality of life can be a critical tool to assist older adults, educators, and community leaders in addressing this public health issue.

  7. Rožňava ore field - geophysical works

    Directory of Open Access Journals (Sweden)

    Géczy Július

    1998-12-01

    Full Text Available The article prowides a review of geophysical works in the ore field Rožňava conducted up to date. Magnetometric and geoelectric methods and gravimetric measurements have been used. Geophysical works were focused to the solving regional problems whose contribution to the prospecting of vein deposits is not essential.

  8. Geophysical and botanical monitoring of simulated graves in a tropical rainforest, Colombia, South America

    Science.gov (United States)

    Molina, Carlos Martin; Pringle, Jamie K.; Saumett, Miguel; Evans, Gethin T.

    2016-12-01

    In most Latin American countries there are significant numbers of missing people and forced disappearances, currently 80,000 only in Colombia. Successful detection of shallow buried human remains by forensic search teams is currently difficult in varying terrain and climates. Within this research we built four simulated clandestine burial styles in tropical rainforests, as this is a common scenario and depositional environment encountered in Latin America, to gain knowledge of optimum forensic geophysics detection techniques. The results of geophysically monitoring these burials using ground penetrating radar, magnetic susceptibility, bulk ground conductivity and electrical resistivity are presented from one to forty three weeks post-burial. Radar survey results with both the 250 MHz and 500 MHz frequency antennae showed good detection of modern simulated burials on 2D profiles and horizontal time slices but poor detection on the other simulated graves. Magnetic susceptibility, bulk ground conductivity and electrical resistivity results were generally poor at detecting the simulated targets. Observations of botanical variations on the test site show rapid regrowth of Malvaceae and Petiveria alliacea vegetation over all burials that are common in these forests, which can make detection more difficult.

  9. Geophysical Data Define Boundaries and Sub-Regions of the Northern Gulf of Mexico Basin: Structural Histories and Causes are Hypothesized.

    Science.gov (United States)

    Kinsland, G. L.

    2017-12-01

    Within the last several years new types of geophysical data of the southern margin of the North American Craton and the Northern Gulf of Mexico Basin (NGoMB) have become available, e.g., results from the USArray experiment, high resolution satellite gravity data of the GoM itself and new heat flow data. These data when combined with previously existing geophysical data (gravity, magnetic and seismic) and shallow structural data offer new insights into the boundaries and sub-regions of the NGoMB. I offer hypotheses for the development of the structures of the buried crust and upper mantle which cause these features. Of particular interest might be my suggestion that the NGoMB might have extended in a southeasterly direction prior to the counter-clockwise rotation of the Yucatan Peninsula which ultimately resulted in the GoM.

  10. Geophysical investigations at ORNL solid waste storage area 3

    International Nuclear Information System (INIS)

    Rothschild, E.R.; Switek, J.; Llopis, J.L.; Farmer, C.D.

    1985-07-01

    Geophysical investigations at ORNL solid waste storage area 3 have been carried out. The investigations included very-low-frequency-electromagnetic resistivity (VLF-EM), electrical resistivity, and seismic refraction surveys. The surveys resulted in the measurement of basic geophysical rock properties, as well as information on the depth of weathering and the configuration of the bedrock surface beneath the study area. Survey results also indicate that a number of geophysical anomalies occur in the shallow subsurface at the site. In particular, a linear feature running across the geologic strike in the western half of the waste disposal facility has been identified. This feature may conduct water in the subsurface. The geophysical investigations are part of an ongoing effort to characterize the site's hydrogeology, and the data presented will be valuable in directing future drilling and investigations at the site. 10 refs., 6 figs

  11. Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study.

    Science.gov (United States)

    Jørgensen, Vivien; Butler Forslund, Emelie; Opheim, Arve; Franzén, Erika; Wahman, Kerstin; Hultling, Claes; Seiger, Åke; Ståhle, Agneta; Stanghelle, Johan K; Roaldsen, Kirsti S

    2017-04-01

    What is the 1-year incidence of falls and injurious falls in a representative cohort of community-dwelling ambulatory individuals with chronic spinal cord injury? What are the predictors of recurrent falls (more than two/year) and injurious falls in this population? One-year longitudinal observational multi-centre study. A representative sample of 68 (of 73 included) community-dwelling ambulatory individuals with traumatic SCI attending regular follow-up programs at rehabilitation centres. Primary outcome measures were incidence and predictors of recurrent falls (more than two/year) and injurious falls reported every 2 weeks for 1year. A total of 48% of participants reported recurrent falls. Of the 272 reported falls, 41% were injurious. Serious injuries were experienced by 4% of participants, all of whom were women. Multivariate logistic regression analysis showed that recurrent falls in the previous year (OR=111, 95% CI=8.6 to 1425), fear of falling (OR=6.1, 95% CI=1.43 to 26) and longer time taken to walk 10m (OR=1.3, 95% CI=1.0 to 1.7) were predictors of recurrent falls. Fear of falling (OR=4.3, 95% CI=1.3 to 14) and recurrent falls in the previous year (OR=4.2, 95% CI=1.2 to 14) were predictors of injurious falls. Ambulatory individuals have a high risk of falling and of fall-related injuries. Fall history, fear of falling and walking speed could predict recurrent falls and injurious falls. Further studies with larger samples are needed to validate these findings. [Jørgensen V, Butler Forslund E, Opheim A, Franzén E, Wahman K, Hultling C, Seiger Å, Ståhle A, Stanghelle JK, Roaldsen KS (2017) Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study. Journal of Physiotherapy 63: 108-113]. Copyright © 2017 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.

  12. Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients

    Directory of Open Access Journals (Sweden)

    Mussi Chiara

    2013-01-01

    Full Text Available To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82±7 years, range 65–101. Falls were defined “accidental” (fall explained by a definite accidental cause, “medical” (fall caused directly by a specific medical disease, “dementia-related” (fall in patients affected by moderate-severe dementia, and “unexplained” (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause. According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury.

  13. Interdisciplinary Approach to Fall Prevention in a High-Risk Inpatient Pediatric Population: Quality Improvement Project.

    Science.gov (United States)

    Stubbs, Kendra E; Sikes, Lindsay

    2017-01-01

    Within a tertiary care pediatric medical center, the largest number of inpatient falls (8.84 falls per 1,000 patient days) occurred within a 14-bed rehabilitation/transitional care unit between February and September 2009. An interdisciplinary fall prevention program, called "Red Light, Green Light," was developed to better educate all staff and family members to ensure safety of transfers and ambulation of children with neurological impairments. The purpose of this study was to develop and implement an interdisciplinary pediatric fall prevention program to reduce total falls and falls with family members present in this population. Preintervention 2009 data and longitudinal data from 2010-2014 were obtained from retrospective review of event/incident reports. This quality improvement project was based on inpatient pediatric admissions to a rehabilitation care unit accommodating children with neurological impairments. Data extraction included: total falls, falls with caregiver (alone versus staff versus family), type of falls, and falls by diagnosis. Descriptive statistics were obtained on outcome measures; chi-square statistics were calculated on preintervention and postintervention comparisons. Total falls decreased steadily from 8.84 falls per 1,000 patient days in 2009 to 1.79 falls per 1,000 patient days in 2014 (χ12=3.901, P=.048). Falls with family members present decreased 50% postintervention. (χ12=6.26, P=.012). Limitations included unit size nearly doubled postintervention, event reporting changed to both uncontrolled and controlled therapy falls (safely lowering patient to bed, chair, or floor), and enhanced reporting increased numbers of postintervention falls. The Red Light, Green Light program has resulted in reductions in overall fall rates, falls with family members present, increased staff collaboration, heightened staff and family safety awareness, and a safer environment for patients at high risk for neurological or musculoskeletal impairments

  14. uranium and thorium exploration by geophysical methods

    International Nuclear Information System (INIS)

    Yueksel, F.A.; Kanli, A.I.

    1997-01-01

    Radioactivity is often measured from the ground in mineral exploration. If large areas have to be investigated, it is often unsuitable to carry out the measurements with ground-bound expeditions. A geophysical method of gamma-ray spectrometry is generally applied for uranium exploration. Exploration of uranium surveys were stopped after the year of 1990 in Turkey. Therefore the real potential of uranium in Turkey have to be investigated by using the geophysical techniques

  15. Associated Factors for Falls, Recurrent Falls, and Injurious Falls in Aged Men Living in Taiwan Veterans Homes

    Directory of Open Access Journals (Sweden)

    Yan-Chiou Ku

    2013-06-01

    Conclusion: This study demonstrated that the advanced age, depression status, stroke, gouty arthritis, and cataract are independent variables for predicting falls; depression is the only clinical factor capable of predicting the recurrent falls. These variables were potential targets for effective prevention of falls.

  16. Site characterization at the Rabbit Valley Geophysical Performance Evaluation Range

    International Nuclear Information System (INIS)

    Koppenjan, S.; Martinez, M.

    1994-01-01

    The United States Department of Energy (US DOE) is developing a Geophysical Performance Evaluation Range (GPER) at Rabbit Valley located 30 miles west of Grand Junction, Colorado. The purpose of the range is to provide a test area for geophysical instruments and survey procedures. Assessment of equipment accuracy and resolution is accomplished through the use of static and dynamic physical models. These models include targets with fixed configurations and targets that can be re-configured to simulate specific specifications. Initial testing (1991) combined with the current tests at the Rabbit Valley GPER will establish baseline data and will provide performance criteria for the development of geophysical technologies and techniques. The US DOE's Special Technologies Laboratory (STL) staff has conducted a Ground Penetrating Radar (GPR) survey of the site with its stepped FM-CW GPR. Additionally, STL contracted several other geophysical tests. These include an airborne GPR survey incorporating a ''chirped'' FM-CW GPR system and a magnetic survey with a surfaced-towed magnetometer array unit Ground-based and aerial video and still frame pictures were also acquired. STL compiled and analyzed all of the geophysical maps and created a site characterization database. This paper discusses the results of the multi-sensor geophysical studies performed at Rabbit Valley and the future plans for the site

  17. Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study

    Directory of Open Access Journals (Sweden)

    Vivien Jørgensen

    2017-04-01

    Conclusion: Ambulatory individuals have a high risk of falling and of fall-related injuries. Fall history, fear of falling and walking speed could predict recurrent falls and injurious falls. Further studies with larger samples are needed to validate these findings. [Jørgensen V, Butler Forslund E, Opheim A, Franzén E, Wahman K, Hultling C, Seiger Å, Ståhle A, Stanghelle JK, Roaldsen KS (2017 Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study. Journal of Physiotherapy 63: 108–113

  18. Hypertension Treatment and Concern About Falling: Baseline Data from the Systolic Blood Pressure Intervention Trial.

    Science.gov (United States)

    Berlowitz, Dan R; Breaux-Shropshire, Tonya; Foy, Capri G; Gren, Lisa H; Kazis, Lewis; Lerner, Alan J; Newman, Jill C; Powell, James R; Riley, William T; Rosman, Robert; Wadley, Virginia G; Williams, Julie A

    2016-11-01

    To determine the extent of concern about falling in older adults with hypertension, whether lower blood pressure (BP) and greater use of antihypertensive medications are associated with greater concern about falling, and whether lower BP has a greater effect on concern about falling in older and more functionally impaired individuals. Secondary analysis involving cross-sectional study of baseline characteristics of participants enrolled in the Systolic Blood Pressure Intervention Trial (SPRINT). Approximately 100 outpatient sites. SPRINT enrollees aged 50 and older (mean age 69) diagnosed with hypertension (N = 2,299). Concern about falling was determined using the shortened version of the Falls Efficacy Scale International as measured at the baseline examination. Mild concern about falling was present in 29.3% of participants and moderate to severe concern in 17.9%. Neither low BP (systolic BPconcern about falling (P > .10). Participants with moderate to severe concern about falling were taking significantly more antihypertensive medications than those with mild or no concern. After adjusting for baseline characteristics, no associations were evident between BP, medications, and concern about falling. Results were similar in older and younger participants; interactions between BP and age and functional status were not significantly associated with concern about falling. Although concern about falling is common in older adults with hypertension, it was not found to be associated with low BP or use of more antihypertensive medications in baseline data from SPRINT. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  19. Comparison study of selected geophysical and geotechnical parameters

    DEFF Research Database (Denmark)

    Nissen, Randi Warncke; Poulsen, Søren Erbs

    Successful foundation of constructions relies on accurate characterization of the geotechnical properties of the subsurface. By implementing data from geophysical surveys, the placement of geotechnical drillings can be significantly improved, potentially reducing the number of required drillings....... This case study is mainly to compare geophysical investigations (MEP/IP) with existing PACES data and information from geotechnical drillings....

  20. Testing how geophysics can reduce the uncertainty of groundwater model predictions

    DEFF Research Database (Denmark)

    Christensen, Nikolaj Kruse; Christensen, Steen; Ferre, Ty

    2014-01-01

    Geophysical data are increasingly used to construct groundwater models. Such data are collected at lower cost and much higher density than the traditionally used geological, hydraulic, and hydrological data. The geophysical data are often inverted independently and used together with geological......, respectively. There is also complete flexibility in the choice of relationships between hydraulic and geophysical properties. Noise can be added to the synthetic hydrologic and geophysical datasets and these exhaustive data sets can be down sampled to represent realistic data sets of varying measurement...... with and covered by layered glaciofluvial and glacial deposits. The hydrological data consist of 35 hydraulic head measurements and one river discharge measurement, while the geophysical data consist of 77 TEM soundings. The data are inverted sequentially and jointly. Through this example, we highlight the value...

  1. Description of geophysical data in the SKB database GEOTAB. Version 2

    International Nuclear Information System (INIS)

    Sehlstedt, S.

    1991-01-01

    For the storage of different types of data collected by SKB a database called GEOTAB has been created. The following data is stored in the database: Background data, geological data, geophysical data, hydrogeological and meteorological data, hydrochemical data, and tracer tests. This report describes the data flow for different types of geophysical measurement. The descriptions start with measurement and end with the storage of data in GEOTAB. Each process and the resulting data volume is presented separately. The geophysical measurements have been divided into the following subjects: Geophysical ground surface measurements, geophysical borehole logging, and petrophysical measurements. Each group of measurements is described in an individual chapter. In each chapter several measuring techniques are described and each method has a data table and a flyleaf table in GEOTAB. (author)

  2. Impact of Fall Prevention on Nurses and Care of Fall Risk Patients.

    Science.gov (United States)

    King, Barbara; Pecanac, Kristen; Krupp, Anna; Liebzeit, Daniel; Mahoney, Jane

    2018-03-19

    Falls are common events for hospitalized older adults, resulting in negative outcomes both for patients and hospitals. The Center for Medicare and Medicaid (CMS) has placed pressure on hospital administrators by identifying falls as a "never event", resulting in a zero falls goal for many hospitals. Staff nurses are responsible for providing direct care to patients and for meeting the hospital no falls goal. Little is known about the impact of "zero falls" on nurses, patients and the organization. A qualitative study, using Grounded Dimensional Analysis (GDA) was conducted to explore nurses' experiences with fall prevention in hospital settings and the impact of those experiences on how nurses provide care to fall risk patients. Twenty-seven registered nurses and certified nursing assistants participated in in-depth interviews. Open, axial and selective coding was used to analyze data. A conceptual model which illustrates the impact of intense messaging from nursing administration to prevent patient falls on nurses, actions nurses take to address the message and the consequences to nurses, older adult patients and to the organization was developed. Intense messaging from hospital administration to achieve zero falls resulted in nurses developing a fear of falls, protecting self and unit, and restricting fall risk patients as a way to stop messages and meet the hospital goal. Results of this study identify unintended consequences of fall prevention message on nurses and older adult patients. Further research is needed understand how nurse care for fall risk patients.

  3. Pontomedullary lacerations in falls from a height--a retrospective autopsy study.

    Science.gov (United States)

    Zivković, Vladimir; Nikolić, Slobodan; Babić, Dragan; Djonić, Danijela; Atanasijević, Tatjana; Djurić, Marija

    2012-05-01

    Brainstem pontomedullary laceration (PML) in falls from a height appears as isolated cases and usually in feet-first impacts with a ring fracture. The aim of this study was to determine the frequency of PML in falls from a height, as well as the frequency of concomitant head and neck injuries. Out of 261 cases, PML was present in 40. An impact to the chin, as well as a feet- or buttocks-first impact, most often led to PML owing to transmission of the impact force. Also, a lateral, frontal, or posterior head impact, with subsequent hinge fracture, as well as the frontoposterior hyperextension of the head associated with an upper spine fracture, could be possible mechanisms of PML in falls from a height. The jawbone and other facial bones act as shock absorbers, and their fracture diminishes energy transfer toward the skull and protects the brain and brainstem from injury. © 2011 American Academy of Forensic Sciences.

  4. Effect of a Multidisciplinary Fall Risk Assessment on Falls Among Neurology Inpatients

    Science.gov (United States)

    Hunderfund, Andrea N. Leep; Sweeney, Cynthia M.; Mandrekar, Jayawant N.; Johnson, LeAnn M.; Britton, Jeffrey W.

    2011-01-01

    OBJECTIVE: To evaluate whether the addition of a physician assessment of patient fall risk at admission would reduce inpatient falls on a tertiary hospital neurology inpatient unit. PATIENTS AND METHODS: A physician fall risk assessment was added to the existing risk assessment process (clinical nurse evaluation and Hendrich II Fall Risk Model score with specific fall prevention measures for patients at risk). An order to select either “Patient is” or “Patient is not at high risk of falls by physician assessment” was added to the physician electronic admission order set. Nurses and physicians were instructed to reach consensus when assessments differed. Full implementation occurred in second-quarter 2008. Preimplementation (January 1, 2006, to March 31, 2008) and postimplementation (April 1, 2008, to December 31, 2009) rates of falls were compared on the neurology inpatient unit and on 6 other medical units that did not receive intervention. RESULTS: The rate of falls during the 7 quarters after full implementation was significantly lower than that during the 9 preceding quarters (4.12 vs 5.69 falls per 1000 patient-days; P=.04), whereas the rate of falls on other medical units did not significantly change (2.99 vs 3.33 falls per 1000 patient-days; P=.24, Poisson test). The consensus risk assessment at admission correctly identified patients at risk for falls (14/325 at-risk patients fell vs 0/147 low-risk patients; P=.01, χ2 test), but the Hendrich II Fall Risk Model score, nurse, and physician assessments individually did not. CONCLUSION: A multidisciplinary approach to fall risk assessment is feasible, correctly identifies patients at risk, and was associated with a reduction in inpatient falls. PMID:21193651

  5. Falls and falls efficacy: the role of sustained attention in older adults

    LENUS (Irish Health Repository)

    O'Halloran, Aisling M

    2011-12-19

    Abstract Background Previous evidence indicates that older people allocate more of their attentional resources toward their gait and that the attention-related changes that occur during aging increase the risk of falls. The aim of this study was to investigate whether performance and variability in sustained attention is associated with falls and falls efficacy in older adults. Methods 458 community-dwelling adults aged ≥ 60 years underwent a comprehensive geriatric assessment. Mean and variability of reaction time (RT), commission errors and omission errors were recorded during a fixed version of the Sustained Attention to Response Task (SART). RT variability was decomposed using the Fast Fourier Transform (FFT) procedure, to help characterise variability associated with the arousal and vigilance aspects of sustained attention. The number of self-reported falls in the previous twelve months, and falls efficacy (Modified Falls Efficacy Scale) were also recorded. Results Significant increases in the mean and variability of reaction time on the SART were significantly associated with both falls (p < 0.01) and reduced falls efficacy (p < 0.05) in older adults. An increase in omission errors was also associated with falls (p < 0.01) and reduced falls efficacy (p < 0.05). Upon controlling for age and gender affects, logistic regression modelling revealed that increasing variability associated with the vigilance (top-down) aspect of sustained attention was a retrospective predictor of falling (p < 0.01, OR = 1.14, 95% CI: 1.03 - 1.26) in the previous year and was weakly correlated with reduced falls efficacy in non-fallers (p = 0.07). Conclusions Greater variability in sustained attention is strongly correlated with retrospective falls and to a lesser degree with reduced falls efficacy. This cognitive measure may provide a novel and valuable biomarker for falls in older adults, potentially allowing for early detection and the implementation of preventative intervention

  6. Accelerometer-Measured Moderate to Vigorous Physical Activity and Incidence Rates of Falls in Older Women.

    Science.gov (United States)

    Buchner, David M; Rillamas-Sun, Eileen; Di, Chongzhi; LaMonte, Michael J; Marshall, Stephen W; Hunt, Julie; Zhang, Yuzheng; Rosenberg, Dori E; Lee, I-Min; Evenson, Kelly R; Herring, Amy H; Lewis, Cora E; Stefanick, Marcia L; LaCroix, Andrea Z

    2017-11-01

    To examine whether moderate to vigorous physical activity (MVPA) measured using accelerometry is associated with incident falls and whether associations differ according to physical function or history of falls. Prospective study with baseline data collection from 2012 to 2014 and 1 year of follow-up. Women's Health Initiative participants living in the United States. Ambulatory women aged 63 to 99 (N = 5,545). Minutes of MVPA per day measured using an accelerometer, functional status measured using the Short Physical Performance Battery (SPPB), fall risk factors assessed using a questionnaire, fall injuries assessed in a telephone interview, incident falls ascertained from fall calendars. Incident rate ratios (IRRs) revealed greater fall risk in women in the lowest quartile of MVPA compared to those in the highest (IRR = 1.18, 95% confidence interval = 1.01-1.38), adjusted for age, race and ethnicity, and fall risk factors. Fall rates were not significantly associated with MVPA in women with high SPPB scores (9-12) or one or fewer falls in the previous year, but in women with low SPPB scores (≤ 8) or a history of frequent falls, fall rates were higher in women with lower MVPA levels than in those with higher levels (interaction P Falls in women with MVPA above the median were less likely to involve injuries requiring medical treatment (9.9%) than falls in women with lower MVPA levels (13.0%) (P falls are not more common or injurious in older women who engage in higher levels of MVPA. These findings support encouraging women to engage in the amounts and types of MVPA that they prefer. Older women with low physical function or frequent falls with low levels of MVPA are a high-risk group for whom vigilance about falls prevention is warranted. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  7. Technical Note: Calibration and validation of geophysical observation models

    NARCIS (Netherlands)

    Salama, M.S.; van der Velde, R.; van der Woerd, H.J.; Kromkamp, J.C.; Philippart, C.J.M.; Joseph, A.T.; O'Neill, P.E.; Lang, R.H.; Gish, T.; Werdell, P.J.; Su, Z.

    2012-01-01

    We present a method to calibrate and validate observational models that interrelate remotely sensed energy fluxes to geophysical variables of land and water surfaces. Coincident sets of remote sensing observation of visible and microwave radiations and geophysical data are assembled and subdivided

  8. MLS/Aura Level 2 Diagnostics, Geophysical Parameter Grid V004

    Data.gov (United States)

    National Aeronautics and Space Administration — ML2DGG is the EOS Aura Microwave Limb Sounder (MLS) product containing geophysical diagnostic quantities pertaining directly to the standard geophysical data...

  9. Insomnia Symptoms and Cardiovascular Disease among Older American Indians: The Native Elder Care Study

    International Nuclear Information System (INIS)

    Sabanayagam, Ch.; Shankar, A.; Sabanayagam, Ch.; Buchwald, D.; Goins, R.T.

    2011-01-01

    Background. Cardiovascular disease (CVD) is the leading cause of death among American Indians. It is not known if symptoms of insomnia are associated with CVD in this population. Methods. We examined 449 American Indians aged =55 years from the Native Elder Care Study. The main outcome-of-interest was self-reported CVD. Results. Short sleep duration, daytime sleepiness, and difficulty falling asleep were positively associated with CVD after adjusting for demographic, lifestyle, and clinical risk factors. Compared with a sleep duration of 7 h, the multivariable odds ratio (OR) (95% confidence interval [CI]) of CVD among those with sleep duration =5 h was 2.89 (1.17-7.16). Similarly, the multivariable OR (95% CI) of CVD was 4.45 (1.85-10.72) and 2.60 (1.25-5.42) for daytime sleepiness >2 h and difficulty falling asleep often/always. Conclusion. Symptoms of insomnia including short sleep duration, daytime sleepiness, and difficulty falling asleep are independently associated with CVD in American Indians aged =55 years

  10. Improving prediction of fall risk among nursing home residents using electronic medical records.

    Science.gov (United States)

    Marier, Allison; Olsho, Lauren E W; Rhodes, William; Spector, William D

    2016-03-01

    Falls are physically and financially costly, but may be preventable with targeted intervention. The Minimum Data Set (MDS) is one potential source of information on fall risk factors among nursing home residents, but its limited breadth and relatively infrequent updates may limit its practical utility. Richer, more frequently updated data from electronic medical records (EMRs) may improve ability to identify individuals at highest risk for falls. The authors applied a repeated events survival model to analyze MDS 3.0 and EMR data for 5129 residents in 13 nursing homes within a single large California chain that uses a centralized EMR system from a leading vendor. Estimated regression parameters were used to project resident fall probability. The authors examined the proportion of observed falls within each projected fall risk decile to assess improvements in predictive power from including EMR data. In a model incorporating fall risk factors from the MDS only, 28.6% of observed falls occurred among residents in the highest projected risk decile. In an alternative specification incorporating more frequently updated measures for the same risk factors from the EMR data, 32.3% of observed falls occurred among residents in the highest projected risk decile, a 13% increase over the base MDS-only specification. Incorporating EMR data improves ability to identify those at highest risk for falls relative to prediction using MDS data alone. These improvements stem chiefly from the greater frequency with which EMR data are updated, with minimal additional gains from availability of additional risk factor variables. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  11. Integrated geophysical-geochemical methods for archaeological prospecting

    OpenAIRE

    Persson, Kjell

    2005-01-01

    A great number of field measurements with different methods and instruments were conducted in attempts to develop a method for an optimal combination of various geochemical and geophysical methods in archaeological prospecting. The research presented in this thesis focuses on a study of how different anthropogenic changes in the ground can be detected by geochemical and geophysical mapping and how the results can be presented. A six-year pilot project, Svealand in Vendel and Viking periods (S...

  12. Fall Risk, Supports and Services, and Falls Following a Nursing Home Discharge.

    Science.gov (United States)

    Noureldin, Marwa; Hass, Zachary; Abrahamson, Kathleen; Arling, Greg

    2017-09-04

    Falls are a major source of morbidity and mortality among older adults; however, little is known regarding fall occurrence during a nursing home (NH) to community transition. This study sought to examine whether the presence of supports and services impacts the relationship between fall-related risk factors and fall occurrence post NH discharge. Participants in the Minnesota Return to Community Initiative who were assisted in achieving a community discharge (N = 1459) comprised the study sample. The main outcome was fall occurrence within 30 days of discharge. Factor analyses were used to estimate latent models from variables of interest. A structural equation model (SEM) was estimated to determine the relationship between the emerging latent variables and falls. Fifteen percent of participants fell within 30 days of NH discharge. Factor analysis of fall-related risk factors produced three latent variables: fall concerns/history; activities of daily living impairments; and use of high-risk medications. A supports/services latent variable also emerged that included caregiver support frequency, medication management assistance, durable medical equipment use, discharge location, and receipt of home health or skilled nursing services. In the SEM model, high-risk medications use and fall concerns/history had direct positive effects on falling. Receiving supports/services did not affect falling directly; however, it reduced the effect of high-risk medication use on falling (p risk of falling post NH discharge. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  13. Activities and Plan of the Center for Geophysics (Beijing from WDC to WDS

    Directory of Open Access Journals (Sweden)

    Fenglin Peng

    2013-01-01

    Full Text Available In this report we introduce the development of the WDC for Geophysics, Beijing included our activities in the electronic Geophysical Year (eGY and in the transition period from WDC to WDS. We also present our future plans. We have engaged in the development of geophysical informatics and related data science. We began the data visualization of geomagnetic fields in the GIS system. Our database has been expanded from geomagnetic data to the data of solid geophysics, including geothermal data, gravity data, and the records of aurora sightings in ancient China. We also joined the study of the history of the development of geophysics in China organized by the Chinese Geophysical Society (CGS.

  14. Impact of Diabetic Complications on Balance and Falls: Contribution of the Vestibular System.

    Science.gov (United States)

    D'Silva, Linda J; Lin, James; Staecker, Hinrich; Whitney, Susan L; Kluding, Patricia M

    2016-03-01

    Diabetes causes many complications, including retinopathy and peripheral neuropathy, which are well understood as contributing to gait instability and falls. A less understood complication of diabetes is the effect on the vestibular system. The vestibular system contributes significantly to balance in static and dynamic conditions by providing spatially orienting information. It is noteworthy that diabetes has been reported to affect vestibular function in both animal and clinical studies. Pathophysiological changes in peripheral and central vestibular structures due to diabetes have been noted. Vestibular dysfunction is associated with impaired balance and a higher risk of falls. As the prevalence of diabetes increases, so does the potential for falls due to diabetic complications. The purpose of this perspective article is to present evidence on the pathophysiology of diabetes-related complications and their influence on balance and falls, with specific attention to emerging evidence of vestibular dysfunction due to diabetes. Understanding this relationship may be useful for screening (by physical therapists) for possible vestibular dysfunction in people with diabetes and for further developing and testing the efficacy of interventions to reduce falls in this population. © 2016 American Physical Therapy Association.

  15. Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States.

    Directory of Open Access Journals (Sweden)

    Santosh K Verma

    Full Text Available Falls are the leading cause of unintentional injuries in the U.S.; however, national estimates for all community-dwelling adults are lacking. This study estimated the national incidence of falls and fall-related injuries among community-dwelling U.S. adults by age and gender and the trends in fall-related injuries across the adult life span.Nationally representative data from the National Health Interview Survey (NHIS 2008 Balance and Dizziness supplement was used to develop national estimates of falls, and pooled data from the NHIS was used to calculate estimates of fall-related injuries in the U.S. and related trends from 2004-2013. Costs of unintentional fall-related injuries were extracted from the CDC's Web-based Injury Statistics Query and Reporting System.Twelve percent of community-dwelling U.S. adults reported falling in the previous year for a total estimate of 80 million falls at a rate of 37.2 falls per 100 person-years. On average, 9.9 million fall-related injuries occurred each year with a rate of 4.38 fall-related injuries per 100 person-years. In the previous three months, 2.0% of older adults (65+, 1.1% of middle-aged adults (45-64 and 0.7% of young adults (18-44 reported a fall-related injury. Of all fall-related injuries among community-dwelling adults, 32.3% occurred among older adults, 35.3% among middle-aged adults and 32.3% among younger adults. The age-adjusted rate of fall-related injuries increased 4% per year among older women (95% CI 1%-7% from 2004 to 2013. Among U.S. adults, the total lifetime cost of annual unintentional fall-related injuries that resulted in a fatality, hospitalization or treatment in an emergency department was 111 billion U.S. dollars in 2010.Falls and fall-related injuries represent a significant health and safety problem for adults of all ages. The findings suggest that adult fall prevention efforts should consider the entire adult lifespan to ensure a greater public health benefit.

  16. Fall prevention and monitoring of assisted living patients: an exploratory study of physician perspectives.

    Science.gov (United States)

    Nyrop, Kirsten A; Zimmerman, Sheryl; Sloane, Philip D; Bangdiwala, Srikant

    2012-06-01

    Explore physician perspectives on their involvement in fall prevention and monitoring for residential care/assisted living (RC/AL) residents. Exploratory cross-sectional study; mailed questionnaire. Four RC/AL communities, North Carolina. Primary physicians for RC/AL residents. Past Behavior and future Intentions of physicians with regard to (1) fall risk assessment and (2) collaboration with RC/AL staff to reduce falls and fall risks among RC/AL residents were explored using Theory of Planned Behavior (TPB) constructs. Predictor variables examined (1) physicians' views on their own responsibilities (Attitude), (2) their views of expectations from important referent groups (Subjective Norms), and (3) perceived constraints on engaging in fall prevention and monitoring (Perceived Behavioral Control). Physicians reported conducting fall risk assessments of 47% of RC/AL patients and collaborating with RC/AL staff to reduce fall risks for 36% of RC/AL patients (Behavior). These proportions increased to 75% and 62%, respectively, for future Intentions. TPB-based models explained approximately 60% of the variance in self-reported Behavior and Intentions. Physician's involvement in fall prevention and monitoring was significantly associated (P beliefs regarding their involvement in fall risk assessment of RC/AL patients and collaboration with RC/AL staff to reduce fall risks of individual patients. Challenges to physician involvement identified in our study are not unique or specific to the RC/AL setting, and instead relate to clinical practice and reimbursement constraints in general. Copyright © 2012 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  17. Improved extraction of hydrologic information from geophysical data through coupled hydrogeophysical inversion

    Energy Technology Data Exchange (ETDEWEB)

    Hinnell, A.C.; Ferre, T.P.A.; Vrugt, J.A.; Huisman, J.A.; Moysey, S.; Rings, J.; Kowalsky, M.B.

    2009-11-01

    There is increasing interest in the use of multiple measurement types, including indirect (geophysical) methods, to constrain hydrologic interpretations. To date, most examples integrating geophysical measurements in hydrology have followed a three-step, uncoupled inverse approach. This approach begins with independent geophysical inversion to infer the spatial and/or temporal distribution of a geophysical property (e.g. electrical conductivity). The geophysical property is then converted to a hydrologic property (e.g. water content) through a petrophysical relation. The inferred hydrologic property is then used either independently or together with direct hydrologic observations to constrain a hydrologic inversion. We present an alternative approach, coupled inversion, which relies on direct coupling of hydrologic models and geophysical models during inversion. We compare the abilities of coupled and uncoupled inversion using a synthetic example where surface-based electrical conductivity surveys are used to monitor one-dimensional infiltration and redistribution.

  18. American Indians in Graduate Education.

    Science.gov (United States)

    Kidwell, Clara Sue

    1989-01-01

    The number of American Indians enrolled in institutions of higher education is very small. Enrollment figures for fall 1984 show Indians made up .68% of the total enrollment in institutions of higher education in the country, but only 15% of them were in universities. Their largest representation was in two-year institutions, where 54% of Indian…

  19. The Association Between Fall Frequency, Injury Risk, and Characteristics of Falls in Older Residents of Long-Term Care: Do Recurrent Fallers Fall More Safely?

    Science.gov (United States)

    van Schooten, Kimberley S; Yang, Yijian; Feldman, Fabio; Leung, Ming; McKay, Heather; Sims-Gould, Joanie; Robinovitch, Stephen N

    2018-05-09

    Although a fall is a necessary prerequisite to a fall-related injury, previous studies suggest that frequent fallers are at lower injury risk for a given fall. We tested the hypotheses that differences in protective responses or the circumstances of falls underlie differences in injury risk with fall frequency. We analyzed video footage of 897 falls experienced by 220 long-term care residents (mean age 82 ± 9 years) to identify the cause of imbalance, activity leading to falling, direction of fall initiation, balance recovery and fall protective responses, and occurrence of impact to the head or hip. We further obtained injury information from the facilities' fall registration. We used generalized estimating equation models to examine the association between quartiles of fall frequency, injury risk, and fall characteristics. Residents with the highest fall frequency group (Q4; ≥5.6 falls/year) were less likely to sustain an injury per fall. They were less likely to fall during walking and more likely to fall during stand-to-sit transfers. Residents in the lowest fall frequency group (Q1; falls/year) were more likely to fall during walking, and walking was associated with an increased risk for injury. When compared to less frequent fallers, more frequent fallers had a lower risk for injury per fall. This appeared to be explained by differences in the circumstances of falls, and not by protective responses. Injury prevention strategies in long-term care should target both frequent and infrequent fallers, as the latter are more mobile and apt to sustain injury.

  20. Exploring Older Adult ED Fall Patients' Understanding of Their Fall: A Qualitative Study.

    Science.gov (United States)

    Shankar, Kalpana N; Taylor, Devon; Rizzo, Caroline T; Liu, Shan W

    2017-12-01

    We sought to understand older patients' perspectives about their fall, fall risk factors, and attitude toward emergency department (ED) fall-prevention interventions. We conducted semistructured interviews between July 2015 and January 2016 of community-dwelling, nondemented patients in the ED, who presented with a fall to an urban, teaching hospital. Interviews were halted once we achieve thematic saturation with the data coded and categorized into themes. Of the 63 patients interviewed, patients blamed falls on the environment, accidents, a medical condition, or themselves. Three major themes were generated: (1) patients blamed falls on a multitude of things but never acknowledged a possible multifactorial rationale, (2) patients have variable level of concerns regarding their current fall and future fall risk, and (3) patients demonstrated a range of receptiveness to ED interventions aimed at preventing falls but provided little input as to what those interventions should be. Many older patients who fall do not understand their fall risk. However, based on the responses provided, older adults tend to be more receptive to intervention and more concerned about their future fall risk, making the ED an appropriate setting for intervention.

  1. The Migration of African Americans to the Canadian Football League during the mid-20th Century: An Escape from Discrimination?

    OpenAIRE

    Neil Longley; Todd Crosset; Steve Jefferson

    2007-01-01

    The institutional racial discrimination that existed in American professional team sports prior to World War II resulted in African American players effectively being barred from playing in the major professional leagues. Although the NFL color barrier did officially fall in 1946, to be quickly followed by the fall of the MLB color barrier one year later when Jackie Robinson made his debut for the Brooklyn Dodgers, these events were just the beginning of the struggles for African American ath...

  2. PREFACE: Padjadjaran Earth Dialogues: International Symposium on Geophysical Issues, PEDISGI

    Science.gov (United States)

    Rosandi, Y.; Urbassek, H. M.; Yamanaka, H.

    2016-01-01

    This issue of IOP Conference Series: Earth and Environmental Science contains selected papers presented at the Padjadjaran Earth Dialogues: International Symposium on Geophysical Issues, PEDISGI. The meeting was held from June 8 to 10, 2015, at the Bale-Sawala of Universitas Padjadjaran in Jatinangor, Indonesia. The PEDISGI is a symposium to accommodate communication between researchers, in particular geophysicists and related scientists, and to enable sharing of knowledge and research findings concerning local and global geophysical issues. The symposium was attended by 126 participants and 64 contributors from Indonesian universities and the neighbouring countries in four categories, viz. Theoretical and Computational Geophysics, Environmental Geophysics, Geophysical Explorations, and Geophysical Instrumentations and Methods. The symposium was accompanied by a dialog, discussing a chosen topic regarding environmental and geological problems of relevance for the Indonesian archipelago and the surrounding regions. For this first event the topic was ''The formation of Bandung-Basin between myths and facts: Exemplary cultural, geological and geophysical study on the evolution of the earth surface'', presented by invited speakers and local experts. This activity was aimed at extending our knowledge on this particular subject, which may have global impact. This topic was augmented by theoretical background lectures on the earth's surface formation, presented by the invited speakers of the symposium. The meeting would not have been successful without the assistance of the local organizing committee. We want to specially thank Irwan A. Dharmawan for managing the programme, Anggie Susilawati and Mia U. Hasanah for the conference administration, and Dini Fitriani for financial management. We also thank the National Geographic Indonesia for its support via the Business to Business Collaboration Program. The conference photograph can be viewed in the PDF.

  3. Medication use and fall-risk assessment for falls in an acute care hospital.

    Science.gov (United States)

    Chiu, Ming-Huang; Lee, Hsin-Dai; Hwang, Hei-Fen; Wang, Shih-Chieh; Lin, Mau-Roung

    2015-07-01

    A nested case-control study was carried out to examine relationships of a fall-risk score and the use of single medications and polypharmacy with falls among hospitalized patients aged 50 years and older in Taiwan. There were 83 patients who experienced a fall during hospitalization in an acute-care hospital. Matched by age and sex, five control patients for each case were randomly selected from all other inpatients who had not experienced any fall at the time of the index fall. Patients who took tricyclic antidepressants, diuretics, and narcotics were 3.36-, 1.83- and 2.09-fold, respectively, more likely to experience a fall than their counterparts. Conversely, patients who took beta-blockers were 0.34-fold more likely than those who did not take them to experience a fall. Patients taking ≥6 medications were 3.08-fold more likely than those taking fewer medications to experience a fall, whereas those with anxiety were 4.72-fold more likely to experience a fall than those without. A high fall-risk score was not significantly associated with the occurrence of falls. Among older hospitalized patients, tricyclic antidepressants, diuretics, narcotics, and polypharmacy should be mindfully prescribed and reviewed on a regular basis. A fall-risk scale developed from community-dwelling older people might not accurately predict falls in hospitalized patients. Further research to validate the negative effect of beta-blocker use on falls is required. © 2014 Japan Geriatrics Society.

  4. Falling and fall risk factors in adults with haemophilia: an exploratory study.

    Science.gov (United States)

    Sammels, M; Vandesande, J; Vlaeyen, E; Peerlinck, K; Milisen, K

    2014-11-01

    Falls are a particular risk in persons with haemophilia (PWH) because of damaged joints, high risk of bleeding, possible impact on the musculoskeletal system and functioning and costs associated with treatment for these fall-related injuries. In addition, fall risk increases with age and PWH are increasingly entering the over 65 age group. The aim of this study was to determine the occurrence of falls during the past year and to explore which fall risk factors are present in community-dwelling PWH. Dutch speaking community-dwelling adults were included from the age of 40 years with severe or moderate haemophilia A or B, independent in their mobility and registered at the University Hospitals Leuven. They were asked to come to the haemophilia centre; otherwise a telephone survey was conducted. Demographic and social variables, medical variables, fall evaluation and clinical variables were queried. From the 89 PWH, 74 (83.1%) participated in the study. Twenty-four (32.4%) fell in the past year, and 10 of them (41.7%) more than once with an average of four falls. Living conditions, physical activity, avoidance of winter sports due to fear of falling, orthopaedic status, urinary incontinence and mobility impairments are potential fall risk factors in adult PWH. This exploratory study indicates that PWH are attentive to falling since they are at higher risk for falls and because of the serious consequences it might have. Screening and fall prevention should be stimulated in the daily practice of haemophilia care. © 2014 John Wiley & Sons Ltd.

  5. Geophysical methods in protected environments. Electrical resistivity tomography

    International Nuclear Information System (INIS)

    Rubio Sánchez-Aguililla, F.M.; Ramiro-Camacho, A.; Ibarra Torre, P.

    2017-01-01

    There is a strong interest in protecting the environment with the aim of its long term preservation. Sometimes the heritage value of these natural areas is related to their biodiversity as there are restricted ecosystems that depend directly on them. In other cases there a singular geological record might exist, essential for the understanding of certain processes affecting the planet, such as volcanic events or glacial periods. To achieve the protection and conservation of these areas it is necessary to generate knowledge about the distribution of geological materials and groundwater masses, to study the parameters that dominate the behaviour of these systems and then define those elements that require special protection or attention. In these protected environments, research methods with a minimal environmental impact should be used. Therefore, indirect methods, such as geophysical techniques, are reliable and complementary tools with a minimum environmental impact and are therefore useful for research these unique areas. The IGME has conducted several geophysical surveys in different protected environments in Spain with the aim of achieving a better understanding, and thus facilitate their preservation and exploitation in a sustainable manner. In this paper we present a review of some case studies where geophysical methods have been used. In all the cases electrical resistivity tomography has been the axis of the geophysical research and stands out due to its great effectiveness. The main objective of this communication is to divulgate and increase awareness of the important role that these geophysical methods can play in the sustainable study of these unique places. [es

  6. Borehole geophysics in nuclear power plant siting

    International Nuclear Information System (INIS)

    Crosby, J.W.; Scott, J.D.

    1979-01-01

    Miniaturized borehole geophysical equipment designed for use in ground-water investigations can be adapted to investigations of nuclear power plant sites. This equipment has proved to be of value in preliminary and comprehensive studies of interior basins where thick sequences of Quaternary clastic sediment, occasionally with associated volcanic rocks, pose problems of stratigraphic correlation. The unconsolidated nature of the deposits generally requires that exploratory holes be cased, which ordinarily restricts the borehole geophysical studies to the radiation functions--natural gamma, gamma-gamma, neutron-gamma, and neutron-epithermal neutron logs. Although a single log response may be dominant in a given area, correlations derive from consideration of all log responses as a composite group. Because major correlations usually are based upon subtle differences in the physical properties of the penetrated sediment, high-resolution logging procedures are employed with some sacrifice of the quantitative perameters important to petroleum technology. All geophysical field data are recorded as hard copy and as digital information on punched paper tape

  7. Which Fall Ascertainment Method Captures Most Falls in Pre-Frail and Frail Seniors?

    Science.gov (United States)

    Teister, Corina J; Chocano-Bedoya, Patricia O; Orav, Endel J; Dawson-Hughes, Bess; Meyer, Ursina; Meyer, Otto W; Freystaetter, Gregor; Gagesch, Michael; Rizzoli, Rene; Egli, Andreas; Theiler, Robert; Kanis, John A; Bischoff-Ferrari, Heike A

    2018-06-15

    There is no consensus on most reliable falls ascertainment method. Therefore, we investigated which method captures most falls among pre-frail and frail seniors from two randomized controlled trials conducted in Zurich, Switzerland, a 18-month trial (2009-2010) including 200 community-dwelling pre-frail seniors with a prior fall and a 12-month trial (2005-2008) including 173 frail seniors with acute hip fracture. Both included the same fall ascertainment methods: monthly active-asking, daily self-report diary, and a call-in hotline. We compared number of falls reported and estimated overall and positive percent agreement between methods. Pre-frail seniors reported 499 falls (rate = 2.5/year) and frail seniors reported 205 falls (rate = 1.4/year). Most falls were reported by active-asking: 81% of falls in pre-frail, and 78% in frail seniors. Among pre-frail seniors, diaries captured additional 19% falls, while hotline added none. Among frail seniors, hotline added 16% falls, while diaries added 6%. The positive percent agreement between active-asking and diary was 100% among pre-frail and 88% among frail seniors. While monthly active-asking captures most falls in both groups, this method alone missed 19% of falls in pre-frail and 22% in frail seniors. Thus, a combination of active-asking and diaries for pre-frail, and active-asking and the hotline for frail seniors is warranted.

  8. Unified Geophysical Cloud Platform (UGCP) for Seismic Monitoring and other Geophysical Applications.

    Science.gov (United States)

    Synytsky, R.; Starovoit, Y. O.; Henadiy, S.; Lobzakov, V.; Kolesnikov, L.

    2016-12-01

    We present Unified Geophysical Cloud Platform (UGCP) or UniGeoCloud as an innovative approach for geophysical data processing in the Cloud environment with the ability to run any type of data processing software in isolated environment within the single Cloud platform. We've developed a simple and quick method of several open-source widely known software seismic packages (SeisComp3, Earthworm, Geotool, MSNoise) installation which does not require knowledge of system administration, configuration, OS compatibility issues etc. and other often annoying details preventing time wasting for system configuration work. Installation process is simplified as "mouse click" on selected software package from the Cloud market place. The main objective of the developed capability was the software tools conception with which users are able to design and install quickly their own highly reliable and highly available virtual IT-infrastructure for the organization of seismic (and in future other geophysical) data processing for either research or monitoring purposes. These tools provide access to any seismic station data available in open IP configuration from the different networks affiliated with different Institutions and Organizations. It allows also setting up your own network as you desire by selecting either regionally deployed stations or the worldwide global network based on stations selection form the global map. The processing software and products and research results could be easily monitored from everywhere using variety of user's devices form desk top computers to IT gadgets. Currents efforts of the development team are directed to achieve Scalability, Reliability and Sustainability (SRS) of proposed solutions allowing any user to run their applications with the confidence of no data loss and no failure of the monitoring or research software components. The system is suitable for quick rollout of NDC-in-Box software package developed for State Signatories and aimed for

  9. Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States

    Science.gov (United States)

    Verma, Santosh K.; Willetts, Joanna L.; Corns, Helen L.; Marucci-Wellman, Helen R.; Lombardi, David A.; Courtney, Theodore K.

    2016-01-01

    Introduction Falls are the leading cause of unintentional injuries in the U.S.; however, national estimates for all community-dwelling adults are lacking. This study estimated the national incidence of falls and fall-related injuries among community-dwelling U.S. adults by age and gender and the trends in fall-related injuries across the adult life span. Methods Nationally representative data from the National Health Interview Survey (NHIS) 2008 Balance and Dizziness supplement was used to develop national estimates of falls, and pooled data from the NHIS was used to calculate estimates of fall-related injuries in the U.S. and related trends from 2004–2013. Costs of unintentional fall-related injuries were extracted from the CDC’s Web-based Injury Statistics Query and Reporting System. Results Twelve percent of community-dwelling U.S. adults reported falling in the previous year for a total estimate of 80 million falls at a rate of 37.2 falls per 100 person-years. On average, 9.9 million fall-related injuries occurred each year with a rate of 4.38 fall-related injuries per 100 person-years. In the previous three months, 2.0% of older adults (65+), 1.1% of middle-aged adults (45–64) and 0.7% of young adults (18–44) reported a fall-related injury. Of all fall-related injuries among community-dwelling adults, 32.3% occurred among older adults, 35.3% among middle-aged adults and 32.3% among younger adults. The age-adjusted rate of fall-related injuries increased 4% per year among older women (95% CI 1%–7%) from 2004 to 2013. Among U.S. adults, the total lifetime cost of annual unintentional fall-related injuries that resulted in a fatality, hospitalization or treatment in an emergency department was 111 billion U.S. dollars in 2010. Conclusions Falls and fall-related injuries represent a significant health and safety problem for adults of all ages. The findings suggest that adult fall prevention efforts should consider the entire adult lifespan to ensure a

  10. Near-falls in people with Parkinson's disease: Circumstances, contributing factors and association with falling.

    Science.gov (United States)

    Gazibara, Tatjana; Kisic Tepavcevic, Darija; Svetel, Marina; Tomic, Aleksandra; Stankovic, Iva; Kostic, Vladimir S; Pekmezovic, Tatjana

    2017-10-01

    To describe circumstances of near-falls among persons with Parkinson's disease (PD), assess factors associated with near-falling and assess whether near-falls in the first 6 months are associated with falling in the latter 6 months over one year of follow-up. In the period August 2011-December 2012, 120 consecutive persons with PD, who denied having fallen in the past 6 months, were recruited at Clinical center of Serbia in Belgrade. Occurrence of falling and near-falls was followed for one year. A total of 31 persons with PD (25.8%) experienced near-falls, but did not fall. Of 42 fallers, 32 (76.2%) experienced near-falls. Tripping was the most common cause of near-falls among fallers, whereas postural instability was the most common in non-fallers. Regardless of falling experience, the most common manner to avoid fall was holding onto furniture or wall. After adjustment for multiple motor and non-motor PD features, more severe freezing of gait was associated with occurrence of near-falls over one year of follow-up (odds ratio [OR]=1.08, 95% confidence interval [CI] 1.01-1.16; p=0.043). Adjusted regression analysis did not show associations between near-falling in the first 6 months and falling in the latter 6 months of follow-up. Near-falls commonly occur in persons with PD. More severe freezing of gait appears to predispose near-falling. Fall prevention programs focusing on balance maintenance when experiencing freezing of gait could potentially be useful in reduction of near-falls. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. East Chestnut Ridge hydrogeologic characterization: A geophysical study of two karst features

    International Nuclear Information System (INIS)

    1991-01-01

    Permitting and site selection activities for the proposed East Chestnut Ridge landfill, located on the Oak Ridge Reservation, have required additional hydrogeologic studies of two karst features. Geophysical testing methods were utilized for investigating these karst features. The objectives of the geophysical testing was to determine the feasibility of geophysical techniques for locating subsurface karst features and to determine if subsurface anomalies exist at the proposed landfill site. Two karst features, one lacking surface expression (sinkhole) but with a known solution cavity at depth (from previous hydrologic studies), and the other with surface expression were tested with surface geophysical methods. Four geophysical profiles, two crossing and centered over each karst feature were collected using both gravimetric and electrical resistivity techniques

  12. Getting to Know U: The Story behind American University's Brand Campaign

    Science.gov (United States)

    Flannery, Teresa M.

    2012-01-01

    This article discusses the story behind American University's brand campaign. Colleagues and peers are asking how American University developed a brand strategy--"KNOW/WONK" campaign that launched in fall 2010--that's original, authentic, and representative of AU's distinctive personality. What they really want to know is how AU got it through the…

  13. Geriatric fall-related injuries.

    African Journals Online (AJOL)

    Conclusion: The majority of geriatric fall-related injuries were due to fall from the same level at home. Assessment of risk fac- tors for falls including home hazards is essential for prevention of geriatric fall-related injuries. Keywords: Accidental fall, geriatrics, injury, trauma registry. DOI: http://dx.doi.org/10.4314/ahs.v16i2.24.

  14. Prevalence and cost of imaging in inpatient falls: the rising cost of falling

    Directory of Open Access Journals (Sweden)

    Fields J

    2015-06-01

    Full Text Available Jessica Fields,1 Tahani Alturkistani,2 Neal Kumar,3 Arjun Kanuri,3 Deeb N Salem,1 Samson Munn,2 Deborah Blazey-Martin1 1Department of Medicine, Tufts Medical Center, Boston, MA, USA; 2Department of Radiology, Tufts Medical Center, Boston, MA, USA; 3Tufts University School of Medicine, Boston, MA, USA Objective: To quantify the type, prevalence, and cost of imaging following inpatient falls, identify factors associated with post-fall imaging, and determine correlates of positive versus negative imaging. Design: Single-center retrospective cohort study of inpatient falls. Data were collected from the hospital's adverse event reporting system, DrQuality. Age, sex, date, time, and location of fall, clinical service, Morse Fall Scale/fall protocol, admitting diagnosis, and fall-related imaging studies were reviewed. Cost included professional and facilities fees for each study. Setting: Four hundred and fifteen bed urban academic hospital over 3 years (2008–2010. Patients: All adult inpatient falls during the study period were included. Falls experienced by patients aged <18 years, outpatient and emergency patients, visitors to the hospital, and staff were excluded. Measurements and main results: Five hundred and thirty inpatient falls occurred during the study period, average patient age 60.7 years (range 20–98. More than half of falls were men (55% and patients considered at risk of falls (56%. Falls were evenly distributed across morning (33%, evening (34%, and night (33% shifts. Of 530 falls, 178 (34% patients were imaged with 262 studies. Twenty percent of patients imaged had at least one positive imaging study attributed to the fall and 82% of studies were negative. Total cost of imaging was $160,897, 63% ($100,700 from head computed tomography (CT. Conclusion: Inpatient falls affect patients of both sexes, all ages, occur at any time of day and lead to expensive imaging, mainly from head CTs. Further study should be targeted toward

  15. Geophysical Investigations at the Hanna's Town Cemetery, Westmoreland County, Pennsylvania

    Science.gov (United States)

    Taylor, Ashley D.

    Hanna's Town (36WM203), an 18th century site located in Westmoreland County, Pennsylvania, was a major frontier settlement that was attacked and destroyed by a force of British and Native Americans in 1782. The town never fully recovered, and by the early 1800s, no buildings remained from the settlement. The land was repurposed for agricultural use until it was purchased by the Westmoreland County Historical Society, who reconstructed the town for tourism and educational purposes. In addition to the town, the site also contains a cemetery that currently has five headstones. There are several stone fragments in storage that are no longer associated with burials, providing evidence that the cemetery may contain unmarked graves. Geophysical investigations using ground penetrating radar, magnetometry, and electrical resistance were performed to examine the presence of additional grave shafts in and adjacent to the present-day cemetery.

  16. Validation of the Saskatoon Falls Prevention Consortium's Falls Screening and Referral Algorithm

    Science.gov (United States)

    Lawson, Sara Nicole; Zaluski, Neal; Petrie, Amanda; Arnold, Cathy; Basran, Jenny

    2013-01-01

    ABSTRACT Purpose: To investigate the concurrent validity of the Saskatoon Falls Prevention Consortium's Falls Screening and Referral Algorithm (FSRA). Method: A total of 29 older adults (mean age 77.7 [SD 4.0] y) residing in an independent-living senior's complex who met inclusion criteria completed a demographic questionnaire and the components of the FSRA and Berg Balance Scale (BBS). The FSRA consists of the Elderly Fall Screening Test (EFST) and the Multi-factor Falls Questionnaire (MFQ); it is designed to categorize individuals into low, moderate, or high fall-risk categories to determine appropriate management pathways. A predictive model for probability of fall risk, based on previous research, was used to determine concurrent validity of the FSRI. Results: The FSRA placed 79% of participants into the low-risk category, whereas the predictive model found the probability of fall risk to range from 0.04 to 0.74, with a mean of 0.35 (SD 0.25). No statistically significant correlation was found between the FSRA and the predictive model for probability of fall risk (Spearman's ρ=0.35, p=0.06). Conclusion: The FSRA lacks concurrent validity relative to to a previously established model of fall risk and appears to over-categorize individuals into the low-risk group. Further research on the FSRA as an adequate tool to screen community-dwelling older adults for fall risk is recommended. PMID:24381379

  17. Marine Geology and Geophysics Field Course Offered by The University of Texas Institute for Geophysics

    Science.gov (United States)

    Duncan, D.; Davis, M. B.; Allison, M. A.; Gulick, S. P.; Goff, J. A.; Saustrup, S.

    2012-12-01

    The University of Texas Institute for Geophysics, part of the Jackson School of Geosciences, annually offers an intensive three-week marine geology and geophysics field course during the spring-summer intersession. Now in year six, the course provides hands-on instruction and training for graduate and upper-level undergraduate students in data acquisition, processing, interpretation, and visualization. Techniques covered include high-resolution seismic reflection, CHIRP sub-bottom profiling, multibeam bathymetry, sidescan sonar, several types of sediment coring, grab sampling, and the sedimentology of resulting seabed samples (e.g., core description, grain size analysis, x-radiography, etc.). Students participate in an initial period of classroom instruction designed to communicate geological context of the field area (which changes each year) along with theoretical and technical background on each field method. The class then travels to the Gulf Coast for a week of at-sea field work. Our field sites at Port Aransas and Galveston, Texas, and Grand Isle, Louisiana, have provided ideal locations for students to investigate coastal and sedimentary processes of the Gulf Coast and continental shelf through application of geophysical techniques. In the field, students rotate between two research vessels: one vessel, the 22' aluminum-hulled R/V Lake Itasca, owned and operated by UTIG, is used principally for multibeam bathymetry, sidescan sonar, and sediment sampling; the other, NOAA's R/V Manta or the R/V Acadiana, operated by the Louisiana Universities Marine Consortium, and is used primarily for high-resolution seismic reflection, CHIRP sub-bottom profiling, multibeam bathymetry, gravity coring, and vibrocoring. While at sea, students assist with survey design, learn instrumentation set up, acquisition parameters, data quality control, and safe instrument deployment and retrieval. In teams of three, students work in onshore field labs preparing sediment samples for

  18. Overview of Effective Geophysical Methods Used in the Study of ...

    African Journals Online (AJOL)

    Abstract. The Application of various Geophysical Techniques for the assessment of the extent of ... ineffective Geophysical Method may not give true picture of the overall level of pollution in the .... stations shut down or maintenance which halt ...

  19. The University of Texas Institute for Geophysics' Marine Geology and Geophysics Field Course: A Hand-On Education Approach to Applied Geophysics

    Science.gov (United States)

    Davis, M. B.; Goff, J.; Gulick, S. P. S.; Fernandez, R.; Duncan, D.; Saustrup, S.

    2016-12-01

    The University of Texas Institute for Geophysics, Jackson School of Geosciences, offers a 3-week marine geology and geophysics field course. The course provides hands-on instruction and training for graduate and upper-level undergraduate students in high-resolution seismic reflection, CHIRP sub-bottom profiling, multibeam bathymetry, sidescan sonar, and sediment sampling and analysis. Students first participate in 3 days of classroom instruction designed to communicate geological context of the field area along with theoretical and technical background on each field method. The class then travels to the Gulf Coast for a week of at-sea field work at locations that provide an opportunity to investigate coastal and continental shelf processes. Teams of students rotate between UTIG's 26' R/V Scott Petty and NOAA's 82' R/V Manta. They assist with survey design, instrumentation set up, and learn about acquisition, quality control, and safe instrument deployment. Teams also process data and analyze samples in onshore field labs. During the final week teams integrate, interpret, and visualize data in a final project using industry-standard software. The course concludes with team presentations on their interpretations with academic and industry supporters. Students report a greater understanding of marine geology and geophysics through the course's intensive, hands-on, team approach and high instructor/student ratio (sixteen students, three faculty, and three teaching assistants). Post-class, students may incorporate course data in senior honors or graduate thesis and are encouraged to publish and present results at national meetings. This course (to our knowledge) remains the only one of its kind, satisfies field experience requirements for some degree programs, and provides an alternative to land-based field courses. Alumni note the course's applicability to energy, environmental, and geotechnical industries as well as coastal restoration/management fields.

  20. Mobile geophysics for searching and exploration of Domanic hydrocarbon deposits

    Science.gov (United States)

    Borovsky, M. Ya; Uspensky, B. V.; Valeeva, S. E.; Borisov, A. S.

    2018-05-01

    There are noted features of shale hydrocarbons occurrence. It is shown the role of geophysical prospecting in the geological prospecting process for non-traditional sources of hydrocarbon. There are considered the possibilities of non-seismic methods for forecasting, prospecting, exploration and preparation of Domanikovian hydrocarbons accumulations for exploration. It is emphasized the need for geophysical studies of tectonic disturbances. Modern aerogeophysical instrumentation and methodological support allows to combine high-precision magneto-prospecting with gravimetric and gamma spectrometry. This combination of geophysical methods contributes to the diagnosis of active and latent faults.

  1. A vibration correction method for free-fall absolute gravimeters

    Science.gov (United States)

    Qian, J.; Wang, G.; Wu, K.; Wang, L. J.

    2018-02-01

    An accurate determination of gravitational acceleration, usually approximated as 9.8 m s-2, has been playing an important role in the areas of metrology, geophysics, and geodetics. Absolute gravimetry has been experiencing rapid developments in recent years. Most absolute gravimeters today employ a free-fall method to measure gravitational acceleration. Noise from ground vibration has become one of the most serious factors limiting measurement precision. Compared to vibration isolators, the vibration correction method is a simple and feasible way to reduce the influence of ground vibrations. A modified vibration correction method is proposed and demonstrated. A two-dimensional golden section search algorithm is used to search for the best parameters of the hypothetical transfer function. Experiments using a T-1 absolute gravimeter are performed. It is verified that for an identical group of drop data, the modified method proposed in this paper can achieve better correction effects with much less computation than previous methods. Compared to vibration isolators, the correction method applies to more hostile environments and even dynamic platforms, and is expected to be used in a wider range of applications.

  2. Geophysical experiments at Mariano Lake uranium orebody

    International Nuclear Information System (INIS)

    Thompson, D.T.

    1980-01-01

    Several geophysical experiments were performed over the Mariano Lake orebody before mining. Surface self-potential methods, surface-to-hole induced-polarization methods, and reflection-seismic methods were used. These geophysical techniques provided data which relate to the conceptual model of this orebody. Currents generated in the productive formation by oxidation-reduction reactions do not generate measurable potential anomalies at the surface. Surface-to-hole induced-polarization measurements apparently can detect an oxidation-reduction front in the vicinity of an exploration borehole. Reflection-seismic techniques can provide information concening the paleostructure of the area

  3. Nurses' Perceptions of Implementing Fall Prevention Interventions to Mitigate Patient-Specific Fall Risk Factors.

    Science.gov (United States)

    Wilson, Deleise S; Montie, Mary; Conlon, Paul; Reynolds, Margaret; Ripley, Robert; Titler, Marita G

    2016-08-01

    Evidence-based (EB) fall prevention interventions to mitigate patient-specific fall risk factors are readily available but not routinely used in practice. Few studies have examined nurses' perceptions about both the use of these EB interventions and implementation strategies designed to promote their adoption. This article reports qualitative findings of nurses' perceptions about use of EB fall prevention interventions to mitigate patient-specific fall risks, and implementation strategies to promote use of these interventions. The findings revealed five major themes: before-study fall prevention practices, use of EB fall prevention interventions tailored to patient-specific fall risk factors, beneficial implementation strategies, overall impact on approach to fall prevention, and challenges These findings are useful to guide nurses' engagement and use of EB fall prevention practices tailored to patient-specific fall risk factors. © The Author(s) 2016.

  4. Geophysical mapping of complex glaciogenic large-scale structures

    DEFF Research Database (Denmark)

    Høyer, Anne-Sophie

    2013-01-01

    This thesis presents the main results of a four year PhD study concerning the use of geophysical data in geological mapping. The study is related to the Geocenter project, “KOMPLEKS”, which focuses on the mapping of complex, large-scale geological structures. The study area is approximately 100 km2...... data types and co-interpret them in order to improve our geological understanding. However, in order to perform this successfully, methodological considerations are necessary. For instance, a structure indicated by a reflection in the seismic data is not always apparent in the resistivity data...... information) can be collected. The geophysical data are used together with geological analyses from boreholes and pits to interpret the geological history of the hill-island. The geophysical data reveal that the glaciotectonic structures truncate at the surface. The directions of the structures were mapped...

  5. Meteorite falls in Africa

    Science.gov (United States)

    Khiri, Fouad; Ibhi, Abderrahmane; Saint-Gerant, Thierry; Medjkane, Mohand; Ouknine, Lahcen

    2017-10-01

    The study of meteorites provides insight into the earliest history of our solar system. From 1800, about the year meteorites were first recognized as objects falling from the sky, until December 2014, 158 observed meteorite falls were recorded in Africa. Their collected mass ranges from 1.4 g to 175 kg with the 1-10 kg cases predominant. The average rate of African falls is low with only one fall recovery per 1.35-year time interval (or 0.023 per year per million km2). This African collection is dominated by ordinary chondrites (78%) just like in the worldwide falls. The seventeen achondrites include three Martian meteorite falls (Nakhla of Egypt, Tissint of Morocco and Zagami of Nigeria). Observed Iron meteorite falls are relatively rare and represent only 5%. The falls' rate in Africa is variable in time and in space. The number of falls continues to grow since 1860, 80% of which were recovered during the period between 1910 and 2014. Most of these documented meteorite falls have been recovered from North-Western Africa, Eastern Africa and Southern Africa. They are concentrated in countries which have a large surface area and a large population with a uniform distribution. Other factors are also favorable for observing and collecting meteorite falls across the African territory, such as: a genuine meteorite education, a semi-arid to arid climate (clear sky throughout the year most of the time), croplands or sparse grasslands and possible access to the fall location with a low percentage of forest cover and dense road network.

  6. Preventing falls and fractures.

    Science.gov (United States)

    Ulfarsson, J; Robinson, B E

    1994-11-01

    One of four persons over age 65 in the community falls; those over age 75 in institutions fall more frequently. Falls, a complex phenomena suggesting present disease and predicting future disability, are caused by interactions between the environment and dynamic balance which is determined by the quality of sensory input, central processing, and motor responses. Clinical factors which predispose to falling often produce observable disturbances in gait and balance, making observation critical in assessment. Acute illness and drug therapy produce particularly preventable falls. Therapeutic exercise and environmental modification for safety are the clinical interventions most likely to successfully prevent fall-related injury.

  7. A Successful ED Fall Risk Program Using the KINDER 1 Fall RiskAssessment Tool.

    Science.gov (United States)

    Townsend, Ann B; Valle-Ortiz, Marisol; Sansweet, Tracy

    2016-11-01

    Emergency nurses did not perform falls risk assessments routinely on our ED patients; the instrument used was aimed at inpatients. We identified a need to revise fall assessment practices specific to our emergency department. The purpose of the performance improvement project was to reduce ED falls and evaluate the use of an ED-specific fall risk tool, the KINDER 1 Fall Risk Assessment. The plan was to establish fall risk assessment practices at point of ED entry and to decrease total falls. We retrospectively reviewed ED fall data for each quarter of 2013, which included risk assessments scores, the total number of falls, and the circumstances of each fall. Using Kotter's framework to guide a successful change process, we implemented the KINDER 1 to assess fall risk. During the first 4 weeks of the project, 937 patients (27%) were identified as high risk for falls using the KINDER 1. During the subsequent 3 quarters, the total number of falls decreased; reported falls without injuries dropped from 0.21 to 0.07 per 1000 patients, and falls with injuries were reduced from 0.21 to 0.0 per 1000 patients. The results of this project represented a valuable step toward achieving our goal to keep ED patients safe from injuries as a result of falls. The findings add to the body of nursing knowledge on the application of clinical-based performance improvement projects to improve patient outcomes and to provide data on the use of the KINDER 1 tool, which has not been extensively tested. Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

  8. Geophysical Exploration. New site exploration method

    Energy Technology Data Exchange (ETDEWEB)

    Imai, Tsuneo; Otomo, Hideo; Sakayama, Toshihiko

    1988-07-25

    Geophysical exploration is used for geologic survey to serve purposes in civil engineering. New methods are being developed inside and outside Japan and are used to serve various purposes. This paper discusses recently developed techniques based on the measurement of seismic waves and electric potential. It also explains seismic tomography, radar tomography, and resistivity tomography which are included in the category of geotomography. At present, effort is being made to apply geophysical exploration technology to problems which were considered to be unsuitable for conventional exploration techniques. When such effort proceeds successfully, it is necessary to develop technology for presenting results quickly and exploration equipment which can work in various conditions. (10 figs, 15 refs)

  9. History of geophysical studies at the Waste Isolation Pilot Plant (WIPP), southeastern New Mexico

    International Nuclear Information System (INIS)

    Borns, D.J.

    1997-01-01

    A variety of geophysical methods including the spectrum of seismic, electrical, electromagnetic and potential field techniques have supported characterization, monitoring and experimental studies at the Waste Isolation Pilot Plant (WIPP). The geophysical studies have provided significant understanding of the nature of site deformation, tectonics and stability. Geophysical methods have delineated possible brine reservoirs beneath the underground facility and have defined the disturbed rock zone that forms around underground excavations. The role of geophysics in the WIPP project has evolved with the project. The early uses were for site characterization to satisfy site selection criteria or factors. As the regulatory framework for WIPP grew since 1980, the geophysics program supported experimental and field programs such as Salado hydrogeology and underground room systems and excavations. In summary, the major types of issues that geophysical studies addressed for WIPP are: Site Characterization; Castile Brine Reservoirs; Rustler/Dewey Lake Hydrogeology; Salado Hydrogeology; and Excavation Effects. The nature of geophysics programs for WIPP has been to support investigation rather than being the principal investigation itself. The geophysics program has been used to define conceptual models (e.g., the Disturbed Rock Zone-DRZ) or to test conceptual models (e.g., high transmissivity zones in the Rustler Formation). The geophysics program primarily supported larger characterization and experimental programs. Funding was not available for the complete documentation and interpretation. Therefore, a great deal of the geophysics survey information resides in contractor reports

  10. Predictive value of stabilometry and fear of falling on falls in postmenopausal women.

    Science.gov (United States)

    Hita-Contreras, F; Martínez-Amat, A; Lomas-Vega, R; Álvarez, P; Aránega, A; Martínez-López, E; Mendoza, N

    2013-10-01

    Falls are one of the leading causes of fractures and impaired quality of life in the elderly, and they are related to balance deficit and to fear of falls. The purpose of our study is to evaluate predictors of falls in the 50-65-year-old postmenopausal population. A prospective cohort study was conducted on 96 postmenopausal women. Fear of falling and postural stability were assessed by using the FES-I (Falls Efficacy Scale-International) and a force platform, respectively. Fall frequency was determined in the 12-month follow-up study period. Multivariate logistic regression was used to identify predictive factors of falls. Fear of falls, the FES-I scale and four stabilometric parameters, specifically under eyes-closed condition, were significantly higher in the group of fallers. The root mean square amplitude in the medial-lateral direction with eyes closed (RMSXec) (odds ratio 5.1, 95% confidence interval (CI) 1.6-15.5, p = 0.004) and FES-I (odds ratio 3.4, 95% CI 1.1-10.5, p = 0.026) were the best independent predictive factors of the risk of falling. RMSXec > 0.133 was the best predictive factor for falls in our group of 50-65-year-old postmenopausal women studied, and a FES-I score > 20 could predict falls in this population.

  11. Some case studies of geophysical exploration of archaeological sites in Yugoslavia

    Science.gov (United States)

    Komatina, Snezana; Timotijevic, Zoran

    1999-03-01

    One of the youngest branches of environmental geophysics application is the preservation of national heritage. Numerous digital techniques developed for exploration directed to urban planning can also be applied to investigations of historic buildings. In identifying near-surface layers containing objects of previous civilizations, various sophisticated geophysical methods are used. In the paper, application of geophysics in quantification of possible problems necessary to be carried out in order to get an archaeological map of some locality is discussed [Komatina, S., 1996]. Sophisticated geophysical methods in the preservation of national heritage. Proc. of Int. Conf. Architecture and Urbanism at the turn of the Millenium, Beograd, pp. 39-44. Finally, several examples of archaeogeophysical exploration at Divostin, Bedem and Kalenic monastery localities (Serbia, Yugoslavia) are presented.

  12. iFall: an Android application for fall monitoring and response.

    Science.gov (United States)

    Sposaro, Frank; Tyson, Gary

    2009-01-01

    Injuries due to falls are among the leading causes of hospitalization in elderly persons, often resulting in a rapid decline in quality of life or death. Rapid response can improve the patients outcome, but this is often lacking when the injured person lives alone and the nature of the injury complicates calling for help. This paper presents an alert system for fall detection using common commercially available electronic devices to both detect the fall and alert authorities. We use an Android-based smart phone with an integrated tri-axial accelerometer. Data from the accelerometer is evaluated with several threshold based algorithms and position data to determine a fall. The threshold is adaptive based on user provided parameters such as: height, weight, and level of activity. The algorithm adapts to unique movements that a phone experiences as opposed to similar systems which require users to mount accelerometers to their chest or trunk. If a fall is suspected a notification is raised requiring the user's response. If the user does not respond, the system alerts pre-specified social contacts with an informational message via SMS. If a contact responds the system commits an audible notification, automatically connects, and enables the speakerphone. If a social contact confirms a fall, an appropriate emergency service is alerted. Our system provides a realizable, cost effective solution to fall detection using a simple graphical interface while not overwhelming the user with uncomfortable sensors.

  13. Risk Factors of Falls in Community-Dwelling Older Adults: Logistic Regression Tree Analysis

    Science.gov (United States)

    Yamashita, Takashi; Noe, Douglas A.; Bailer, A. John

    2012-01-01

    Purpose of the Study: A novel logistic regression tree-based method was applied to identify fall risk factors and possible interaction effects of those risk factors. Design and Methods: A nationally representative sample of American older adults aged 65 years and older (N = 9,592) in the Health and Retirement Study 2004 and 2006 modules was used.…

  14. Falls in institutions for older adults: characterization of fall occurrences and associated risk factors

    Directory of Open Access Journals (Sweden)

    Cristina Rosa Soares Lavareda Baixinho

    2015-12-01

    Full Text Available Falls are the main accident for older adults, with consequences on functionality. Older adults impose restrictions or have restrictions imposed on their activities for fear of new falls. This prospective longitudinal study was conducted with 104 institutionalized older adults during six months with the following goals: to determine the prevalence of falls, to characterize the falls according to place, time, resulting injuries, supervision of the older adult, action performed at the time of the fall, and to relate the occurrence of the fall to the risk of falling, medical diagnoses, number of medications in use, type of medication, degree of dependency, age, and gender. The prevalence of falls was 37.5%, and they happened mostly in the bedroom, while walking after getting up from the bed. Those under risk in the Morse Fall Scale (p=0.034 and on sedatives (p=0.007 face a higher prevalence of falls. This study enables the possibility of making suggestions for practice, training and investigation.

  15. The Neighborhood Environment: Perceived Fall Risk, Resources, and Strategies for Fall Prevention.

    Science.gov (United States)

    Chippendale, Tracy; Boltz, Marie

    2015-08-01

    To explore the experience of older adults in their neighborhood in relation to perceived fall risk, fear of falling (FOF), and resources/strategies for fall prevention. Fourteen older adults, 65 years of age and older from 3 urban senior centers, participated in this qualitative study. The semistructured interview guidelines and background questionnaire were developed by the researchers based on the literature and an existing measure of walkability. Both tools were refined based on pilot interviews with seniors. Collaizzi's phenomenological method was used for data analysis. Five themes emerged from the data: (a) The built environment contributes to perceived fall risk and FOF, (b) personal strategies used to adapt to perceived neighborhood fall risks-behavioral approaches, (c) resources for physical activity and safety, (d) barriers to physical activity and exercise, and (e) neighborhood features as a motivator. Urban-dwelling seniors perceive that neighborhood features contribute to or mitigate fall risk and FOF. Behavioral strategies are used by seniors to prevent outdoor falls. The findings can help clinicians develop targeted fall prevention interventions for well elders and help urban planners to design and retrofit urban environments to reduce fall risk. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. American Indian Parents’ Assessment of and Concern About Their Kindergarten Child’s Weight Status, South Dakota, 2005-2006

    OpenAIRE

    Arcan, Chrisa; Hannan, Peter J.; Himes, John H.; Fulkerson, Jayne A.; Holy Rock, Bonnie; Smyth, Mary; Story, Mary

    2012-01-01

    Introduction Obesity is highly prevalent among American Indians, and effective prevention efforts require caregiver involvement. We examined American Indian (AI) parents' assessment of and level of concern about their kindergarten child's weight status. Methods We collected baseline data (fall of 2005 and fall of 2006) on children and their parents or caregivers for a school-based obesity prevention trial (Bright Start) on an AI reservation in South Dakota. The current study uses 413 parent-c...

  17. Evidence for a critical Earth: the New Geophysics

    Science.gov (United States)

    Crampin, Stuart; Gao, Yuan

    2015-04-01

    Phenomena that are critical-systems verging on criticality with 'butterfly wings' sensitivity are common - the weather, climate change; stellar radiation; the New York Stock Exchange; population explosions; population collapses; the life cycle of fruit-flies; and many more. It must be expected that the Earth, an archetypal complex heterogeneous interactive phenomena, is a critical-system, hence there is a New Geophysics imposing fundamentally new properties on conventional sub-critical geophysics. We shall show that, despite shear waves and shear-wave splitting (SWS) being observationally neglected, azimuthally-varying stress-aligned SWS is nearly universally observed throughout the Earth's crust and uppermost ~400km of the mantle. Caused by stress-aligned fluid-saturated microcracks (intergranular films of hydrolysed melt in the mantle), the microcracks are so closely-spaced that they verge on failure in fracturing and earthquakes. Phenomena that verge on failure in this way are critical-systems which impose a range of fundamental-new properties on conventional sub-critical geophysics including: self-similarity; monitorability; calculability; predictability; controllability; universality; and butterfly wings' sensitivity. We shall show how these phenomena have been consistently observed along millions of source-to-receiver ray paths confirming the New Geophysics. New Geophysics helps to explain many otherwise inexplicable observations including a number of geophysical conundrums such as the Gutenberg-Richter relationship which is used to describe the behaviour of conventional classic geophysics despite being massively non-linear. The great advantage of the critical Earth is that, unlike other critical-systems, the progress towards criticality can be monitored at almost any point within the deep interior of the material, by analysing observations of seismic SWS. This gives an unrivalled understanding of the detailed behaviour of a particular critical-system. This

  18. COTHERM: Geophysical Modeling of High Enthalpy Geothermal Systems

    Science.gov (United States)

    Grab, Melchior; Maurer, Hansruedi; Greenhalgh, Stewart

    2014-05-01

    In recent years geothermal heating and electricity generation have become an attractive alternative energy resource, especially natural high enthalpy geothermal systems such as in Iceland. However, the financial risk of installing and operating geothermal power plants is still high and more needs to be known about the geothermal processes and state of the reservoir in the subsurface. A powerful tool for probing the underground system structure is provided by geophysical techniques, which are able to detect flow paths and fracture systems without drilling. It has been amply demonstrated that small-scale features can be well imaged at shallow depths, but only gross structures can be delineated for depths of several kilometers, where most high enthalpy systems are located. Therefore a major goal of our study is to improve geophysical mapping strategies by multi-method geophysical simulations and synthetic data inversions, to better resolve structures at greater depth, characterize the reservoir and monitor any changes within it. The investigation forms part of project COTHERM - COmbined hydrological, geochemical and geophysical modeling of geoTHERMal systems - in which a holistic and synergistic approach is being adopted to achieve multidisciplinary cooperation and mutual benefit. The geophysical simulations are being performed in combination with hydrothermal fluid flow modeling and chemical fluid rock interaction modeling, to provide realistic constraints on lithology, pressure, temperature and fluid conditions of the subsurface. Two sites in Iceland have been selected for the study, Krafla and Reykjanes. As a starting point for the geophysical modeling, we seek to establish petrophysical relations, connecting rock properties and reservoir conditions with geophysical parameters such as seismic wave speed, attenuation, electrical conductivity and magnetic susceptibility with a main focus on seismic properties. Therefore, we follow a comprehensive approach involving

  19. Changes in the Demographic Characteristics of the American Geophysical Union Membership, 2006-2010

    Science.gov (United States)

    Rhodes, D. D.

    2010-12-01

    Significant change occurred in the demographic properties of the American Geophysical Union membership during the period April 2006- January 2010. During this period AGU membership decreased from 48,332 to 38,847, a drop of 19.6%. Most of the change appears to have been driven by the aging membership of the Union, especially in the United States, and the effects of the global economic crisis on employment in all sectors of economy. Of the 38,847 members in January 2010, data on the birth year and gender were available for 33,610 members including 21,567 who reside in the United States. These data were compared to a similar data set captured in April 2006. The following observations are based on this subset of the total AGU membership for who country of residence and both age and gender are known. The number of AGU members residing in the United States decreased by 18.6% during the study period. As should be expected, the changes were not spread evenly between the genders or across birth-year cohorts. Membership among males decreased by 19%, while there were 17% fewer female members. The female cohorts that experienced the greatest losses were those including women from 30-40 years old (born 1970-1979). These data appear to echo multiple studies that show women leaving the sciences for gender-specific reasons. For the purposes of this analysis, the birth-year cohorts are divided into three groups. Members born prior to 1945 compose the oldest cohort. The Baby-Boom generation includes members born between 1945 and 1964. The youngest group includes members born from 1965 onward. Because of the very small number of women in the oldest group (only 4.7%) most of the change occurred among males. The total membership loss from this group was 1,140 members, 23% of the total. The largest change occurred among Baby Boomers. The group decreased by 2,760 members, accounting for 56% of the total decline in membership among US residents. Males accounted for most of the change (2

  20. Discovery of amorphous carbon veins in the 2008 Wenchuan earthquake fault zone: implications for the fault weakening mechanism

    Science.gov (United States)

    Liu, J.; Zhang, J.; Zhang, B.; Li, H.

    2013-12-01

    The 2008 Wenchuan earthquake generated 270- and 80-km-long surface ruptures along Yingxiu-Beichuan fault and Guanxian-Anxian fault, respectively. At the outcrop near Hongkou village, southwest segment of Yingxiu-Beichuan rupture, network black amorphous carbon veins were discovered near fault planes in the 190-m-wide earthquake fault zone. These veins are mainly composed of ultrafine- and fine-grained amorphous carbon, usually narrower than 5mm and injected into faults and cracks as far as several meter. Flowage structures like asymmetrical structures around few stiff rock fragments indicate materials flew when the veins formed. Fluidization of cataclastic amorphous carbon and the powerful driving force in the veins imply high pore pressure built up during earthquakes. High pore pressure solution and graphite reported in the fault gouge (Togo et al., 2011) can lead very low dynamic friction during the Wenchuan earthquake. This deduction hypothesis is in accordance with the very low thermal abnormal measured on the principle fault zone following the Wenchuan earthquake (Mori et al., 2010). Furthermore, network amorphous carbon veins of different generations suggest similar weakening mechanism also worked on historical earthquakes in Longmenshan fault zone. Reference: Brodsky, E. E., Li, H., Mori, J. J., Kano, Y., and Xue, L., 2012, Frictional Stress Measured Through Temperature Profiles in the Wenchuan Scientific Fault Zone Drilling Project. American Geophysical Union, Fall Meeting. San Francisco, T44B-07 Li, H., Xu, Z., Si, J., Pei, J., Song, S., Sun, Z., and Chevalier, M., 2012, Wenchuan Earthquake Fault Scientific Drilling program (WFSD): Overview and Results. American Geophysical Union, Fall Meeting. San Francisco, T44B-01 Mori, J. J., Li, H., Wang, H., Kano, Y., Pei, J., Xu, Z., and Brodsky, E. E., 2010, Temperature measurements in the WFSD-1 borehole following the 2008 Wenchuan earthquake (MW7.9). American Geophysical Union, Fall Meeting. San Francisco, T53E

  1. Archaeological Geophysics in Israel: Past, Present and Future

    Science.gov (United States)

    Eppelbaum, L. V.

    2009-04-01

    , No. 12, 1061-1064. Ron, H., Porat, N., Ronen, A., Tchernov, E., and Horwitz, L., 2003. Magnetostratigraphy of the Evron Member - implications for the age of the Middle Acheulian site of Evron Quarry. Journal of Human Evolution, 44, 633-639. Segal, Y., Marco, S., and Ellenblum, R., 2003. Intensity and direction of the geomagnetic field in 24 August, 1179 measured in Vadum Iacob (Ateret) Crusader Fortress, northern Israel. Israel Jour. Earth Sci., 52, 203-208. Shalem, N., 1949. Earthquakes in Jerusalem. Jerushalaim, 1, 22-54 (in Hebrew). Sternberg, R. and Lass, E. H.E., 2007. An archaeomagnetic study of two hearths from Kebara Cave, Israel. In: (O. Bar-Yosef and L. Meignen, eds.) Kebara Cave, Mt. Carmel, Israel: The Middle and Upper Paleolithic Archaeology, Part I, American School of Prehistoric Research, Bull. 49, Peabody Museum of Archaeology and Ethnology, Harvard University, Cambridge, 123-130. Sternberg, R., Lass, E., Marion, E., Katari, K., and Holbrook, M., 1999. Anomalous archaeomagnetic directions and site formation processes at archaeological sites in Israel. Geoarchaeology, 14 (5), 415-439. Tanzi, J.D., Vickers, R.S., and Burns, P.L., 1983. Application of electrical resistivity techniques to archaeological surveys. Proceed. of the International Geoscience and Remote Sensing Symposium, 1-3. Verri, G. Barkai, R., Bordeanu, C., Gopher, A., Hass, M., Kaufman, A., Kubik, P., Montanari, E., Paul, M., Ronen, A., Weiner, S., and Boaretto, E., 2004. Flint mining in prehistory recorded by in situ-produced cosmogenic 10Be. Proceed. of the National Academy of Sciences (USA), 101, No. 21, 7880-7884. Weinstein-Evron, M., Mart, Y., and Beck, A., 1991. Geophysical investigations in the el-Wad Cave, Mt. Carmel, Israel. Geoarchaeology, 6, 355-365. Weiner, S., Goldberg, P., and Bar-Yosef, O., 1993. Bone preparation in Kebara cave, Israel using on-site Fourier-transform infrared spectrometry. Journal of Archaeological Science, 20, 613-627. Weinstein-Evron, M., Beck, A., and

  2. Inverse problems of geophysics

    International Nuclear Information System (INIS)

    Yanovskaya, T.B.

    2003-07-01

    This report gives an overview and the mathematical formulation of geophysical inverse problems. General principles of statistical estimation are explained. The maximum likelihood and least square fit methods, the Backus-Gilbert method and general approaches for solving inverse problems are discussed. General formulations of linearized inverse problems, singular value decomposition and properties of pseudo-inverse solutions are given

  3. Head Trauma from Falling Increases Subsequent Emergency Department Visits More Than Other Fall-Related Injuries in Older Adults.

    Science.gov (United States)

    Southerland, Lauren T; Stephens, Julie A; Robinson, Shari; Falk, James; Phieffer, Laura; Rosenthal, Joseph A; Caterino, Jeffrey M

    2016-04-01

    To determine whether fall-related injuries affect return to the ED after the initial visit. Retrospective chart review. Academic Level 1 trauma center ED. Individuals aged 65 and older evaluated for a fall from standing height or less and discharged (N = 263, average age 77, 70% female). After institutional review board approval, electronic medical record data were queried. Univariate and multivariable logistic regression models were used to determine factors associated with risk of returning to the ED within 90 days. Injuries included fractures (45%, n = 117); head trauma (22%, n = 58); abrasions, lacerations, or contusions (34%, n = 88); and none (22%, n = 57). Emergency care was frequently required, with 13 (5%, 95% confidence interval (CI) = 2.3-7.6%) returning within 72 hours, 35 (13%, 95% CI = 9.2-17%] within 30 days, and 57 (22%, 95% CI = 17-27%) within 90 days. Univariately, the odds of returning to the ED within 90 days was more than two times as high for those with head trauma as for those without (odds ratio = 2.66). This remained significant in the multivariable model, which controlled for Charlson Comorbidity Index, fractures, soft tissue injuries, and ED observation unit use. More than one-third of older adults with minor head trauma from a fall will need to return to the ED in the following 90 days. These individuals should receive close attention from primary care providers. The link between minor head trauma and ED recidivism is a new finding. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  4. Monitoring Global Geophysical Fluids by Space Geodesy

    Science.gov (United States)

    Chao, Benjamin F.; Dehant, V.; Gross, R. S.; Ray, R. D.; Salstein, D. A.; Watkins, M.

    1999-01-01

    Since its establishment on 1/1/1998 by the International Earth Rotation Service, the Coordinating Center for Monitoring Global Geophysical Fluids (MGGF) and its seven Special Bureaus have engaged in an effort to support and facilitate the understanding of the geophysical fluids in global geodynamics research. Mass transports in the atmosphere-hydrosphere-solid Earth-core system (the "global geophysical fluids") will cause the following geodynamic effects on a broad time scale: (1) variations in the solid Earth's rotation (in length-of-day and polar motion/nutation) via the conservation of angular momentum and effected by torques at the fluid-solid Earth interface; (2) changes in the global gravitational field according to Newton's gravitational law; and (3) motion in the center of mass of the solid Earth relative to that of the whole Earth ("geocenter") via the conservation of linear momentum. These minute signals have become observable by space geodetic techniques, primarily VLBI, SLR, GPS, and DORIS, with ever increasing precision/accuracy and temporal/spatial resolution. Each of the seven Special Bureaus within MGGF is responsible for calculations related to a specific Earth component or aspect -- Atmosphere, Ocean, Hydrology, Ocean Tides, Mantle, Core, and Gravity/Geocenter. Angular momenta and torques, gravitational coefficients, and geocenter shift will be computed for geophysical fluids based on global observational data, and from state-of-the-art models, some of which assimilate such data. The computed quantities, algorithm and data formats are standardized. The results are archived and made available to the scientific research community. This paper reports the status of the MGGF activities and current results.

  5. Characteristics and fall experiences of older adults with and without fear of falling outdoors.

    Science.gov (United States)

    Chippendale, Tracy; Lee, Chang Dae

    2018-06-01

    Using a theoretical model that combines an ecological perspective and Bandura's theory of self-efficacy as a guide, we sought to compare experiences and characteristics of community dwelling older adults with and without concern about falling outdoors. A survey of randomly selected community dwelling older adults across NYC (N = 120) was conducted using the outdoor falls questionnaire. Descriptive quantitative analyses of participant characteristics were conducted for all participants and for those with and without concern about falling outside. Conventional content analysis using two coders was employed to examine outdoor fall experiences for each group. A mixed methods matrix was used to integrate qualitative and quantitative findings. Some participant characteristics were more common among those with a concern about falling outside such as decreased functional status, female gender, and number of prior outdoor falls. As per descriptions of outdoor fall experiences, participants with concern were more likely to report a fall while climbing stairs or stepping up a curb, describe an intrinsic factor as a cause of their fall, use an injury prevention strategy during the fall, sustain a moderate to severe injury, seek medical attention, have had an ambulance called, require help to get up, and describe implementation of a behavioral change after the fall. Differences exist in participant characteristics and outdoor fall experiences of those with and without concern about falling outside. The proposed model can be used to understand fear of falling outdoors and can help to inform the target population and content of intervention programs.

  6. The optimal sequence and selection of screening test items to predict fall risk in older disabled women: the Women's Health and Aging Study.

    Science.gov (United States)

    Lamb, Sarah E; McCabe, Chris; Becker, Clemens; Fried, Linda P; Guralnik, Jack M

    2008-10-01

    Falls are a major cause of disability, dependence, and death in older people. Brief screening algorithms may be helpful in identifying risk and leading to more detailed assessment. Our aim was to determine the most effective sequence of falls screening test items from a wide selection of recommended items including self-report and performance tests, and to compare performance with other published guidelines. Data were from a prospective, age-stratified, cohort study. Participants were 1002 community-dwelling women aged 65 years old or older, experiencing at least some mild disability. Assessments of fall risk factors were conducted in participants' homes. Fall outcomes were collected at 6 monthly intervals. Algorithms were built for prediction of any fall over a 12-month period using tree classification with cross-set validation. Algorithms using performance tests provided the best prediction of fall events, and achieved moderate to strong performance when compared to commonly accepted benchmarks. The items selected by the best performing algorithm were the number of falls in the last year and, in selected subpopulations, frequency of difficulty balancing while walking, a 4 m walking speed test, body mass index, and a test of knee extensor strength. The algorithm performed better than that from the American Geriatric Society/British Geriatric Society/American Academy of Orthopaedic Surgeons and other guidance, although these findings should be treated with caution. Suggestions are made on the type, number, and sequence of tests that could be used to maximize estimation of the probability of falling in older disabled women.

  7. History of geophysical studies at the Waste Isolation Pilot Plant (WIPP), southeastern New Mexico

    International Nuclear Information System (INIS)

    Borns, D.J.

    1997-01-01

    A variety of geophysical methods including the spectrum of seismic, electrical, electromagnetic and potential field techniques have used support characterization, monitoring and experimental studies at the Waste Isolation Pilot Plant (WIPP). The geophysical studies have provided significant understanding of the nature of site deformation, tectonics and stability. Geophysical methods have delineated possible brine reservoirs beneath the underground facility and have defined the disturbed rock zone that forms around underground excavations. The role of geophysics in the WIPP project has evolved with the project. The early uses were for site characterization to satisfy site selection criteria or factors. As the regulatory framework for WIPP grew since 1980, the geophysics program was focused on support of experimental and field programs such as Salado hydrogeology and underground room systems and excavations. In summary, the major types of issues that geophysical studies addressed for WIPP are: Issue 1: Site Characterization; Issue 2: Castile Brine Reservoirs; Issue 3: Rustler /Dewey Lake Hydrogeology; Issue 4: Salado Hydrogeology; and Issue 5: Excavation Effects. The nature of geophysics program for WIPP has been to support investigation rather than being the principal investigation itself. The geophysics program has been used to define conceptual models (e.g., the Disturbed Rock Zone-DRZ) or to test conceptual models (e.g., high transmissivity zones in the Rustler Formation). An effect of being a support program is that as new project priorities arose the funding for the geophysics program was limited and withdrawn. An outcome is that much of the geophysics survey information resides in contractor reports since final interpretation reports were not funded

  8. How Do Community-Dwelling Persons with Alzheimer Disease Fall Falls in the FINALEX Study

    Directory of Open Access Journals (Sweden)

    Niko M. Perttila

    2017-06-01

    Full Text Available Background: People with dementia are at high risk for falls. However, little is known of the features causing falls in Alzheimer disease (AD. Our aim was to investigate how participants with AD fall. Methods: In the FINALEX (Finnish Alzheimer Disease Exercise Trial study, participants’ (n = 194 falls were followed up for 1 year by diaries kept by their spouses. Results: The most common reason for falls (n = 355 was stumbling (n = 61. Of the falls, 123 led to injuries, 50 to emergency department visits, and 13 to fractures. The participants without falls (n = 103 were younger and had milder dementia than those with 1 (n = 34 or ≥2 falls (n = 57. Participants with a Mini Mental State Examination score of around 10 points were most prone to fall. In adjusted regression models, good nutritional status, good physical functioning, and use of antihypertensive medication (incident rate ratio [IRR] 0.68, 95% confidence interval [CI] 0.54–0.85 protected against falls, whereas fall history (IRR 2.71, 95% CI 2.13–3.44, osteoarthritis, diabetes mellitus, chronic obstructive pulmonary disease, higher number of drugs, drugs with anticholinergic properties, psychotropics, and opioids (IRR 4.27, 95% CI 2.92–6.24 were risk factors for falls. Conclusions: Our study provides a detailed account on how and why people with AD fall, suggesting several risk and protective factors.

  9. Fall prediction according to nurses' clinical judgment: differences between medical, surgical, and geriatric wards.

    Science.gov (United States)

    Milisen, Koen; Coussement, Joke; Flamaing, Johan; Vlaeyen, Ellen; Schwendimann, René; Dejaeger, Eddy; Surmont, Kurt; Boonen, Steven

    2012-06-01

    To assess the value of nurses' clinical judgment (NCJ) in predicting hospital inpatient falls. Prospective multicenter study. Six Belgian hospitals. Two thousand four hundred seventy participants (mean age 67.6 ± 18.3; female, 55.7%) on four surgical (n = 812, 32.9%), eight geriatric (n = 666, 27.0%), and four general medical wards (n = 992, 40.1%) were included upon admission. All participants were hospitalized for at least 48 hours. Within 24 hours after admission, nurses gave their judgment on the question "Do you think your patient is at high risk for falling?" Nurses were not trained in assessing fall risk. Falls were documented on a standardized incident report form. During hospitalization, 143 (5.8%) participants experienced one or more falls, accounting for 202 falls and corresponding to an overall rate of 7.9 falls per 1,000 patient days. NCJ of participant's risk of falling had high sensitivity (78-92%) with high negative predictive value (94-100%) but low positive predictive value (4-17%). Although false-negative rates were low (8-22%) for all departments and age groups, false-positive rates were high (55-74%), except on surgical and general medical wards and in participants younger than 75. This analysis, based on multicenter data and a large sample size, suggests that NCJ can be recommended on surgical and general medical wards and in individuals younger than 75, but on geriatric wards and in participants aged 75 and older, NCJ overestimates risk of falling and is thus not recommended because expensive comprehensive fall-prevention measures would be implemented in a large number of individuals who do not need it. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

  10. Extension of NHWAVE to Couple LAMMPS for Modeling Wave Interactions with Arctic Ice Floes

    Science.gov (United States)

    2015-09-30

    Modelling, in press. Orzech, M., Shi, F., Veeramony, J., Bateman , S., Calantoni, J., and Kirby, J. T., 2015, “Incorporating floating surface...objects into a fully dispersive surface wave model”, Ocean Modelling, submitted. Bateman , S. Shi, F., Orzech, M., Veeramony, J., and Calantoni, J., 2014...Orzech, M., Shi, F., Calantoni, J., Bateman , S., and Veeramony, J., “Small-scale modeling of waves and floes in the Marginal Ice Zone”, 2014 Fall Meeting of the American Geophysical Union.

  11. Solar wind monitor—a school geophysics project

    Science.gov (United States)

    Robinson, Ian

    2018-05-01

    Described is an established geophysics project to construct a solar wind monitor based on a nT resolution fluxgate magnetometer. Low-cost and appropriate from school to university level it incorporates elements of astrophysics, geophysics, electronics, programming, computer networking and signal processing. The system monitors the earth’s field in real-time uploading data and graphs to a website every few minutes. Modular design encourages construction and testing by teams of students as well as expansion and refinement. The system has been tested running unattended for months at a time. Both the hardware design and software is published as open-source [1, 10].

  12. Geophysical and solar activity indices

    Science.gov (United States)

    Bossy, L.; Lemaire, J.

    1984-04-01

    A large number of geophysicists try to correlate their observations with one or even a series of different geophysical or solar activity indices. Yet the right choice of the most appropriate index with which to correlate depends mainly on our understanding of the physical cause-effect relationship between the new set of observations and the index chosen. This best choice will therefore depend on our good understanding of the methods of measurement and derivation of the adopted index in such correlative studies. It relies also on our awareness of the range of applicability of the indices presently available as well as on our understanding of their limitations. It was to achieve these goals that a series of general lectures on geophysical and solar activity indices was organized by L. Bossy and J. Lemaire (Institut d'Aeronomie Spatiale de Belgique (IASB), Brussels), March 26-29, 1984 at Han-sur-Lesse, Belgium.

  13. Fall Enrollment Report. 2014

    Science.gov (United States)

    Iowa Department of Education, 2014

    2014-01-01

    This report summarizes and analyzes fall enrollment in Iowa's community colleges. Each year, Iowa's 15 community colleges submit data on enrollment on the 10th business day of the fall semester. Some highlights from this report include: (1) Fall 2014 enrollment was 93,772 students--a decline of 0.49 percent from last fall; (2) Enrollment continues…

  14. Students fall for Fall Meeting

    Science.gov (United States)

    Smedley, Kara

    2012-02-01

    From Boston to Beijing, thousands of students traveled to San Francisco for the 2011 AGU Fall Meeting. Of those who participated, 183 students were able to attend thanks to AGU's student travel grant program, which assists students with travel costs and seeks to enrich the meeting through ethnic and gender diversity. Students at Fall Meeting enjoyed a variety of programs and activities designed to help them better network with their peers, learn about new fields, and disseminate their research to the interested public. More than 800 students attended AGU's first annual student mixer, sharing drinks and ideas with fellow student members and future colleagues as well as forging new friendships and intellectual relationships.

  15. Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review.

    Science.gov (United States)

    Lach, Helen W; Harrison, Barbara E; Phongphanngam, Sutthida

    2017-05-01

    Older adults with mild cognitive impairment (MCI) and early-stage dementia have an increased risk of falling, with risks to their health and quality of life. The purpose of the current integrative review was to evaluate evidence on fall risk and fall prevention in this population. Studies were included if they examined falls or fall risk factors in older adults with MCI or early-stage dementia, or reported interventions in this population; 40 studies met criteria. Evidence supports the increased risk of falls in individuals even in the early stages of dementia or MCI, and changes in gait, balance, and fear of falling that may be related to this increased fall risk. Interventions included exercise and multifactorial interventions that demonstrated some potential to reduce falls in this population. Few studies had strong designs to provide evidence for recommendations. Further study in this area is warranted. [Res Gerontol Nurs. 2017; 10(03):139-148.]. Copyright 2016, SLACK Incorporated.

  16. Exploring the relationship between fall risk-increasing drugs and fall-related fractures.

    Science.gov (United States)

    De Winter, Sabrina; Vanwynsberghe, Sarah; Foulon, Veerle; Dejaeger, Eddy; Flamaing, Johan; Sermon, An; Van der Linden, Lorenz; Spriet, Isabel

    2016-04-01

    Hospital admissions due to fall-related fractures are a major problem in the aging population. Several risk factors have been identified, including drug use. Most studies often retrieved prescription-only drugs from national databases. These are associated with some limitations as they do not always reliably reproduce the complete patient's active drug list. To evaluate the association between the number of FRIDs intake identified by a standardised medication reconciliation process and a fall-related fracture leading to a hospital admission in older adults. The first cohort has been recruited from one traumatology ward of a tertiary teaching hospital in Belgium and the second cohort has been recruited from 11 community pharmacies in Belgium. A prospective study with two individually matched cohorts was performed. Adult patients (≥75 years) admitted with an injury due to a fall were included in the first cohort (faller group). The second cohort consisted of patients who did not suffer from a fall within the last 6 months (non-faller group). Matching was performed for age, gender, place of residence and use of a walking aid. In both groups, clinical pharmacists and undergraduate pharmacy students obtained the medication history, using a standardised approach. A list of drugs considered to increase the risk of falling was created. It included cardiovascular drugs and drugs acting on the nervous system. A linear mixed model was used to compare the number of fall risk-increasing drugs between fallers and non-fallers. The number of fall risk-increasing drugs in a faller versus a non-faller group. Sixty-one patients were matched with 121 non-fallers. Patients received on average 3.1 ± 2.1 and 3.2 ± 1.8 fall risk-increasing drugs in the faller and in the non-faller group, respectively. The mean number of fall risk-increasing drugs was comparable in both groups (p = 0.844), even after adjusting for alcohol consumption, fear of falling, vision and foot problems (p = 0

  17. Falls incidence underestimates the risk of fall-related injuries in older age groups : a comparison with the FARE (Falls risk by Exposure)

    NARCIS (Netherlands)

    Etman, Astrid; Wijlhuizen, Gert Jan; van Heuvelen, Marieke J. G.; Chorus, Astrid; Hopman-Rock, Marijke

    Background: up till now, the risk of falls has been expressed as falls incidence (i.e. the number of falls or fallers per 100 person-years). However, the risk of an accident or injury is the probability of having an accident or injury per unit of exposure. The FARE ( Falls risk by Exposure) is a

  18. Falls incidence underestimates the risk of fall-related injuries in older age groups: a comparison with the FARE (Falls risk by Exposure)

    NARCIS (Netherlands)

    Etman, A.; Wijlhuizen, G.J.; van Heuvelen, M.J.G.; Chorus, A.M.J.; Hopman-Rock, M.

    2012-01-01

    Background: up till now, the risk of falls has been expressed as falls incidence (i.e. the number of falls or fallers per 100 person-years). However, the risk of an accident or injury is the probability of having an accident or injury per unit of exposure. The FARE (Falls risk by Exposure) is a

  19. Falls incidence underestimates the risk of fall-related injuries in older age groups: A comparison with the FARE (Falls risk by exposure)

    NARCIS (Netherlands)

    Etman, A.; Wijlhuizen, G.J.; Heuvelen, M.J.G. van; Chorus, A.; Hopman-Rock, M.

    2012-01-01

    Background: up till now, the risk of falls has been expressed as falls incidence (i.e. the number of falls or fallers per 100 person-years). However, the risk of an accident or injury is the probability of having an accident or injury per unit of exposure. The FARE (Falls risk by Exposure) is a

  20. Effects of a multifactorial falls prevention program for people with stroke returning home after rehabilitation: a randomized controlled trial.

    Science.gov (United States)

    Batchelor, Frances A; Hill, Keith D; Mackintosh, Shylie F; Said, Catherine M; Whitehead, Craig H

    2012-09-01

    To determine whether a multifactorial falls prevention program reduces falls in people with stroke at risk of recurrent falls and whether this program leads to improvements in gait, balance, strength, and fall-related efficacy. A single blind, multicenter, randomized controlled trial with 12-month follow-up. Participants were recruited after discharge from rehabilitation and followed up in the community. Participants (N=156) were people with stroke at risk of recurrent falls being discharged home from rehabilitation. Tailored multifactorial falls prevention program and usual care (n=71) or control (usual care, n=85). Primary outcomes were rate of falls and proportion of fallers. Secondary outcomes included injurious falls, falls risk, participation, activity, leg strength, gait speed, balance, and falls efficacy. There was no significant difference in fall rate (intervention: 1.89 falls/person-year, control: 1.76 falls/person-year, incidence rate ratio=1.10, P=.74) or the proportion of fallers between the groups (risk ratio=.83, 95% confidence interval=.60-1.14). There was no significant difference in injurious fall rate (intervention: .74 injurious falls/person-year, control: .49 injurious falls/person-year, incidence rate ratio=1.57, P=.25), and there were no significant differences between groups on any other secondary outcome. This multifactorial falls prevention program was not effective in reducing falls in people with stroke who are at risk of falls nor was it more effective than usual care in improving gait, balance, and strength in people with stroke. Further research is required to identify effective interventions for this high-risk group. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  1. Falls, a fear of falling and related factors in older adults with complex chronic disease.

    Science.gov (United States)

    Lee, JuHee; Choi, MoonKi; Kim, Chang Oh

    2017-12-01

    To identify factors influencing falls and the fear of falling among older adults with chronic diseases in Korea. The fear of falling and falls in older adults are significant health problems towards which healthcare providers should direct their attention. Further investigation is needed to improve nursing practice specifically decreasing risk of falls and the fear of falling in Korea. Descriptive, cross-sectional survey. A convenience sample of 108 patients was recruited at the geriatric outpatient department of a tertiary hospital in Seoul, Korea. Demographic characteristics, comorbidities, medication use, fall history, level of physical activity, activities of daily living, mobility, muscle strength, and a fear of falling were investigated. Student's t tests, chi-square tests and multiple linear regressions were used in statistical analysis. Thirty-six participants (33.3%) among 108 subjects reported experiencing ≥1 falls in the past year. Marital status and the use of antipsychotics were associated with falls, while other factors were not significantly related to falls. Only benign prostatic hypertrophy and polypharmacy were significantly related to the fear of falling in the analysis of the relationships between chronic disease, medication use and fear of falling. In the regression model, the number of comorbidities, level of physical activity, activities of daily living and mobility were predictors of a fear of falling. Medication use was marginally significant, in the model. Increasing physical activity, functional fitness and physical independence is important to decrease the fear of falling, and to encourage active and healthy lives in older adults. The findings from this study provide evidence for the development of nursing interventions for older adults. We recommend early screening for a fear of falling and nursing interventions to decrease the fear of falling through enhancing physical activity level and function. © 2017 John Wiley & Sons Ltd.

  2. Geophysical logging for groundwater investigations in Southern Thailand

    Directory of Open Access Journals (Sweden)

    Phongpiyah Klinmanee

    2012-09-01

    Full Text Available In Thailand the Department of Groundwater Resources is drilling to find vital aquifers. Sometimes groundwater formations cannot be identified clearly during drilling; therefore, geophysical logging was applied after drilling and before casing.The tool used here is measuring nine parameters in one run, natural gamma ray, spontaneous potential, single point resistance, normal resistivity (AM 8’’, 16’’, 32’’, and 64’’, mud temperature and resistivity. Cutting was used to support the geophysical interpretations. In many cases the groundwater bearing zones could be clearly identified. The combination of andthe possibility choosing from nine parameters measured provided the necessary data base to identify groundwater bearingzones in different environments. It has been demonstrated that in different wells different tools are favorable than others.Based on the conclusions of this study geophysical logging in groundwater exploration is recommended as a normalstandard technique that should be applied in every new well drilled.

  3. Association between obesity, risk of falls and fear of falling in older women

    Directory of Open Access Journals (Sweden)

    Silvia Gonçalves Ricci Neri

    2017-11-01

    Full Text Available DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n4p450   The aim of this cross-sectional study was to investigate the association between obesity, risk of falls and fear of falling in older women. Two hundred and twenty-six volunteers (68.05 ± 6.22 years, 68.06 ± 11.79 kg, 1.56 ± 0.06 m were classified as normal weight, overweight or obese, according to the body mass index. Risk of falls and fear of falling were evaluated using QuickScreen Clinical Falls Risk Assessment and Falls Efficiency Scale – International (FES-I, respectively. Comparisons between groups were conducted using Chi-square and ANOVA One-way tests. The significance level was set at p< 0.05. Obesity was associated with greater probability of falls (p< 0.001, which may be partly explained by decreased muscle strength (p< 0.001 and reaction time (p< 0.001. In addition, significant differences between groups was observed in FES-I score (p< 0.01, with obese women showing more pronounced fear of falling (30.10 ± 8.4 than normal weigh (25. 33 ± 7.11, p< 0.01 and overweight subjects (26.97 ± 7.05, p< 0.05. These findings corroborate previous evidence pointing obesity as a major risk factor for falls. Therefore, health professionals dealing with fall prevention should consider the effects of overweight.

  4. Physical exercises and risk of fall reduction in elderly: a systematic review

    Directory of Open Access Journals (Sweden)

    Diogo Homann

    2010-09-01

    Full Text Available Falls are associated with morbidity and mortality in older adults. The aim of this systematic review was to identify, describe and analyze the effects of physical exercise programs on the reduction of the risk of falls in adults above the age of 60. For this purpose, the Medline/Pubmed, Lilacs, and SciELO databases available at the site of the Latin American Center of Information in Health Sciences (BIREME were searched for articles comprising the period between 1999 and 2009 using the following keywords: accidental falls, elderly, exercise. A total of 385 publications were identified and 10 articles that met the criteria established in this study were selected. Strength and balance activities were the most frequent components of the exercise programs, in addition to coordination, flexibility and aerobic exercise. However, there was no clear information regarding the frequency, duration and intensity of the sessions. It was concluded that programs combining strength and balance components with other interventions, performed at least twice a week, and monitoring the participants for 3 to 6 months after intervention were the most effective in reducing and preventing falls in older adults. However, a more detailed presentation of some methodological aspects is necessary to permit the reproduction of these studies and the comparison of their results.

  5. Preliminary evaluation of alterant geophysical tomography in welded tuff

    International Nuclear Information System (INIS)

    Ramirez, A.L.; Daily, W.D.

    1985-01-01

    The ability of alterant geophysical tomography to delineate flow paths in a welded tuff rock mass has been preliminarily evaluated based on the results of a field experiment. Electromagnetic measurements were made before, during and after a water-based, dye tracer flowed through the rock mass. Alterant geophysical tomographs were generated and compared with independent evidence - borescope logs, neutron logs and dyed rock samples. Anomalies present in the tomograph match the location and orientation of fractures mapped with a borescope. The location of tracer-stained fractures coincides with the location of some image anomalies; other geophysical anomalies exist where tracer-stained fractures were not observed, perhaps due to poor core recovery. Additional drilling to locate stained flow paths and other experiments are planned so that the applicability of the technique can be further evaluated

  6. Joint inversion of geophysical and hydrological data for improved subsurface characterization

    International Nuclear Information System (INIS)

    Kowalsky, Michael B.; Chen, Jinsong; Hubbard, Susan S.

    2006-01-01

    Understanding fluid distribution and movement in the subsurface is critical for a variety of subsurface applications, such as remediation of environmental contaminants, sequestration of nuclear waste and CO2, intrusion of saline water into fresh water aquifers, and the production of oil and gas. It is well recognized that characterizing the properties that control fluids in the subsurface with the accuracy and spatial coverage needed to parameterize flow and transport models is challenging using conventional borehole data alone. Integration of conventional borehole data with more spatially extensive geophysical data (obtained from the surface, between boreholes, and from surface to boreholes) shows promise for providing quantitative information about subsurface properties and processes. Typically, estimation of subsurface properties involves a two-step procedure in which geophysical data are first inverted and then integrated with direct measurements and petrophysical relationship information to estimate hydrological parameters. However, errors inherent to geophysical data acquisition and inversion approaches and errors associated with petrophysical relationships can decrease the value of geophysical data in the estimation procedure. In this paper, we illustrate using two examples how joint inversion approaches, or simultaneous inversion of geophysical and hydrological data, offer great potential for overcoming some of these limitations

  7. BROADBAND DIGITAL GEOPHYSICAL TELEMETRY SYSTEM.

    Science.gov (United States)

    Seeley, Robert L.; Daniels, Jeffrey J.

    1984-01-01

    A system has been developed to simultaneously sample and transmit digital data from five remote geophysical data receiver stations to a control station that processes, displays, and stores the data. A microprocessor in each remote station receives commands from the control station over a single telemetry channel.

  8. New horizons in fall prevention.

    Science.gov (United States)

    Lord, Stephen R; Close, Jacqueline C T

    2018-04-25

    Falls pose a major threat to the well-being and quality of life of older people. Falls can result in fractures and other injuries, disability and fear and can trigger a decline in physical function and loss of autonomy. This article synthesises recent published findings on fall risk and mobility assessments and fall prevention interventions and considers how this field of research may evolve in the future. Fall risk topics include the utility of remote monitoring using wearable sensors and recent work investigating brain activation and gait adaptability. New approaches for exercise for fall prevention including dual-task training, cognitive-motor training with exergames and reactive step training are discussed. Additional fall prevention strategies considered include the prevention of falls in older people with dementia and Parkinson's disease, drugs for fall prevention and safe flooring for preventing fall-related injuries. The review discusses how these new initiatives and technologies have potential for effective fall prevention and improved quality of life. It concludes by emphasising the need for a continued focus on translation of evidence into practice including robust effectiveness evaluations of so that resources can be appropriately targeted into the future.

  9. Masculinity and preventing falls: insights from the fall experiences of men aged 70 years and over.

    Science.gov (United States)

    Liddle, J L M; Lovarini, Meryl; Clemson, Lindy M; Jang, Haeyoung; Lord, Stephen R; Sherrington, Catherine; Willis, Karen

    2018-01-11

    To explore men's fall experiences through the lens of masculine identities so as to assist health professionals better engage men in fall prevention programs. Twenty-five men, aged 70-93 years who had experienced a recent fall, participated in a qualitative semi-structured interview. Men's willingness to engage in fall prevention programs taking account of individual contexts and expressions of masculinity, were conceptualised using constant comparative methods. Men's willingness to engage in fall prevention programs was related to their perceptions of the preventability of falls; personal relevance of falls; and age, health, and capability as well as problem-solving styles to prevent falls. Fall prevention advice was rarely given when men accessed the health system at the time of a fall. Contrary to dominant expectations about masculine identity, many men acknowledged fall vulnerability indicating they would attend or consider attending, a fall prevention program. Health professionals can better engage men by providing consistent messages that falls can be prevented; tailoring advice, understanding men are at different stages in their awareness of fall risk and preferences for action; and by being aware of their own assumptions that can act as barriers to speaking with men about fall prevention. Implications for rehabilitation Men accessing the health system at the time of the fall, and during rehabilitation following a fall represent prime opportunities for health professionals to speak with men about preventing falls and make appropriate referrals to community programs. Tailored advice will take account of individual men's perceptions of preventability; personal relevance; perceptions of age, health and capability; and problem-solving styles.

  10. Geophysical interpretation using integral equations

    CERN Document Server

    Eskola, L

    1992-01-01

    Along with the general development of numerical methods in pure and applied to apply integral equations to geophysical modelling has sciences, the ability improved considerably within the last thirty years or so. This is due to the successful derivation of integral equations that are applicable to the modelling of complex structures, and efficient numerical algorithms for their solution. A significant stimulus for this development has been the advent of fast digital computers. The purpose of this book is to give an idea of the principles by which boundary-value problems describing geophysical models can be converted into integral equations. The end results are the integral formulas and integral equations that form the theoretical framework for practical applications. The details of mathematical analysis have been kept to a minimum. Numerical algorithms are discussed only in connection with some illustrative examples involving well-documented numerical modelling results. The reader is assu­ med to have a back...

  11. CO2 Emissions Generated by a Fall AGU Meeting

    Science.gov (United States)

    osborn, G.; Malowany, K. S.; Samolczyk, M. A.

    2011-12-01

    The process of reporting on and discussing geophysical phenomena, including emissions of greenhouse gases, generates more greenhouse gases. At the 2010 fall meeting of the AGU, 19,175 delegates from 81 countries, including, for example, Eritrea, Nepal, and Tanzania, traveled a total of 156,000,000 km to congregate in San Francisco for five days. With data on home bases of participants provided by AGU, we estimated the CO2 emissions generated by travel and hotel stays of those participants. The majority of the emissions from the meeting resulted from air travel . In order to estimate the footprint of such travel, (a) distances from the largest airport in each country and American state (except Canada and California) to San Francisco were tabulated , (b) basic distances were converted to emissions using the TerraPass (TRX Travel Analytics) carbon calculator, (c) it was assumed that half the California participants would fly and half would drive, (d) it was assumed that half of Canadians would fly out of Toronto and half out of Vancouver, and (e) a fudge factor of 10% was added to air travel emissions to account for connecting flights made by some participants to the main airports in the respective countries (connecting flights are disproportionately significant because of high output during takeoff acceleration). Driving impacts were estimated with a Transport Direct/RAC Motoring Services calculator using a 2006 Toyota Corolla as a standard car. An average driving distance of 50 km to the departure airport, and from the airport upon return, was assumed. Train impacts were estimated using the assumption that all flying participants would take BART from SFO. Accomodation impacts were estimated using an Environmental Protection Agency calculator, an assumed average stay of 3 nights, and the assumption that 500 participants commuted from local residences or stayed with friends. The above assumptions lead to an estimate, which we consider conservative, of 19 million kg of

  12. Multi-day radon signals with a radioactive decay limb-Occurrence and geophysical significance

    International Nuclear Information System (INIS)

    Steinitz, G.; Martin, M.C.; Gazit-Yaari, N.; Quesada, M.L.; Nuez, J. de la; Casillas, R.; Malik, U.; Begin, Z.B.

    2006-01-01

    Multi-day signals, generally with duration of 2-10 days, are a prominent temporal variation type of radon (Rn) in geo gas in the unsaturated zone. Rare multi-day Rn signals have been found which are characterized by: (a) a declining limb lasting up to 10 days which conforms to the radioactive decay of Rn (b) recurs at the same location and (c) is recorded in diverse situations-volcanic and seismogenic. It suggested that a Rn blob is injected at a lower level on a steady upward flow of geogas whereby the rise and final fall of the signal are attributed to the edges of the blob while the central Rn-decay segment records the passing of the decaying blob itself. Rn-decay signals are a small subset of multi-day Rn signals which are considered as highly irregular and unusable for the understanding of geophysical processes. In difference, it is concluded that multi-day Rn signals are probably proxies of subtle geodynamic processes at upper crustal levels and are therefore significant for studying such processes

  13. Disability is an Independent Predictor of Falls and Recurrent Falls in People with Parkinson's Disease Without a History of Falls: A One-Year Prospective Study.

    Science.gov (United States)

    Almeida, Lorena R S; Sherrington, Catherine; Allen, Natalie E; Paul, Serene S; Valenca, Guilherme T; Oliveira-Filho, Jamary; Canning, Colleen G

    2015-01-01

    Predictors of falls in people with Parkinson's disease (PD) who have not previously fallen are yet to be identified. We aimed to identify predictors of all falls and recurrent falls in people with PD who had not fallen in the previous year and to explore the timing of falls in a 12-month follow-up period. Participants with PD (n = 130) were assessed by disease-specific, self-report and balance measures. Falls were recorded prospectively for 12 months. Univariate and multivariate analyses were performed. Kaplan-Meier survival analysis was used to investigate time to falling. Forty participants (31%) had ≥1 fall during follow-up and 21 (16%) had ≥2 falls. Disability, reduced balance confidence and greater concern about falling were associated with ≥1 fall in univariate analyses. Additionally, PD duration and severity, freezing of gait and impaired balance were associated with ≥2 falls (p Disability (Schwab and England scale, Odds Ratio [OR] = 0.56 per 10 points increase; 95% confidence interval [CI] 0.39-0.80; p = 0.002) was associated with ≥1 fall in the final multivariate model (area under the receiver operating characteristic curve [AUC] = 0.65; 95% CI 0.55-0.76; p = 0.005). Disability (Unified Parkinson's Disease Rating Scale activities of daily living, OR = 1.20; 95% CI 1.07-1.34; p = 0.001) and levodopa equivalent dose (OR = 1.11 per 100 mg increase; 95% CI 0.95-1.30; p = 0.19) were associated with ≥2 falls in the final multivariate model (AUC = 0.72; 95% CI 0.60-0.84; p = 0.001). Recurrent fallers experienced their first fall earlier than single fallers (p disability was the strongest single predictor of all falls and recurrent falls.

  14. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis

    Directory of Open Access Journals (Sweden)

    Faulkner Robert A

    2007-07-01

    Full Text Available Abstract Background Falling accounts for a significant number of hospital and long-term care admissions in older adults. Many adults with the combination of advancing age and functional decline associated with lower extremity osteoarthritis (OA, are at an even greater risk. The purpose of this study was to describe fall and near-fall history, location, circumstances and injuries from falls in a community-dwelling population of adults over aged 65 with hip OA and to determine the ability of the timed up and go test (TUG to classify fallers and near-fallers. Method A retrospective observational study of 106 older men and women with hip pain for six months or longer, meeting a clinical criteria for the presence of hip OA at one or both hips. An interview for fall and near-fall history and administration of the TUG were administered on one occasion. Results Forty-five percent of the sample had at least one fall in the past year, seventy-seven percent reported occasional or frequent near-falls. The majority of falls occurred during ambulation and ascending or descending steps. Forty percent experienced an injury from the fall. The TUG was not associated with history of falls, but was associated with near-falls. Higher TUG scores occurred for those who were older, less mobile, and with greater number of co-morbidities. Conclusion A high percentage of older adults with hip OA experience falls and near-falls which may be attributed to gait impairments related to hip OA. The TUG could be a useful screening instrument to predict those who have frequent near-falls, and thus might be useful in predicting risk of future falls in this population.

  15. Diagnosis and Tests: Evaluating a Fall or Risk of Falling

    Science.gov (United States)

    ... as a physical therapist, who can evaluate your fall risk. If your healthcare provider concludes that you are ... to check for things that can impact your fall risk, such as electrolyte balance and the possibility of ...

  16. Archaeological Feedback as a Research Methodology in Near-Surface Geophysics

    Science.gov (United States)

    Maillol, J.; Ortega-Ramírez, J.; Berard, B.

    2005-05-01

    A unique characteristic of archaeological geophysics is to present the researchers in applied geophysics with the opportunity to verify their interpretation of geophysical data through the direct observation of often extremely detailed excavations. This is usually known as archaeological feedback. Archaeological materials have been slowly buried over periods ranging from several hundreds to several thousands of years, undergoing natural sedimentary and soil-forming processes. Once excavated, archaeological features therefore constitute more realistic test subjects than the targets artifically buried in common geophysical test sites. We are presenting the outcome of several such verification tests aimed at clarifying issues in geometry and spatial resolution of ground penetrating radar (GPR) images. On the site of a Roman villa in SE Portugal 500 Mhz GPR images are shown to depict very accurately the position and geometry of partially excavated remains. In the Maya city of Palenque, Mexico, 900 Mhz data allows the depth of tombs and natural cavities to be determined with cm accuracy. The predicted lateral extent of the cavities is more difficult to match with the reality due to the cluttering caused by high frequency. In the rainforest of Western Africa, 500 MHz GPR was used to prospect for stone tool sites. When very careful positioning and high density data sampling is achieved, stones can be accurately located and retrieved at depths exceeding 1 m with maximum positioning errors of 12cm horizontally and 2 cm vertically. In more difficult data collection conditions however, errors in positioning are shown to actually largely exceed the predictions based on quantitative theoretical resolution considerations. Geophysics has long been recognized as a powerful tool for prospecting and characterizing archaeological sites. Reciprocally, these results show that archaeology is an unparalleled test environment for the assesment and development of high resolution

  17. Risk of falls after withdrawal of fall-risk-increasing drugs: a prospective cohort study

    NARCIS (Netherlands)

    van der Velde, Nathalie; Stricker, Bruno H. Ch; Pols, Huib A. P.; van der Cammen, Tischa J. M.

    2007-01-01

    AIMS: Falling in older persons is a frequent and serious clinical problem. Several drugs have been associated with increased fall risk. The objective of this study was to identify differences in the incidence of falls after withdrawal (discontinuation or dose reduction) of fall-risk-increasing drugs

  18. Addressing the difficulty of changing fields in geophysics

    Science.gov (United States)

    Civilini, F.; Savage, M. K.

    2014-12-01

    Geophysics is a wonderfully diverse field of study, encompassing a variety of disciplines greatly different from one other. Even within the same discipline, various branches of study can have drastically different vocabulary and methodologies. The difficulty of breaking this "jargon" barrier is also an important reminder for scientists of how critical it is to clearly and concisely convey information. This presentation will focus on strategies that students can focus on to ease a transition between fields in geophysics. I believe that a student changing disciplines should proceed in the following steps: [1] Do a cursory literature review to find a review paper of the desired topic and work backwards through the details until a level of understanding or recognition is reached, [2] Obtain a clear physical understanding of the data and methods of the proposed study, and [3] Establish a support network through the research group or elsewhere which will recognize the areas in which the student is behind and offer remedies in a supportive and productive manner. These strategies are based on my own personal experience changing from music to geophysics in my undergrad and working on projects spanning various subdisciplines of geophysics during my Masters and PhD. It is worthwhile for research groups to spend the time to mentor students switching from other disciplines because those students will in time be able to observe the research in a different way than their peers, and easily adapt to changes of direction within the research.

  19. Falls and Frailty in Prostate Cancer Survivors: Current, Past, and Never Users of Androgen Deprivation Therapy.

    Science.gov (United States)

    Winters-Stone, Kerri M; Moe, Esther; Graff, Julie N; Dieckmann, Nathan F; Stoyles, Sydnee; Borsch, Carolyn; Alumkal, Joshi J; Amling, Christopher L; Beer, Tomasz M

    2017-07-01

    To compare the prevalence of and association between falls and frailty of prostate cancer survivors (PCSs) who were current, past or never users of androgen deprivation therapy (ADT). Cross-sectional. Mail and electronic survey. PCSs (N = 280; mean age 72 ± 8). Cancer history, falls, and frailty status (robust, prefrail, frail) using traditionally defined and obese phenotypes. Current (37%) or past (34%) ADT users were more than twice as likely to have fallen in the previous year as never users (15%) (P = .002). ADT users had twice as many recurrent falls (P users were more likely to be classified as prefrail or frail than never users (15%) (P users than never users (25%) (P < .001). Traditional and obese frailty significantly increased the likelihood of reporting falls in the previous year (odds ratio (OR) = 2.15, 95% CI = 1.18-3.94 and OR = 2.97, 95% CI = 1.62-5.58, respectively) and was also associated with greater risk of recurrent falls (OR = 3.10, 95% CI = 1.48-6.5 and OR = 3.99, 95% CI = 1.79-8.89, respectively). Current and past exposure to ADT is linked to higher risk of falls and frailty than no treatment. PCSs should be appropriately counseled on fall prevention strategies, and approaches to reduce frailty should be considered. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  20. The design and development of a complex multifactorial falls assessment intervention for falls prevention: The Prevention of Falls Injury Trial (PreFIT).

    Science.gov (United States)

    Bruce, Julie; Ralhan, Shvaita; Sheridan, Ray; Westacott, Katharine; Withers, Emma; Finnegan, Susanne; Davison, John; Martin, Finbarr C; Lamb, Sarah E

    2017-06-01

    This paper describes the design and development of a complex multifactorial falls prevention (MFFP) intervention for implementation and testing within the framework of a large UK-based falls prevention randomised controlled trial (RCT). A complex intervention was developed for inclusion within the Prevention of Falls Injury Trial (PreFIT), a multicentre pragmatic RCT. PreFIT aims to compare the clinical and cost-effectiveness of three alternative primary care falls prevention interventions (advice, exercise and MFFP), on outcomes of fractures and falls. Community-dwelling adults, aged 70 years and older, were recruited from primary care in the National Health Service (NHS), England. Development of the PreFIT MFFP intervention was informed by the existing evidence base and clinical guidelines for the assessment and management of falls in older adults. After piloting and modification, the final MFFP intervention includes seven falls risk factors: a detailed falls history interview with consideration of 'red flags'; assessment of balance and gait; vision; medication screen; cardiac screen; feet and footwear screen and home environment assessment. This complex intervention has been fully manualised with clear, documented assessment and treatment pathways for each risk factor. Each risk factor is assessed in every trial participant referred for MFFP. Referral for assessment is based upon a screening survey to identify those with a history of falling or balance problems. Intervention delivery can be adapted to the local setting. This complex falls prevention intervention is currently being tested within the framework of a large clinical trial. This paper adheres to TIDieR and CONSORT recommendations for the comprehensive and explicit reporting of trial interventions. Results from the PreFIT study will be published in due course. The effectiveness and cost-effectiveness of the PreFIT MFFP intervention, compared to advice and exercise, on the prevention of falls and

  1. Object-Oriented Programming When Developing Software in Geology and Geophysics

    Science.gov (United States)

    Ahmadulin, R. K.; Bakanovskaya, L. N.

    2017-01-01

    The paper reviews the role of object-oriented programming when developing software in geology and geophysics. Main stages have been identified at which it is worthwhile to apply principles of object-oriented programming when developing software in geology and geophysics. The research was based on a number of problems solved in Geology and Petroleum Production Institute. Distinctive features of these problems are given and areas of application of the object-oriented approach are identified. Developing applications in the sphere of geology and geophysics has shown that the process of creating such products is simplified due to the use of object-oriented programming, firstly when designing structures for data storage and graphical user interfaces.

  2. Effectiveness of tai chi as a community-based falls prevention intervention: a randomized controlled trial.

    Science.gov (United States)

    Taylor, Denise; Hale, Leigh; Schluter, Philip; Waters, Debra L; Binns, Elizabeth E; McCracken, Hamish; McPherson, Kathryn; Wolf, Steven L

    2012-05-01

    To compare the effectiveness of tai chi and low-level exercise in reducing falls in older adults; to determine whether mobility, balance, and lower limb strength improved and whether higher doses of tai chi resulted in greater effect. Randomized controlled trial. Eleven sites throughout New Zealand. Six hundred eighty-four community-residing older adults (mean age 74.5; 73% female) with at least one falls risk factor. Tai chi once a week (TC1) (n = 233); tai chi twice a week (TC2) (n = 220), or a low-level exercise program control group (LLE) (n = 231) for 20 wks. Number of falls was ascertained according to monthly falls calendars. Mobility (Timed-Up-and-Go Test), balance (step test), and lower limb strength (chair stand test) were assessed. The adjusted incident rate ratio (IRR) for falls was not significantly different between the TC1 and LLE groups (IRR = 1.05, 95% confidence interval (CI) = 0.83-1.33, P = .70) or between the TC2 and LLE groups (IRR = 0.88, 95% CI = 0.68-1.16, P = .37). Adjusted multilevel mixed-effects Poisson regression showed a significant reduction in logarithmic mean fall rate of -0.050 (95% CI = -0.064 to -0.037, P leg) and lower limb strength (P leg), P = .66 (left leg), P = .21, and P = .44, respectively). There was no difference in falls rates between the groups, with falls reducing similarly (mean falls rate reduction of 58%) over the 17-month follow-up period. Strength and balance improved similarly in all groups over time. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

  3. Fall-grown oat to extend the fall grazing season for replacement dairy heifers.

    Science.gov (United States)

    Coblentz, W K; Brink, G E; Hoffman, P C; Esser, N M; Bertram, M G

    2014-03-01

    , respectively. Across the 2-yr trial, average daily gain for grazing heifer groups tended to be greater than heifers remaining in confinement (0.85 vs. 0.74 kg/d), but both management strategies produced weight gains within reasonable proximity to normal targets for heifers in this weight range. Fall-grown oat should be managed as stockpiled forage for deferred grazing, and good utilization of fall-oat forage can be accomplished by a one-time removal of standing forage, facilitated by a single lead wire advanced daily to prevent waste. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  4. Falls in Parkinson's disease.

    NARCIS (Netherlands)

    Grimbergen, Y.A.M.; Munneke, M.; Bloem, B.R.

    2004-01-01

    PURPOSE OF REVIEW: To summarize the latest insights into the clinical significance, assessment, pathophysiology and treatment of falls in Parkinson's disease. RECENT FINDINGS: Recent studies have shown that falls are common in Parkinson's disease, even when compared with other fall-prone

  5. Predicting Falls in People with Multiple Sclerosis: Fall History Is as Accurate as More Complex Measures

    Directory of Open Access Journals (Sweden)

    Michelle H. Cameron

    2013-01-01

    Full Text Available Background. Many people with MS fall, but the best method for identifying those at increased fall risk is not known. Objective. To compare how accurately fall history, questionnaires, and physical tests predict future falls and injurious falls in people with MS. Methods. 52 people with MS were asked if they had fallen in the past 2 months and the past year. Subjects were also assessed with the Activities-specific Balance Confidence, Falls Efficacy Scale-International, and Multiple Sclerosis Walking Scale-12 questionnaires, the Expanded Disability Status Scale, Timed 25-Foot Walk, and computerized dynamic posturography and recorded their falls daily for the following 6 months with calendars. The ability of baseline assessments to predict future falls was compared using receiver operator curves and logistic regression. Results. All tests individually provided similar fall prediction (area under the curve (AUC 0.60–0.75. A fall in the past year was the best predictor of falls (AUC 0.75, sensitivity 0.89, specificity 0.56 or injurious falls (AUC 0.69, sensitivity 0.96, specificity 0.41 in the following 6 months. Conclusion. Simply asking people with MS if they have fallen in the past year predicts future falls and injurious falls as well as more complex, expensive, or time-consuming approaches.

  6. Effects of a Community-Based Fall Management Program on Medicare Cost Savings.

    Science.gov (United States)

    Ghimire, Ekta; Colligan, Erin M; Howell, Benjamin; Perlroth, Daniella; Marrufo, Grecia; Rusev, Emil; Packard, Michael

    2015-12-01

    Fall-related injuries and health risks associated with reduced mobility or physical inactivity account for significant costs to the U.S. healthcare system. The widely disseminated lay-led A Matter of Balance (MOB) program aims to help older adults reduce their risk of falling and associated activity limitations. This study examined effects of MOB participation on health service utilization and costs for Medicare beneficiaries, as a part of a larger effort to understand the value of community-based prevention and wellness programs for Medicare. A controlled retrospective cohort study was conducted in 2012-2013, using 2007-2011 MOB program data and 2006-2013 Medicare data. It investigated program effects on falls and fall-related fractures, and health service utilization and costs (standardized to 2012 dollars), of 6,136 Medicare beneficiaries enrolled in MOB from 2007 through 2011. A difference-in-differences analysis was employed to compare outcomes of MOB participants with matched controls. MOB participation was associated with total medical cost savings of $938 per person (95% CI=$379, $1,498) at 1 year. Savings per person amounted to $517 (95% CI=$265, $769) for unplanned hospitalizations; $81 for home health care (95% CI=$20, $141); and $234 (95% CI=$55, $413) for skilled nursing facility care. Changes in the incidence of falls or fall-related fractures were not detected, suggesting that cost savings accrue through other mechanisms. This study suggests that MOB and similar prevention programs have the potential to reduce Medicare costs. Further research accounting for program delivery costs would help inform the development of Medicare-covered preventive benefits. Copyright © 2015 American Journal of Preventive Medicine. All rights reserved.

  7. Application of the geophysical and geochemical methods to the research for uranium

    International Nuclear Information System (INIS)

    Gangloff, A.M.; Collin, C.R.; Grimbert, A.; Sanselme, H.

    1958-01-01

    Since 1954, at the Commissariat a l'energie atomique, geophysics and geochemistry have been added to routine geological surveying and radiometric observations. Geophysical prospecting reveals the tectonic structures linked with French uranium deposits and gives an idea of favorable zones. Geochemistry adds to the geophysical indirect methods further details on the distribution of uranium traces in the soils. This method is direct and specific. Uranium assay in waters and alluvial deposits find its use in preliminary exploration. (author) [fr

  8. Survey of geophysical techniques for site characterization in basalt, salt and tuff

    International Nuclear Information System (INIS)

    Jones, G.M.; Blackey, M.E.; Rice, J.E.; Murphy, V.J.; Levine, E.N.; Fisk, P.S.; Bromery, R.W.

    1987-07-01

    Geophysical techniques may help determine the nature and extent of faulting in the target areas, along with structural information that would be relevant to questions concerning the future integrity of a high-level-waste repository. Chapters focus on particular geophysical applications to four rock types - basalt, bedded salt, domal salt and tuff - characteristic of the sites originally proposed for site characterization. No one geophysical method can adequately characterize the geological structure beneath any site. The seismic reflection method, which is generally considered to be the most incisive of the geophysical techniques, has to date provided only marginal information on structure at the depth of the proposed repository at the Hanford, Washington, site, and no useful results at all at the Yucca Mountain, Nevada, site. This result is partially due to geological complexity beneath these sites, but may also be partially attributed to the use of inappropriate acquisition and processing parameters. To adequately characterize a site using geophysics, modifications will have to be made to standard techniques to emphasize structural details at the depths of interest. 137 refs., 43 figs., 4 tabs

  9. Critical zone architecture and processes: a geophysical perspective

    Science.gov (United States)

    Holbrook, W. S.

    2016-12-01

    The "critical zone (CZ)," Earth's near-surface layer that reaches from treetop to bedrock, sustains terrestrial life by storing water and producing nutrients. Despite is central importance, however, the CZ remains poorly understood, due in part to the complexity of interacting biogeochemical and physical processes that take place there, and in part due to the difficulty of measuring CZ properties and processes at depth. Major outstanding questions include: What is the architecture of the CZ? How does that architecture vary across scales and across gradients in climate, lithology, topography, biology and regional states of stress? What processes control the architecture of the CZ? At what depth does weathering initiate, and what controls the rates at which it proceeds? Based on recent geophysical campaigns at seven Critical Zone Observatory (CZO) sites and several other locations, a geophysical perspective on CZ architecture and processes is emerging. CZ architecture can be usefully divided into four layers, each of which has distinct geophysical properties: soil, saprolite, weathered bedrock and protolith. The distribution of those layers across landscapes varies depending on protolith composition and internal structure, topography, climate (P/T) and the regional state of stress. Combined observations from deep CZ drilling, geophysics and geochemistry demonstrate that chemical weathering initiates deep in the CZ, in concert with mechanical weathering (fracturing), as chemical weathering appears concentrated along fractures in borehole walls. At the Calhoun CZO, the plagioclase weathering front occurs at nearly 40 m depth, at the base of a 25-m-thick layer of weathered bedrock. The principal boundary in porosity, however, occurs at the saprolite/weathered bedrock boundary: porosity decreases over an order of magnitude, from 50% to 5% over an 8-m-thick zone at the base of saprolite. Porosity in weathered bedrock is between 2-5%. Future progress will depend on (1

  10. The interplay between gait, falls and cognition: can cognitive therapy reduce fall risk?

    Science.gov (United States)

    Segev-Jacubovski, Orit; Herman, Talia; Yogev-Seligmann, Galit; Mirelman, Anat; Giladi, Nir; Hausdorff, Jeffrey M

    2011-01-01

    In this article, we briefly summarize the incidence and significant consequences of falls among older adults, the insufficient effectiveness of commonly used multifactorial interventions and the evidence linking falls and cognitive function. Recent pharmacologic and nonpharmacologic studies that evaluated the effects of cognitive therapy on fall risk are reviewed. The results of this article illustrate the potential utility of multiple, diverse forms of cognitive therapy for reducing fall risk. The article also indicates that large-scale, randomized controlled trials are warranted and that additional research is needed to better understand the pathophysiologic mechanisms underlying the interplay between human mobility, fall risk and cognitive function. Nonetheless, we suggest that multimodality interventions that combine motor and cognitive therapy should, eventually, be incorporated into clinical practice to enable older adults and patients to move safer and with a reduced fall risk. PMID:21721921

  11. Meanings of Falls and Prevention of Falls According to Rehabilitation Nurses: A Qualitative Descriptive Study.

    Science.gov (United States)

    Bok, Amy; Pierce, Linda L; Gies, Cheryl; Steiner, Victoria

    2016-01-01

    Guided by Friedemann's theoretical framework, this survey explored the meaning of a fall of an institutionalized older adult or fall prevention to rehabilitation registered nurses and whether the experience changed the nurse's practice. Qualitative, descriptive survey. A convenience sample of 742 rehabilitation nurses was asked to describe these experiences and the impact on their practice. Themes discovered related to the meaning of a fall include negative feelings (incongruence) and positive feelings (congruence). Themes related to the meaning of preventing a fall include positive feelings (congruence). Practice change themes emerged from both the experience of a fall and fall prevention. Practice change themes were drawn to Friedemann's (1995) process dimensions. Nurses' experiences and meanings of falls uncovered negative and positive feelings about these falls. New findings of this study were the positive feelings expressed by nurses, when there was no injury or when a fall was prevented. © 2015 Association of Rehabilitation Nurses.

  12. The Legacy of Benoit Mandelbrot in Geophysics

    Science.gov (United States)

    Turcotte, D. L.

    2001-12-01

    The concept of fractals (fractional dimension) was introduced by Benoit Mandelbrot in his famous 1967 Science paper. The initial application was to the length of the coastline of Britain. A milestone in the appreciation of the fractal concept by geophysicists was the Union session of the AGU on fractals led off by Benoit in 1986. Although fractals have found important applications in almost every branch of the physical, biological, and social sciences, fractals have been particularly useful in geophysics. Drainage networks are fractal. The frequency-magnitude distribution of earthquakes is fractal. The scale invariance of landscapes and many other geological processes is due to the applicability of power-law (fractal) distributions. Clouds are often fractal. Porosity distributions are fractal. In an almost independent line of research, Benoit in collaboration with James Wallace and others developed the concept of self-affine fractals. The original applications were primarily to time series in hydrology and built on the foundation laid by Henry Hurst. Fractional Gaussian noises and fractional Brownian motions are ubiquitous in geophysics. These are expressed in terms of the power-law relation between the power-spectral density S and frequency f, S ~ f{ β }, examples are β = 0 (white noise), β = 1 (1/f noise), β = 2 (Brownian motion). Of particular importance in geophysics are fractional noises with β = 0.5, these are stationary but have long-range persistent and have a Hurst exponent H = 0.7. Examples include river flows, tree rings, sunspots, varves, etc. Two of Benoit Mandelbrot's major contributions in geophysics as in other fields are: (1) an appreciation of the importance of fat-tail, power-law (fractal) distributions and (2) an appreciation of the importance of self-similar long-range persistence in both stationary time series (noises) and nonstationary time series (walks).

  13. Geophysical investigation, Salmon Site, Lamar County, Mississippi

    International Nuclear Information System (INIS)

    1995-02-01

    Geophysical surveys were conducted in 1992 and 1993 on 21 sites at the Salmon Site (SS) located in Lamar County, Mississippi. The studies are part of the Remedial Investigation/Feasibility Study (RI/FS) being conducted by IT Corporation for the U.S. Department of Energy (DOE). During the 1960s, two nuclear devices and two chemical tests were detonated 826 meters (in) (2710 feet [ft]) below the ground surface in the salt dome underlying the SS. These tests were part of the Vela Uniform Program conducted to improve the United States capability to detect, identify, and locate underground nuclear detonations. The RI/FS is being conducted to determine if any contamination is migrating from the underground shot cavity in the salt dome and if there is any residual contamination in the near surface mud and debris disposal pits used during the testing activities. The objective of the surface geophysical surveys was to locate buried debris, disposal pits, and abandoned mud pits that may be present at the site. This information will then be used to identify the locations for test pits, cone penetrometer tests, and drill hole/monitor well installation. The disposal pits were used during the operation of the test site in the 1960s. Vertical magnetic gradient (magnetic gradient), electromagnetic (EM) conductivity, and ground-penetrating radar (GPR) surveys were used to accomplish these objectives. A description of the equipment used and a theoretical discussion of the geophysical methods are presented Appendix A. Because of the large number of figures relative to the number of pages of text, the geophysical grid-location maps, the contour maps of the magnetic-gradient data, the contour maps of the EM conductivity data, and the GPR traverse location maps are located in Appendix B, Tabs I through 22. In addition, selected GPR records are located in Appendix C

  14. [Risk factors for falls and survival after falling in elderly people in a community].

    Science.gov (United States)

    Kato, Ryuichi; Takagi, Chika; Sakurai, Naoko; Hoshi, Tanji

    2012-05-01

    The purpose of this study was to assess the risk factors associated with falls and to examine the effects of falls on survival of elderly people in a community. A questionnaire survey was conducted in 16,462 urban elderly dwellers aged 65 years or more in City A in September 2001. A follow-up survey was carried out in September 2004. We analyzed the data of 8,285 subjects who answered both questionnaires and had not relocated by August 2007. Baseline assessments of health and functioning were carried out in 2001. Falls experienced during the 1-year period before September 2004 were recorded, and the deaths were recorded until August 2007. Statistical analysis was performed using a logistic regression model and Cox's proportional hazards analysis. A total of 6,420 subjects (3,127 men and 3,293 women) who had provided complete answers about their falls were included in the analyses. Of these, 27.8% of women and 16.4% of men had experienced falls, while 6.2% of women and 2.1% of men had experienced falls that caused fractures. We found that the likelihood of fall, with or without fracture development, was greater in women than in men (P falls tended to increase with age in both women and men. Risk factors associated with falls, in addition to age and gender, were pain (odds ratio [OR], 1.75), lack of instrumental activities of daily living (IADL; OR, 1.45), poor self-rated health status (OR, 1.42), and presence of disease (OR, 1.35). Risk factors associated with falls that caused fracture were pain (OR, 1.85) and lack of IADL (OR, 1.61). Cox's proportional hazards analysis showed a significant increase in mortality in both men and women who had experienced falls than in those who had not (hazard ratio [HR], 1.94, 1.43). Aging, pain and disease, lack of IADL, and poor self-rated health status were all significant risk factors for falls in elderly people, and a fall was related to subsequent mortality.

  15. Geriatric fall-related injuries.

    Science.gov (United States)

    Hefny, Ashraf F; Abbas, Alaa K; Abu-Zidan, Fikri M

    2016-06-01

    Falls are the leading cause of geriatric injury. We aimed to study the anatomical distribution, severity, and outcome of geriatric fall-related injuries in order to give recommendations regarding their prevention. All injured patients with an age ≥ 60 years who were admitted to Al-Ain Hospital or died in the Emergency Department due to falls were prospectively studied over a four year period. We studied 92 patients. Fifty six of them (60.9%) were females. The mean (standard deviation) of age was 72.2 (9.6) years. Seventy three (89%) of all incidents occurred at home. Eighty three patients (90.2%) fell on the same level. The median (range) ISS was 4 (1-16) and the median GCS (range) was 15 (12-15). The lower limb was the most common injured body region (63%). There were no statistical significant differences between males and females regarding age, ISS, and hospital stay (p = 0.85, p = 0.57, and p = 0.35 respectively). The majority of geriatric fall-related injuries were due to fall from the same level at home. Assessment of risk factors for falls including home hazards is essential for prevention of geriatric fall-related injuries.

  16. Fall prevention walker during rehabilitation

    Science.gov (United States)

    Tee, Kian Sek; E, Chun Zhi; Saim, Hashim; Zakaria, Wan Nurshazwani Wan; Khialdin, Safinaz Binti Mohd; Isa, Hazlita; Awad, M. I.; Soon, Chin Fhong

    2017-09-01

    This paper proposes on the design of a walker for the prevention of falling among elderlies or patients during rehabilitation whenever they use a walker to assist them. Fall happens due to impaired balance or gait problem. The assistive device is designed by applying stability concept and an accelerometric fall detection system is included. The accelerometric fall detection system acts as an alerting device that acquires body accelerometric data and detect fall. Recorded accelerometric data could be useful for further assessment. Structural strength of the walker was verified via iterations of simulation using finite element analysis, before being fabricated. Experiments were conducted to identify the fall patterns using accelerometric data. The design process and detection of fall pattern demonstrates the design of a walker that could support the user without fail and alerts the helper, thus salvaging the users from injuries due to fall and unattended situation.

  17. Mistrust in Medicine: The Rise and Fall of America's First Vaccine Institute.

    Science.gov (United States)

    Lanzarotta, Tess; Ramos, Marco A

    2018-06-01

    In 1813, the American government passed An Act to Encourage Vaccination, the first federal endorsement of a medical practice in American history. The law tasked a federal agent with maintaining a supply of the smallpox vaccine and distributing it nationwide. James Smith, a well-respected physician and proponent of vaccination, was appointed as vaccine agent. Smith was skeptical of claims that only well-trained physicians should be allowed to perform vaccination; he felt it was a simple procedure that should be available to all American citizens. In 1822, he made a tragic error that caused several deaths and left him vulnerable to criticism from political opponents and his medical peers. This ended Smith's professional career and led to the repeal of the act itself. In this article, we use the rise and fall of James Smith to provide a historical perspective on contemporary debates surrounding delayed vaccination schedules. We explain how physicians-in the 19th century and today-have worked to build public trust in vaccination in an American culture suspicious of medical expertise.

  18. Integrated application of the database for airborne geophysical survey achievement information

    International Nuclear Information System (INIS)

    Ji Zengxian; Zhang Junwei

    2006-01-01

    The paper briefly introduces the database of information for airborne geophysical survey achievements. This database was developed on the platform of Microsoft Windows System with the technical methods of Visual C++ 6.0 and MapGIS. It is an information management system concerning airborne geophysical surveying achievements with perfect functions in graphic display, graphic cutting and output, query of data, printing of documents and reports, maintenance of database, etc. All information of airborne geophysical survey achievements in nuclear industry from 1972 to 2003 was embedded in. Based on regional geological map and Meso-Cenozoic basin map, the detailed statistical information of each airborne survey area, each airborne radioactive anomalous point and high field point can be presented visually by combining geological or basin research result. The successful development of this system will provide a fairly good base and platform for management of archives and data of airborne geophysical survey achievements in nuclear industry. (authors)

  19. Multimorbidity predicts falls differentially according to the type of fall in postmenopausal women.

    Science.gov (United States)

    Afrin, Nadia; Honkanen, Risto; Koivumaa-Honkanen, Heli; Lukkala, Pyry; Rikkonen, Toni; Sirola, Joonas; Williams, Lana J; Kröger, Heikki

    2016-09-01

    To ascertain whether the risk of falls of different types is related to morbidity (number of chronic medical conditions) among postmenopausal women. This cohort study uses data from a population-based prospective cohort study (OSTPRE). The study population consisted of 10,594 women aged 47-56 years living in Kuopio Province, Eastern Finland, in 1989, who responded to postal enquiries at both baseline and 5-year follow-up, in 1994. Morbidity (i.e. number of diagnosed chronic medical conditions) was reported in 1989 and falls in 1994. Falls were categorized as slip or nonslip, and 'frequent falls' was defined as two or more in a 12-month period. The risk (odds ratio (OR) with 95% CI) of a fall increased with the number of chronic medical conditions. The OR was 1.28 (1.17-1.40) for those with 1-2 conditions and 1.41 (1.24-1.60) for those with multimorbidity (≥3 conditions) compared with healthy respondents. Multimorbidity was associated with a greater risk of the woman experiencing frequent nonslip falls (OR=2.57; 2.01-3.29) than frequent slip falls (OR=1.46; 1.17-1.80). Adjusting with logistic regression for age, number of medications and smoking did not affect the risk estimates. Multimorbidity has a much smaller effect on slip than on nonslip falls in postmenopausal women. This should be taken into account when investigating the effects of multimorbidity on fall risk in varying weather conditions. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  20. Institute of Geophysics, Planetary Physics, and Signatures

    Data.gov (United States)

    Federal Laboratory Consortium — The Institute of Geophysics, Planetary Physics, and Signatures at Los Alamos National Laboratory is committed to promoting and supporting high quality, cutting-edge...

  1. Development of a bioenergetics model for age-0 American Shad

    Science.gov (United States)

    Sauter, Sally T.

    2011-01-01

    reports on the diet of juvenile fall Chinook salmon (Rondorf et al. 1990, USGS unpublished data) suggested there might be considerable dietary overlap between these species in the lower Columbia River. The U.S. Geological Survey (USGS) was interested in using the American shad bioenergetics model to explore hypotheses concerning dietary overlap between age-0 American shad and emigrating fall Chinook salmon. The second modeling application uses the fall Chinook salmon bioenergetics model (Koehler et al. 2006) to explore the growth potential of juvenile fall Chinook salmon predating on age-0 American shad in the lower Columbia River. This modeling was based dietary information on a small number of age-0 fall Chinook salmon (n = 13) collected in John Day Reservoir in 1994 - 1996 (unpublished USGS data). Analysis of this dietary data found that these salmonids were feeding primarily on age-0 American shad (> 75% by weight).

  2. Falls and fear of falling in vertigo and balance disorders: A controlled cross-sectional study.

    Science.gov (United States)

    Schlick, Cornelia; Schniepp, Roman; Loidl, Verena; Wuehr, Max; Hesselbarth, Kristin; Jahn, Klaus

    2016-01-01

    Vertigo and dizziness are among the most prevalent symptoms in neurologic disorders. Although many of these patients suffer from postural instability and gait disturbances, there is only limited data on their risk of falling. We conducted a controlled cross-sectional study at the tertiary care outpatient clinic of the German Center for Vertigo and Balance Disorders using a self-administered questionnaire to assess falls, fall-related injuries, and fear of falling. The recruitment period was 6 months. A total of 569 patients (mean age 59.6 ± 17.1 years, 55% females) and 100 healthy participants were included (response rate > 90%). Dizzy patients with central balance disorders (Parkinsonian, cerebellar, and brainstem oculomotor syndromes) had the highest fall rates (> 50% recurrent fallers, odds ratio > 10). The rate of recurrent fallers was 30% in bilateral vestibular failure and peripheral neuropathy (odds ratio > 5). Patients with functional dizziness (somatoform or phobic vertigo) were concerned about falling but did not fall more often than healthy controls (odds ratio 0.87). Falls are common in patients presenting to a dizziness unit. Those with central syndromes are at risk of recurrent and injurious falling. Fall rates and fear of falling should be assessed in balance disorders and used to guide the regimen of rehabilitation therapy. The identification of risk factors would help provide protective measures to these groups of patients.

  3. Risk of falling in a stroke unit after acute stroke: The Fall Study of Gothenburg (FallsGOT).

    Science.gov (United States)

    Persson, Carina U; Kjellberg, Sigvar; Lernfelt, Bodil; Westerlind, Ellen; Cruce, Malin; Hansson, Per-Olof

    2018-03-01

    This study aimed to investigate incidence of falls and different baseline variables and their association with falling during hospitalization in a stroke unit among patients with acute stroke. Prospective observational study. A stroke unit at a university hospital. A consecutive sample of stroke patients, out of which 504 were included, while 101 declined participation. The patients were assessed a mean of 1.7 days after admission and 3.8 days after stroke onset. The primary end-point was any fall, from admission to the stroke unit to discharge. Factors associated with falling were analysed using univariable and multivariable Cox hazard regression analyses. Independent variables were related to function, activity and participation, as well as personal and environmental factors. In total, 65 patients (13%) fell at least once. Factors statistically significantly associated with falling in the multivariable analysis were male sex (hazard ratio (HR): 1.88, 95% confidence interval (CI): 1.13-3.14, P = 0.015), use of a walking aid (HR: 2.11, 95% CI: 1.24-3.60, P = 0.006) and postural control as assessed with the modified version of the Postural Assessment Scale for Stroke Patients (SwePASS). No association was found with age, cognition or stroke severity, the HR for low SwePASS scores (⩽24) was 9.33 (95% CI: 2.19-39.78, P = 0.003) and for medium SwePASS scores (25-30) was 6.34 (95% CI: 1.46-27.51, P = 0.014), compared with high SwePASS scores (⩾31). Postural control, male sex and use of a walking aid are associated with falling during hospitalization after acute stroke.

  4. Perceived Fall Risk and Functional Decline: Gender Differences in Patient's Willingness to Discuss Fall Risk, Fall History, or to Have a Home Safety Evaluation.

    Science.gov (United States)

    Greenberg, Marna Rayl; Moore, Elizabeth C; Nguyen, Michael C; Stello, Brian; Goldberg, Arnold; Barraco, Robert D; Porter, Bernadette G; Kurt, Anita; Dusza, Stephen W; Kane, Bryan G

    2016-06-01

    The CDC reports that among older adults, falls are the leading cause of injury-related death and rates of fall-related fractures among older women are twice those of men. We set out to 1) determine patient perceptions (analyzed by gender) about their perceived fall risk compared to their actual risk for functional decline and death and 2) to report their comfort level in discussing their fall history or a home safety plan with their provider. Elders who presented to the Emergency Department (ED†) were surveyed. The survey included demographics, the Falls Efficacy Scale (FES) and the Vulnerable Elders Survey (VES); both validated surveys measuring fall concern and functional decline. Females had higher FES scores (mean 12.3, SD 5.9) than males (mean 9.7, SD 5.9 p = .007) in the 146 surveys analyzed. Females were more likely to report an increased fear of falling, and almost three times more likely to have a VES score of 3 or greater than males (OR = 2.86, 95% CI: 1.17-7.00, p = .02). A strong correlation was observed between FES and VES scores (r = 0.80, p fall risk with a provider; there was no difference between genders (p = .57). In this study, irrespective of gender, there appears to be a high association between subjects' perceived fall risk and risk for functional decline and death. The majority of patients are likely willing to discuss their fall risk with their provider. These findings may suggest a meaningful opportunity for fall risk mitigation in this setting.

  5. Effect of Modified Otago Exercises on Postural Balance, Fear of Falling, and Fall Risk in Older Fallers With Knee Osteoarthritis and Impaired Gait and Balance: A Secondary Analysis.

    Science.gov (United States)

    Mat, Sumaiyah; Ng, Chin Teck; Tan, Pey June; Ramli, Norlisah; Fadzli, Farhana; Rozalli, Faizatul Izza; Mazlan, Mazlina; Hill, Keith D; Tan, Maw Pin

    2018-03-01

    -I scores by the intervention group compared to the control group at 6 months. No significant difference in time to first fall or in fall-free survival between the intervention and control groups was found. Home-based balance and strength exercises benefited older fallers with OA and gait and balance disorders by improving postural control, with no observable trend in reduction of fall recurrence. Our findings will now inform a future, adequately powered, randomized controlled study using fall events as definitive outcomes. I. Copyright © 2018 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  6. The American in Europe as Portrayed in American Literature of Late Nineteenth and Early Twentieth Centuries

    Science.gov (United States)

    1990-05-22

    understood. In the end, James uses all of these characters to draw a distinction between stereotypical Americans and Europeans. One critic, James Tuttleton...lover in the ruins by moonlight , she would probably never have caught malaria. She falls critically ill because of the malaria and ultimately dies...America’s political dominance was established, ,.ry few people could question its cultural dominance. Today, Hollywood films are shown in every

  7. Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance.

    Science.gov (United States)

    Collado-Mateo, D; Gallego-Diaz, J M; Adsuar, J C; Domínguez-Muñoz, F J; Olivares, P R; Gusi, N

    2015-01-01

    To evaluate fear of falling, number of falls, and balance performance in women with FM and to examine the relationship between these variables and others, such as balance performance, quality of life, age, pain, and impact of fibromyalgia. A total of 240 women participated in this cross-sectional study. Of these, 125 had fibromyalgia. Several variables were assessed: age, fear of falling from 0 to 100, number of falls, body composition, balance performance, lower limb strength, health-related quality of life, and impact of fibromyalgia. Women with fibromyalgia reported more falls and more fear of falling. Fear of falling was associated with number of falls in the last year, stiffness, perceived balance problems, impact of FM, and HRQoL whereas the number of falls was related to fear of falling, balance performance with eyes closed, pain, tenderness to touch level, anxiety, self-reported balance problems, impact of FM, and HRQoL. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance.

  8. Tile Drainage Nitrate Losses and Corn Yield Response to Fall and Spring Nitrogen Management.

    Science.gov (United States)

    Pittelkow, Cameron M; Clover, Matthew W; Hoeft, Robert G; Nafziger, Emerson D; Warren, Jeffery J; Gonzini, Lisa C; Greer, Kristin D

    2017-09-01

    Nitrogen (N) management strategies that maintain high crop productivity with reduced water quality impacts are needed for tile-drained landscapes of the US Midwest. The objectives of this study were to determine the effect of N application rate, timing, and fall nitrapyrin addition on tile drainage nitrate losses, corn ( L.) yield, N recovery efficiency, and postharvest soil nitrate content over 3 yr in a corn-soybean [ (L.) Merr.] rotation. In addition to an unfertilized control, the following eight N treatments were applied as anhydrous ammonia in a replicated, field-scale experiment with both corn and soybean phases present each year in Illinois: fall and spring applications of 78, 156, and 234 kg N ha, fall application of 156 kg N ha + nitrapyrin, and sidedress (V5-V6) application of 156 kg N ha. Across the 3-yr study period, increases in flow-weighted NO concentrations were found with increasing N rate for fall and spring N applications, whereas N load results were variable. At the same N rate, spring vs. fall N applications reduced flow-weighted NO concentrations only in the corn-soybean-corn rotation. Fall nitrapyrin and sidedress N treatments did not decrease flo8w-weighted NO concentrations in either rotation compared with fall and spring N applications, respectively, or increase corn yield, crop N uptake, or N recovery efficiency in any year. This study indicates that compared with fall N application, spring and sidedress N applications (for corn-soybean-corn) and sidedress N applications (for soybean-corn-soybean) reduced 3-yr mean flow-weighted NO concentrations while maintaining yields. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  9. Falls in older people

    NARCIS (Netherlands)

    van Dieën, Jaap H.; Pijnappels, Mirjam

    Falls are common incidents, which can have major con-sequences. For example, falls and the interrelated category of accidents being struck by or against objects account for more than 40% of injuries and 30% of injury costs in the USA (Corso et al., 2006). Especially among older adults, falls occur

  10. Airborne Geophysical/Geological Mineral Inventory CIP Program

    National Research Council Canada - National Science Library

    1999-01-01

    The Airborne-Geophysical/Geological Mineral Inventory project is a special multi-year investment to expand the knowledge base of Alaska's mineral resources and catalyze private-sector mineral development...

  11. The Fall River Long-Term Site Productivity study in coastal Washington: site characteristics, methods, and biomass and carbon and nitrogen stores before and after harvest.

    Science.gov (United States)

    Adrian Ares; Thomas A. Terry; Kathryn B. Piatek; Robert B. Harrison; Richard E. Miller; Barry L. Flaming; ChristopherW Licata; Brian D. Strahm; Constance A. Harrington; Rodney Meade; Harry W. Anderson; Leslie C. Brodie; Joseph M. Kraft

    2007-01-01

    The Fall River research site in coastal Washington is an affiliate installation of the North American Long-Term Soil Productivity (LTSP) network, which constitutes one of the world’s largest coordinated research programs addressing forest management impacts on sustained productivity. Overall goals of the Fall River study are to assess effects of biomass removals, soil...

  12. Healthcare Providers’ Perceptions and Self-Reported Fall Prevention Practices: Findings from a Large New York Health System

    Directory of Open Access Journals (Sweden)

    Matthew Lee eSmith

    2015-04-01

    Full Text Available Among older adults, falls are the leading cause of injury-related deaths and emergency department visits, and the incidence of falls in the United States is rising as the number of older Americans increases. Research has shown that falls can be reduced by modifying fall risk factors using multifactorial interventions implemented in clinical settings. However, the literature indicates many providers feel they do not know how to conduct fall risk assessments or do not have adequate knowledge about fall prevention To help healthcare providers incorporate older adult fall prevention (i.e., falls risk assessment and treatment into their clinical practice, the Centers for Disease Control and Prevention’s (CDC Injury Center has developed the STEADI (Stopping Elderly Accidents, Deaths, and Injuries tool kit. This study was conducted to identify the practice characteristics and providers’ beliefs, knowledge, and fall-related activities before they received training on how to use the STEADI tool kit. Data were collected as part of a larger State Fall Prevention Project funded by CDC’s Injury Center. Completed questionnaires were returned by 38 medical providers from 11 healthcare practices within a large New York health system. Healthcare providers ranked falls as the lowest priority of five conditions, after diabetes, cardiovascular disease, mental health, and musculoskeletal conditions. Less than 40% of the providers asked most or all of their older patients if they had fallen during the past 12 months. Less than a quarter referred their older patients to physical therapists for balance or gait training, and less than 20% referred older patients to community-based fall prevention programs. Less than 16% reported they conducted standardized functional assessments with their older patients at least once a year. These results suggest that implementing the STEADI tool kit in clinical settings could address knowledge gaps and provide the necessary

  13. Exploring the oceans- The geophysical way

    Digital Repository Service at National Institute of Oceanography (India)

    Murthy, K.S.R.

    The evolution of the eastern continental margin of India (ECMI), the Bengal Fan and the Central Indian Basin (CIB) is a consequence of the breakup of India from the eastern Gondwanaland in Late Jurassic to Early Cretaceous. Recent marine geophysical...

  14. Arthritis and the Risk of Falling Into Poverty: A Survival Analysis Using Australian Data.

    Science.gov (United States)

    Callander, Emily J; Schofield, Deborah J

    2016-01-01

    Low income is known to be associated with having arthritis. However, no longitudinal studies have documented the relationship between developing arthritis and falling into poverty. The purpose of this study was to evaluate Australians who developed arthritis to determine if they had an elevated risk of falling into poverty. Survival analysis using Cox regression models was applied to nationally representative, longitudinal survey data obtained between January 1, 2007 and December 31, 2012 from Australian adults who were ages 21 years and older in 2007. The hazard ratio for falling into income poverty was 1.08 (95% confidence interval [95% CI] 1.06-1.09) in women who were diagnosed as having arthritis and 1.15 (95% CI 1.13-1.16) in men who were diagnosed as having arthritis, as compared to those who were never diagnosed as having arthritis. The hazard ratio for falling into multidimensional poverty was 1.15 (95% CI 1.14-1.17) in women who were diagnosed as having arthritis and 1.88 (95% CI 1.85-1.91) in men who were diagnosed as having arthritis. Developing arthritis increases the risk of falling into income poverty and multidimensional poverty. The risk of multidimensional poverty is greater than the risk of income poverty. Given the high prevalence of arthritis, the condition is likely an overlooked driver of poverty. © 2016, American College of Rheumatology.

  15. Effect of guided relaxation and imagery on falls self-efficacy: a randomized controlled trial.

    Science.gov (United States)

    Kim, Bang Hyun; Newton, Roberta A; Sachs, Michael L; Glutting, Joseph J; Glanz, Karen

    2012-06-01

    To examine the effects of guided relaxation and imagery (GRI) on improvement in falls self-efficacy in older adults who report having a fear of falling. Randomized, controlled trial with allocation to GRI or guided relaxation with music of choice. General community. Ninety-one men and women aged 60 to 92. Participants were randomized to listen to a GRI audio compact disk (intervention group) or a guided relaxation audio compact disk and music of choice (control group) twice a week for 6 weeks for 10 minutes per session. Primary outcome measure was the Short Falls Efficacy Scale-International (FES-I). Secondary outcome measures were the Leisure Time Exercise Questionnaire (LTEQ) and the Timed Up and Go (TUG) mobility test. GRI participants reported greater improvements on the Short FES-I (P = .002) and LTEQ (P = .001) scores and shorter time on the TUG (P = .002) than the guided relaxation and music-of-choice group. GRI was more effective at increasing falls self-efficacy and self-reported leisure time exercise and reducing times on a simple mobility test than was guided relaxation with music of choice. GRI is an effective, simple, low-cost tool for older adults to improve falls self-efficacy and leisure time exercise behaviors. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

  16. Reliability and fall experience discrimination of Cross Step Moving on Four Spots Test in the elderly.

    Science.gov (United States)

    Yamaji, Shunsuke; Demura, Shinichi

    2013-07-01

    To examine the reliability and fall experience discrimination of the Cross Step Moving on Four Spots Test (CSFT) and the relationship between CSFT and fall-related physical function. The reliability of the CSFT was examined in a test-retest format with the same tester. Fall history, fall risk, fear of falling, activities of daily living (ADL), and various physical parameters were measured for all participants. A community center and university medical school. Elderly community-dwelling subjects (N=533; 62 men, 471 women) aged 65 to 94 years living independently. Not applicable. Time to complete all the CSFT steps required, fall risk score, ADL score, and fall-related physical function (isometric muscle strength: toe grip, plantar flexion, knee extension, hip flexion, hand grip; balance: 1-leg standing time with eyes open, functional reach test using an elastic stick; and gait: 10-m maximal walking speed). The trial-to-trial reliability test indicated good reliability of the CSFT in both sexes (intraclass correlation coefficient =.833 in men, .825 in women). However, trial-to-trial errors increased with an increase in the CSFT values in both sexes. Significant correlations were observed between the CSFT values and scores for most fall-related physical function tests in both sexes. However, the correlation coefficient for all significant correlations was fall experience) revealed that the fall experience is a significant factor affecting CSFT values; values in fallers were significantly lower than those in nonfallers. The odds ratios in logistic regression analysis were significant in both sexes (men, 1.35; women, 1.48). As determined by the Youden index, the optimal cutoff value for identifying fall experience was 7.32 seconds, with an area under the curve of .676. The CSFT can detect fall experience and is useful in the evaluation of different fall-related physical functions including muscle strength, balance, and mobility. Copyright © 2013 American Congress of

  17. [Fear of falling in a fall clinic for geriatric patients: a pilot study

    NARCIS (Netherlands)

    Dautzenberg, P.LJ.; Buurman, B.H.; Loonen, A.J.; Wouters, C.J.; Olde Rikkert, M.G.M.

    2005-01-01

    OBJECTIVE: In this pilot study we want to determine how often fear of falling occurs in geriatric patients visiting a fall clinic and to study the characteristics of fear of falling and its consequences. DESIGN: Retrospective study of patient's records. METHOD: A random sample of 100 medical records

  18. Primary care providers' discussion of fall prevention approaches with their older adult patients-DocStyles, 2014.

    Science.gov (United States)

    Burns, Elizabeth R; Haddad, Yara K; Parker, Erin M

    2018-03-01

    Falls are the leading cause of fatal and non-fatal injuries among older adults. The American and British Geriatric Societies recommend a fall risk assessment to identify risk factors and guide interventions to prevent these falls. This study describes the self-reported discussion of fall prevention approaches used by primary care providers (PCPs)-family practitioners, internists and nurse practitioners-who treat older adults. Results are described overall and by PCP type. We analyzed a sample of 1210 U.S. PCPs who participated in the 2014 DocStyles survey. PCPs reported on their recommendation of fall prevention approaches including general exercise, Tai Chi, medication adjustments, home safety modifications, vitamin D supplements, assistive devices, alarm systems, and referral to physical therapy, foot specialist, or vision specialist. Frequencies and adjusted odds ratios for fall prevention approaches were assessed by provider and practice characteristics. Self-reported discussion of any fall prevention approaches was 89.3%. Controlling for provider and practice characteristics, there were significant differences for some approaches by provider type. Family practitioners were more likely to suggest home modification [adjusted Odds Ratio: 1.8 (1.3-2.4)], exercise [aOR: 2.0 (1.5-2.5)], and Tai Chi [aOR: 1.5 (1.0-2.2)] than internists. Nurse practitioners were more likely to suggest home modification [aOR: 2.1 (1.3-3.4)] and less likely to suggest vitamin D [aOR: 0.6 (0.4-1.0)] than internists. Fall prevention suggestions vary by type of PCP. Dissemination of geriatric guidelines should include all PCPs who routinely see older adults.

  19. Noctural Enuresis as a Risk Factor for Falls in Older Community Dwelling Women with Urinary Incontinence.

    Science.gov (United States)

    Pahwa, Avita K; Andy, Uduak U; Newman, Diane K; Stambakio, Hanna; Schmitz, Kathryn H; Arya, Lily A

    2016-05-01

    We determined the association of urinary symptoms with fall risk and physical limitations in older community dwelling women with urinary incontinence. We performed an in-depth assessment of daytime and nighttime urinary symptoms, fall risk, physical function, physical performance tests and mental function in older community dwelling women with urinary incontinence who had not sought care for urinary symptoms. All assessments were performed in participant homes. We used univariable and multivariable linear regression to examine the relationship of urinary symptoms to fall risk, physical function and physical performance. Of 37 women with a mean ± SD age of 74 ± 8.4 years who had urinary incontinence 48% were at high risk for falls. Nocturnal enuresis was reported by 50% of the women. Increased fall risk was associated with increasing frequency of nocturnal enuresis (p = 0.04), worse lower limb function (p Women with nocturnal enuresis had significantly lower physical performance test scores than women without nocturnal enuresis (median 7, range 0 to 11 vs 9, range 1 to 12, p = 0.04). In a multivariable regression model including age, nocturnal enuresis episodes and physical function only physical function was associated with an increased fall risk (p women with urinary incontinence. It may serve as a marker of fall risk even in women who do not seek care for urinary symptoms. Interventions targeting upper and lower body physical function could potentially decrease the risk of falls in older women with urinary incontinence. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  20. Falls self-efficacy and falls incidence in community-dwelling older people: the mediating role of coping.

    Science.gov (United States)

    Loft, Christine C; Jones, Fergal W; Kneebone, Ian I

    2017-11-08

    A cognitive behavioral model predicts that coping responses mediate the relationship between falls related psychological concerns and falls incidence, in community-dwelling older people. If empirical support could be found for this pathway then interventions could be developed to reduce falls risk by targeting coping strategies. Therefore, this study aimed to begin the process of testing whether coping responses mediate the association between falls self-efficacy (a principal element of falls related psychological concerns) and falls incidence, in community-dwelling older people. In a cross-sectional design, 160 community-dwelling older people (31 male, 129 female; mean age 83.47 years) completed the Falls Efficacy Scale-International, the Revised-Ways of Coping Questionnaire, the Turning to Religion subscale of the COPE, and a falls questionnaire. Data were analyzed via mediation analysis using a bootstrapping approach. Lower falls self-efficacy was associated with higher falls incidence, and more self-controlling coping was found to be a partial mediator of this association, with a confidence interval for the indirect effect of (0.003, 0.021) and an effect size of κ 2 = 0.035. The association was not mediated by the other measured coping responses; namely, turning to religion, distancing, seeking social support, accepting responsibility, escape-avoidance, planful problem-solving, and positive reappraisal. Self-controlling coping may mediate the association between falls self-efficacy and falling. If longitudinal studies confirm this finding then coping could be targeted in interventions to reduce falls.

  1. Depressive Symptoms and Orthostatic Hypotension Are Risk Factors for Unexplained Falls in Community-Living Older People.

    Science.gov (United States)

    Menant, Jasmine C; Wong, Alfred K W; Trollor, Julian N; Close, Jacqueline C T; Lord, Stephen R

    2016-05-01

    To investigate risk factors for unexplained falls in older community-dwelling individuals. Prospective cohort study. Community population, Sydney, Australia. Older adults (N = 529; mean age 79.8 ± 4.4, 52.2% female). Participants provided information demographic, medical, and medication characteristics and completed cardiovascular (tilt table test, pulse wave velocity), cognitive, and sensorimotor assessments at baseline. Falls were then recorded in monthly fall diaries for 12 months. Unexplained fallers (UFs) were those who reported falls due to a blackout, dizziness, feeling faint, or "found themselves suddenly on the ground." Of the 523 participants available at follow-up, 238 (45.5%) reported one or more falls; 35 participants fulfilled the definition of UFs. UFs were more likely than balance-related fallers (BFs) (n = 203) and nonfallers (n = 291) to have orthostatic hypotension (39.4%, 20.5% and 22.4%, respectively) and depressive symptoms (24.2%, 10.1%, and 7.9% respectively). More UFs (88.6%) than BFs (70.9%) had injurious falls. A multivariate logistic regression model revealed that depressive symptoms and orthostatic hypotension were significant and independent determinants of UF status. Approximately 15% of fallers had unexplained falls, which were more likely to result in injuries. Depressive symptoms and orthostatic hypotension increased the risk of unexplained falls, whereas cognitive deficits and sensorimotor and balance impairments did not. Future research should investigate whether psychotherapy and physical exercise to improve mood and medication reviews and nonpharmacological therapies for the treatment of orthostatic hypotension and depression are effective at reducing the risk of unexplained falls in older people. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  2. Primary care providers' discussion of fall prevention approaches with their older adult patients—DocStyles, 2014

    Directory of Open Access Journals (Sweden)

    Elizabeth R. Burns

    2018-03-01

    Full Text Available Falls are the leading cause of fatal and non-fatal injuries among older adults. The American and British Geriatric Societies recommend a fall risk assessment to identify risk factors and guide interventions to prevent these falls. This study describes the self-reported discussion of fall prevention approaches used by primary care providers (PCPs—family practitioners, internists and nurse practitioners—who treat older adults. Results are described overall and by PCP type.We analyzed a sample of 1210 U.S. PCPs who participated in the 2014 DocStyles survey. PCPs reported on their recommendation of fall prevention approaches including general exercise, Tai Chi, medication adjustments, home safety modifications, vitamin D supplements, assistive devices, alarm systems, and referral to physical therapy, foot specialist, or vision specialist. Frequencies and adjusted odds ratios for fall prevention approaches were assessed by provider and practice characteristics.Self-reported discussion of any fall prevention approaches was 89.3%. Controlling for provider and practice characteristics, there were significant differences for some approaches by provider type. Family practitioners were more likely to suggest home modification [adjusted Odds Ratio: 1.8 (1.3–2.4], exercise [aOR: 2.0 (1.5–2.5], and Tai Chi [aOR: 1.5 (1.0–2.2] than internists. Nurse practitioners were more likely to suggest home modification [aOR: 2.1 (1.3–3.4] and less likely to suggest vitamin D [aOR: 0.6 (0.4–1.0] than internists.Fall prevention suggestions vary by type of PCP. Dissemination of geriatric guidelines should include all PCPs who routinely see older adults. Keywords: Primary care providers, Falls, Prevention, Older adults, Geriatrics

  3. Geophysical survey aimed at selecting the radioactive waste repository site (Czech republic

    Directory of Open Access Journals (Sweden)

    Dušan Dostál

    2007-01-01

    Full Text Available G IMPULS Praha has been executing a set of geophysical measurements for the Radioactive Waste Repository Authority of the Czech Republic from 2001 (the work continues to be carried out. The measurements are aimed at studying the behaviour of the rock massif, focusing on the Excavation Damaged or Disturbed Zone (EDZ and on selecting an appropriate area for the radioactive material repository site. The geophysical studies use a complex of methods as follows: Airborne geophysical measurement (regional studies, Seismic measurement (detailed studies, G.P.R. (detailed studies, Resistivity tomography (detailed studies, Geoelectric measurement and magnetic survey (stray earth currents. The paper informs about first results and conclusions. The airborne work was executed as a part of the complex study of „GEOBARIERA“ the group and the geophysical measurements of EDZ were executed in co-operation with the Czech Geological Survey.

  4. Learning about hydrothermal volcanic activity by modeling induced geophysical changes

    Science.gov (United States)

    Currenti, Gilda M.; Napoli, Rosalba

    2017-05-01

    Motivated by ongoing efforts to understand the nature and the energy potential of geothermal resources, we devise a coupled numerical model (hydrological, thermal, mechanical), which may help in the characterization and monitoring of hydrothermal systems through computational experiments. Hydrothermal areas in volcanic regions arise from a unique combination of geological and hydrological features which regulate the movement of fluids in the vicinity of magmatic sources capable of generating large quantities of steam and hot water. Numerical simulations help in understanding and characterizing rock-fluid interaction processes and the geophysical observations associated with them. Our aim is the quantification of the response of different geophysical observables (i.e. deformation, gravity and magnetic field) to hydrothermal activity on the basis of a sound geological framework (e.g. distribution and pathways of the flows, the presence of fractured zones, caprock). A detailed comprehension and quantification of the evolution and dynamics of the geothermal systems and the definition of their internal state through a geophysical modeling approach are essential to identify the key parameters for which the geothermal system may fulfill the requirements to be exploited as a source of energy. For the sake of illustration only, the numerical computations are focused on a conceptual model of the hydrothermal system of Vulcano Island by simulating a generic 1-year unrest and estimating different geophysical changes. We solved (i) the mass and energy balance equations of flow in porous media for temperature, pressure and density changes, (ii) the elastostatic equation for the deformation field and (iii) the Poisson’s equations for gravity and magnetic potential fields. Under the model assumptions, a generic unrest of 1-year engenders on the ground surface low amplitude changes in the investigated geophysical observables, that are, however, above the accuracies of the modern

  5. Learning about Hydrothermal Volcanic Activity by Modeling Induced Geophysical Changes

    Directory of Open Access Journals (Sweden)

    Gilda M. Currenti

    2017-05-01

    Full Text Available Motivated by ongoing efforts to understand the nature and the energy potential of geothermal resources, we devise a coupled numerical model (hydrological, thermal, mechanical, which may help in the characterization and monitoring of hydrothermal systems through computational experiments. Hydrothermal areas in volcanic regions arise from a unique combination of geological and hydrological features which regulate the movement of fluids in the vicinity of magmatic sources capable of generating large quantities of steam and hot water. Numerical simulations help in understanding and characterizing rock-fluid interaction processes and the geophysical observations associated with them. Our aim is the quantification of the response of different geophysical observables (i.e., deformation, gravity, and magnetic fields to hydrothermal activity on the basis of a sound geological framework (e.g., distribution and pathways of the flows, the presence of fractured zones, caprock. A detailed comprehension and quantification of the evolution and dynamics of the geothermal systems and the definition of their internal state through a geophysical modeling approach are essential to identify the key parameters for which the geothermal system may fulfill the requirements to be exploited as a source of energy. For the sake of illustration only, the numerical computations are focused on a conceptual model of the hydrothermal system of Vulcano Island by simulating a generic 1-year unrest and estimating different geophysical changes. We solved (i the mass and energy balance equations of flow in porous media for temperature, pressure and density changes, (ii the elastostatic equation for the deformation field and (iii the Poisson's equations for gravity and magnetic potential fields. Under the model assumptions, a generic unrest of 1-year engenders on the ground surface low amplitude changes in the investigated geophysical observables, that, being above the accuracies of

  6. Structural geology of the North and Middle Caspian sea on the new geophysical data interpretation

    International Nuclear Information System (INIS)

    Boris, V.S; Rais, V.Sh; Victor, L.U

    2002-01-01

    Full text:A structural and tectonic map of the North and Middle Caspian Sea is made on the basis of seismic and other geological and geophysical data analysis. According to the plotting results the total amplitude range of the heterogeneous basement depths are in the North Caspian Sea (Ukatnensky depression-over 12 km and Prorva depression-over 16 km). In the middle Caspian Sea the deppest basement point is supposed in Sulak basin (over 12 km). The least basement depths are marked in Karpinsky ridge,Buzachinky and Karabogazsky arches (1-3 km). On the whole the morphology and structure of the basement confirms the conclusion previously made by many researches that the Caspian Sea is a heterogeneous depression superimposed on the junction of regional tectonic elements of various ages.The ancient East-European platform represented by Pricaspiisky depression (Donetsko-Astrakhanskaya fault system limits the latter in the south) is situated on the North. The middle Caspian Sea is occupied with the offshore continuation of Terek-Caspian foredeep is represented by Sulak basin clearly limited in the south by a system of upthrusts and thrusts falling under North Caucasus foreland.Geological interpretation of the Yuzhmorgeologiya Center new geophysical data allows making an assumption about the biohermexistence within TriassicSea sediments on Kuma-Manychsky depression offshore continuation. Seismic exploration works show strike-slip faults and thrust structure development within the sedimentary cover on the offshore continuation of Karpinsky ridge.Some strike-slipped blocks are separated by left-side shifts of the northeast stretch.The pool location at the left-side (east) blocks of the shift areas is marked.

  7. Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance

    Directory of Open Access Journals (Sweden)

    D. Collado-Mateo

    2015-01-01

    Full Text Available Objective. To evaluate fear of falling, number of falls, and balance performance in women with FM and to examine the relationship between these variables and others, such as balance performance, quality of life, age, pain, and impact of fibromyalgia. Methods. A total of 240 women participated in this cross-sectional study. Of these, 125 had fibromyalgia. Several variables were assessed: age, fear of falling from 0 to 100, number of falls, body composition, balance performance, lower limb strength, health-related quality of life, and impact of fibromyalgia. Results. Women with fibromyalgia reported more falls and more fear of falling. Fear of falling was associated with number of falls in the last year, stiffness, perceived balance problems, impact of FM, and HRQoL whereas the number of falls was related to fear of falling, balance performance with eyes closed, pain, tenderness to touch level, anxiety, self-reported balance problems, impact of FM, and HRQoL. Conclusion. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance.

  8. Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients.

    Science.gov (United States)

    Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Melo, Elsa Maria de Oliveira Pinheiro de

    2016-08-01

    The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. Our work aims to analyze the Morse Fall Scale scores of Portuguese hospitalized adult patients in association with their characteristics, diagnoses and length of stay. Retrospective cohort analysis of Morse Fall Scale scores of 8356 patients hospitalized during 2012. Data were associated to age, gender, type of admission, specialty units, length of stay, patient discharge, and ICD-9 diagnosis. Elderly patients, female, with emergency service admission, at medical units and/or with longer length of stays were more frequently included in the risk group for falls. ICD-9 diagnosis may also be an important risk factor. More than a half of hospitalized patients had "medium" to "high" risk of falling during the length of stay, which determines the implementation and maintenance of protocoled preventive nursing interventions throughout hospitalization. There are several fall risk factors not assessed by Morse Fall Scale. There were no statistical differences in Morse Fall Scale score between the first and the last assessment. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. The Expanding Marketplace for Applied Geophysics

    Science.gov (United States)

    Carlson, N.; Sirles, P.

    2012-12-01

    While the image of geophysics for the proverbial "layman" often seems limited to volcanoes and earthquakes, and to the geoscientist this image enlarges to include oil or minerals exploration and whole earth studies, there has been a steady increase in the application of geophysics into the realm of "daily life", such as real estate deals, highway infrastructure, and flood protection. This expansion of applications can be attributed to the improved economics from advances in equipment and interpretation. Traditional geophysical methods that at one time often only fit within the budgets of oil, gas, and minerals exploration programs can now be economically applied to much smaller scale needs like contaminant mapping, landfill delineation, and levee investigations. A real-world, economic example of this expanding marketplace is our company, which began very small and was aimed almost exclusively at the minerals exploration market. Most of our growth has been in the last 10 years, when we have expanded to five offices and a staff with almost 40 geoscientist degrees (21 in geophysics); much of this growth has been in the non-oil, non-minerals arenas. While much of our work still includes minerals exploration, other projects this year include wind-farm foundation studies, cavity detection above underground nuclear tests, landfill studies, acid mine drainage problems, and leaks in evaporation ponds. A methodology example of this expanding market is the induced polarization (IP) survey, once primarily used for minerals exploration, particularly large porphyry copper deposits, but now efficient enough to also use in environmental studies. The IP method has been particularly useful in delineating and characterizing old, poorly documented landfills, and recent research suggests it may also be useful in monitoring the accelerated biodegradation processes used in some cases to rehabilitate the sites. Compared to temperature monitoring systems, IP may be more useful in providing

  10. Marching Under Darkening Skies The American Military and the Impending Urban Operations Threat

    National Research Council Canada - National Science Library

    Glenn, Russell

    1998-01-01

    .... Success in accomplishing the assigned military mission can fall short of national political objectives if the cost of that accomplishment includes too great a loss of American or noncombatant life...

  11. Pro-Active Fall-Risk Management is Mandatory to Sustain in Hospital-Fall Prevention in Older Patients--Validation of the LUCAS Fall-Risk Screening in 2,337 Patients.

    Science.gov (United States)

    Hoffmann, V S; Neumann, L; Golgert, S; von Renteln-Kruse, W

    2015-12-01

    Prevention of in-hospital falls contributes to improvement of patient safety. However, the identification of high-risk patients remains a challenge despite knowledge of fall-risk factors. Hence, objective was to prospectively validate the performance of the LUCAS (Longitudinal Urban Cohort Ageing Study) fall-risk screening, based on routine data (fall history, mobility, mental status) and applied by nurses. Observational study comparing two groups of patients who underwent different fall-risk screenings; the LUCAS screening (2010 - 2011) and the STRATIFY (St. Thomas's Risk Assessment Tool In Falling Elderly Inpatients) (2004 - 2006). Urban teaching hospital. Consecutively hospitalized patients (≥ 65 years old) were screened on admission; LUCAS n = 2,337, STRATIFY n = 4,735. The proportions of fallers were compared between the STRATIFY and the LUCAS time periods. The number of fallers expected was compared to that observed in the LUCAS time period. Standardized fall-incidence recording included case-note checks for unreported falls. Plausibility checks of fall-risk factors and logistic regression analysis for variable fall-risk factors were performed. The proportions of fallers during the two time periods were LUCAS n = 291/2,337 (12.5%) vs. STRATIFY n = 508/4,735 (10.7%). After adjustment for risk-factor prevalence, the proportion of fallers expected was 14.5% (334/2,337), the proportion observed was 12.5% (291/2,337) (p = 0.038). In-hospital fall prevention including systematic use of the LUCAS fall-risk screening reduced the proportion of fallers compared to that expected from the patients' fall-risk profile. Raw proportions of fallers are not suitable to evaluate fall prevention in hospital because of variable prevalence of patients' fall-risk factors over time. Continuous communication, education and training is needed to sustain in-hospital falls prevention.

  12. Fifth national outdoor action conference on aquifer restoration, ground water monitoring, and geophysical methods

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This book presents papers on technology in ground water sampling, monitoring, and remediation and geophysical techniques. The section on monitoring and remediation covers monitoring case studies, monitoring waste disposal sites, petroleum recovery, techniques in aquifer remediation, mathematical analysis of remedial techniques, vacuum extraction, bioremediation, and monitoring techniques. The section on sampling covers measurement variability, microbial sampling, vadose zone sampling, sampling with hydraulic probes, unusual sampling problems and equipment, and data management. A section on geophysics covers geophysics and site characterization, and geophysics and mining. The focus is on hazardous organic compounds. Individual articles are abstracted separately

  13. Type 2 Diabetes and Risk of Hip Fractures and Non-Skeletal Fall Injuries in the Elderly: A Study From the Fractures and Fall Injuries in the Elderly Cohort (FRAILCO).

    Science.gov (United States)

    Wallander, Märit; Axelsson, Kristian F; Nilsson, Anna G; Lundh, Dan; Lorentzon, Mattias

    2017-03-01

    Questions remain about whether the increased risk of fractures in patients with type 2 diabetes (T2DM) is related mainly to increased risk of falling or to bone-specific properties. The primary aim of this study was to investigate the risk of hip fractures and non-skeletal fall injuries in older men and women with and without T2DM. We included 429,313 individuals (aged 80.8 ± 8.2 years [mean ± SD], 58% women) from the Swedish registry "Senior Alert" and linked the data to several nationwide registers. We identified 79,159 individuals with T2DM (45% with insulin [T2DM-I], 41% with oral antidiabetics [T2DM-O], and 14% with no antidiabetic treatment [T2DM-none]) and 343,603 individuals without diabetes. During a follow-up of approximately 670,000 person-years, we identified in total 36,132 fractures (15,572 hip fractures) and 20,019 non-skeletal fall injuries. In multivariable Cox regression models where the reference group was patients without diabetes and the outcome was hip fracture, T2DM-I was associated with increased risk (adjusted hazard ratio (HR) [95% CI] 1.24 [1.16-1.32]), T2DM-O with unaffected risk (1.03 [0.97-1.11]), and T2DM-none with reduced risk (0.88 [0.79-0.98]). Both the diagnosis of T2DM-I (1.22 [1.16-1.29]) and T2DM-O (1.12 [1.06-1.18]) but not T2DM-none (1.07 [0.98-1.16]) predicted non-skeletal fall injury. The same pattern was found regarding other fractures (any, upper arm, ankle, and major osteoporotic fracture) but not for wrist fracture. Subset analyses revealed that in men, the risk of hip fracture was only increased in those with T2DM-I, but in women, both the diagnosis of T2DM-O and T2DM-I were related to increased hip fracture risk. In conclusion, the risk of fractures differs substantially among patients with T2DM and an increased risk of hip fracture was primarily found in insulin-treated patients, whereas the risk of non-skeletal fall injury was consistently increased in T2DM with any diabetes medication. © 2016 American

  14. Tabletop Models for Electrical and Electromagnetic Geophysics.

    Science.gov (United States)

    Young, Charles T.

    2002-01-01

    Details the use of tabletop models that demonstrate concepts in direct current electrical resistivity, self-potential, and electromagnetic geophysical models. Explains how data profiles of the models are obtained. (DDR)

  15. The Nirex Sellafield site investigation: the role of geophysical interpretation

    International Nuclear Information System (INIS)

    Muir Wood, R.; Woo, G.; MacMillan, G.

    1992-01-01

    This report reviews the methods by which geophysical data are interpreted, and used to characterize the 3-D geology of a site for potential storage of radioactive waste. The report focuses on the NIREX site investigation at Sellafield, for which geophysical observations provide a significant component of the structural geological understanding. In outlining the basic technical principles of seismic data processing and interpretation, and borehole logging, an attempt has been made to identify errors, uncertainties, and the implicit use of expert judgement. To enhance the reliability of a radiological probabilistic risk assessment, recommendations are proposed for independent use of the primary NIREX geophysical site investigation data in characterizing the site geology. These recommendations include quantitative procedures for undertaking an uncertainty audit using a combination of statistical analysis and expert judgement. (author)

  16. Evaluation of some Geophysical and Physicochemical ...

    African Journals Online (AJOL)

    PROF HORSFALL

    2018-04-18

    Apr 18, 2018 ... spill point parallel to the pipeline right of way. A research work carried ... of soils has been known to affect soil physio-chemical properties, which in .... The results of the geophysical analysis from the study area are presented ...

  17. 36 CFR 1256.62 - Geological and geophysical information relating to wells.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Geological and geophysical... MATERIALS General Restrictions § 1256.62 Geological and geophysical information relating to wells. (a) In accordance with 5 U.S.C. 552(b)(9), NARA may withhold information in records that relates to geological and...

  18. History of falls, gait, balance, and fall risks in older cancer survivors living in the community.

    Science.gov (United States)

    Huang, Min H; Shilling, Tracy; Miller, Kara A; Smith, Kristin; LaVictoire, Kayle

    2015-01-01

    Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A "faller" was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher's exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with Pfalls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was Pfalls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594-29.074) (Pfalls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may help detect individuals at risk of falling.

  19. Geophysical and atmospheric evolution of habitable planets.

    Science.gov (United States)

    Lammer, Helmut; Selsis, Frank; Chassefière, Eric; Breuer, Doris; Griessmeier, Jean-Mathias; Kulikov, Yuri N; Erkaev, Nikolai V; Khodachenko, Maxim L; Biernat, Helfried K; Leblanc, Francois; Kallio, Esa; Lundin, Richard; Westall, Frances; Bauer, Siegfried J; Beichman, Charles; Danchi, William; Eiroa, Carlos; Fridlund, Malcolm; Gröller, Hannes; Hanslmeier, Arnold; Hausleitner, Walter; Henning, Thomas; Herbst, Tom; Kaltenegger, Lisa; Léger, Alain; Leitzinger, Martin; Lichtenegger, Herbert I M; Liseau, René; Lunine, Jonathan; Motschmann, Uwe; Odert, Petra; Paresce, Francesco; Parnell, John; Penny, Alan; Quirrenbach, Andreas; Rauer, Heike; Röttgering, Huub; Schneider, Jean; Spohn, Tilman; Stadelmann, Anja; Stangl, Günter; Stam, Daphne; Tinetti, Giovanna; White, Glenn J

    2010-01-01

    The evolution of Earth-like habitable planets is a complex process that depends on the geodynamical and geophysical environments. In particular, it is necessary that plate tectonics remain active over billions of years. These geophysically active environments are strongly coupled to a planet's host star parameters, such as mass, luminosity and activity, orbit location of the habitable zone, and the planet's initial water inventory. Depending on the host star's radiation and particle flux evolution, the composition in the thermosphere, and the availability of an active magnetic dynamo, the atmospheres of Earth-like planets within their habitable zones are differently affected due to thermal and nonthermal escape processes. For some planets, strong atmospheric escape could even effect the stability of the atmosphere.

  20. Geophysical contribution for Folha Patos (PI, Brazil)

    International Nuclear Information System (INIS)

    Rodrigues, J.C.; Mota, A.C.; Metelo, M.J.; Vasconcelos, R.M. de

    1990-01-01

    As a part of PLGB (Brazilian Geologic reconnaissance program), executed in 1986-1989 period by Companhia de Pesquisa de Recursos Minerais - CPRM to the Departamento Nacional da Producao Mineral - DNPM, geophysical studies were carried out in the Patos Quadrangle (SB. 24-Y-C-V). Gravimetric, magnetometric and scintillometric methods were performed over selected profiles, and the interpretation of aerial gamma-spectrometric maps (total, potassium, uranium and thorium channels) were integrated with geologic data. Computer programs Magpoly and Gravpoly were utilized in modelling geophysical surface data. Results of theses studies were auxiliary to the geological mapping of that area, specially in localizing lithological contacts and differentiations, tectonic structures, and revealed the structural compartimentation among crustal segments with distinct metamorphic grades. (author)

  1. AfricaArray International Geophysics Field School: Applications of Near Surface Geophysics to challenges encountered in mine planning

    Science.gov (United States)

    Webb, S. J.; Jones, M. Q.; Durrheim, R. J.; Nyblade, A.; Snyman, Q.

    2012-12-01

    Hard rock exploration and mining presents many opportunities for the effective use of near surface geophysics. For over 10 years the AfricaArray international geophysics field school has been hosted at a variety of mines in South Africa. While the main objective of the field school is practical training for the next generation of geophysicists, being hosted at a mine has allowed us to investigate applications of near surface geophysics in the early stages of mine planning and development as geophysics is often cheaper and faster than drilling. Several applications include: detailed delineation of dykes and stringer dykes, physical property measurements on drill core for modeling and marker horizons, determination of overburden thickness, locations of water and faults. Dolerite dykes are usually magnetic and are associated with loss of ground (i.e. where the dyke replaces the ore and thus reduces the amount of ore available) and safety/stability concerns. Thus the accurate mapping of dykes and narrow stringers that are associated with them are crucial to the safe planning of a mine. We have acquired several case studies where ground magnetic surveys have greatly improved on the resolution and detail of airborne magnetic surveys in regions of complicated dyke swarms. In many cases, thin stringer dykes of less than 5 cm have been detected. Physical property measurements of these dykes can be used to distinguish between different ages of dykes. It is important to accurately determine overburden thickness when planning an open pit mine as this directly affects the cost of development. Depending on the nature of the overburden, both refraction seismic and or DC resistivity can provide continuous profiling in the area of interest that fills in gaps between boreholes. DC resistivity is also effective for determining water associated with dykes and structures that may affect mine planning. The field school mainly addresses the training of a variety of students. The core

  2. Epidemiology of falls in older age.

    Science.gov (United States)

    Peel, Nancye May

    2011-03-01

    Worldwide, falls among older people are a public health concern because of their frequency and adverse consequences in terms of morbidity, mortality, and quality of life, as well as their impact on health system services and costs. This epidemiological review outlines the public health burden of falls and fall-related injuries and the impact of population aging. The magnitude of the problem is described in terms of the classification of falls and measurement of outcomes, including fall incidence rates across settings, sociodemographic determinants, international trends, and costs of falls and fall-related injuries. Finally, public health approaches to minimize falls risk and consequent demand on health care resources are suggested.

  3. Impact of fear of falling and fall history on disability incidence among older adults: Prospective cohort study.

    Science.gov (United States)

    Makino, Keitaro; Makizako, Hyuma; Doi, Takehiko; Tsutsumimoto, Kota; Hotta, Ryo; Nakakubo, Sho; Suzuki, Takao; Shimada, Hiroyuki

    2018-04-01

    Fear of falling (FOF) is a major health problem for older adults, present not just in fallers, but also nonfallers. This study examined the impact of FOF and fall history on disability incidence among community-dwelling older adults from a prospective cohort study. A total of 5104 older adults living in community settings participated in baseline assessment and were followed up for about 4 years (median 52 mo, range 49-55 mo). At baseline, participants were assessed the presence of FOF and their fall history, and divided into 4 groups: Fall (-) FOF (-), Fall (+) FOF (-), Fall (-) FOF (+), and Fall (+) FOF (+). Disability incidence was defined as national long-term care insurance certification for personal support or care. During the follow-up period, 429 participants (9.9%) were newly certified as having a disability and needing personal support for long-term care insurance. Fall (-) FOF (+) group and Fall (+) FOF (+) group showed a significantly higher risk of disability incidence than Fall (-) FOF (-) group even after adjusting for covariates (Fall (-) FOF (+): hazard ratio 1.28, 95% confidence interval, 1.01-1.62, Fall (+) FOF (+): hazard ratio 1.44, 95% confidence interval, 1.05-1.98). Fear of falling could be a simple and useful predictor of disability incidence in community-dwelling older adults. Identifying and decreasing fall risk factors may prevent fall-related injuries, but excessive FOF may be associated with increased risk of disability incidence. Copyright © 2017 John Wiley & Sons, Ltd.

  4. Fall Prevention Hits Stumbling Blocks.

    Science.gov (United States)

    Huff, Charlotte

    2018-03-01

    Implementation of efforts to screen older people for fall risk-and to intervene before falls occur-have been scattershot at best. Ongoing studies of fall prevention called STRIDE (Strategies to Reduce Injuries and Develop Confidence in Elders) might change that. The studies look at whether clinicians can implement a fall-prevention program across rural, urban, and suburban treatment settings.

  5. Risk factors for falls and fall-related injuries in adults 85 years of age and older.

    Science.gov (United States)

    Grundstrom, Anna C; Guse, Clare E; Layde, Peter M

    2012-01-01

    Falls are a leading cause of morbidity and mortality in older adults. No previous studies on risk factors for falls have focused on adults 85 years and older, the most rapidly growing segment of adults. We examined demographic, health, and behavioral risk factors for falls and fall-related injuries in adults 65 years and older, with a particular focus on adults 85 years and older. We analyzed self-reported information from the Behavioral Risk Factor Surveillance System (BRFSS) for 2008. Data was available for 120,923 people aged 65 or older and 12,684 people aged 85 or older. Of those aged 85 or older, 21.3% reported at least one fall in the past 3 months and 7.2% reported at least one fall related injury requiring medical care or limiting activity for a day or longer. Below average general health, male sex, perceived insufficient sleep, health problems requiring assistive devices, alcohol consumption, increasing body mass index and history of stroke were all independently associated with a greater risk of falls or fall related injuries. The greater risk of falling in those 85 years and older appeared to be due to the deterioration of overall health status with age; among those with excellent overall health status, there was no greater risk of falling in adults 85 years and older compared to those 65-84 years of age. Our results suggest that those with risk factors for falls and fall-related injuries may be appropriate targets for evidence-based fall prevention programs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  6. [Impact of fall risk and fear of falling on mobility of independently living senior citizens transitioning to frailty: screening results concerning fall prevention in the community].

    Science.gov (United States)

    Anders, J; Dapp, U; Laub, S; von Renteln-Kruse, W

    2007-08-01

    There is a strong relation between mobility, walking safety and living independently in old age. People with walking problems suffer from fear of falling and tend to restrict their mobility and performance level in the community environment--even before falls occur. This study was planned to test the validity and prognostic value of a fall risk screening instrument ("Sturz-Risiko-Check") that has already shown its feasibility, acceptance and reliability, targeting independently living senior citizens. The study sample was recruited from a sheltered housing complex in Hamburg (with written consent). Persons with need of professional care ("Pflegestufe" in Germany) were excluded. The residents were asked to fill in the multidimensional questionnaire ("Sturz-Risiko- Check"). In a second step, a trained nurse asked the participants in a phone call about their competence in the instrumental activities of daily living (I-ADL mod. from Lawton, Brody 1969) and about their usual mobility performance level (e.g. frequency and distance of daily walks, use of public transport). According to the number and weight of self-reported risk factors for falling, three groups: "low fall risk", "medium fall risk" and "high fall risk" were classified. Finally, this classification was re-tested after one year, asking for falls and fall related injuries. A total of 112 senior citizens without need of personal care, living in a sheltered housing facility were asked to participate. Acceptance was high (76.1%). Self-reported data from 79 participants concerning falls, fall-risk, mobility and instrumental activities of daily living were included in the statistical analyses. Mean age was 78 (64 to 93) years and associated by a high percentage of women (75.9%) in this sample. The older participants reported 0 to 13 different factors (mean 5) related to a high risk of future falls. Most participants (78.5%) quit cycling because of fear of falling. There was a high incidence in the study sample

  7. What are the Main Physical Functioning Factors Associated With Falls Among Older People With Different Perceived Fall Risk?

    Science.gov (United States)

    Moreira, Mirian N; Bilton, Tereza L; Dias, Rosangela C; Ferriolli, Eduardo; Perracini, Monica R

    2017-07-01

    Fall risk perceptions may influence the judgement over physical and functional competencies to avoid falls. However, few studies have explored the physical functioning characteristics associated with falls among older people with low perceived fall risk. This study aimed to identify the prevalence of falls and physical functioning factors associated with falling among community-dwelling older adults with low and high perceived fall risk. We conducted a cross-sectional population based study with 773 community-dwelling elders. Perceived fall risk was investigated using Falls Efficacy Scale International. We considered fallers those who reported at least one fall in the previous 12 months. Physical functioning measures used were grip strength, usual gait speed, sit-to-stand test, five step test, timed up and go test, one-legged stance test, anterior and lateral functional reach test. At least one fall was reported by 103 (30%) participants with low perceived fall risk and by 196 (46%) participants with high perceived fall risk. The odds of falling were lower among those with greater grip strength and with a greater stance time in one-legged test, and the odds of falling among elders with high perceived fall risk were higher among those who took more time in performing the five step test. We believe that our results highlight the need of not neglecting the risk of falls among active older adults with low perceived fall risk, particularly in those elders that show reduced stability in a small base of support and a lower leg strength. In addition, we suggest that elders with high perceived fall risk should be assessed using anticipatory postural adjustment tests. Particularly, our results may help physiotherapists to identify eligible elders with different perceptions of fall risk for tailored interventions aimed at reducing falls. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  8. Assessment of muscle mass, risk of falls and fear of falling in elderly people with diabetic neuropathy

    Directory of Open Access Journals (Sweden)

    Hudson Azevedo Pinheiro

    Full Text Available Abstract Objective : To assess muscle mass, risk of falls and fear of falling in elderly adults with diabetic neuropathy (DNP. Methods : 50 elderly patients with diabetes mellitus (DM and diabetic neuropathy (NPD participated in this study. Risk of falling was assessed using the Berg Balance Scale (BBS. Fear of falling was assessed by means of the Falls Efficacy Scale-International (FES-I. Muscle mass was assessed by tetrapolar bioimpedance analysis (BIA and Janssen's equation. Subjects were divided into two groups: one with a history of falls in the six months before study enrollment (G1 and the other without history of falls (G2. Results : There were statistically significant differences between G1 and G2 regarding lean body mass (p < 0.05, risk of falls as measured by the BBS (p < 0.01, and fear of falling as measured by the FES-I (p < 0.01. In addition, there was a significant correlation between the BBS and BIA (r = 0.45 and p < 0.01, showing that the greater the lean body mass, the lower the risk of falling. Conclusions : We found an association between lean mass, risk of falls and fear of falling in elderly adults with DNP and a history of falls from own height.

  9. Karst aquifer characterization using geophysical remote sensing of dynamic recharge events

    Science.gov (United States)

    Grapenthin, R.; Bilek, S. L.; Luhmann, A. J.

    2017-12-01

    Geophysical monitoring techniques, long used to make significant advances in a wide range of deeper Earth science disciplines, are now being employed to track surficial processes such as landslide, glacier, and river flow. Karst aquifers are another important hydrologic resource that can benefit from geophysical remote sensing, as this monitoring allows for safe, noninvasive karst conduit measurements. Conduit networks are typically poorly constrained, let alone the processes that occur within them. Geophysical monitoring can also provide a regionally integrated analysis to characterize subsurface architecture and to understand the dynamics of flow and recharge processes in karst aquifers. Geophysical signals are likely produced by several processes during recharge events in karst aquifers. For example, pressure pulses occur when water enters conduits that are full of water, and experiments suggest seismic signals result from this process. Furthermore, increasing water pressure in conduits during recharge events increases the load applied to conduit walls, which deforms the surrounding rock to yield measureable surface displacements. Measureable deformation should also occur with mass loading, with subsidence and rebound signals associated with increases and decreases of water mass stored in the aquifer, respectively. Additionally, geophysical signals will likely arise with turbulent flow and pore pressure change in the rock surrounding conduits. Here we present seismic data collected during a pilot study of controlled and natural recharge events in a karst aquifer system near Bear Spring, near Eyota, MN, USA as well as preliminary model results regarding the processes described above. In addition, we will discuss an upcoming field campaign where we will use seismometers, tiltmeters, and GPS instruments to monitor for recharge-induced responses in a FL, USA karst system with existing cave maps, coupling these geophysical observations with hydrologic and

  10. New methods for fall risk prediction.

    Science.gov (United States)

    Ejupi, Andreas; Lord, Stephen R; Delbaere, Kim

    2014-09-01

    Accidental falls are the leading cause of injury-related death and hospitalization in old age, with over one-third of the older adults experiencing at least one fall or more each year. Because of limited healthcare resources, regular objective fall risk assessments are not possible in the community on a large scale. New methods for fall prediction are necessary to identify and monitor those older people at high risk of falling who would benefit from participating in falls prevention programmes. Technological advances have enabled less expensive ways to quantify physical fall risk in clinical practice and in the homes of older people. Recently, several studies have demonstrated that sensor-based fall risk assessments of postural sway, functional mobility, stepping and walking can discriminate between fallers and nonfallers. Recent research has used low-cost, portable and objective measuring instruments to assess fall risk in older people. Future use of these technologies holds promise for assessing fall risk accurately in an unobtrusive manner in clinical and daily life settings.

  11. Engineering-geophysical criteria for evaluating the development stages of landslides in loess rocks

    Energy Technology Data Exchange (ETDEWEB)

    Abdullayev, S K

    1981-01-01

    As a result of conducting geophysical observations on landslide slopes formed by loess rocks, with their artifical moistening, quantitiative engineering-geophysical criteria were obtained which characterize the basic stages of landslide development. The studies were conducted by surface methods of electrical resistance and seismometry conducted directly in the massif. According to the indicators of moisture content, state of comminution, compactness calculated with the help of geophysical parameters, the stage of preparation and movement of landslides are characterized.

  12. SQUID use for Geophysics: finding billions of dollars

    Science.gov (United States)

    Foley, Catherine

    2014-03-01

    Soon after their discovery, Jim Zimmerman saw the potential of using Superconducting Quantum Interference Devices, SQUIDs, for the study of Geophysics and undertook experiments to understand the magnetic phenomena of the Earth. However his early experiments were not successful. Nevertheless up to the early 1980's, some research effort in the use of SQUIDs for geophysics continued and many ideas of how you could use SQUIDs evolved. Their use was not adopted by the mining industry at that time for a range of reasons. The discovery of high temperature superconductors started a reinvigoration in the interest to use SQUIDs for mineral exploration. Several groups around the world worked with mining companies to develop both liquid helium and nitrogen cooled systems. The realisation of the achievable sensitivity that contributed to successful mineral discoveries and delineation led to real financial returns for miners. By the mid 2000's, SQUID systems for geophysics were finally being offered for sale by several start-up companies. This talk will tell the story of SQUID use in geophysics. It will start with the early work of the SQUID pioneers including that of Jim Zimmerman and John Clarke and will also cover the development since the early 1990's up to today of a number of magnetometers and gradiometers that have been successfully commercialised and used to create significant impact in the global resources industry. The talk will also cover some of the critical technical challenges that had to be overcome to succeed. It will focus mostly on magnetically unshielded systems used in the field although some laboratory-based systems will be discussed.

  13. First Aid: Falls

    Science.gov (United States)

    ... Folleto de instructiones: Caídas (Falls) With all the running, climbing, and exploring kids do, it's no surprise that falls are common. Although many result in mild bumps, cuts, and bruises, some can cause serious injuries that need immediate medical attention. What to Do ...

  14. Geophysical investigations in the 100 Areas: Fiscal year 1991 through December 1993

    Science.gov (United States)

    Mitchell, T. H.

    1994-09-01

    The geophysical investigations identified in this document were conducted by the Westinghouse Hanford Company (WHC) Surface Geophysics Team, Geophysics Group, between October, 1991 and December, 1993. The investigations supported 100-Area activities for the Resource Conservation and Recovery Act of 1976 (RCRA) and the Comprehensive Environmental Response, Compensations and Liability Act of 1980 (CERCLA). The primary intent of this document is to provide a general map location and the associated document number for investigations that have been conducted as of December, 1993. The results of the individual investigations are not included here. The results of all of these investigations have been previously reported individually in WHC supporting documents. The investigations conducted during Fiscal Year (FY) 1992 are summarized in a single WHC document, WHC-SD-EN-TI-204, Rev. O. A brief summary of some of the successful applications of geophysics in the 100-Areas is included.

  15. Geophysical applications for oil sand mine tailings management

    Energy Technology Data Exchange (ETDEWEB)

    Parker, D.; Bauman, P. [WorleyParsons, Calgary, AB (Canada)

    2009-07-01

    Geophysical techniques are applied throughout a mine's life cycle to facilitate siting, constructing and monitoring of tailings dumps and ponds. This presentation described 3 case studies from the Athabasca region in northeast Alberta that demonstrated some of the concerns associated with oil sand mine tailings, and the information that geophysical surveys can provide. The objectives of these studies were to determine the lateral and depth extents of elevated conductivities of soil and groundwater that have high salt concentration from the tailings sand pore fluid. Due to high chloride concentrations within the tailings material, salt within the root zone may affect vegetation. A terrain conductivity survey was designed to map the lateral extents of salinity impact, while an electrical resistivity tomography (ERT) survey was used to delineate the tailings sand leachate at depth. The proper management of oil sand tailings facilities is vital to the life cycle of a mine. It was concluded that geophysical techniques can be instrumental in managing several engineering and environmental challenges, from Pleistocene channel mapping, to tailings pond settling characteristics, to reclaiming tailings sands. 1 ref., 7 figs.

  16. Applied geophysics for civil engineering and mining engineering. 2. rev. and enlarged ed.

    International Nuclear Information System (INIS)

    Militzer, H.; Schoen, J.; Stoetzner, U.

    1986-01-01

    In the process of geological and geotechnical prospecting for the exploration and exploitation of deposits, as well as for engineering structures, the knowledge contributed by geophysics is of significance in order to ensure an objective assessment of geological and geotechnical conditions of a given site, and to promote economic efficiency in the field of civil engineering and mining. For this reason, engineering and mining geophysics has become an important special subject field. The present second edition of the textbook offers enhanced information about practical applications of available methods and measuring techniques, and about the information to be obtained by civil and mining engineers from the geophysical science. The material has been arranged with a view to practice, facilitating an overview over potential applications and efficiencies as well as limits of geophysical methods. The methods are also explained in terms of suitability for the various steps of civil engineering or mining geological activities and studies. A major extension of the first edition's material consists of the chapter on basic principles and aspects of well geophysics for shallow well drilling. (orig./HP) [de

  17. Borehole geophysics in nuclear power plant siting

    International Nuclear Information System (INIS)

    Crosby, J.W.; Scott, J.D.

    1979-01-01

    Miniaturized borehole geophysical equipment designed for use in ground-water investigations can be adapted to investigations of nuclear power plant sites. This equipment has proved to be of value in preliminary and comprehensive studies of interior basins where thick sequences of Quaternary clastic sediment, occasionally with associated volcanic rocks, pose problems of stratigraphic correlation. The unconsolidated nature of the deposits generally requires that exploratory holes be cased, which ordinarily restricts the borehole geophysical studies to the radiation functions--natural gamma, gamma-gamma, neutron-gamma, and neutron-epithermal neutron logs. Although a single log response may be dominant in a given area, correlations derive from consideration of all log responses as a composite group. Because major correlations usually are based upon subtle differences in the physical properties of the penetrated sediment, high-resolution logging procedures are employed with some sacrifice of the quantitative parameters important to petroleum technology. All geophysical field data are recorded as hard copy and as digital information on punched paper tape. Digital data are subsequently computer processed and plotted to scales that enhance the stratigraphic data being correlated. Retention of the data in analog format permits rapid review, whereas computer plotting allows playback and detailed examination of log sections and sequences that may be attenuated on hard copy because of the logarithmic nature of the response to the physical property being examined

  18. Circumstances of falls and falls-related injuries in a cohort of older patients following hospital discharge

    Directory of Open Access Journals (Sweden)

    Hill AM

    2013-06-01

    Full Text Available Anne-Marie Hill,1 Tammy Hoffmann,2,3 Terry P Haines4,51School of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, WA, 2Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD, 3School of Health and Rehabilitation Sciences, The University of Queensland, 4School of Primary Health Care, Monash University, Melbourne, VIC, 5Allied Health Research Unit, Kingston Centre, Southern Health, Clayton, VIC, AustraliaBackground: Older people are at increased risk of falls after hospital discharge. This study aimed to describe the circumstances of falls in the six months after hospital discharge and to identify factors associated with the time and location of these falls.Methods: Participants in this randomized controlled study comprised fallers (n = 138 who were part of a prospective observational cohort (n = 343 nested within a randomized controlled trial (n = 1206. The study tested patient education on falls prevention in hospital compared with usual care in older patients who were discharged from hospital and followed for six months after hospital discharge. The outcome measures were number of falls, falls-related injuries, and the circumstances of the falls, measured by use of a diary and a monthly telephone call to each participant.Results: Participants (mean age 80.3 ± 8.7 years reported 276 falls, of which 150 (54.3% were injurious. Of the 255 falls for which there were data available about circumstances, 190 (74.5% occurred indoors and 65 (25.5% occurred in the external home environment or wider community. The most frequent time reported for falls was the morning (between 6 am and 10 am when 79 (28.6% falls, including 49 (32.7% injurious falls, occurred. The most frequently reported location for falls (n = 80, 29.0%, including injurious falls (n = 42, 28.0%, was the bedroom. Factors associated with falling in the bedroom included

  19. Prevention of falls in nursing homes: subgroup analyses of a randomized fall prevention trial.

    Science.gov (United States)

    Rapp, Kilian; Lamb, Sarah E; Büchele, Gisela; Lall, Ranjit; Lindemann, Ulrich; Becker, Clemens

    2008-06-01

    To evaluate the effectiveness of a multifactorial fall prevention program in prespecified subgroups of nursing home residents. Secondary analysis of a cluster-randomized, controlled trial. Six nursing homes in Germany. Seven hundred twenty-five long-stay residents; median age 86; 80% female. Staff and resident education on fall prevention, advice on environmental adaptations, recommendation to wear hip protectors, and progressive balance and resistance training. Time to first fall and the number of falls. Falls were assessed during the 12-month intervention period. Univariate regression analyses were performed, including a confirmatory test of interaction. The intervention was more effective in people with cognitive impairment (hazard ratio (HR)=0.49, 95% confidence interval (CI)=0.35-0.69) than in those who were cognitively intact (HR=0.91, 95% CI=0.68-1.22), in people with a prior history of falls (HR=0.47, 95% CI=0.33-0.67) than in those with no prior fall history (HR=0.77, 95% CI=0.58-1.01), in people with urinary incontinence (HR=0.59, 95% CI=0.45-0.77) than in those with no urinary incontinence (HR=0.98, 95% CI=0.68-1.42), and in people with no mood problems (incidence rate ratio (IRR)=0.41, 95% CI=0.27-0.61) than in those with mood problems (IRR=0.74, 95% CI=0.51-1.09). The effectiveness of a multifactorial fall prevention program differed between subgroups of nursing home residents. Cognitive impairment, a history of falls, urinary incontinence, and depressed mood were important in determining response.

  20. Fall risk factors in Parkinson's disease.

    Science.gov (United States)

    Gray, P; Hildebrand, K

    2000-08-01

    Parkinson's disease (PD) is a neurodegenerative disorder characterized by tremor, rigidity, bradykinesia, gait disturbance, and postural instability. Patients with PD suffer frequent falls, yet little research has been done to identify risks specific to PD patients. The objective of this study was to identify the risk factors associated with falls for PD patients through the collection of demographic, environmental, and medical information as well as fall diaries completed during a 3-month period. Patients with a diagnosis of idiopathic PD, with and without falls, were included in the study provided they could stand and walk and had no other condition that could predispose them to falls. Of the 118 participants, 59% reported one or more falls. A total of 237 falls were reported. Duration and severity of PD symptoms, particularly freezing, involuntary movements, and walking and postural difficulties, were significantly associated with an increased risk of falls. Other factors associated with falls were postural hypotension and daily intake of alcohol. Forty percent of falls resulted in injury, but serious injury was rare. The findings have implications for reducing the risk of falls through patient education.

  1. Optimized Enhanced Bioremediation Through 4D Geophysical Monitoring and Autonomous Data Collection, Processing and Analysis

    Science.gov (United States)

    2014-09-01

    ER-200717) Optimized Enhanced Bioremediation Through 4D Geophysical Monitoring and Autonomous Data Collection, Processing and Analysis...N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE Optimized Enhanced Bioremediation Through 4D Geophysical Monitoring and Autonomous Data...8 2.1.2 The Geophysical Signatures of Bioremediation ......................................... 8 2.2 PRIOR

  2. Development of nuclear physics and its connections to borehole geophysics

    International Nuclear Information System (INIS)

    Loetzsch, W.

    1990-01-01

    Starting from the discovery of radioactivity, the development of nuclear physics and its close connections to geoscience, especially to borehole geophysics, are outlined. The discovery of a nuclear physical phenomenon is always followed by an examination for its applications in nuclear geophysics, which since about 1960 has developed into a special discipline of applied geophysics. As an example for this development in the GDR the application of neutron capture γ-ray spectroscopy for iron ore exploration is described. A table listing important present-day nuclear well logging techniques with detectable elements and their detection limits is presented. Examples of measurements with some of these logging techniques reveal their particularities and show their element-specific character and the nuclear physical mechanisms involved. Finally the state of art of nuclear well logging and prospects in this field are outlined. (author)

  3. Increasing Trend of Fatal Falls in Older Adults in the United States, 1992 to 2005: Coding Practice or Reporting Quality?

    Science.gov (United States)

    Kharrazi, Rebekah J; Nash, Denis; Mielenz, Thelma J

    2015-09-01

    To investigate whether changes in death certificate coding and reporting practices explain part or all of the recent increase in the rate of fatal falls in adults aged 65 and older in the United States. Trends in coding and reporting practices of fatal falls were evaluated under mortality coding schemes for International Classification of Diseases (ICD), Ninth Revision (1992-1998) and Tenth Revision (1999-2005). United States, 1992 to 2005. Individuals aged 65 and older with falls listed as the underlying cause of death (UCD) on their death certificates. The primary outcome was annual fatal falls rates per 100,000 U.S. residents aged 65 and older. Coding practice was assessed through analysis of trends in rates of specific UCD fall ICD e-codes over time. Reporting quality was assessed by examining changes in the location on the death certificate where fall e-codes were reported, in particular, the percentage of fall e-codes recorded in the proper location on the death certificate. Fatal falls rates increased over both time periods: 1992 to 1998 and 1999 to 2005. A single falls e-code was responsible for the increasing trend of fatal falls overall from 1992 to 1998 (E888, other and unspecified fall) and from 1999 to 2005 (W18, other falls on the same level), whereas trends for other falls e-codes remained stable. Reporting quality improved steadily throughout the study period. Better reporting quality, not coding practices, contributed to the increasing rate of fatal falls in older adults in the United States from 1992 to 2005. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.

  4. Comparison of Walking, Muscle Strength, Balance, and Fear of Falling Between Repeated Fall Group, One-time Fall Group, and Nonfall Group of the Elderly Receiving Home Care Service.

    Science.gov (United States)

    Jeon, MiYang; Gu, Mee Ock; Yim, JongEun

    2017-12-01

    The purpose of this study was to provide information to develop a program to prevent repeated falls by analyzing the difference in gait, muscle strength, balance, and fear of falling according to their fall experience. The study subjects were 110 elderly individuals aged over 60 years who agreed to their participation in this research. The study participants were categorized into a repeated fall group (n = 40), a one-time fall group (n = 15), and a nonfall group (n = 46) of the elderly. Measurements of gait, muscle strength, balance, and fear of falling were taken in each group. With regard to gait, there were significant differences among three groups in gait cycle (F = 3.50, p = .034), speed (F = 13.06, p balance, the nonfall group had significantly greater results than the one-time fall group and repeated fall group in dynamic balance (F = 10.80, p balance (F = 8.20, p = .001). In the case of the fear of falling, the repeated fall group had significantly higher score than other two groups (F = 20.62, p fall risk factors to enhance gait and balance and lower body muscle strength and reduce the fear of falling to prevent repeated incidences of falls in this population. Copyright © 2017. Published by Elsevier B.V.

  5. Airborne geophysics in Australia: the government contribution

    International Nuclear Information System (INIS)

    Denham, D.

    1997-01-01

    Airborne geophysical data sets provide important cost-effective information for resource exploration and land management. Improved techniques, developed recently, now enable high-resolution aeromagnetic and gamma-ray surveys to be used extensively by the resource industries to improve the cost effectiveness of exploration and by governments to encourage resource development and sustainable management of natural resources. Although airborne geophysical techniques have been used extensively and are now used almost routinely by mineral explorers, it is only in the last few years that governments have been involved as major players in the acquisition of data. The exploration industry pioneered the imaging of high-resolution airborne geophysical data sets in the early 1980s and, at the same time, the Northern Territory Government started a modest program of flying the Northern Territory, at 500 m flight-line spacing, to attract mineral exploration. After the start of the National Geoscience Mapping Accord in 1990, the then BMR and its State/Territory counterparts used the new high-resolution data as an essential ingredient to underpin mapping programs. These new data sets proved so valuable that, starting in 1992/93, the annual expenditure by the Commonwealth and States/Northern Territory increased from roughly $2 million per year to a massive $10 million per year. These investments by governments, although unlikely to be permanently sustainable, have been made to encourage and expand exploration activity by providing new high-quality data sets in industry at very low cost. There are now approximately 11 million line-km of airborne geophysical data available in databases held by the Commonwealth, States and Northern Territory. The results so far have seen a significant increase in exploration activity in States that have embarked on this course (e.g. South Australia and Victoria), and the information provided from these surveys is proving crucial to understanding the

  6. The relationship of intrinsic fall risk factors to a recent history of falling in older women with osteoporosis.

    Science.gov (United States)

    Arnold, Cathy M; Busch, Angela J; Schachter, Candice L; Harrison, Liz; Olszynski, Wojciech

    2005-07-01

    Cross-sectional descriptive analysis investigating intrinsic fall risk factors in postmenopausal women with osteoporosis. To examine the relationships between history of recent falls and balance, pain, quality of life, function, posture, strength, and mobility. Women with osteoporosis who fall are at a high risk of fracture due to decreased bone strength. Identifying fall risk factors for older women with osteoporosis is a crucial step in decreasing the incidence of falls and fracture. METHOD AND MEASURES: Seventy-three women over 60 years of age with established osteoporosis participated in comprehensive testing of fall history, physical function, and quality of life. Significant correlations were found between a recent history of falls and degree of kyphosis (r = 0.29), fear of falls/emotional status (r = -0.27), and balance (r = -0.27). Degree of kyphosis and fear of falls/emotional status explained 20% of the variance of recent fall history using binary logistic regression. Women with an increased kyphosis were more likely to have had a recent fall (odds ratio [OR], 1.17; 95% CI, 1.03-1.34) and those with better emotional status and less fear of falling were less likely to have had a recent fall (OR, 0.61; 95% CI, 0.38-0.97). Increased thoracic kyphosis and fear of falling are 2 intrinsic factors associated with recent falls in women with osteoporosis. To design more effective interventions to decrease fall risk in this population, future prospective, longitudinal studies should monitor kyphosis, fear of falling, balance reactions, and other potential risk factors not identified in this study.

  7. The efficacy of fall-risk-increasing drug (FRID) withdrawal for the prevention of falls and fall-related complications: protocol for a systematic review and meta-analysis.

    Science.gov (United States)

    Lee, Justin Yusen; Holbrook, Anne

    2017-02-20

    Despite limited evidence of effectiveness, withdrawal (discontinuation or dose reduction) of high risk medications known as "fall-risk increasing drugs" (FRIDs) is typically conducted as a fall prevention strategy based on presumptive benefit. Our objective is to determine the efficacy of fall-risk increasing drugs (FRIDs) withdrawal on the prevention of falls and fall-related complications. We will search for all published and unpublished randomized controlled trials evaluating the effect of FRID withdrawal compared to usual care on the rate of falls, incidence of falls, fall-related injuries, fall-related fractures, fall-related hospitalizations, or adverse effects related to the intervention in adults aged 65 years or older. Electronic database searches will be conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. A grey literature search will be conducted including clinical trial registries and conference proceedings and abstracts. Two reviewers will independently perform in duplicate citation screening, full-text review, data abstraction, and risk of bias assessment. Conflicts will be resolved through team discussion or by a third reviewer if no consensus can be reached. The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) criteria will be used to independently rate overall confidence in effect estimates for each outcome. Results will be synthesized descriptively, and a random effects meta-analysis will be conducted for each outcome if studies are deemed similar methodologically, clinically, and statistically. We will attempt to determine whether a FRID withdrawal strategy alone is effective at preventing falls in older adults. Our results will be used to optimize and focus fall prevention strategies and initiatives internationally with a goal of improving the health of older adults. PROSPERO CRD42016040203.

  8. Solar Geophysical Data (SGD) Reports (1955-2009)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Solar-Geophysical Data (SGD) reports were a comprehensive compilation of many different kinds of observational data of the sun's activity and its effects on the...

  9. Prospective study of falls and risk factors for falls in adults with advanced cancer.

    LENUS (Irish Health Repository)

    Stone, Carol A

    2012-06-10

    Retrospective studies of inpatients with cancer suggest that a cancer diagnosis confers a high risk of falls. In adults with advanced cancer, we aimed to prospectively document the incidence of falls, identify the risk factors, and determine if falls in this population occur predominantly in older patients.

  10. The role of the geophysical template and environmental regimes in controlling stream-living trout populations

    Science.gov (United States)

    Penaluna, Brooke E.; Railsback, Steve F.; Dunham, Jason B.; Johnson, S.; Bilby, Richard E.; Skaugset, Arne E.

    2015-01-01

    The importance of multiple processes and instream factors to aquatic biota has been explored extensively, but questions remain about how local spatiotemporal variability of aquatic biota is tied to environmental regimes and the geophysical template of streams. We used an individual-based trout model to explore the relative role of the geophysical template versus environmental regimes on biomass of trout (Oncorhynchus clarkii clarkii). We parameterized the model with observed data from each of the four headwater streams (their local geophysical template and environmental regime) and then ran 12 simulations where we replaced environmental regimes (stream temperature, flow, turbidity) of a given stream with values from each neighboring stream while keeping the geophysical template fixed. We also performed single-parameter sensitivity analyses on the model results from each of the four streams. Although our modeled findings show that trout biomass is most responsive to changes in the geophysical template of streams, they also reveal that biomass is restricted by available habitat during seasonal low flow, which is a product of both the stream’s geophysical template and flow regime. Our modeled results suggest that differences in the geophysical template among streams render trout more or less sensitive to environmental change, emphasizing the importance of local fish–habitat relationships in streams.

  11. Long-term proton pump inhibitor therapy and falls and fractures in elderly women: a prospective cohort study.

    Science.gov (United States)

    Lewis, Joshua R; Barre, Deka; Zhu, Kun; Ivey, Kerry L; Lim, Ee Mun; Hughes, Jeff; Prince, Richard L

    2014-11-01

    Proton pump inhibitors (PPIs) are widely used in the elderly. Recent studies have suggested that long-term PPI therapy is associated with fractures in the elderly, however the mechanism remains unknown. We investigated the association between long-term PPI therapy ≥1 year and fracture risk factors including bone structure, falls, and balance-related function in a post hoc analysis of a longitudinal population-based prospective cohort of elderly postmenopausal women and replicated the findings in a second prospective study of falling in elderly postmenopausal women. Long-term PPI therapy was associated with increased risk of falls and fracture-related hospitalizations; adjusted odds ratio (AOR) 2.17; 95% CI, 1.25-3.77; p = 0.006 and 1.95; 95% CI, 1.20-3.16; p = 0.007, respectively. In the replication study, long-term PPI use was associated with an increased risk of self-reported falling; AOR, 1.51; 95% CI, 1.00-2.27; p = 0.049. No association of long-term PPI therapy with bone structure was observed; however, questionnaire-assessed falls-associated metrics such as limiting outdoor activity (p = 0.002) and indoor activity (p = 0.001) due to fear of falling, dizziness (p risk in subjects on long-term PPI therapy. This increase in fracture risk in elderly women, already at high risk of fracture, appears to be mediated via increased falls risk and falling rather than impaired bone structure and should be carefully considered when prescribing long-term PPI therapy. © 2014 American Society for Bone and Mineral Research.

  12. EXPLORATION BY MEANS OF GEOPHYSICAL METHODS OF GEOTHERMAL FIELDS AND CASE STUDIES

    Directory of Open Access Journals (Sweden)

    Züheyr KAMACI

    1997-01-01

    Full Text Available Geothermal energy which is one of the reuseable energy resources, can save as much as 77 million barrels of petroleum equivalent annually when used in the production of electricity and heating-environment. Geophysical exploration methods plays in important role in the fields of geothermal exploration, development and observational studies. Thermal and geoelectrical methods are the most effective methods which shows the temperature variation anomalies and mechanical drilling places. But, when the other methods of gravity, magnetic, radiometric, well geophysics and well logs can be used in conjunction with seismic tomography, apart from the mentioned geophysical exploration method, better results could be obtained. From the above mentioned facts various case history reports are given from our country and worldwide to determine geothermal energy resources by using geophysical exploration technique application. From these results of studies a 55 °C hot water artessian aquifer is found in the Uşak-Banaz geothermal field by applying geoelectrical methods.

  13. Intrinsic factors associated with pregnancy falls.

    Science.gov (United States)

    Wu, Xuefang; Yeoh, Han T

    2014-10-01

    Approximately 25% to 27% of women sustain a fall during pregnancy, and falls are associated with serious injuries and can affect pregnancy outcomes. The objective of the current study was to identify intrinsic factors associated with pregnancy that may contribute to women's increased risk of falls. A literature search (Medline and Pubmed) identified articles published between January 1980 and June 2013 that measured associations between pregnancy and fall risks, using an existing fall accident investigation framework. The results indicated that physiological, biomechanical, and psychological changes associated with pregnancy may influence the initiation, detection, and recovery phases of falls and increase the risk of falls in this population. Considering the logistic difficulties and ethnic concerns in recruiting pregnant women to participate in this investigation of fall risk factors, identification of these factors could establish effective fall prevention and intervention programs for pregnant women and improve birth outcomes. [Workplace Health Saf 2014;62(10):403-408.]. Copyright 2014, SLACK Incorporated.

  14. A Bayesian trans-dimensional approach for the fusion of multiple geophysical datasets

    Science.gov (United States)

    JafarGandomi, Arash; Binley, Andrew

    2013-09-01

    We propose a Bayesian fusion approach to integrate multiple geophysical datasets with different coverage and sensitivity. The fusion strategy is based on the capability of various geophysical methods to provide enough resolution to identify either subsurface material parameters or subsurface structure, or both. We focus on electrical resistivity as the target material parameter and electrical resistivity tomography (ERT), electromagnetic induction (EMI), and ground penetrating radar (GPR) as the set of geophysical methods. However, extending the approach to different sets of geophysical parameters and methods is straightforward. Different geophysical datasets are entered into a trans-dimensional Markov chain Monte Carlo (McMC) search-based joint inversion algorithm. The trans-dimensional property of the McMC algorithm allows dynamic parameterisation of the model space, which in turn helps to avoid bias of the post-inversion results towards a particular model. Given that we are attempting to develop an approach that has practical potential, we discretize the subsurface into an array of one-dimensional earth-models. Accordingly, the ERT data that are collected by using two-dimensional acquisition geometry are re-casted to a set of equivalent vertical electric soundings. Different data are inverted either individually or jointly to estimate one-dimensional subsurface models at discrete locations. We use Shannon's information measure to quantify the information obtained from the inversion of different combinations of geophysical datasets. Information from multiple methods is brought together via introducing joint likelihood function and/or constraining the prior information. A Bayesian maximum entropy approach is used for spatial fusion of spatially dispersed estimated one-dimensional models and mapping of the target parameter. We illustrate the approach with a synthetic dataset and then apply it to a field dataset. We show that the proposed fusion strategy is

  15. Preventing falls in hospital.

    Science.gov (United States)

    Pearce, Lynne

    2017-02-27

    Essential facts Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. Every year, more than 240,000 falls are reported in acute hospitals and mental health trusts in England and Wales, equivalent to more than 600 a day, according to the Royal College of Physicians (RCP). But research shows that when nurses, doctors and therapists work together, falls can be reduced by 20-30%.

  16. The lithospheric structure beneath Ireland and surrounding areas from integrated geophysical-petrological modelling of magnetic and other geophysical data

    Science.gov (United States)

    Baykiev, E.; Guerri, M.; Fullea, J.

    2017-12-01

    The availability of unprecedented resolution aeromagnetic data in Ireland (Tellus project, http://www.tellus.ie/) in conjunction with new satellite magnetic data (e.g., ESÁs Swarm mission) has opened the possibility of detailed modelling of the Irish subsurface magnetic structure. A detailed knowledge of the magnetic characteristics (susceptibility, magnetite content) of the crust is relevant for a number of purposes, including geological mapping and mineral and geothermal energy prospection. In this work we model the magnetic structure of Ireland and surrounding areas using primarily aeromagnetic and satellite observations but also other geophysical data sets. To this aim we use a geophysical-petrological modelling tool (LitMod) in which key properties of rocks (i.e., density, electrical conductivity and seismic velocities) that can be inferred from geophysical data (gravity, seismic, EM) are self consistently determined based on the thermochemical conditions (using the software Perple_X). In contrast to the mantle, where thermodynamic equilibrium is prevalent, in the crust metastable conditions are dominant, i.e. rock properties may not be representative of the current, in situ, temperature and pressure conditions. Instead, the rock properties inferred from geophysical data may be reflecting the mineralogy stable at rock formation conditions. In addition, temperature plays a major role in the distribution of the long wavelength crustal magnetic anomalies. Magnetite retains its magnetic properties below its Curie temperature (585 ºC) and the depth of Curie's isotherm provides an estimate of the thickness of the magnetic crust. Hence, a precise knowledge of the crustal geotherm is required to consistently model crustal magnetic anomalies. In this work LitMod has been modified to account for metastable crustal lithology, to predict susceptibility in the areas below Curie's temperature, and to compute magnetic anomalies based on a magnetic tesseroid approach. The

  17. Does perturbation-based balance training prevent falls? Systematic review and meta-analysis of preliminary randomized controlled trials.

    Science.gov (United States)

    Mansfield, Avril; Wong, Jennifer S; Bryce, Jessica; Knorr, Svetlana; Patterson, Kara K

    2015-05-01

    Older adults and individuals with neurological conditions are at an increased risk for falls. Although physical exercise can prevent falls, certain types of exercise may be more effective. Perturbation-based balance training is a novel intervention involving repeated postural perturbations aiming to improve control of rapid balance reactions. The purpose of this study was to estimate the effect of perturbation-based balance training on falls in daily life. MEDLINE (1946-July 2014), EMBASE (1974-July 2014), PEDro (all dates), CENTRAL (1991-July 2014), and Google Scholar (all dates) were the data sources used in this study. Randomized controlled trials written in English were included if they focused on perturbation-based balance training among older adults or individuals with neurological conditions and collected falls data posttraining. Two investigators extracted data independently. Study authors were contacted to obtain missing information. A PEDro score was obtained for each study. Primary outcomes were proportion of participants who reported one or more falls (ie, number of "fallers") and the total number of falls. The risk ratio (proportion of fallers) and rate ratio (number of falls) were entered into the analysis. Eight studies involving 404 participants were included. Participants who completed perturbation-based balance training were less likely to report a fall (overall risk ratio=0.71; 95% confidence interval=0.52, 0.96; P=.02) and reported fewer falls than those in the control groups (overall rate ratio=0.54; 95% confidence interval=0.34, 0.85; P=.007). Study authors do not always identify that they have included perturbation training in their intervention; therefore, it is possible that some appropriate studies were not included. Study designs were heterogeneous, preventing subanalyses. Perturbation-based balance training appears to reduce fall risk among older adults and individuals with Parkinson disease. © 2015 American Physical Therapy Association.

  18. Blood Pressure, Antihypertensive Polypharmacy, Frailty, and Risk for Serious Fall Injuries Among Older Treated Adults With Hypertension.

    Science.gov (United States)

    Bromfield, Samantha G; Ngameni, Cedric-Anthony; Colantonio, Lisandro D; Bowling, C Barrett; Shimbo, Daichi; Reynolds, Kristi; Safford, Monika M; Banach, Maciej; Toth, Peter P; Muntner, Paul

    2017-08-01

    Antihypertensive medication and low systolic blood pressure (BP) and diastolic BP have been associated with an increased falls risk in some studies. Many older adults have indicators of frailty, which may increase their risk for falls. We contrasted the association of systolic BP, diastolic BP, number of antihypertensive medication classes taken, and indicators of frailty with risk for serious fall injuries among 5236 REGARDS study (Reasons for Geographic and Racial Difference in Stroke) participants ≥65 years taking antihypertensive medication at baseline with Medicare fee-for-service coverage. Systolic BP and diastolic BP were measured, and antihypertensive medication classes being taken assessed through a pill bottle review during a study visit. Indicators of frailty included low body mass index, cognitive impairment, depressive symptoms, exhaustion, impaired mobility, and history of falls. Serious fall injuries were defined as fall-related fractures, brain injuries, or joint dislocations using Medicare claims through December 31, 2014. Over a median of 6.4 years, 802 (15.3%) participants had a serious fall injury. The multivariable-adjusted hazard ratio for a serious fall injury among participants with 1, 2, or ≥3 indicators of frailty versus no frailty indicators was 1.18 (95% confidence interval, 0.99-1.40), 1.49 (95% confidence interval, 1.19-1.87), and 2.04 (95% confidence interval, 1.56-2.67), respectively. Systolic BP, diastolic BP, and number of antihypertensive medication classes being taken at baseline were not associated with risk for serious fall injuries after multivariable adjustment. In conclusion, indicators of frailty, but not BP or number of antihypertensive medication classes, were associated with increased risk for serious fall injuries among older adults taking antihypertensive medication. © 2017 American Heart Association, Inc.

  19. Regional white matter lesions predict falls in patients with amnestic mild cognitive impairment and Alzheimer's disease.

    Science.gov (United States)

    Ogama, Noriko; Sakurai, Takashi; Shimizu, Atsuya; Toba, Kenji

    2014-01-01

    Preventive strategy for falls in demented elderly is a clinical challenge. From early-stage of Alzheimer's disease (AD), patients show impaired balance and gait. The purpose of this study is to determine whether regional white matter lesions (WMLs) can predict balance/gait disturbance and falls in elderly with amnestic mild cognitive impairment (aMCI) or AD. Cross-sectional. Hospital out-patient clinic. One hundred sixty-three patients diagnosed with aMCI or AD were classified into groups having experienced falls (n = 63) or not (n = 100) in the previous year. Cognition, depression, behavior and psychological symptoms of dementia, medication, and balance/gait function were evaluated. Regional WMLs were visually analyzed as periventricular hyperintensity in frontal caps, bands, and occipital caps, and as deep white matter hyperintensity in frontal, parietal, temporal, and occipital lobes, basal ganglia, thalamus, and brain stem. Brain atrophy was linearly measured. The fallers had a greater volume of WMLs and their posture/gait performance tended to be worse than nonfallers. Several WMLs in particular brain regions were closely associated with balance and gait impairment. Besides polypharmacy, periventricular hyperintensity in frontal caps and occipital WMLs were strong predictors for falls, even after potential risk factors for falls were considered. Regional white matter burden, independent of cognitive decline, correlates with balance/gait disturbance and predicts falls in elderly with aMCI and AD. Careful insight into regional WMLs on brain magnetic resonance may greatly help to diagnose demented elderly with a higher risk of falls. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

  20. Non-tricyclic and Non-selective Serotonin Reuptake Inhibitor Antidepressants and Recurrent Falls in Frail Older Women.

    Science.gov (United States)

    Naples, Jennifer G; Kotlarczyk, Mary P; Perera, Subashan; Greenspan, Susan L; Hanlon, Joseph T

    2016-12-01

    To determine the risk of recurrent falls associated with antidepressants other than tricyclics (TCAs) and selective serotonin reuptake inhibitors (SSRIs) among frail older women. This is a secondary analysis of the Zoledronic acid in frail Elders to STrengthen bone, or ZEST, trial data treated as a longitudinal cohort in 181 frail, osteoporotic women aged ≥65 years in long-term care. The primary exposure was individual non-TCA/non-SSRI antidepressants (i.e., serotonin norepinephrine reuptake inhibitors, mirtazapine, trazodone, and bupropion) at baseline and 6 months. The main outcome was recurrent (at least two) falls within 6 months after antidepressant exposure. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were derived using a generalized estimating equations model. At least 15% of women experienced recurrent falls between 0-6 and 6-12 months. At baseline and 6 months, 18.2% and 6.9% had a non-TCA/non-SSRI antidepressant, respectively. Adjusting for demographics, health status, and other drugs that increase risk of falls, non-TCA/non-SSRI antidepressant exposure significantly increased the risk of recurrent falls (AOR: 2.14; 95% CI: 1.01-4.54). Fall risk further increased after removing bupropion from the non-TCA/non-SSRI antidepressant group in sensitivity analyses (AOR: 2.73; 95% CI: 1.24-6.01). Other antidepressant classes may not be safer than TCAs/SSRIs with respect to recurrent falls in frail older women. Copyright © 2016 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  1. Spinal sagittal contour affecting falls: cut-off value of the lumbar spine for falls.

    Science.gov (United States)

    Ishikawa, Yoshinori; Miyakoshi, Naohisa; Kasukawa, Yuji; Hongo, Michio; Shimada, Yoichi

    2013-06-01

    Spinal deformities reportedly affect postural instability or falls. To prevent falls in clinical settings, the determination of a cut-off angle of spinal sagittal contour associated with increase risk for falls would be useful for screening for high-risk fallers. The purpose of this study was to calculate the spinal sagittal contour angle associated with increased risk for falls during medical checkups in community dwelling elders. The subjects comprised 213 patients (57 men, 156 women) with a mean age of 70.1 years (range, 55-85 years). The upright and flexion/extension thoracic kyphosis and lumbar lordosis angles, and the spinal inclination were evaluated with SpinalMouse(®). Postural instability was evaluated by stabilometry, using the total track length (LNG), enveloped areas (ENV), and track lengths in the lateral and anteroposterior directions (X LNG and Y LNG, respectively). The back extensor strength (BES) was measured using a strain-gauge dynamometer. The relationships among the parameters were analyzed statistically. Age, lumbar lordosis, spinal inclination, LNG, X LNG, Y LNG, and BES were significantly associated with falls (Pfalls about lumbar lordosis angles revealed that angles of 3° and less were significant for falls. The present findings suggest that increased age, spinal inclination, LNG, X LNG, Y LNG, and decreased BES and lumbar lordosis, are associated with falls. An angle of lumbar lordosis of 3° or less was associated with falls in these community-dwelling elders. Copyright © 2012 Elsevier B.V. All rights reserved.

  2. Clinical and Community Strategies to Prevent Falls and Fall-Related Injuries Among Community-Dwelling Older Adults.

    Science.gov (United States)

    Taylor-Piliae, Ruth E; Peterson, Rachel; Mohler, Martha Jane

    2017-09-01

    Falls in older adults are the result of several risk factors across biological and behavioral aspects of the person, along with environmental factors. Falls can trigger a downward spiral in activities of daily living, independence, and overall health outcomes. Clinicians who care for older adults should screen them annually for falls. A multifactorial comprehensive clinical fall assessment coupled with tailored interventions can result in a dramatic public health impact, while improving older adult quality of life. For community-dwelling older adults, effective fall prevention has the potential to reduce serious fall-related injuries, emergency room visits, hospitalizations, institutionalization, and functional decline. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. The efficacy of fall-risk-increasing drug (FRID withdrawal for the prevention of falls and fall-related complications: protocol for a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Justin Yusen Lee

    2017-02-01

    Full Text Available Abstract Background Despite limited evidence of effectiveness, withdrawal (discontinuation or dose reduction of high risk medications known as “fall-risk increasing drugs” (FRIDs is typically conducted as a fall prevention strategy based on presumptive benefit. Our objective is to determine the efficacy of fall-risk increasing drugs (FRIDs withdrawal on the prevention of falls and fall-related complications. Methods/design We will search for all published and unpublished randomized controlled trials evaluating the effect of FRID withdrawal compared to usual care on the rate of falls, incidence of falls, fall-related injuries, fall-related fractures, fall-related hospitalizations, or adverse effects related to the intervention in adults aged 65 years or older. Electronic database searches will be conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL, and CINAHL. A grey literature search will be conducted including clinical trial registries and conference proceedings and abstracts. Two reviewers will independently perform in duplicate citation screening, full-text review, data abstraction, and risk of bias assessment. Conflicts will be resolved through team discussion or by a third reviewer if no consensus can be reached. The Grades of Recommendation, Assessment, Development and Evaluation (GRADE criteria will be used to independently rate overall confidence in effect estimates for each outcome. Results will be synthesized descriptively, and a random effects meta-analysis will be conducted for each outcome if studies are deemed similar methodologically, clinically, and statistically. Discussion We will attempt to determine whether a FRID withdrawal strategy alone is effective at preventing falls in older adults. Our results will be used to optimize and focus fall prevention strategies and initiatives internationally with a goal of improving the health of older adults. Systematic review registration PROSPERO CRD

  4. Watergate and scandal politics: the rise and fall of the special prosecutor

    OpenAIRE

    Harrington, Clodagh

    2012-01-01

    This chapter is part of an edited volume of work on the impact of Watergate on US Politics. The Special Prosecutor section focuses specifically on the impact of the reactive legislation that came as a result of Watergate and what this meant for the post-imperial presidents. Watergate and Scandal Politics: the Rise and Fall of the Special Prosecutor This chapter will examine the emergence of the Special Prosecutor in American politics during the Watergate crisis and how as a result the o...

  5. rights reserved Geophysical Identification of Hydrothermally Altered

    African Journals Online (AJOL)

    ADOWIE PERE

    Geophysical Identification of Hydrothermally Altered Structures That Favour .... aircraft. Total line kilometers of 36,500 were covered in the survey. Magnetic ... tie lines occur at about 2000 metres interval in the ... visual inspection of the map.

  6. Preventing Falls and Related Fractures

    Science.gov (United States)

    ... slowed reflexes. Drinking alcoholic beverages also increases the risk of falling. Alcohol slows reflexes and response time; causes dizziness, sleepiness, or lightheadedness; alters balance; and encourages risky behaviors that can lead to falls. The Force and Direction of a Fall The ...

  7. Geophysical monitoring of simulated graves with resistivity, magnetic susceptibility, conductivity and GPR in Colombia, South America.

    Science.gov (United States)

    Molina, Carlos Martin; Pringle, Jamie K; Saumett, Miguel; Evans, Gethin T

    2016-04-01

    In most Latin American countries there are significant numbers of both missing people and forced disappearances, ∼71,000 Colombia alone. Successful detection of buried human remains by forensic search teams can be difficult in varying terrain and climates. Three clandestine burials were simulated at two different depths commonly encountered in Latin America. In order to gain critical knowledge of optimum geophysical detection techniques, burials were monitored using: ground penetrating radar, magnetic susceptibility, bulk ground conductivity and electrical resistivity up to twenty-two months post-burial. Radar survey results showed good detection of modern 1/2 clothed pig cadavers throughout the survey period on 2D profiles, with the 250MHz antennae judged optimal. Both skeletonised and decapitated and burnt human remains were poorly imaged on 2D profiles with loss in signal continuity observed throughout the survey period. Horizontal radar time slices showed good anomalies observed over targets, but these decreased in amplitude over the post-burial time. These were judged due to detecting disturbed grave soil rather than just the buried targets. Magnetic susceptibility and electrical resistivity were successful at target detection in contrast to bulk ground conductivity surveys which were unsuccessful. Deeper burials were all harder to image than shallower ones. Forensic geophysical surveys should be undertaken at suspected burial sites. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. Virtual obstacle crossing: Reliability and differences in stroke survivors who prospectively experienced falls or no falls.

    Science.gov (United States)

    Punt, Michiel; Bruijn, Sjoerd M; Wittink, Harriet; van de Port, Ingrid G; Wubbels, Gijs; van Dieën, Jaap H

    2017-10-01

    Stroke survivors often fall during walking. To reduce fall risk, gait testing and training with avoidance of virtual obstacles is gaining popularity. However, it is unknown whether and how virtual obstacle crossing is associated with fall risk. The present study assessed whether obstacle crossing characteristics are reliable and assessed differences in stroke survivors who prospectively experienced falls or no falls. We recruited twenty-nine community dwelling chronic stroke survivors. Participants crossed five virtual obstacles with increasing lengths. After a break, the test was repeated to assess test-retest reliability. For each obstacle length and trial, we determined; success rate, leading limb preference, pre and post obstacle distance, margins of stability, toe clearance, and crossing step length and speed. Subsequently, fall incidence was monitored using a fall calendar and monthly phone calls over a six-month period. Test-retest reliability was poor, but improved with increasing obstacle-length. Twelve participants reported at least one fall. No association of fall incidence with any of the obstacle crossing characteristics was found. Given the absence of height of the virtual obstacles, obstacle avoidance may have been relatively easy, allowing participants to cross obstacles in multiple ways, increasing variability of crossing characteristics and reducing the association with fall risk. These finding cast some doubt on current protocols for testing and training of obstacle avoidance in stroke rehabilitation. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Smartphones - the Geophysics Lab in Your Students' Pocket

    Science.gov (United States)

    Salaree, A.; Stein, S.; Saloor, N.; Elling, R. P.

    2017-12-01

    Many interesting topics are hard to demonstrate in geophysics classes without costly equipment and logistic hassles. For instance, the speed of P-waves in the Earth's crust is usually calculated using printed seismic sections from published studies, giving students little insight into the recording process. This is mainly due to the complex, costly, and weather-dependent logistics of conducting seismic reflection experiments using arrays of - either purchased or borrowed - expensive seismometers and recording units. Smartphones, which students own and are (perhaps unduly) comfortable with, have many otherwise expensive instruments as built-in sensors. These instruments are nifty tools that make labs easier, faster, and more fun. We use smartphones in several labs in an introductory geophysics class. In one, students use their phones to measure the latitude and longitude of a point on campus. Combining the data shows a nice spread of positions illustrating the precision of measurements, spatial trends in the scatter, and even differences between Android and iPhone data. Hence concepts about data that are often presented with ideal theoretical examples emerge from the students' measurements. Another uses the phones' accelerometers and available software to measure the speed of P-waves using a linear array of smartphones/seismometers along a table, similar to the procedure used in reflection seismology. In a third, students used their smartphones in an elevator to measure the acceleration of gravity in a moving reference frame, and thus explore key concepts that arise in many geophysical applications. These three applications illustrate the potential for using smartphones in a wide variety of geophysics teaching, much as their value is being increasingly recognized in other educational applications. Here are some links to an instructions document and a video from the seismic experiment: Instructions: http://www.earth.northwestern.edu/ amir/202/smartphone

  10. WLS software for the Los Alamos geophysical instrumentation truck

    International Nuclear Information System (INIS)

    Ideker, C.D.; LaDelfe, C.M.

    1985-01-01

    Los Alamos National Laboratory's capabilities for special downhole geophysical well logging has increased steadily over the past few years. Software was developed originally for each individual tool as it became operational. With little or no standardization for tool software modules, software development became redundant, time consuming, and cost ineffective. With long-term use and the rapid evolution of well logging capacity in mind. Los Alamos and EG and G personnel decided to purchase a software system. The system was designed to offer: wide-range use and programming flexibility; standardization subroutines for tool module development; user friendly operation which would reduce training time; operator error checking and alarm activation; maximum growth capacity for new tools as they are added to the inventory; and the ability to incorporate changes made to the computer operating system and hardware. The end result is a sophisticated and flexible software tool and for transferring downhole geophysical measurement data to computer disk files. This paper outlines the need, design, development, and implementation of the WLS software for geophysical data acquisition. A demonstration and working examples are included in the presentation

  11. Integrated geophysical surveys for searching of podiform chromite in Albania

    Energy Technology Data Exchange (ETDEWEB)

    Kospiri, Aleksander; Zajmi, Asim [Geophysical and Geochemical Center, Tirana (Albania)

    1995-12-31

    The purpose of this paper is to describe the application of geophysical methods to the search for chromite in Albania. Albania is well known for its chromite resources and ranks third amongst world producers of high-quality chromite. The ultramafic massif of Bulqiza, is the most important chromite bearing one. Surveying a surface of about 120 square kilometers (30% of massifs area) in that massif with integrated geophysical methods a considerable number of targets has been discovered, from which some are already objects under mine activity. In the integrated methods for chromite exploration in Bulqiza ultramafic massif are included: geological, gravity, magnetic and electrical mapping of the scale 1:2000 with survey grids 40x20m, 20x5m. Based on the interpretations of geophysical exploration were projected drilling which led to the discovery of some big ore deposits. (author). 12 refs., 3 figs

  12. Approach to Fall in Elderly Population

    Directory of Open Access Journals (Sweden)

    Mehmet Ilkin Naharci

    2009-10-01

    Full Text Available Falls are one of the geriatric syndromes which occur commonly and significantly increase morbidity and mortality rates in elderly. The incidence of falls increases with age. Falls usually occur when impairments in cognitive, behavioral, and executive function begin. The incidence of fall is between 30 and 40 percent of community-dwelling people and approximately 50 percent of individuals in the long-term care setting over the age of 65 years. Fracture (hip, arm, wrist, pelvis, head trauma or major lacerations, as defined serious wounding, occur 10-25% of elderly cases. Fall is overlooked in clinical examination due to various reasons; the patient never mentions the event to a doctor; there is no injury at the time of the fall; the doctor fails to ask the patient about a history of falls; or either doctor or patient erroneously believes that falls are an inevitable part of the aging process. Elderly give not usually any self-information about fall, for this reason, all older patients should be asked at least once per year about falls and should be assessed in terms of balance and gait disorders. There are many distinct causes for falls in old people. Falls in older individuals occur when a threat to the normal homeostatic mechanisms that maintain postural stability is superimposed on underlying age-related declines in balance, ambulation, and cardiovascular function. This factor may be an acute illness (eg, fever, water loss, arrhythmia, a new medication, an environmental stress (eg, unfamiliar surrounding, or an unsafe walking surface. The elderly person can not cope with happened additional stress. To prevent and decrease the frequency of falls, effective approaches are medical interventions, environmental modifications, education-exercise programs, and assisted device. Detection and amelioration of risk factors can significantly reduce the rate of future falls. The assessment of fall, causing mobility restriction, use of nursing home, and

  13. Straight and Curved Path Walking Among Older Adults in Primary Care: Associations With Fall-Related Outcomes.

    Science.gov (United States)

    Welch, Sarah A; Ward, Rachel E; Kurlinski, Laura A; Kiely, Dan K; Goldstein, Richard; VanSwearingen, Jessie; Brach, Jennifer S; Bean, Jonathan F

    2016-08-01

    hospitalizations. This information helps inform how previous fall history is related to performance on walking tests in the primary care setting. Copyright © 2016 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  14. 76 FR 68720 - Takes of Marine Mammals Incidental to Specified Activities; Low-Energy Marine Geophysical Survey...

    Science.gov (United States)

    2011-11-07

    ... Marine Mammals Incidental to Specified Activities; Low- Energy Marine Geophysical Survey in the Western... conducting a low-energy marine geophysical (i.e., seismic) survey in the western tropical Pacific Ocean... Science Foundation (NSF), and ``Environmental Assessment of a Low-Energy Marine Geophysical Survey by the...

  15. Geophysical analysis for the Ada Tepe region (Bulgaria) - case study

    Science.gov (United States)

    Trifonova, Petya; Metodiev, Metodi; Solakov, Dimcho; Simeonova, Stela; Vatseva, Rumiana

    2013-04-01

    According to the current archeological investigations Ada Tepe is the oldest gold mine in Europe with Late Bronze and Early Iron age. It is a typical low-sulfidation epithermal gold deposit and is hosted in Maastrichtian-Paleocene sedimentary rocks above a detachment fault contact with underlying Paleozoic metamorphic rocks. Ada Tepe (25o.39'E; 41o.25'N) is located in the Eastern Rhodope unit. The region is highly segmented despite the low altitude (470-750 m) due to widespread volcanic and sediment rocks susceptible to torrential erosion during the cold season. Besides the thorough geological exploration focused on identifying cost-effective stocks of mineral resources, a detailed geophysical analysis concernig diferent stages of the gold extraction project was accomplished. We present the main results from the geophysical investigation aimed to clarify the complex seismotectonic setting of the Ada Tepe site region. The overall study methodology consists of collecting, reviewing and estimating geophysical and seismological information to constrain the model used for seismic hazard assessment of the area. Geophysical information used in the present work consists of gravity, geomagnetic and seismological data. Interpretation of gravity data is applied to outline the axes of steep gravity transitions marked as potential axes of faults, flexures and other structures of dislocation. Direct inverse techniques are also utilized to estimate the form and depth of anomalous sources. For the purposes of seismological investigation of the Ada Tepe site region an earthquake catalogue is compiled for the time period 510BC - 2011AD. Statistical parameters of seismicity - annual seismic rate parameter, ?, and the b-value of the Gutenberg-Richter exponential relation for Ada Tepe site region, are estimated. All geophysical datasets and derived results are integrated using GIS techniques ensuring interoperability of data when combining, processing and visualizing obtained

  16. Environmental geophysics and geochemistry for contamination mapping and monitoring 1

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Tai Sup; Lee, Sang Kyu; Hong, Young Kook [Korea Inst. of Geology Mining and Materials, Taejon (Korea, Republic of); and others

    1995-12-01

    This study aims to provide the technologies which can be practically used for contamination mapping and monitoring. To accomplish this goal, the geophysical and geochemical expertise and techniques commonly used in the mineral resources exploration are employed. In the first year of the three-year-long project, the purpose of the study is to introduce the optimum methodologies among the geophysical and geochemical techniques to tackle the various cases of environmental contamination. To achieve the purpose, case studies of the developed countries were surveyed and analyzed through the various kinds of literatures. The followings are categorized to be solved by geophysical methods: 1) delineation of water system pollution by acid mine drainage and distributions of waste rocks in the closed mine area, 2) defining boundaries of subsurface contamination due to oil seepage, 3) zoning of sea water intrusion in the seashore or subsurface geology highly containing salt, 4) locating of buried metallic wastes such as pipes and drums which can cause the secondary pollution by corrosion, and 5) outlining of the subsurface area polluted by leachate from the landfill. To experiment the above items, various geophysical methods were applied to the corresponding test sites. From these experiments, the applicabilities of the respective geophysical method were analyzed, and the optimum methods were derived for the various pollution types. Furthermore, electric and electromagnetic surveys data processing software were developed to quantitatively interpret and highly resolve the geology. The environmental assignments which can be solved by geochemical methods include: 1) drainage pollution by coal mine effluents, 2)subsurface contamination of oil-spill, 3) sea water intrusion, 4) dispersion of toxic heavy metallic elements in the metal mines, and 5) radon environmental geochemistry. The appropriate test sites for applying the geochemical methods were selected. (Abstract Truncated)

  17. Development and feasibility of falls prevention advice.

    Science.gov (United States)

    van Harten-Krouwel, Diny; Schuurmans, Marieke; Emmelot-Vonk, Mariëlle; Pel-Littel, Ruth

    2011-10-01

    This study examined the feasibility of nursing falls prevention advice and factors influencing feasibility. The frequency and seriousness of falls in hospitalised patients are underestimated, and such falls should be preventable because of the presence of professionals. A best practice-based falls prevention advice was developed to decrease the incidence of secondary falls and the incidence of primary falls in the long term and to increase the knowledge of nurses about falls prevention and the seriousness of falls. A descriptive, explorative study. Feasibility of the advice for 30 patients was assessed 82 times (theoretically, three times per patient) by observation and by interviewing nurses, patients and their families. The falls prevention advice was used in 48% of the assessments. There was a difference in use between interventions. Interventions that required more knowledge, communication and extra activities were implemented the least. The absence of materials and knowledge about falls prevention were important determinants of the non-implementation of certain interventions. Before falls prevention advice is implemented, it is important to educate nurses about falls, communication skills and implementation of the advice. The falls prevention advice might help nurses to prevent falls and increase their knowledge about falls prevention. © 2011 Blackwell Publishing Ltd.

  18. Falls prevention in hospitals and mental health units: an extended evaluation of the FallSafe quality improvement project.

    Science.gov (United States)

    Healey, Frances; Lowe, Derek; Darowski, Adam; Windsor, Julie; Treml, Jonathan; Byrne, Lisa; Husk, Janet; Phipps, Jill

    2014-07-01

    inpatient falls are a major patient safety issue causing distress, injury and death. Systematic review suggests multifactorial assessment and intervention can reduce falls by 20-30%, but large-scale studies of implementation are few. This paper describes an extended evaluation of the FallSafe quality improvement project, which presented key components of multifactorial assessment and intervention as a care bundle. : data on delivery of falls prevention processes were collected at baseline and for 18 months from nine FallSafe units and nine control units. Data on falls were collected from local risk management systems for 24 months, and data on under-reporting through staff surveys. : in FallSafe units, delivery of seven care bundle components significantly improved; most improvements were sustained after active project support was withdrawn. Twelve-month moving average of reported fall rates showed a consistent downward trend in FallSafe units but not controls. Significant reductions in reported fall rate were found in FallSafe units (adjusted rate ratio (ARR) 0.75, 95% confidence interval (CI) 0.68-0.84 P control units (ARR 0.91, 95% CI 0.81-1.03 P = 0.13). No significant changes in injurious fall rate were found in FallSafe units (ARR 0.86, 95% CI 0.71-1.03 P = 0.11), or controls (ARR 0.88, 95% CI 0.72-1.08 P = 0.13). In FallSafe units, staff certain falls had been reported increased from 60 to 77%. : introducing evidence-based care bundles of multifactorial assessment and intervention using a quality improvement approach resulted in improved delivery of multifactorial assessment and intervention and significant reductions in fall rates, but not in injurious fall rates. © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  19. Association of Serious Fall Injuries among United States End Stage Kidney Disease Patients with Access to Kidney Transplantation.

    Science.gov (United States)

    Plantinga, Laura C; Lynch, Raymond J; Patzer, Rachel E; Pastan, Stephen O; Bowling, C Barrett

    2018-04-06

    Serious fall injuries in the setting of ESKD may be associated with poor access to kidney transplant. We explored the burden of serious fall injuries among patients on dialysis and patients on the deceased donor waitlist and the associations of these fall injuries with waitlisting and transplantation. Our analytic cohorts for the outcomes of ( 1 ) waitlisting and ( 2 ) transplantation included United States adults ages 18-80 years old who ( 1 ) initiated dialysis ( n =183,047) and ( 2 ) were waitlisted for the first time ( n =37,752) in 2010-2013. Serious fall injuries were determined by diagnostic codes for falls plus injury (fracture, joint dislocation, or head trauma) in inpatient and emergency department claims; the first serious fall injury after cohort entry was included as a time-varying exposure. Follow-up ended at the specified outcome, death, or the last date of follow-up (September 30, 2014). We used multivariable Cox proportional hazards models to determine the independent associations between serious fall injury and waitlisting or transplantation. Overall, 2-year cumulative incidence of serious fall injury was 6% among patients on incident dialysis; with adjustment, patients who had serious fall injuries were 61% less likely to be waitlisted than patients who did not (hazard ratio, 0.39; 95% confidence interval, 0.35 to 0.44). Among incident waitlisted patients (4% 2-year cumulative incidence), those with serious fall injuries were 29% less likely than their counterparts to be subsequently transplanted (hazard ratio, 0.71; 95% confidence interval, 0.63 to 0.80). Serious fall injuries among United States patients on dialysis are associated with substantially lower likelihood of waitlisting for and receipt of a kidney transplant. Copyright © 2018 by the American Society of Nephrology.

  20. Mathematics applied to nuclear geophysics

    International Nuclear Information System (INIS)

    Pereira, E.B.; Nordemann, D.J.R.

    1987-01-01

    One of the powerful auxiliary to nuclear geophysics is the obtention and interpretation of the alpha and gamma radiation spectra. This work discuss, qualitative and quantitative, the lost information problem, motivated by the noise in the process of information codification. The decodification process must be suppield by the appropriate mathematical model on the measure system to recovery the information from nuclear source. (C.D.G.) [pt

  1. Conceptual Design of Geophysical Microsatellite

    Directory of Open Access Journals (Sweden)

    Matviyenko, S.A.

    2014-10-01

    Full Text Available The article covers the issue of Earth gravitational field (EGF parameters measurement from space. The radiophysical method of measurement of gravitational frequency shift of electromagnetic radiation using existent GNSS and its two variants are developed by the author. The designlayout drawing of geophysical microsatellite, which implements the radiophysical method of EGF measurement and provides Earth plasmasphere and magnetosphere monitoring, is offered.

  2. An outpatient multifactorial falls prevention intervention does not reduce falls in high-risk elderly Danes

    DEFF Research Database (Denmark)

    Vind, Ane B; Andersen, Hanne E; Pedersen, Kirsten D

    2009-01-01

    , mean age 74, 73.7%women, who had visited the emergency department or had been hospitalized due to a fall. INTERVENTION: Identification of general medical, cardiovascular, and physical risk factors for falls and individual intervention in the intervention group. Participants in the control group....... Followup exceeded 90.0%. A total of 422 falls were registered in the intervention group, 398 in the control group. Intention-to-treat analysis revealed no effect of the intervention on fall rates (relative risk=1.06, 95%confidence interval (CI)=0.75 -1.51), proportion with falls (odds ratio (OR)=1.20, 95......OBJECTIVES: To evaluate the effect of multifactorial fall prevention in community-dwelling people aged 65 and older in Denmark. DESIGN: Randomized, controlled clinical trial. SETTING: Geriatric outpatient clinic at Glostrup University Hospital. PARTICIPANTS: Three hundred ninety-two elderly people...

  3. Worlds within Worlds: Audiences, Jargon, and North American Comics Discourse

    Directory of Open Access Journals (Sweden)

    Craig Fischer

    2010-09-01

    Full Text Available Let me begin by describing four recent acts of comics criticism, all connected to each other like dominoes falling: The first act: In 2007, the University Press of Mississippi published an English-language translation of Thierry Groensteen’s The System of Comics (Système de la bande dessinée, 1999. In their foreword to System, translators Bart Beaty and Nick Nguyen anticipate obstacles to the American reception of Groensteen’s ideas, arguing that American scholars are unfamiliar with the “do...

  4. Investigation and hazard assessment of the 2003 and 2007 Staircase Falls rock falls, Yosemite National Park, California, USA

    Directory of Open Access Journals (Sweden)

    G. F. Wieczorek

    2008-05-01

    Full Text Available Since 1857 more than 600 rock falls, rock slides, debris slides, and debris flows have been documented in Yosemite National Park, with rock falls in Yosemite Valley representing the majority of the events. On 26 December 2003, a rock fall originating from west of Glacier Point sent approximately 200 m3 of rock debris down a series of joint-controlled ledges to the floor of Yosemite Valley. The debris impacted talus near the base of Staircase Falls, producing fragments of flying rock that struck occupied cabins in Curry Village. Several years later on 9 June 2007, and again on 26 July 2007, smaller rock falls originated from the same source area. The 26 December 2003 event coincided with a severe winter storm and was likely triggered by precipitation and/or frost wedging, but the 9 June and 26 July 2007 events lack recognizable triggering mechanisms. We investigated the geologic and hydrologic factors contributing to the Staircase Falls rock falls, including bedrock lithology, weathering, joint spacing and orientations, and hydrologic processes affecting slope stability. We improved upon previous geomorphic assessment of rock-fall hazards, based on a shadow angle approach, by using STONE, a three-dimensional rock-fall simulation computer program. STONE produced simulated rock-fall runout patterns similar to the mapped extent of the 2003 and 2007 events, allowing us to simulate potential future rock falls from the Staircase Falls detachment area. Observations of recent rock falls, mapping of rock debris, and simulations of rock fall runouts beneath the Staircase Falls detachment area suggest that rock-fall hazard zones extend farther downslope than the extent previously defined by mapped surface talus deposits.

  5. Investigation and hazard assessment of the 2003 and 2007 Staircase Falls rock falls, Yosemite National Park, California, USA

    Science.gov (United States)

    Wieczorek, G. F.; Stock, G. M.; Reichenbach, P.; Snyder, J. B.; Borchers, J. W.; Godt, J. W.

    2008-05-01

    Since 1857 more than 600 rock falls, rock slides, debris slides, and debris flows have been documented in Yosemite National Park, with rock falls in Yosemite Valley representing the majority of the events. On 26 December 2003, a rock fall originating from west of Glacier Point sent approximately 200 m3 of rock debris down a series of joint-controlled ledges to the floor of Yosemite Valley. The debris impacted talus near the base of Staircase Falls, producing fragments of flying rock that struck occupied cabins in Curry Village. Several years later on 9 June 2007, and again on 26 July 2007, smaller rock falls originated from the same source area. The 26 December 2003 event coincided with a severe winter storm and was likely triggered by precipitation and/or frost wedging, but the 9 June and 26 July 2007 events lack recognizable triggering mechanisms. We investigated the geologic and hydrologic factors contributing to the Staircase Falls rock falls, including bedrock lithology, weathering, joint spacing and orientations, and hydrologic processes affecting slope stability. We improved upon previous geomorphic assessment of rock-fall hazards, based on a shadow angle approach, by using STONE, a three-dimensional rock-fall simulation computer program. STONE produced simulated rock-fall runout patterns similar to the mapped extent of the 2003 and 2007 events, allowing us to simulate potential future rock falls from the Staircase Falls detachment area. Observations of recent rock falls, mapping of rock debris, and simulations of rock fall runouts beneath the Staircase Falls detachment area suggest that rock-fall hazard zones extend farther downslope than the extent previously defined by mapped surface talus deposits.

  6. Fall prevention in nursing homes

    DEFF Research Database (Denmark)

    Andresen, Mette; Hauge, Johnny

    2014-01-01

    that the number of hospitalization after a fall injury will become an even greater task for the Danish hospitals, The aim of the study was to show if there is a relationship between physically frail elderly nursing home resident’s subjective evaluation of fall-risk and an objective evaluation of their balance....... Further, to suggest tools for fall prevention in nursing home settings on the basis of the results of this study and the literature. A quantitative method inspired by the survey method was used to give an overview of fall patterns, subjective and objective evaluations of fallrisk. Participants were 16...... physically frail elderly nursing home residents from three different nursing homes. Measures: a small staff-questionnaire about incidences and places where the participants had falling-episodes during a 12 month period, The Falls Effi cacy Scale Swedish version (FES(S)) and Berg Balance Scale (BBS) Results...

  7. Results of integrated geophysical measurements on a landslide endangered brown coal dump

    Energy Technology Data Exchange (ETDEWEB)

    Militzer, H; Lindner, H; Kaeppler, R

    1984-01-01

    The measurements revealed occurrence of geophysical anomalies across artificial soils with low content of cohesive material. The proven anomalies varied with time with regard to their magnitude and position. Possible relations between the temporal variations of the geophysical fields and a landslide on the boundary of the object are discussed.

  8. Falls: epidemiology, pathophysiology, and relationship to fracture.

    Science.gov (United States)

    Berry, Sarah D; Miller, Ram R

    2008-12-01

    Falls are common in the elderly, and frequently result in injury and disability. Most falls result from an interaction between individual characteristics that increase an individual's propensity to fall and acute mediating risk factors that provide the opportunity to fall. Predisposing risk factors include age-associated changes in strength and balance, comorbidities such as osteoarthritis, visual impairment and dementia, psychotropic medications, and certain types of footwear. Fewer studies have focused on acute precipitating factors, but environmental and situational factors are clearly important to fall risk. Approximately 30% of falls result in an injury that requires medical attention, with fractures occurring in approximately 10%. In addition to the risk factors for falls, the fall descent, fall impact, and bone strength are all important determinants of whether a fall will result in a fracture. In recent years, numerous studies have been directed toward the development of effective fall and fall-related fracture prevention interventions.

  9. Fall Risk Assessment Through Automatic Combination of Clinical Fall Risk Factors and Body-Worn Sensor Data.

    Science.gov (United States)

    Greene, Barry R; Redmond, Stephen J; Caulfield, Brian

    2017-05-01

    Falls are the leading global cause of accidental death and disability in older adults and are the most common cause of injury and hospitalization. Accurate, early identification of patients at risk of falling, could lead to timely intervention and a reduction in the incidence of fall-related injury and associated costs. We report a statistical method for fall risk assessment using standard clinical fall risk factors (N = 748). We also report a means of improving this method by automatically combining it, with a fall risk assessment algorithm based on inertial sensor data and the timed-up-and-go test. Furthermore, we provide validation data on the sensor-based fall risk assessment method using a statistically independent dataset. Results obtained using cross-validation on a sample of 292 community dwelling older adults suggest that a combined clinical and sensor-based approach yields a classification accuracy of 76.0%, compared to either 73.6% for sensor-based assessment alone, or 68.8% for clinical risk factors alone. Increasing the cohort size by adding an additional 130 subjects from a separate recruitment wave (N = 422), and applying the same model building and validation method, resulted in a decrease in classification performance (68.5% for combined classifier, 66.8% for sensor data alone, and 58.5% for clinical data alone). This suggests that heterogeneity between cohorts may be a major challenge when attempting to develop fall risk assessment algorithms which generalize well. Independent validation of the sensor-based fall risk assessment algorithm on an independent cohort of 22 community dwelling older adults yielded a classification accuracy of 72.7%. Results suggest that the present method compares well to previously reported sensor-based fall risk assessment methods in assessing falls risk. Implementation of objective fall risk assessment methods on a large scale has the potential to improve quality of care and lead to a reduction in associated hospital

  10. Solid state nuclear track detection: a useful geological/geophysical tool

    International Nuclear Information System (INIS)

    Khan, H.A.; Qureshi, A.A.

    1994-01-01

    Solid State Nuclear Track Detection (SSNTD) is a relatively new nuclear particle detection technique. Since its inception, it has found useful application in almost every branch of science. This paper gives a very brief review of the role it has played in solving some geological/geophysical problems. Since the technique has been found useful in a wide spectrum of geological/geophysical applications, it was simply not possible to discuss all of these in this paper due to severe space restrictions. However, an attempt has been made to discuss the salient features of some of the most prominent applications in the geological and geophysical sciences. The paper has been divided into two parts. Firstly, applications based on radon measurements by SSNTDs have been described. These include: Uranium/thorium and mineral exploration, search for geothermal energy sources, study of volcanic processes, location of geological faults and earthquake prediction, for example. Secondly, applications based on the study of spontaneous fission tracks in geological samples have been described briefly. The second group of applications includes: fission track dating (FTD) of geological samples, FTD in the study of emplacement times, provenance studies, and thermal histories of minerals. Necessary references have been provided for detailed studies of (a) the applications cited in this paper, and (b) other important geological/geophysical applications, which unfortunately could not be covered in the present paper. (author)

  11. Is a fall just a fall : correlates of falling in healthy older persons. The Health, Aging and Body Composition Study

    NARCIS (Netherlands)

    de Rekeneire, Nathalie; Visser, Marjolein; Peila, Rita; Nevitt, Michael C; Cauley, Jane A; Tylavsky, Frances A; Simonsick, Eleanor M; Harris, Tamara B

    OBJECTIVES: To identify factors associated with falling in well-functioning older people. DESIGN: Cross-sectional analyses of report of falls over the past 12 months using baseline data from the Health, Aging and Body Composition Study. SETTING: Clinic examinations in Pittsburgh, Pennsylvania, or

  12. A geological and geophysical data collection system

    Digital Repository Service at National Institute of Oceanography (India)

    Sudhakar, T.; Afzulpurkar, S.

    A geological and geophysical data collection system using a Personal Computer is described below. The system stores data obtained from various survey systems typically installed in a charter vessel and can be used for similar applications on any...

  13. The Association Between Body Adiposity Measures, Postural Balance, Fear of Falling, and Fall Risk in Older Community-Dwelling Women.

    Science.gov (United States)

    Neri, Silvia Gonçalves Ricci; Gadelha, André Bonadias; de David, Ana Cristina; Ferreira, Aparecido Pimentel; Safons, Marisete Peralta; Tiedemann, Anne; Lima, Ricardo M

    2017-12-07

    Recent investigations demonstrate an association between obesity and the propensity of older adults to fall. The aim of this study was to investigate the association between body adiposity measures, postural balance, fear of falling, and risk of falls in older women. One hundred forty-seven volunteers took part in this cross-sectional study. Participants underwent body composition assessment using dual-energy x-ray absorptiometry and had body mass index, waist circumference (WC), and body adiposity index measured. Postural balance was assessed using a force platform, while fear of falling and risk of falls were, respectively, evaluated by the Falls Efficacy Scale-International and the QuickScreen Clinical Falls Risk Assessment. All adiposity measures were correlated to at least 1 postural stability parameter and to fear of falling (ρ= 0.163, P risk of falls (ρ= 0.325; P falling (28.04 vs 24.59; P = .002) and had a higher proportion of individuals with increased fall risk (72% vs 35%; P risk of falls in older women, which might be mediated by reduced postural balance and increased fear of falling. Among these indices, WC, an easy and low-cost assessment, demonstrated the strongest association with falls-related outcomes.

  14. [Falls of older individuals: medical assessment].

    Science.gov (United States)

    De Breucker, S; Nkodo Mekongo, Y P; Ibebeke, B; Pepersack, T

    2007-01-01

    Falls are one of the most common problems that threaten the independence of older individuals. They usually occur when impairments in multiple domains compromise the compensatory ability of the individual, as is the case for many geriatric syndromes. A number of the physical conditions and environmental situations predispose to falls. The medical risk factors of falls are reviewed. Falls in older individuals are rarely due to a single cause. Mechanisms that maintain postural stability are altered with aging (balance, gait speed, cardiovascular function). Female gender, past history of a fall, cognitive impairment, lower extremity weakness, balance problems, psychotropic drug use, arthritis, history of stroke, orthostatic hypotension, dizziness, and anemia represent the most frequent causes of risk of falls. Physical examination should focus upon the above mentioned risk factors and also on the presence of orthostatic hypotension, visual acuity, hearing assessment, examination of the extremities for deformities or neuropathies, and carotid sinus hypersensitivity which contributes to falls in people with unexplained falls. In conclusion, assessment of older individual at risk of falls or who fall present medical specificities. However, these latter specificities should be included in a comprehensive assessment which focus on intrinsic and extrinsic factors. Interventional strategies including comprehensive and interdisciplinary assessment lead to effective prevention.

  15. Geophysics Under Pressure: Large-Volume Presses Versus the Diamond-Anvil Cell

    Science.gov (United States)

    Hazen, R. M.

    2002-05-01

    Prior to 1970, the legacy of Harvard physicist Percy Bridgman dominated high-pressure geophysics. Massive presses with large-volume devices, including piston-cylinder, opposed-anvil, and multi-anvil configurations, were widely used in both science and industry to achieve a range of crustal and upper mantle temperatures and pressures. George Kennedy of UCLA was a particularly influential advocate of large-volume apparatus for geophysical research prior to his death in 1980. The high-pressure scene began to change in 1959 with the invention of the diamond-anvil cell, which was designed simultaneously and independently by John Jamieson at the University of Chicago and Alvin Van Valkenburg at the National Bureau of Standards in Washington, DC. The compact, inexpensive diamond cell achieved record static pressures and had the advantage of optical access to the high-pressure environment. Nevertheless, members of the geophysical community, who favored the substantial sample volumes, geothermally relevant temperature range, and satisfying bulk of large-volume presses, initially viewed the diamond cell with indifference or even contempt. Several factors led to a gradual shift in emphasis from large-volume presses to diamond-anvil cells in geophysical research during the 1960s and 1970s. These factors include (1) their relatively low cost at time of fiscal restraint, (2) Alvin Van Valkenburg's new position as a Program Director at the National Science Foundation in 1964 (when George Kennedy's proposal for a Nation High-Pressure Laboratory was rejected), (3) the development of lasers and micro-analytical spectroscopic techniques suitable for analyzing samples in a diamond cell, and (4) the attainment of record pressures (e.g., 100 GPa in 1975 by Mao and Bell at the Geophysical Laboratory). Today, a more balanced collaborative approach has been adopted by the geophysics and mineral physics community. Many high-pressure laboratories operate a new generation of less expensive

  16. Practices to enable the geophysical research spectrum: from fundamentals to applications

    Science.gov (United States)

    Kang, S.; Cockett, R.; Heagy, L. J.; Oldenburg, D.

    2016-12-01

    In a geophysical survey, a source injects energy into the earth and a response is measured. These physical systems are governed by partial differential equations and their numerical solutions are obtained by discretizing the earth. Geophysical simulations and inversions are tools for understanding physical responses and constructing models of the subsurface given a finite amount of data. SimPEG (http://simpeg.xyz) is our effort to synthesize geophysical forward and inverse methodologies into a consistent framework. The primary focus of our initial development has been on the electromagnetics (EM) package, with recent extensions to magnetotelluric, direct current (DC), and induced polarization. Across these methods, and applied geophysics in general, we require tools to explore and build an understanding of the physics (behaviour of fields, fluxes), and work with data to produce models through reproducible inversions. If we consider DC or EM experiments, with the aim of understanding responses from subsurface conductors, we require resources that provide multiple "entry points" into the geophysical problem. To understand the physical responses and measured data, we must simulate the physical system and visualize electric fields, currents, and charges. Performing an inversion requires that many moving pieces be brought together: simulation, physics, linear algebra, data processing, optimization, etc. Each component must be trusted, accessible to interrogation and manipulation, and readily combined in order to enable investigation into inversion methodologies. To support such research, we not only require "entry points" into the software, but also extensibility to new situations. In our development of SimPEG, we have sought to use leading practices in software development with the aim of supporting and promoting collaborations across a spectrum of geophysical research: from fundamentals to applications. Designing software to enable this spectrum puts unique

  17. A Wavelet-Based Approach to Fall Detection

    Directory of Open Access Journals (Sweden)

    Luca Palmerini

    2015-05-01

    Full Text Available Falls among older people are a widely documented public health problem. Automatic fall detection has recently gained huge importance because it could allow for the immediate communication of falls to medical assistance. The aim of this work is to present a novel wavelet-based approach to fall detection, focusing on the impact phase and using a dataset of real-world falls. Since recorded falls result in a non-stationary signal, a wavelet transform was chosen to examine fall patterns. The idea is to consider the average fall pattern as the “prototype fall”.In order to detect falls, every acceleration signal can be compared to this prototype through wavelet analysis. The similarity of the recorded signal with the prototype fall is a feature that can be used in order to determine the difference between falls and daily activities. The discriminative ability of this feature is evaluated on real-world data. It outperforms other features that are commonly used in fall detection studies, with an Area Under the Curve of 0.918. This result suggests that the proposed wavelet-based feature is promising and future studies could use this feature (in combination with others considering different fall phases in order to improve the performance of fall detection algorithms.

  18. Childhood Falls With Occipital Impacts

    NARCIS (Netherlands)

    Atkinson, Norrell; van Rijn, Rick R.; Starling, Suzanne P.

    2017-01-01

    Falls are commonly reported in children who present with both accidental and inflicted brain injuries. Short falls rarely result in serious or life-threatening injuries. Our purpose is to describe a series of cases of short falls with occipital impact leading to subdural hemorrhage (SDH). We present

  19. Under the pile. Understanding subsurface dynamics of historical cities trough geophysical models interpretation

    Science.gov (United States)

    Bernardes, Paulo; Pereira, Bruno; Alves, Mafalda; Fontes, Luís; Sousa, Andreia; Martins, Manuela; Magalhães, Fernanda; Pimenta, Mário

    2017-04-01

    Braga is one of the oldest cities of the Iberian NW and as of so, the research team's studying the city's historical core for the past 40 years is often confronted with the unpredictability factor laying beneath an urban site with such a long construction history. In fact, Braga keeps redesigning its urban structure over itself on for the past 2000 years, leaving us with a research object filled with an impressive set of construction footprints from the various planning decisions that were taken in the city along its historical path. Aiming for a predicting understanding of the subsoil, we have used near surface geophysics as an effort of minimizing the areas of intervention for traditional archaeological survey techniques. The Seminário de Santiago integrated geophysical survey is an example of the difficulties of interpreting geophysical models in very complex subsurface scenarios. This geophysical survey was planned in order to aid the requalification project being designed for this set of historical buildings, that are estimated to date back to the 16h century, and that were built over one of the main urban arteries of both roman and medieval layers of Braga. We have used both GPR as well as ERT methods for the geophysical survey, but for the purpose of this article, we will focus in the use of the ERT alone. For the interpretation of the geophysical models we've cross-referenced the dense knowledge existing over the building's construction phases with the complex geophysical data collected, using mathematical processing and volume-based visualization techniques, resorting to the use of Res2Inv©, Paraview© and Voxler® software's. At the same time we tried to pinpoint the noise caused by the past 30 year's infrastructural interventions regarding the replacement of the building's water and sanitation systems and for which we had no design plants, regardless of its recent occurring. The deep impact of this replacement actions revealed by the archaeological

  20. Predicting first fall in newly diagnosed Parkinson's disease: Insights from a fall-naïve cohort.

    Science.gov (United States)

    Lord, Sue; Galna, Brook; Yarnall, Alison J; Coleman, Shirley; Burn, David; Rochester, Lynn

    2016-12-01

    Falls are common and associated with reduced independence and mortality in Parkinson's disease. Previous research has been conducted on falls-prevalent or advanced disease cohorts. This study identifies risk factors for first fall for 36 months in a newly diagnosed, falls-naïve cohort. A total of 121 consecutive Parkinson's disease patients were recruited. Falls data were collected prospectively during 36 months from diagnosis via monthly falls diaries and telephone follow-up for 117 participants. Assessment comprised a comprehensive battery of clinical, gait, and cognitive measures. Significant predictors were identified from decision-tree analysis and survival analysis with time to first fall during 36 months as the dependent variable. At baseline, 26 (22%) participants reported retrospective falls. At 36 months, the remaining cohort (n = 91) comprised 47 fallers (52%) and 30 (33%) nonfallers and 14 (15%) participants with incomplete diaries. Fallers presented with a significantly higher disease severity, poorer ability to stand on one leg, slower gait speed, increased stance time variability, and higher swing time asymmetry. Median time to first fall was 847 days. Gait speed, stance time, and Hoehn & Yahr III stage emerged as significant predictors of first fall, hazard ratio 3.44 (95% confidence interval [CI] 1.58 to 7.48), 3.31(95% CI 1.40 to 7.80), and 2.80 (95% CI 1.38 to 5.65), respectively. The hazard ratio for risk factors combined was 7.82 (CI 2.80 to 21.84). Interventions that target gait deficit and postural control in early Parkinson's disease may limit the potential for first fall. © 2016 International Parkinson and Movement Disorder Society. © 2016 International Parkinson and Movement Disorder Society.

  1. The relationship of fractals in geophysics to 'the new science'

    International Nuclear Information System (INIS)

    Turcotte, Donald L.

    2004-01-01

    Many phenomena in geophysics satisfy fractal statistics, examples range from the frequency-area statistics of earthquakes to the time series of the earth's magnetic field. Solutions to classical differential equations cannot give this type of behavior. Several 'cellular automata' models have successfully reproduced the observed statistics. For example, the slider-block model for earthquakes. Stephen Wolfram's recent book A New Kind of Science sets forth a 'new science' based on cellular automata. This paper discusses the role of cellular automata in geophysics

  2. A tool for Exploring Geophysical Data: The VGEE-IDV

    Science.gov (United States)

    Pandya, R. E.; Murray, D.

    2002-12-01

    The Visual Geophysical Exploration Environment (VGEE) is a suite of computer tools and accompanying online curricular units that enable students to develop physical insight from geophysical data sets. The VGEE curriculum is inquiry and visualization based. The curriculum begins by asking students to compare visualizations they construct from authentic geosciences data to their own conception of the geophysical phenomenon. This comparison encourages students to identify and challenge their own prior conceptions of the phenomenon, a necessary prerequisite to successful learning. Students then begin building correct understandings by identifying patterns and relationships within their visualizations. Students use idealized concept models that highlight physical principles to explain these patterns and relationships. Research, however, has shown that the physical insight gained from these idealized models isn't often applied to either the real world or to the data visualized. To address this, students can easily embed these idealized concept models into their visualizations; there the idealized models respond to the real physical conditions of the geophysical data. The entire inquiry process is built around multi-dimensional and multi-variable visualizations of real geophysical data. Advantages of visualization include its using a natural human talent and its removing mathematics as a barrier to insight. Multi-dimensional and multi-variable visualizations offer the additional advantage of integrated perspectives; rather than asking learners to mentally combine two-dimensional representations of different variables, the learners can navigate through a three-dimensional time-varying representation and get a holistic view. Finally, learner constructed visualizations offer the students a experience with scientific tools, a chance to tailor their investigation to their own misconceptions, and the potential for more robust understanding than prepared visualizations. The

  3. Self-reported preclinical mobility limitation and fall history as predictors of future falls in older women: prospective cohort study

    DEFF Research Database (Denmark)

    Mänty, Minna Regina; Heinonen, A; Viljanen, A

    2010-01-01

    mobility limitation. Fall history was recalled for previous 12 months and dichotomized. The incidence of future falls over 12 months was followed up with fall calendars. RESULTS: During the fall follow-up, a total of 440 falls were reported by 201 participants. Among those with fall history, women...

  4. Impact of a medication therapy management intervention targeting medications associated with falling: Results of a pilot study.

    Science.gov (United States)

    Mott, David A; Martin, Beth; Breslow, Robert; Michaels, Barb; Kirchner, Jeff; Mahoney, Jane; Margolis, Amanda

    2016-01-01

    The use of fall risk-increasing drugs (FRIDs) by older adults is one factor associated with falling, and FRID use is common among older adults. A targeted medication therapy management intervention focused on FRID use that included prescription and over-the-counter (OTC) medications, along with follow-up telephone calls was designed. The purpose of this pilot study was to examine preliminary effects of a medication therapy management (MTM) intervention focused on FRIDs provided by a community pharmacist to older adults. Randomized, controlled trial. One community pharmacy. Eighty older adults who completed a fall prevention workshop. The main outcome measures were the rate of discontinuing FRIDs, the proportion of older adults falling, and the number of falls. A secondary outcome was the acceptance rate of medication recommendations by patients and prescribers. Thirty-eight older adults received the targeted MTM intervention. Of the 31 older adults using a FRID, a larger proportion in the intervention group had FRID use modified relative to controls (77% and 28%, respectively; P FRID use among older adults was effective in modifying FRID use. This result supports the preliminary conclusion that community pharmacists can play an important role in modifying FRID use among older adults. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  5. Falls and Use of Assistive Devices in Stroke Patients with Hemiparesis: Association with Balance Ability and Fall Efficacy.

    Science.gov (United States)

    Kim, Oksoo; Kim, Jung-Hee

    2015-01-01

    This study investigates balance ability and the fall efficacy with regard to the experiences of stroke patients with hemiparesis. The experience of falling, the use of assistive devices, and each disease-related characteristic were assessed using face-to-face interviews and a self-reported questionnaire. The Berg Balance Scale and Fall Efficacy Scale were used to measure balance ability and confidence. The fall efficacy was significantly lower in participants who had experienced falls than those who had not. The participants who used assistive devices exhibited low balance ability and fall efficacy compared to those who did not use assistive devices. Stroke patients with fall experience and walking aids might be considered at increased risk of falling. Preventive measures for individuals using walking aids may be beneficial in reducing the fall rate of community-dwelling stroke patients. © 2014 Association of Rehabilitation Nurses.

  6. Prevalence of falls in elderly women.

    Science.gov (United States)

    Vitor, Priscila Regina Rorato; de Oliveira, Ana Carolina Kovaleski; Kohler, Renan; Winter, Gabriele Regiane; Rodacki, Cintia; Krause, Maressa Priscila

    2015-01-01

    To verify prevalence of falls and fear of falling, and to compare functional fitness among elderly women fallers and non-fallers. Seventy-eight elderly women participated in this study. Cases of falls and the fear of falling were self-reported by the elderly women, while the functional fitness was measured by a set of functional tests. Mean and standard deviation were used to describe the sample. Independent t-test was used to compare functional fitness between groups. The prevalence of falls in this sample was 32.4%. Among women fallers, 40% self-reported a high fear of falling. It is recommended that functional and resistance exercises are included in the preventive strategies for reducing risk factors for falls and its determinants in elderly women. Level of Evidence II, Prognostic-Prospective Study.

  7. Diet and physical activity in African-American girls: Seasonal differences

    Science.gov (United States)

    Diet and physical activity (PA) may vary by season. Two 24-hour dietary recalls and 7 days of accelerometry were collected from 342 8-10 year-old African-American girls between January 2013 and October 2014. Season was based on time of data collection (fall, spring, winter, summer). Seasonal differe...

  8. Pain and the risk for falls in community-dwelling older adults: systematic review and meta-analysis.

    Science.gov (United States)

    Stubbs, Brendon; Binnekade, Tarik; Eggermont, Laura; Sepehry, Amir A; Patchay, Sandhi; Schofield, Pat

    2014-01-01

    To conduct a systematic review and meta-analysis to establish the association between pain and falls in community-dwelling older adults. Electronic databases from inception until March 1, 2013, including Cochrane Library, CINAHL, EBSCO, EMBASE, PubMed, and PsycINFO. Two reviewers independently conducted the searches and completed methodological assessment of all included studies. Studies were included that (1) focused on adults older than 60 years; (2) recorded falls over 6 or more months; and (3) identified a group with and without pain. Studies were excluded that included (1) participants with dementia or a neurologic condition (eg, stroke); (2) participants whose pain was caused by a previous fall; or (3) individuals with surgery/fractures in the past 6 months. One author extracted all data, and this was independently validated by another author. A total of 1334 articles were screened, and 21 studies met the eligibility criteria. Over 12 months, 50.5% of older adults with pain reported 1 or more falls compared with 25.7% of controls (Pfalling (odds ratio [OR]=1.56; 95% confidence interval [CI], 1.36-1.79; I(2)=53%). A subgroup meta-analysis incorporating studies that monitored falls prospectively established that the odds of falling were significantly higher in those with pain (n=4674; OR=1.71; 95% CI, 1.48-1.98; I(2)=0%). Foot pain was strongly associated with falls (n=691; OR=2.38; 95% CI, 1.62-3.48; I(2)=8%) as was chronic pain (n= 5367; OR=1.80; 95% CI, 1.56-2.09; I(2)=0%). Community-dwelling older adults with pain were more likely to have fallen in the past 12 months and to fall again in the future. Foot and chronic pain were particularly strong risk factors for falls, and clinicians should routinely inquire about these when completing falls risk assessments. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  9. Preface: Space and geophysical research related to Latin America - Part 1

    Science.gov (United States)

    Mendoza, Blanca

    2016-03-01

    For the last 25 years, every two to three years the Conferencia Latinoamericana de Geofísica Espacial (COLAGE) is held in one of the Latin American countries for the purpose of promoting scientific exchange among scientists of the region and to encourage continued research that is unique to this area of the world. At the more recent conference, the community realized that many individuals both within and outside Latin America have contributed greatly to the understanding of the space sciences in this area of the world. It was therefore decided to assemble a Special Issue Space and Geophysical Physics related to Latin America, presenting recent results and where submissions would be accepted from the world wide community of scientists involved in research appropriate to Latin America. Because of the large number of submissions, these papers will be printed in two separate issues; this is Part 1. These papers show the wide variety of research, both theoretical and applied, that is currently being developed in the Sub-Continent.

  10. Ageing vision and falls: a review.

    Science.gov (United States)

    Saftari, Liana Nafisa; Kwon, Oh-Sang

    2018-04-23

    Falls are the leading cause of accidental injury and death among older adults. One of three adults over the age of 65 years falls annually. As the size of elderly population increases, falls become a major concern for public health and there is a pressing need to understand the causes of falls thoroughly. While it is well documented that visual functions such as visual acuity, contrast sensitivity, and stereo acuity are correlated with fall risks, little attention has been paid to the relationship between falls and the ability of the visual system to perceive motion in the environment. The omission of visual motion perception in the literature is a critical gap because it is an essential function in maintaining balance. In the present article, we first review existing studies regarding visual risk factors for falls and the effect of ageing vision on falls. We then present a group of phenomena such as vection and sensory reweighting that provide information on how visual motion signals are used to maintain balance. We suggest that the current list of visual risk factors for falls should be elaborated by taking into account the relationship between visual motion perception and balance control.

  11. pyGIMLi: An open-source library for modelling and inversion in geophysics

    Science.gov (United States)

    Rücker, Carsten; Günther, Thomas; Wagner, Florian M.

    2017-12-01

    Many tasks in applied geosciences cannot be solved by single measurements, but require the integration of geophysical, geotechnical and hydrological methods. Numerical simulation techniques are essential both for planning and interpretation, as well as for the process understanding of modern geophysical methods. These trends encourage open, simple, and modern software architectures aiming at a uniform interface for interdisciplinary and flexible modelling and inversion approaches. We present pyGIMLi (Python Library for Inversion and Modelling in Geophysics), an open-source framework that provides tools for modelling and inversion of various geophysical but also hydrological methods. The modelling component supplies discretization management and the numerical basis for finite-element and finite-volume solvers in 1D, 2D and 3D on arbitrarily structured meshes. The generalized inversion framework solves the minimization problem with a Gauss-Newton algorithm for any physical forward operator and provides opportunities for uncertainty and resolution analyses. More general requirements, such as flexible regularization strategies, time-lapse processing and different sorts of coupling individual methods are provided independently of the actual methods used. The usage of pyGIMLi is first demonstrated by solving the steady-state heat equation, followed by a demonstration of more complex capabilities for the combination of different geophysical data sets. A fully coupled hydrogeophysical inversion of electrical resistivity tomography (ERT) data of a simulated tracer experiment is presented that allows to directly reconstruct the underlying hydraulic conductivity distribution of the aquifer. Another example demonstrates the improvement of jointly inverting ERT and ultrasonic data with respect to saturation by a new approach that incorporates petrophysical relations in the inversion. Potential applications of the presented framework are manifold and include time

  12. Increasing diversity in the geosciences through the AfricaArray geophysics field course

    Science.gov (United States)

    Vallejo, G.; Emry, E.; Galindo, B. L.; Carranza, V.; Gomez, C. D.; Ortiz, K.; Castro, J. G.; Guandique, J.; Falzone, C.; Webb, S. J.; Manzi, M.; Mngadi, S. B.; Stephens, K.; Chinamora, B.; Whitehead, R.; de Villiers, D. P.; Tshitlho, K.; Delhaye, R. P.; Smith, J. A.; Nyblade, A.

    2014-12-01

    For the past nine years, the AfricaArray diversity program, sponsored by industry, the National Science Foundation, and several partnering universities have supported outstanding U.S. STEM underrepresented minority undergraduates to gain field experience in near-surface geophysical techniques during an 8-week summer program at Penn State University and the University of Witwatersrand (Wits). The AfricaArray geophysics field school, which is run by Wits, has been teaching field-based geophysics to African students for over a decade. In the first 2-3 weeks of the program, the U.S. students are given basic instruction in near-surface geophysics, South African geology, and South African history and culture. The students then join the Wits AfricaArray geophysics field school - working alongside Wits students and students from several other African universities to map the shallow subsurface in prospective areas of South Africa for platinum mining. In addition to the primary goals of collecting and interpreting gravity, magnetic, resistivity, seismic refraction, seismic reflection, and EM data, students spend time mapping geologic units and gathering information on the physical properties of the rocks in the region (i.e. seismic velocity, density, and magnetic susceptibility). Subsurface targets include mafic dikes, faults, the water table, and overburden thickness. Upon returning to the U.S., students spend 2-3 weeks finalizing their project reports and presentations. The program has been effective at not only providing students with fundamental skills in applied geophysics, but also in fostering multicultural relationships, preparing students for graduate work in the geosciences, and attracting STEM students into the geosciences. Student presenters will discuss their experiences gained through the field school and give their impressions about how the program works towards the goal of increasing diversity in the geosciences in the U.S.

  13. Results from the University of Calgary environmental geophysics test range

    Energy Technology Data Exchange (ETDEWEB)

    Duckworth, K; Lawton, D.C.; Juigalli, J; Parry, D. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics

    1995-12-31

    The Spy Hill Research Farm, operated by the University of Calgary as a test range site where geophysical equipment and methods related to environmental monitoring can be operated under controlled conditions, was described. The site is used by students in the geophysics courses offered at the University, but it is also intended to be available to other users for equipment tests. The site is underlain by glacial gravels and clays which reach thicknesses in excess of 30 m. Surveys of the site have been completed with the following geophysical systems: Geonics EM-31 and EM-34; Apex Max-Min; Huntec Mk4 IP with Phoenix IP-T1 transmitter; Geometrics Proton Magnetometer; McPhar vertical field Fluxgate magnetometer; Androtex TDR6 IP with Phoenix IP-T1 transmitter; Geometrics 12 channel refraction seismic system; and Pulse Echo Ground Penetrating Radar. The site has proved to be well suited to serve as a test range. The addition of yet more features to the site is being planned.

  14. Early geophysical maps published by A. Petermann

    Czech Academy of Sciences Publication Activity Database

    Kozák, Jan; Vaněk, Jiří

    2012-01-01

    Roč. 56, č. 4 (2012), s. 1109-1122 ISSN 0039-3169 Institutional research plan: CEZ:AV0Z30120515 Keywords : August Petermann * Geographische Mitteilungen * geophysical maps Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.975, year: 2012

  15. Characteristics of daily life gait in fall and non fall-prone stroke survivors and controls

    NARCIS (Netherlands)

    Mirjam Pijnappels; Sjoerd M. Bruijn; Kimberley M. Schooten; Jaap H. van Dieën; Dr. H.M. Wittink; Michiel Punt

    2016-01-01

    Background: Falls in stroke survivors can lead to serious injuries and medical costs. Fall risk in older adults can be predicted based on gait characteristics measured in daily life. Given the different gait patterns that stroke survivors exhibit it is unclear whether a similar fall-prediction model

  16. Geophysical methods in uranium mining

    International Nuclear Information System (INIS)

    Koehler, K.

    1989-01-01

    In uranium prospecting, exploration, milling, and mining there is an urgent need to have information on the concentration of uranium at all steps of handling uranium containing materials. To gain this information in an effective way modern geophysical methods have to be applied. Publications of the IAEA and NEA in this field are reviewed in order to characterize the state of the art of these methods. 55 refs

  17. Characteristics and adaptive strategies linked with falls in stroke survivors from analysis of laboratory-induced falls

    Science.gov (United States)

    Honeycutt, Claire F.; Nevisipour, Masood; Grabiner, Mark D.

    2016-01-01

    Falls are the most common and expensive medical complication in stroke survivors. There is remarkably little information about what factors lead to a fall in stroke survivors. With few exceptions, the falls literature in stroke has focused on relating metrics of static balance and impairment to fall outcomes in the acute care setting or in community. While informative, these studies provide little information about what specific impairments in a stroke-survivor’s response to dynamic balance challenges lead to a fall. We identified the key kinematic characteristics of stroke survivors’ stepping responses following a balance disturbance that are associated with a fall following dynamic balance challenges. Stroke survivors were exposed to posteriorly-directed translations of a treadmill belt that elicited a stepping response. Kinematics were compared between successful and failed recovery attempts (i.e. a fall). We found that the ability to arrest and reverse trunk flexion and the ability to perform an appropriate initial compensatory step were the most critical response contributors to a successful recovery. We also identified 2 compensatory strategies utilized by stroke survivors to avoid a fall. Despite significant post-stroke functional impairments, the biomechanical causes of trip-related falls by stroke survivors appear to be similar to those of unimpaired older adults and lower extremity amputees. However, compensatory strategies (pivot, hopping) were observed. PMID:27614614

  18. Falls and comorbidity

    DEFF Research Database (Denmark)

    Jørgensen, Terese Sara Høj; Hansen, Annette Højmann; Sahlberg, Marie

    2014-01-01

    AIMS: To compare nationwide time trends and mortality in hip and proximal humeral fractures; to explore associations between incidences of falls risk related comorbidities (FRICs) and incidence of fractures. METHODS: The study is a retrospective cohort study using nationwide Danish administrative....... CONCLUSIONS: The results suggest that the overall reduction in fractures can be explained by reduction in falls related comorbidity....

  19. Home Improvements Prevent Falls

    Science.gov (United States)

    ... turn JavaScript on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table ... and ensure your safety. "Safe-ty-fy" Your Home Some Questions for Your Provider Will my medicines ...

  20. Ambulatory fall-risk assessment: amount and quality of daily-life gait predict falls in older adults.

    Science.gov (United States)

    van Schooten, Kimberley S; Pijnappels, Mirjam; Rispens, Sietse M; Elders, Petra J M; Lips, Paul; van Dieën, Jaap H

    2015-05-01

    Ambulatory measurements of trunk accelerations can provide valuable information on the amount and quality of daily-life activities and contribute to the identification of individuals at risk of falls. We compared associations between retrospective and prospective falls with potential risk factors as measured by daily-life accelerometry. In addition, we investigated predictive value of these parameters for 6-month prospective falls. One week of trunk accelerometry (DynaPort MoveMonitor) was obtained in 169 older adults (mean age 75). The amount of daily activity and quality of gait were determined and validated questionnaires on fall-risk factors, grip strength, and trail making test were obtained. Six-month fall incidence was obtained retrospectively by recall and prospectively by fall diaries and monthly telephone contact. Among all participants, 35.5% had a history of ≥1 falls and 34.9% experienced ≥1 falls during 6-month follow-up. Logistic regressions showed that questionnaires, grip strength, and trail making test, as well as the amount and quality of gait, were significantly associated with falls. Significant associations differed between retrospective and prospective analyses although odds ratios indicated similar patterns. Predictive ability based on questionnaires, grip strength, and trail making test (area under the curve .68) improved substantially by accelerometry-derived parameters of the amount of gait (number of strides), gait quality (complexity, intensity, and smoothness), and their interactions (area under the curve .82). Daily-life accelerometry contributes substantially to the identification of individuals at risk of falls, and can predict falls in 6 months with good accuracy. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. Fall Prevention in a Primary Care Setting.

    Science.gov (United States)

    Siegrist, Monika; Freiberger, Ellen; Geilhof, Barbara; Salb, Johannes; Hentschke, Christian; Landendoerfer, Peter; Linde, Klause; Halle, Martin; Blank, Wolfgang A

    2016-05-27

    Falls and fall-related injuries are common in community-dwelling elderly people. Effective multifactorial fall prevention programs in the primary care setting may be a promising approach to reduce the incidence rate of falls. In a cluster randomized trial in 33 general practices 378 people living independently and at high risk of falling (65 to 94 years old; 285 women) were allocated to either a 16 week exercise-based fall prevention program including muscle strengthening and challenging balance training exercises, combined with a 12 week home-based exercise program (222 participants), or to usual care (156 participants). The main outcome was number of falls over a period of 12 months. Secondary outcomes were the number of fall-related injuries, physical function (Timed-Up-and-Go-Test, TUG, Chair-Stand-Test, CST, modified Romberg Test), and fear of falling. In the intervention group (n=222 patients in 17 general practices) 291 falls occurred, compared to 367 falls in the usual care group (n=156 patients in 16 general practices). We observed a lower incidence rate for falls in the intervention group (incidence rate ratio/IRR: 0.54; 95% confidence interval (CI): [0.35; 0.84], p=0.007) and for fall-related injuries (IRR: 0.66; [0.42; 0.94], p=0.033). Additionally, patients in the intervention group showed significant improvements in secondary endpoints (TUG: -2.39 s, [-3.91; -0.87], p=0.014; mRomberg: 1.70 s, [0.35; 3.04], p=0.037; fear of falling: -2.28 points, [-3.87; -0.69], p=0.022) compared to usual care. A complex falls prevention program in a primary care setting was effective in reducing falls and fall-related injuries in community dwelling older adults at risk.

  2. The Fall of the Ivory Tower: Government Funding, Corruption, and the Bankrupting of American Higher Education.

    Science.gov (United States)

    Roche, George Charles

    This book maintains that federal subsidies to higher education have allowed American colleges and universities to overstaff, overspend, and overbuild, creating an economic, academic, and moral crisis in higher education. The book argues that, although American colleges and universities are the envy of the world, government funding has subsidized…

  3. STEADI: CDC's approach to make older adult fall prevention part of every primary care practice.

    Science.gov (United States)

    Sarmiento, Kelly; Lee, Robin

    2017-12-01

    Primary care providers play a critical role in protecting older adult patients from one of the biggest threats to their health and independence-falls. A fall among an older adult patient cannot only be fatal or cause a devastating injury, but can also lead to problems that can effect a patient's overall quality of life. In response, the Centers for Disease Control and Prevention (CDC) developed the STEADI initiative to give health care providers the tools they need to help reduce their older adult patient's risk of a fall. CDC's STEADI resources have been distributed widely and include practical materials and tools for health care providers and their patients that are designed to be integrated into every primary care practice. As the population ages, the need for fall prevention efforts, such as CDC's STEADI, will become increasingly critical to safeguard the health of Americans. STEADI's electronic health records (EHRs), online trainings, assessment tools, and patient education materials are available at no-cost and can be downloaded online at www.cdc.gov/STEADI. Health care providers should look for opportunities to integrate STEADI materials into their practice, using a team-based approach, to help protect their older patients. Published by Elsevier Ltd.

  4. Factors influencing short-term outcomes for older patients accessing emergency departments after a fall: The role of fall dynamics.

    Science.gov (United States)

    Trevisan, Caterina; Di Gregorio, Patrizia; Debiasi, Eugenio; Pedrotti, Martina; La Guardia, Mario; Manzato, Enzo; Sergi, Giuseppe; March, Albert

    2017-10-01

    While the relevance of falls in raising the risk of fractures, hospitalization and disability in older age is well recognized, the factors influencing the onset of fractures and the need for ward admission after a fall have yet to be fully elucidated. We investigated which factors and fall dynamics were mainly associated with fall-related injuries and hospitalization among elderly persons accessing the Emergency Department (ED) following a fall. The study involved 2144 older subjects who accessed the ED after a fall. Data on the fall´s nature and related injuries, ward admissions, history of falls, dementia, and medical therapies were examined for all patients. Considering dynamics, we distinguished accidental falls (due to interaction with environmental hazards while in motion) and falls from standing (secondary to syncope, lipothymia, drop attack, or vertigo). The overall prevalence of fractures in our population did not differ significantly with advancing age, though hip fractures were more common in the oldest, and upper limb fractures in the youngest patients. Falls from standing were associated with polypharmacy and with higher ward admission rate despite a lower fractures´ prevalence than accidental falls. The chances of fall-related fractures were more than fourfold as high for accidental dynamics (OR=4.05, 95%CI:3.10-5.29, pfall-related fractures (OR=6.84, 95%CI:5.45-8.58, pfall dynamics. Outcomes of falls in older age depend not only on any fall-related injuries, but also on factors such as polypharmacy, cognitive status and fall dynamics. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Fall prevention in central coast community pharmacies.

    Science.gov (United States)

    Stuart, Gina M; Kale, Helen L

    2018-04-19

    Fall injuries among people aged 65 years and over (older people) cause substantial health decline and cost to the health system. In 2009 in New South Wales, 25.6% of older people fell in the previous year, and 10.7% (32 000) were hospitalised. Pharmacists are trusted professionals, who interact extensively with older people and have potential to augment fall prevention in pharmacies. This brief report describes how professional development improved pharmacist's knowledge and confidence in fall prevention, encouraged implementation of fall prevention plans and facilitated the provision of brief fall prevention interventions for older clients, after identification of fall risk. In 2014, pharmacists from all Central Coast pharmacies (n = 76) were invited to free, continuing professional development (CPD) in fall prevention. It provided education and resources to identify clients' fall risk, conduct brief fall prevention interventions and implement fall prevention health promotion plans (FPHPP). Pharmacists completed written: Baseline and post-workshop questionnaires to assess changes in pharmacist's knowledge and confidence, and existing fall prevention in pharmacies. Logs of client fall risk and brief fall prevention interventions offered to clients. Four-month follow-up questionnaires to assess implementation of FPHPPs and pharmacy practice changes. Pharmacists representing 36% of pharmacies participated. At four-month follow-up, 67% had implemented FPHPPs, and 62% delivered brief interventions determined by client fall risk. Fall prevention in pharmacies can be augmented through locally provided CPD tailored for pharmacists. SO WHAT?: This model could increase fall prevention reach. It is transferable to settings where health professionals provide services to older adults and require reregistration through professional development. © 2018 Australian Health Promotion Association.

  6. Streamlined Archaeo-geophysical Data Processing and Integration for DoD Field Use

    Science.gov (United States)

    2012-04-01

    6 Figure 2-3. Flowchart illustrating the old, ad-hoc approach of processing...Figure 2-3. Flowchart illustrating the old, ad-hoc approach of processing and integrating multiple geophysical datasets. Each color represents a... beginner , intermediate, and expert user. Most users agreed that the software is very effective for beginners because: (1) it provides a geophysics

  7. Hookah and Cigarette Smoking among African American College Students: Implications for Campus Risk Reduction and Health Promotion Efforts

    Science.gov (United States)

    Jones, Brittni D.; Cunningham-Williams, Renee M.

    2016-01-01

    Objective: To identify individual and institutional risks and protections for hookah and cigarette smoking among African American (AA) college students. Participants: AA college students (N = 1,402; mean age = 20, range = 18-24 years; 75% female) who completed the Fall 2012 American College Health Association--National College Health Assessment…

  8. [Effects of a fall prevention program on falls in frail elders living at home in rural communities].

    Science.gov (United States)

    Yoo, Jae-Soon; Jeon, Mi Yang; Kim, Chul-Gyu

    2013-10-01

    This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

  9. Geophysical investigation programme of Northern Switzerland: Gravimetric measurements 81/82

    International Nuclear Information System (INIS)

    Klingele, E.; Schwendener, H.

    1984-10-01

    Within the frame of the geophysical investigations of the NAGRA in the northern part of Switzerland the Swiss Geophysical Commission has measured 4954 gravity stations. The gravity data were processed and presented as Bouguer-anomaly and residual anomaly maps. The densities used for the corrections were 2.40 and 2.67 g/cm 3 . The residual field showed a negative anomaly along an axis passing through Weiach and Villigen. This anomaly can be interpreted quantitatively in terms of depth of the crystalline basement. (author)

  10. Fall-Prone Older People's Attitudes towards the Use of Virtual Reality Technology for Fall Prevention.

    Science.gov (United States)

    Dockx, Kim; Alcock, Lisa; Bekkers, Esther; Ginis, Pieter; Reelick, Miriam; Pelosin, Elisa; Lagravinese, Giovanna; Hausdorff, Jeffrey M; Mirelman, Anat; Rochester, Lynn; Nieuwboer, Alice

    2017-01-01

    Virtual reality (VR) technology is a relatively new rehabilitation tool that can deliver a combination of cognitive and motor training for fall prevention. The attitudes of older people to such training are currently unclear. This study aimed to investigate: (1) the attitudes of fall-prone older people towards fall prevention exercise with and without VR; (2) attitudinal changes after intervention with and without VR; and (3) user satisfaction following fall prevention exercise with and without VR. A total of 281 fall-prone older people were randomly assigned to an experimental group receiving treadmill training augmented by VR (TT+VR, n = 144) or a control group receiving treadmill training alone (TT, n = 137). Two questionnaires were used to measure (1) attitudes towards fall prevention exercise with and without VR (AQ); and (2) user satisfaction (USQ). AQ was evaluated at baseline and after intervention. USQ was measured after intervention only. The AQ revealed that most participants had positive attitudes towards fall prevention exercise at baseline (82.2%) and after intervention (80.6%; p = 0.144). In contrast, only 53.6% were enthusiastic about fall prevention exercise with VR at baseline. These attitudes positively changed after intervention (83.1%; p < 0.001), and 99.2% indicated that they enjoyed TT+VR. Correlation analyses showed that postintervention attitudes were strongly related to user satisfaction (USQ: r = 0.503; p < 0.001). Older people's attitudes towards fall prevention exercise with VR were positively influenced by their experience. From the perspective of the user, VR is an attractive training mode, and thus improving service provision for older people is important. © 2017 S. Karger AG, Basel.

  11. Falls and patient safety for older adults.

    Science.gov (United States)

    Aronovitch, Sharon A

    2006-10-01

    The risk of falling increases with age. Falls in the elderly have been found to raise mortality and morbidity rates and are a leading cause of premature admission to long-term care facilities. Attention to known intrinsic and extrinsic factors that predispose to falling is important in community dwelling and institutionalized older adults. New government guidelines for long-term care facilities have helped focus attention on the safety aspect of fall risk and information about the physical and psychological impact of falling is increasing. Implementation of fall prevention protocols, including the use of fall risk assessment tools, may help reduce the incidence of falls and resultant complications.

  12. Geophysical data fusion for subsurface imaging. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    This report contains the results of a three year, three-phase project whose long-range goal has been to create a means for the more detailed and accurate definition of the near-surface (0--300 ft) geology beneath a site that had been subjected to environmental pollution. The two major areas of research and development have been: improved geophysical field data acquisition techniques; and analytical tools for providing the total integration (fusion) of all site data. The long-range goal of this project has been to mathematically, integrate the geophysical data that could be derived from multiple sensors with site geologic information and any other type of available site data, to provide a detailed characterization of thin clay layers and geological discontinuities at hazardous waste sites.

  13. Geophysical data fusion for subsurface imaging. Final report

    International Nuclear Information System (INIS)

    1995-10-01

    This report contains the results of a three year, three-phase project whose long-range goal has been to create a means for the more detailed and accurate definition of the near-surface (0--300 ft) geology beneath a site that had been subjected to environmental pollution. The two major areas of research and development have been: improved geophysical field data acquisition techniques; and analytical tools for providing the total integration (fusion) of all site data. The long-range goal of this project has been to mathematically, integrate the geophysical data that could be derived from multiple sensors with site geologic information and any other type of available site data, to provide a detailed characterization of thin clay layers and geological discontinuities at hazardous waste sites

  14. [Muscle and bone health as a risk factor of fall among the elderly. Kaigoyobou and prevention of falling].

    Science.gov (United States)

    Obuchi, Shuichi

    2008-06-01

    Kaigoyobou, prevention of long-term care use, is a comprehensive approach, including physical, nutritional, and social, to maintain independent living in the elderly. Prevention of falling is one useful method of Kaigoyobou. From literature review, post-fall syndrome should be primarily eliminated in the elderly since falling rate of the elderly with the falling history reported significantly greater falling rate than the other community dwelling elderly. The ability to avoid falling when they trip or slip during walking may be the most important physical function needed to be intervened. In order to train elderly person successfully, nutritional intervention need to be considered into fall prevention program.

  15. Development and implementation of the software for visualization and analysis of data geophysical loggers

    Science.gov (United States)

    Gordeev, V. F.; Malyshkov, S. Yu.; Botygin, I. A.; Sherstnev, V. S.; Sherstneva, A. I.

    2017-11-01

    The general trend of modern ecological geophysics is changing priorities towards rapid assessment, management and prediction of ecological and engineering soil stability as well as developing brand new geophysical technologies. The article describes researches conducted by using multi-canal geophysical logger MGR-01 (developed by IMCES SB RAS), which allows to measure flux density of very low-frequency electromagnetic radiation. It is shown that natural pulsed electromagnetic fields of the earthen lithosphere can be a source of new information on Earth's crust and processes in it, including earthquakes. The device is intended for logging electromagnetic processes in Earth's crust, geophysical exploration, finding structural and lithological inhomogeneities, monitoring the geodynamic movement of Earth's crust, express assessment of seismic hazards. The data is gathered automatically from observation point network in Siberia

  16. Geophysical considerations of geothermics

    Energy Technology Data Exchange (ETDEWEB)

    Hayakawa, M

    1967-01-01

    The development and utilization of geothermal energy is described from the standpoint of geophysics. The internal temperature of the Earth and the history and composition of magmas are described. Methods of exploration such as gravity, magnetic, thermal and electrical surveys are discussed, as are geochemical and infrared photogrammetric techniques. Examples are provided of how these techniques have been used in Italy and at the Matsukawa geothermal field in Japan. Drilling considerations such as muds, casings and cementing materials are discussed. Solutions are proposed for problems of environmental pollution and plant expansion.

  17. Older persons afraid of falling reduce physical activity to prevent outdoor falls

    NARCIS (Netherlands)

    Wijlhuizen, G.J.; Jong, R. de; Hopman-Rock, M.

    2007-01-01

    Objective.: The aim of this study was to test the assumption that the level of outdoor physical activity mediates the relationship between fear of falling and actual outdoor falls according to the Task Difficulty Homeostasis Theory. Method.: A prospective follow-up study of 10 months conducted in

  18. Problems and fall risk determinants of quality of life in older adults with increased risk of falling.

    Science.gov (United States)

    Lin, Sang-I; Chang, Ku-Chou; Lee, Hsuei-Chen; Yang, Yi-Ching; Tsauo, Jau-Yih

    2015-05-01

    Determine quality of life and its association with fall risk factors in older adults with increased risk of falling. A total of 597 community-dwelling Taiwanese older adults who were screened to have increased risk of falling participated in the present study. The fall risk factors included sociodemographics, physical and psychological function, Timed Up and Go, past fall/medical histories, fear of falling and medications. The Euro QOL EQ-5D was used to measure health-related quality of life. Pain/discomfort was the EQ-5D dimension most frequently reported to be impaired (35%), regardless of the level of fall risk or age groups, followed by mobility (25%). Hierarchical regression analysis showed that Geriatric Depression Scale, Mini-Mental State Examination, physiological function, up-and-go, fear of falling and psychotropic medication were independent predictors for total EQ-5D, explaining 68.37% of the variance. Logistic regression analysis showed that for the five EQ-5D dimensions, Geriatric Depression Scale and Up and Go time were the most common determinants. Pain/discomfort was the leading impairment, and greater Geriatric Depression Scale and longer up-and-go time were the main contributing factors in declines in quality of life in older adults with increased risk of falling. These factors are often modifiable, and their management might be considered a priority in falls prevention. © 2014 Japan Geriatrics Society.

  19. geophysical and geochemical characterization of zango abattoir

    African Journals Online (AJOL)

    Dr A.B.Ahmed

    disposal of hazardous materials, fresh groundwater supplies ... in the groundwater flow system may change considerably the conductivity of the polluted zone; hence the Geo-electric and. Electromagnetic (EM) geophysical methods could effectively be ... this field strength and phase displacement around a fracture zone.

  20. An interdisciplinary intervention to prevent falls in community-dwelling elderly persons: protocol of a cluster-randomized trial [PreFalls

    Directory of Open Access Journals (Sweden)

    Schuster Tibor

    2011-02-01

    Full Text Available Abstract Background Prevention of falls in the elderly is a public health target in many countries around the world. While a large number of trials have investigated the effectiveness of fall prevention programs, few focussed on interventions embedded in the general practice setting and its related network. In the Prevent Falls (PreFalls trial we aim to investigate the effectiveness of a pre-tested multi-modal intervention compared to usual care in this setting. Methods/Design PreFalls is a controlled multicenter prospective study with cluster-randomized allocation of about 40 general practices to an experimental or a control group. We aim to include 382 community dwelling persons aged 65 and older with an increased risk of falling. All participating general practitioners are trained to systematically assess the risk of falls using a set of validated tests. Patients from intervention practices are invited to participate in a 16-weeks exercise program with focus on fall prevention delivered by specifically trained local physiotherapists. Patients from practices allocated to the control group receive usual care. Main outcome measure is the number of falls per individual in the first 12 months (analysis by negative binomial regression. Secondary outcomes include falls in the second year, the proportion of participants falling in the first and the second year, falls associated with injury, risk of falls, fear of falling, physical activity and quality of life. Discussion Reducing falls in the elderly remains a major challenge. We believe that with its strong focus on a both systematic and realistic fall prevention strategy adapted to primary care setting PreFalls will be a valuable addition to the scientific literature in the field. Trial registration NCT01032252

  1. Geophysical Monitoring of Hydrological and Biogeochemical Transformations associated with Cr(VI) Bioremediation

    International Nuclear Information System (INIS)

    Hubbard, Susan; Williams, Kenneth H.; Conrad, Mark E.; Faybishenko, Boris; Peterson, John; Chen, Jinsong; Long, Philip E.; Hazen, Terry C.

    2008-01-01

    Understanding how hydrological and biogeochemical properties change over space and time in response to remedial treatments is hindered by our ability to monitor these processes with sufficient resolution and over field relevant scales. Here, we explored the use of geophysical approaches for monitoring the spatiotemporal distribution of hydrological and biogeochemical transformations associated with a Cr(VI)bioremediation experiment performed at Hanford, WA. We first integrated hydrological wellbore and geophysical tomographic datasets to estimate hydrological zonation at the study site. Using results from laboratory biogeophysical experiments and constraints provided by field geochemical datasets, we then interpreted time-lapse seismic and radar tomographic datasets, collected during thirteen acquisition campaigns over a three year experimental period, in terms of hydrological and biogeochemical transformations. The geophysical monitoring datasets were used to infer: the spatial distribution of injected electron donor; the evolution of gas bubbles; variations in total dissolved solids (nitrate and sulfate) as a function of pumping activity; the formation of precipitates and dissolution of calcites; and concomitant changes in porosity. Although qualitative in nature, the integrated interpretation illustrates how geophysical techniques have the potential to provide a wealth of information about coupled hydrobiogeochemical responses to remedial treatments in high spatial resolution and in a minimally invasive manner. Particularly novel aspects of our study include the use of multiple lines of evidence to constrain the interpretation of a long-term, field-scale geophysical monitoring dataset and the interpretation of the transformations as a function of hydrological heterogeneity and pumping activity

  2. Cyclic Investigation of Geophysical Studies in the Exploration and Discovery of Natural Resources in Our Country

    International Nuclear Information System (INIS)

    Gonulalan, A. U.

    2007-01-01

    Although the methods of exploration geophysics were first utilized after the discovery of an oil field in 1921, they have also applied in the old centuries. Likewise, the half of the total production in the United States of America is covered by new oil fields discovered by utilizing geophysical methods. The industry's energy necessity increases the interest to oil. The investments in the field of geophysics by the companies which makes large amount of money in order to discover new oil fields, widespread use of computers, the developments of space technology and world-wide nuclear competition even though its great danger for human beings have great share in the development of geophysics. Our country has 18 different types mines which has more than 10 billion $ potential. Geophysical engineers have great Kowledge and labor in the discovery of 1,795 trillion wealth from borax to building stone, and 60 billion $ oil and gas. On the other hand, as 1,5 billion investment in the field of geophysics is only 0.08 % of total investments, the increase of investments will add more contribution

  3. Free Falling in Stratified Fluids

    Science.gov (United States)

    Lam, Try; Vincent, Lionel; Kanso, Eva

    2017-11-01

    Leaves falling in air and discs falling in water are examples of unsteady descents due to complex interaction between gravitational and aerodynamic forces. Understanding these descent modes is relevant to many branches of engineering and science such as estimating the behavior of re-entry space vehicles to studying biomechanics of seed dispersion. For regularly shaped objects falling in homogenous fluids, the motion is relatively well understood. However, less is known about how density stratification of the fluid medium affects the falling behavior. Here, we experimentally investigate the descent of discs in both pure water and in stable linearly stratified fluids for Froude numbers Fr 1 and Reynolds numbers Re between 1000 -2000. We found that stable stratification (1) enhances the radial dispersion of the disc at landing, (2) increases the descent time, (3) decreases the inclination (or nutation) angle, and (4) decreases the fluttering amplitude while falling. We conclude by commenting on how the corresponding information can be used as a predictive model for objects free falling in stratified fluids.

  4. The neurobiology of falls.

    Science.gov (United States)

    Fasano, Alfonso; Plotnik, Meir; Bove, Francesco; Berardelli, Alfredo

    2012-12-01

    Falling is a major clinical problem; especially, in elderly population as it often leads to fractures, immobilization, poor quality of life and life-span reduction. Given the growing body of evidences on the physiopathology of balance disorders in humans, in recent years the approach of research on falls has completely changed and new instruments and new definitions have been formulated. Among them, the definition of "idiopathic faller" (i.e. no overt cause for falling in a given subject) represented a milestone in building the "science of falling". This review deals with the new determinants of the neurobiology of falling: (1) the role of motor impairment and particularly of those "mild parkinsonian signs" frequently detectable in elderly subjects, (2) the role of executive and attentive resources when coping with obstacles, (3) the role of vascular lesions in "highest level gait disorder" (a condition tightly connected with senile gait, cautious gait and frailty), (4) the role of the failure of automaticity or inter-limbs coordination/symmetry during walking and such approach would definitely help the development of screening instrument for subjects at risk (still lacking in present days). This translational approach will lead to the development of specific therapeutic interventions.

  5. Fall Prevention: Simple Tips to Prevent Falls

    Science.gov (United States)

    ... a gentle exercise that involves slow and graceful dance-like movements. Such activities reduce the risk of ... healthy-lifestyle/healthy-aging/in-depth/fall-prevention/art-20047358 . Mayo Clinic Footer Legal Conditions and Terms ...

  6. Space Geodesy Monitoring Mass Transport in Global Geophysical Fluids

    Science.gov (United States)

    Chao, Benjamin F.

    2004-01-01

    Mass transports occurring in the atmosphere-hydrosphere-cryosphere-solid Earth-core system (the 'global geophysical fluids') are important geophysical phenomena. They occur on all temporal and spatial scales. Examples include air mass and ocean circulations, oceanic and solid tides, hydrological water and idsnow redistribution, mantle processes such as post-glacial rebound, earthquakes and tectonic motions, and core geodynamo activities. The temporal history and spatial pattern of such mass transport are often not amenable to direct observations. Space geodesy techniques, however, have proven to be an effective tool in monitorihg certain direct consequences of the mass transport, including Earth's rotation variations, gravitational field variations, and the geocenter motion. Considerable advances have been made in recent years in observing and understanding of these geodynamic effects. This paper will use several prominent examples to illustrate the triumphs in research over the past years under a 'Moore's law' in space geodesy. New space missions and projects promise to further advance our knowledge about the global mass transports. The latter contributes to our understanding of the geophysical processes that produce and regulate the mass transports, as well as of the solid Earth's response to such changes in terms of Earth's mechanical properties.

  7. Dance movement therapy and falls prevention.

    Science.gov (United States)

    Veronese, Nicola; Maggi, Stefania; Schofield, Patricia; Stubbs, Brendon

    2017-08-01

    Falls are a leading cause of morbidity, healthcare use and mortality. Dance is a popular form of physical activity among older people and previous research has suggested that it may improve various health outcomes in this population, including balance, gait and muscle performance. A systematic review of the potential benefits of dance on falls and fear of falling is lacking. Thus, we conducted a systematic review considering all randomized controls trials (RCTs) investigating if dance can reduce falls and improve fear of falling in older adults. Major databases were searched from inception until 1 March 2017 and a total of 10 RCTs were identified, which included a total of 680 people (n=356 dance, n=324 control). Overall, the mean age of the samples was 69.4 years, and 75.2% were female. Across four RCTs, dance therapy reduced falls versus usual care in only one study. Dance therapy improved fear of falling in two out of three included RCTs. There were no serious adverse events reported in the RCTs. In summary, we found a paucity of studies investigating the effect of dance on falls and fear of falling and the evidence base is preliminary and equivocal. Given the heterogeneity of the included samples and interventions, in addition to the short-term follow-up, no firm conclusions can be drawn. However, dance appears to be safe and, given its popularity and demonstrated benefits on other health/wellbeing outcomes in older adults, it is important that future research considers its potential benefits on falls/fear of falling in older age. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. The Kinematics of Central American Fore-Arc Motion in Nicaragua: Geodetic, Geophysical and Geologic Study of Magma-Tectonic Interactions

    Science.gov (United States)

    La Femina, P. C.; Geirsson, H.; Saballos, A.; Mattioli, G. S.

    2017-12-01

    A long-standing paradigm in plate tectonics is that oblique convergence results in strain partitioning and the formation of migrating fore-arc terranes accommodated on margin-parallel strike-slip faults within or in close proximity to active volcanic arcs (e.g., the Sumatran fault). Some convergent margins, however, are segmented by margin-normal faults and margin-parallel shear is accommodated by motion on these faults and by vertical axis block rotation. Furthermore, geologic and geophysical observations of active and extinct margins where strain partitioning has occurred, indicate the emplacement of magmas within the shear zones or extensional step-overs. Characterizing the mechanism of accommodation is important for understanding short-term (decadal) seismogenesis, and long-term (millions of years) fore-arc migration, and the formation of continental lithosphere. We investigate the geometry and kinematics of Quaternary faulting and magmatism along the Nicaraguan convergent margin, where historical upper crustal earthquakes have been located on margin-normal, strike-slip faults within the fore arc and arc. Using new GPS time series, other geophysical and geologic data, we: 1) determine the location of the maximum gradient in forearc motion; 2) estimate displacement rates on margin-normal faults; and 3) constrain the geometric moment rate for the fault system. We find that: 1) forearc motion is 11 mm a-1; 2) deformation is accommodated within the active volcanic arc; and 3) that margin-normal faults can have rates of 10 mm a-1 in agreement with geologic estimates from paleoseismology. The minimum geometric moment rate for the margin-normal fault system is 2.62x107 m3 yr-1, whereas the geometric moment rate for historical (1931-2006) earthquakes is 1.01x107 m3/yr. The discrepancy between fore-arc migration and historical seismicity may be due to aseismic accommodation of fore-arc motion by magmatic intrusion along north-trending volcanic alignments within the

  9. UNMANNED AIRCRAFT SYSTEMS FOR RAPID NEAR SURFACE GEOPHYSICAL MEASUREMENTS

    Directory of Open Access Journals (Sweden)

    J. B. Stoll

    2013-08-01

    Full Text Available This paper looks at some of the unmanned aircraft systems (UAS options and deals with a magnetometer sensor system which might be of interest in conducting rapid near surface geophysical measurements. Few of the traditional airborne geophysical sensors are now capable of being miniaturized to sizes and payload within mini UAS limits (e.g. airborne magnetics, gamma ray spectrometer. Here the deployment of a fluxgate magnetometer mounted on an UAS is presented demonstrating its capability of detecting metallic materials that are buried in the soil. The effectiveness in finding ferrous objects (e.g. UXO, landslides is demonstrated in two case studies.

  10. Meteorite Fall Detection and Analysis via Weather Radar: Worldwide Potential for Citizen Science

    Science.gov (United States)

    Fries, M.; Bresky, C.; Laird, C.; Reddy, V.; Hankey, M.

    2017-12-01

    Meteorite falls can be detected using weather radars, facilitating rapid recovery of meteorites to minimize terrestrial alteration. Imagery from the US NEXRAD radar network reveals over two dozen meteorite falls where meteorites have been recovered, and about another dozen that remain unrecovered. Discovery of new meteorite falls is well suited to "citizen science" and similar outreach activities, as well as automation of computational components into internet-based search tools. Also, there are many more weather radars employed worldwide than those in the US NEXRAD system. Utilization of weather radars worldwide for meteorite recovery can not only expand citizen science opportunities but can also lead to significant improvement in the number of freshly-fallen meteorites available for research. We will discuss the methodologies behind locating and analyzing meteorite falls using weather radar, and how to make them available for citizen science efforts. An important example is the Aquarius Project, a Chicago-area consortium recently formed with the goal of recovering meteorites from Lake Michigan. This project has extensive student involvement geared toward development of actual hardware for recovering meteorites from the lake floor. Those meteorites were identified in weather radar imagery as they fell into the lake from a large meteor on 06 Feb 2017. Another example of public interaction is the meteor detection systems operated by the American Meteor Society (AMS). The AMS website has been developed to allow public reporting of meteors, effectively enabling citizen science to locate and describe significant meteor events worldwide.

  11. Fall speed measurement and high-resolution multi-angle photography of hydrometeors in free fall

    OpenAIRE

    T. J. Garrett; C. Fallgatter; K. Shkurko; D. Howlett

    2012-01-01

    We describe here a new instrument for imaging hydrometeors in free fall. The Multi-Angle Snowflake Camera (MASC) captures high-resolution photographs of hydrometeors from three angles while simultaneously measuring their fall speed. Based on the stereoscopic photographs captured over the two months of continuous measurements obtained at a high altitude location within the Wasatch Front in Utah, we derive statistics for fall speed, hydrometeor size, shape, orientation and asp...

  12. Effect of Tai Chi on physical function, fall rates and quality of life among older stroke survivors.

    Science.gov (United States)

    Taylor-Piliae, Ruth E; Hoke, Tiffany M; Hepworth, Joseph T; Latt, L Daniel; Najafi, Bijan; Coull, Bruce M

    2014-05-01

    To examine the effect of a 12-week Tai Chi (TC) intervention on physical function and quality of life. Single-blind, randomized controlled trial. General community. Community-dwelling survivors of stroke (N=145; 47% women; mean age, 70y; time poststroke: 3y; ischemic stroke: 66%; hemiparesis: 73%) who were aged ≥50 years and were ≥3 months poststroke. Yang style 24-posture short-form TC (n=53), strength and range of movement exercises (SS) (n=44), or usual care (UC) (n=48) for 12 weeks. The TC and SS groups attended a 1-hour class 3 times per week, whereas the UC group had weekly phone calls. Physical function: Short Physical Performance Battery, fall rates, and 2-minute step test; quality of life: Medical Outcomes Study 36-Item Short-Form Health Survey, Center for Epidemiologic Studies Depression Scale, and Pittsburgh Sleep Quality Index. During the intervention, TC participants had two thirds fewer falls (5 falls) than the SS (14 falls) and UC (15 falls) groups (χ(2)=5.6, P=.06). There was a significant group by time interaction for the 2-minute step test (F2,142=4.69, Pfall rates than SS or UC interventions. Future studies examining the effectiveness of TC as a fall prevention strategy for community-dwelling survivors of stroke are recommended. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. Geophysical study of the Peinan Archaeological Site, Taiwan

    Science.gov (United States)

    Tong, Lun-Tao; Lee, Kun-Hsiu; Yeh, Chang-Keng; Hwang, Yan-Tsong; Chien, Jeng-Ming

    2013-02-01

    The Peinan archaeological site is the most intact Neolithic village with slate coffin burial complexes in Taiwan. However, the area that potentially contains significant ancient remains is covered by dense vegetation. No reliable data show the distribution of the ancient village, and no geophysical investigation has been performed at this site. To evaluate various geophysical methods under the geological setting and surface condition of the site, the physical properties of the remains were measured and four geophysical methods involving magnetic, electromagnetic (EM), electrical resistivity tomography (ERT), and ground-penetrating radar (GPR) were tested along three parallel profiles. The results imply that the EM and magnetic methods are much cost-effective and suitable for investigating the entire area. GPR and ERT methods can provide high resolution subsurface image, which are much suitable for subsequently detail investigation. The EM and magnetic surveys were thus conducted over the entire Peinan Cultural Park to understand the distribution of the ancient building remains at the Peinan site. The results of this study were verified by subsequent excavations, which indicate that the EM survey was successful in delineating the majority of the ancient village because the basements of building are highly resistive in comparison to the background sediment. The results of this investigation suggest that the ancient village was broadly distributed over the eastern part of the Peinan Culture Park and extended to the southeast.

  14. Development of geophysical and geochemical data processing software based on component GIS

    International Nuclear Information System (INIS)

    Ke Dan; Yu Xiang; Wu Qubo; Han Shaoyang; Li Xi

    2013-01-01

    Based on component GIS and mixed programming techniques, a software which combines the basic GIS functions, conventional and unconventional data process methods for the regional geophysical and geochemical data together, is designed and developed. The software has many advantages, such as friendly interface, easy to use and utility functions and provides a useful platform for regional geophysical and geochemical data processing. (authors)

  15. Evaluation of the Frails' Fall Efficacy by Comparing Treatments (EFFECT) on reducing fall and fear of fall in moderately frail older adults: study protocol for a randomised control trial.

    Science.gov (United States)

    Kwok, Boon Chong; Mamun, Kaysar; Chandran, Manju; Wong, Chek Hooi

    2011-06-18

    Falls are common in frail older adults and often result in injuries and hospitalisation. The Nintendo® Wii™ is an easily available exercise modality in the community which has been shown to improve lower limb strength and balance. However, not much is known on the effectiveness of the Nintendo® Wii™ to improve fall efficacy and reduce falls in a moderately frail older adult. Fall efficacy is the measure of fear of falling in performing various daily activities. Fear contributes to avoidance of activities and functional decline. This randomised active-control trial is a comparison between the Nintendo WiiActive programme against standard gym-based rehabilitation of the older population. Eighty subjects aged above 60, fallers and non-fallers, will be recruited from the hospital outpatient clinic. The primary outcome measure is the Modified Falls Efficacy Scale and the secondary outcome measures are self-reported falls, quadriceps strength, walking agility, dynamic balance and quality of life assessments. The study is the first randomised control trial using the Nintendo Wii as a rehabilitation modality investigating a change in fall efficacy and self-reported falls. Longitudinally, the study will investigate if the interventions can successfully reduce falls and analyse the cost-effectiveness of the programme.

  16. FEAR OF FALLING AMONG COMMUNITY DWELLING OLDER ADULTS

    Directory of Open Access Journals (Sweden)

    Michaela Dingová

    2017-03-01

    Full Text Available Aim: The aim of the study was to describe experience with falls, fear of falling, perceptions of the consequences of falls and how the fear of falling affects daily life in community-dwelling older adults. Design: The study used a qualitative design to describe the lived experiences of community-dwelling older adults with the fear of falling. Methods: Semi-structured interviews were conducted individually with six participants who reported the fear of falling. Results: Five main areas emerged from data analysis: development of the fear of falling, feared consequences of falling, activities curtailment, fall prevention behavior and meaning of social support in daily life. The fear of falling was described as a negative experience, directly linked to fall consequences such as physical injury, incapacitation, loss of autonomy, fear of dependence and experience of humiliating conditions. To maintain a certain level of independence in daily life, the participants chose to avoid falls by activity curtailment, organizing their lives more carefully and getting support from others. Conclusion: All participants identified that they had discovered their fear of falling after experiencing falls. The fear of falling was associated with feared consequences of a potential fall and had an impact on their daily life. The participant also mentioned other contributors to their fear of falling, including ill health and aging. Keywords: Fear of falling, older adults, perceived consequences of falls, daily life.

  17. A Hands-on Approach to Teaching Geophysics through the University of Texas Institute for Geophysics Marine Geology and Geophysics Field Course in the Gulf of Mexico.

    Science.gov (United States)

    Duncan, D.; Davis, M. B.; Goff, J.; Gulick, S. P. S.; Fernandez-Vasquez, R. A.; Saustrup, S.

    2017-12-01

    The three week field course is offered to graduate and upper-level undergraduate students as hands-on instruction and training for marine geology and geophysics applications. Instructors provide theoretical and technical background of high-resolution seismic reflection, CHIRP sub-bottom profiling, multibeam bathymetry, sidescan sonar, sediment coring, grab sampling, and the sedimentology of resulting seabed samples in the initial phase of the course. The class then travels to the Gulf Coast for a week of at-sea field work. Over the last 10 years, field sites at Freeport, Port Aransas, and Galveston, TX, and Grand Isle, LA, have provided ideal locations for students to explore and investigate coastal and continental shelf processes through the application of geophysical techniques. Students with various backgrounds work in teams of four and rotate between two marine vessels: the R/V Scott Petty, a 26' vessel owned and operated by UTIG, and the R/V Manta, an 82' vessel owned and operated by NOAA. They assist with survey design, instrumentation setup and breakdown, data acquisition, trouble-shooting, data quality control, and safe instrumentation deployment and recovery. Teams also process data and sediment samples in an onshore field lab. During the final week, students visualize, integrate and interpret data for a final project using industry software. The course concludes with final presentations and discussions wherein students examine Gulf Coast geological history and sedimentary processes with academic and industry supporters. Students report a greater understanding of marine geology and geophysics through the course's intensive, hands-on, team approach and low instructor to student ratio (sixteen students, three faculty, and three teaching assistants). Post-class, students may incorporate course data in senior honors or graduate thesis and are encouraged to publish and present results at national meetings. This course satisfies field experience requirements for

  18. Relationship Between Difficulties in Daily Activities and Falling: Loco-Check as a Self-Assessment of Fall Risk.

    Science.gov (United States)

    Akahane, Manabu; Maeyashiki, Akie; Yoshihara, Shingo; Tanaka, Yasuhito; Imamura, Tomoaki

    2016-06-20

    People aged 65 years or older accounted for 25.1% of the Japanese population in 2013, and this characterizes the country as a "super-aging society." With increased aging, fall-related injuries are becoming important in Japan, because such injuries underlie the necessity for nursing care services. If people could evaluate their risk of falling using a simple self-check test, they would be able to take preventive measures such as exercise, muscle training, walking with a cane, or renovation of their surroundings to remove impediments. Loco-check is a checklist measure of early locomotive syndrome (circumstances in which elderly people need nursing care service or are at high risk of requiring the service within a short time), prepared by the Japanese Orthopaedic Association (JOA) in 2007, but it is unclear if there is any association between this measure and falls. To investigate the association between falls during the previous year and the 7 "loco-check" daily activity items and the total number of items endorsed, and sleep duration. We conducted an Internet panel survey. Subjects were 624 persons aged between 30 and 90 years. The general health condition of the participants, including their experience of falling, daily activities, and sleep duration, was investigated. A multivariate analysis was carried out using logistic regression to investigate the relationship between falls in the previous year and difficulties with specific daily activities and total number of difficulties (loco-check) endorsed, and sleep duration, adjusting for sex and age. One-fourth of participants (157 persons) experienced at least one fall during the previous year. Fall rate of females (94/312: 30.1%) was significantly higher than that of males (63/312: 20.2%). Fall rate of persons aged more than 65 years (80/242: 33.1%) was significantly higher than that of younger persons (77/382: 20.2%). Logistic regression analysis revealed that daily activities such as "impossibility of getting

  19. A simple strategy for fall events detection

    KAUST Repository

    Harrou, Fouzi

    2017-01-20

    The paper concerns the detection of fall events based on human silhouette shape variations. The detection of fall events is addressed from the statistical point of view as an anomaly detection problem. Specifically, the paper investigates the multivariate exponentially weighted moving average (MEWMA) control chart to detect fall events. Towards this end, a set of ratios for five partial occupancy areas of the human body for each frame are collected and used as the input data to MEWMA chart. The MEWMA fall detection scheme has been successfully applied to two publicly available fall detection databases, the UR fall detection dataset (URFD) and the fall detection dataset (FDD). The monitoring strategy developed was able to provide early alert mechanisms in the event of fall situations.

  20. Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults.

    Science.gov (United States)

    Tomita, Machiko R; Saharan, Sumandeep; Rajendran, Sheela; Nochajski, Susan M; Schweitzer, Jo A

    2014-01-01

    OBJECTIVE. To identify psychometric properties of the Home Safety Self-Assessment Tool (HSSAT) to prevent falls in community-dwelling older adults. METHOD. We tested content validity, test-retest reliability, interrater reliability, construct validity, convergent and discriminant validity, and responsiveness to change. RESULTS. The content validity index was .98, the intraclass correlation coefficient for test-retest reliability was .97, and the interrater reliability was .89. The difference on identified risk factors between the use and nonuse of the HSSAT was significant (p = .005). Convergent validity with the Centers for Disease Control and Prevention Home Safety Checklist was high (r = .65), and discriminant validity with fear of falling was very low (r = .10). The responsiveness to change was moderate (standardized response mean = 0.57). CONCLUSION. The HSSAT is a reliable and valid instrument to identify fall risks in a home environment, and the HSSAT booklet is effective as educational material leading to improvement in home safety. Copyright © 2014 by the American Occupational Therapy Association, Inc.