WorldWideScience

Sample records for radiant energy falling

  1. Nonimaging radiant energy device

    Science.gov (United States)

    Winston, Roland; Ning, Xiaohui

    1993-01-01

    A nonimaging radiant energy device may include a hyperbolically shaped reflective element with a radiant energy inlet and a radiant energy outlet. A convex lens is provided at the radiant energy inlet and a concave lens is provided at the radiant energy outlet. Due to the provision of the lenses and the shape of the walls of the reflective element, the radiant energy incident at the radiant energy inlet within a predetermined angle of acceptance is emitted from the radiant energy outlet exclusively within an acute exit angle. In another embodiment, the radiant energy device may include two interconnected hyperbolically shaped reflective elements with a respective convex lens being provided at each aperture of the device.

  2. Design of energy efficient building with radiant slab cooling

    Science.gov (United States)

    Tian, Zhen

    2007-12-01

    Air-conditioning comprises a substantial fraction of commercial building energy use because of compressor-driven refrigeration and fan-driven air circulation. Core regions of large buildings require year-round cooling due to heat gains from people, lights and equipment. Negative environmental impacts include CO2 emissions from electric generation and leakage of ozone-depleting refrigerants. Some argue that radiant cooling simultaneously improves building efficiency and occupant thermal comfort, and that current thermal comfort models fail to reflect occupant experience with radiant thermal control systems. There is little field evidence to test these claims. The University of Calgary's Information and Communications Technology (ICT) Building, is a pioneering radiant slab cooling installation in North America. Thermal comfort and energy performance were evaluated. Measurements included: (1) heating and cooling energy use, (2) electrical energy use for lighting and equipment, and (3) indoor temperatures. Accuracy of a whole building energy simulation model was evaluated with these data. Simulation was then used to compare the radiant slab design with a conventional (variable air volume) system. The radiant system energy performance was found to be poorer mainly due to: (1) simultaneous cooling by the slab and heating by other systems, (2) omission of low-exergy (e.g., groundwater) cooling possible with the high cooling water temperatures possible with radiant slabs and (3) excessive solar gain and conductive heat loss due to the wall and fenestration design. Occupant thermal comfort was evaluated through questionnaires and concurrent measurement of workstation comfort parameters. Analysis of 116 sets of data from 82 occupants showed that occupant assessment was consistent with estimates based on current thermal comfort models. The main thermal comfort improvements were reductions in (1) local discomfort from draft and (2) vertical air temperature stratification. The

  3. Performance of Radiant Heating Systems of Low-Energy Buildings

    Science.gov (United States)

    Sarbu, Ioan; Mirza, Matei; Crasmareanu, Emanuel

    2017-10-01

    After the introduction of plastic piping, the application of water-based radiant heating with pipes embedded in room surfaces (i.e., floors, walls, and ceilings), has significantly increased worldwide. Additionally, interest and growth in radiant heating and cooling systems have increased in recent years because they have been demonstrated to be energy efficient in comparison to all-air distribution systems. This paper briefly describes the heat distribution systems in buildings, focusing on the radiant panels (floor, wall, ceiling, and floor-ceiling). Main objective of this study is the performance investigation of different types of low-temperature heating systems with different methods. Additionally, a comparative analysis of the energy, environmental, and economic performances of floor, wall, ceiling, and floor-ceiling heating using numerical simulation with Transient Systems Simulation (TRNSYS) software is performed. This study showed that the floor-ceiling heating system has the best performance in terms of the lowest energy consumption, operation cost, CO2 emission, and the nominal boiler power. The comparison of the room operative air temperatures and the set-point operative air temperature indicates also that all radiant panel systems provide satisfactory results without significant deviations.

  4. Radiant energy collection and conversion apparatus and method

    Science.gov (United States)

    Hunt, A.J.

    The apparatus for collecting radiant energy and converting to alternate energy forms includes a housing having an interior space and a radiation transparent window allowing solar radiation to be received in the interior space of the housing. Means are provided for passing a stream of fluid past the window and for injecting radiation absorbent particles in said fluid stream. The particles absorb the radiation and because of their very large surface area, quickly release the heat to the surrounding fluid stream. The fluid stream particle mixture is heated until the particles vaporize. The fluid stream is then allowed to expand in, for example, a gas turbine to produce mechanical energy. In an aspect of the present invention properly sized particles need not be vaporized prior to the entrance of the fluid stream into the turbine, as the particles will not damage the turbine blades. In yet another aspect of the invention, conventional fuel injectors are provided to inject fuel into the fluid stream to maintain the proper temperature and pressure of the fluid stream should the source of radiant energy be interrupted. In yet another aspect of the invention, an apparatus is provided which includes means for providing a hot fluid stream having hot particles disbursed therein which can radiate energy, means for providing a cooler fluid stream having cooler particles disbursed therein, which particles can absorb radiant energy and means for passing the hot fluid stream adjacent the cooler fluid stream to warm the cooler fluid and cooler particles by the radiation from the hot fluid and hot particles.

  5. Radiant floor cooling coupled with dehumidification systems in residential buildings: A simulation-based analysis

    International Nuclear Information System (INIS)

    Zarrella, Angelo; De Carli, Michele; Peretti, Clara

    2014-01-01

    Highlights: • The floor radiant cooling in a typical apartment is analyzed. • Dehumidification devices, fan-coil and mechanical ventilation are compared. • The results are analyzed in terms of both thermal comfort and energy consumption. • The energy consumption of the dehumidifiers is higher than that of other systems. • The mechanical ventilation decreases the moisture level better than other systems. - Abstract: The development of radiant cooling has stimulated an interest in new systems based on coupling ventilation with radiant cooling. However, radiant cooling systems may cause condensation to form on an active surface under warm and humid conditions during the cooling season. This phenomenon occurs when surface temperature falls below dew point. To prevent condensation, air humidity needs to be reduced with a dehumidification device or a mechanical ventilation system. There are two main options to achieve this. The first is to use dehumidification devices that reduce humidity, but are not coupled with ventilation, i.e. devices that handle room air and leave air change to infiltrations. The second is to combine a mechanical ventilation system with dehumidifying finned coils. This study analyzes the floor radiant cooling of a typical residential apartment within a multi-storey building in three Italian climate zones by means of a detailed simulation tool. Five systems were compared in terms of both indoor thermal comfort and energy consumption: radiant cooling without dehumidification; radiant cooling with a soft dehumidification device; radiant cooling with a dehumidification device which also supplies sensible cooling; radiant cooling coupled with fan coils; and radiant cooling with a mechanical ventilation system which dehumidifies and cools

  6. Direct conversion of infrared radiant energy for space power applications

    Science.gov (United States)

    Finke, R. C.

    1982-01-01

    A proposed technology to convert the earth radiant energy (infrared albedo) for spacecraft power is presented. The resultant system would eliminate energy storage requirements and simplify the spacecraft design. The design and performance of a infrared rectenna is discussed.

  7. Integrated application of combined cooling, heating and power poly-generation PV radiant panel system of zero energy buildings

    Science.gov (United States)

    Yin, Baoquan

    2018-02-01

    A new type of combined cooling, heating and power of photovoltaic radiant panel (PV/R) module was proposed, and applied in the zero energy buildings in this paper. The energy system of this building is composed of PV/R module, low temperature difference terminal, energy storage, multi-source heat pump, energy balance control system. Radiant panel is attached on the backside of the PV module for cooling the PV, which is called PV/R module. During the daytime, the PV module was cooled down with the radiant panel, as the temperature coefficient influence, the power efficiency was increased by 8% to 14%, the radiant panel solar heat collecting efficiency was about 45%. Through the nocturnal radiant cooling, the PV/R cooling capacity could be 50 W/m2. For the multifunction energy device, the system shows the versatility during the heating, cooling and power used of building utilization all year round.

  8. ''Super-radiant'' states in intermediate energy nuclear physics

    International Nuclear Information System (INIS)

    Auerbach, N.

    1994-01-01

    A ''super-radiant'' state emerges when, under certain conditions, one or a few ''internal'' states acquire a large collective decay width due to the coupling to one or a few ''external'' decay channels. The rest of the internal states are ''stripped'' of their decay width and become long lived quasistationary states. The essentials of such mechanism and its possible role in intermediate energy nuclear physics are discussed in this work

  9. Influence of increment thickness on radiant energy and microhardness of bulk-fill resin composites.

    Science.gov (United States)

    Karacolak, Gamze; Turkun, L Sebnem; Boyacioglu, Hayal; Ferracane, Jack L

    2018-03-30

    Determining the energy transferred at the bottom of eleven bulk-fill resin composites, comparing top and bottom microhardness's and evaluating the correlation between microhardness and radiant energy were aimed. Samples were placed over the bottom sensor of a visible light transmission spectrophotometer and polymerized for 20 s. The bottom and top Knoop microhardness were measured. Paired t-test and correlation analysis were used for statistics (p≤0.05). In all groups, the bottom radiant energy decreased significantly with increasing thickness. For groups of Aura 2 mm, X-tra Fil 2 and 4 mm, SDR 2 and 4 mm, X-tra Base 2 mm no significant difference was found between top and bottom microhardness. For the bottom levels of Aura, X-tra Fil, Filtek Bulk-Fill Posterior, SDR, X-tra Base groups no significant difference was found between the microhardness's of 2 and 4 mm thicknesses. For X-tra Fil, Tetric Evo Ceram Bulk-Fill, Filtek Bulk-Fill Flowable and Z100 groups radiant energy affected positively the microhardness.

  10. Energy efficiency and indoor thermal perception. A comparative study between radiant panel and portable convective heaters

    Energy Technology Data Exchange (ETDEWEB)

    Ali, Ahmed Hamza H.; Morsy, Mahmoud Gaber [Department of Mechanical Engineering, Faculty of Engineering, Assiut University, Assiut, 71516 (Egypt)

    2010-11-15

    This study investigates experimentally the thermal perception of indoor environment for evaluating the ability of radiant panel heaters to produce thermal comfort for space occupants as well as the energy consumption in comparison with conventional portable natural convective heaters. The thermal perception results show that, compared with conventional convection heater, a radiantly heated office room maintains a lower ambient air temperature while providing equal levels of thermal perception on the thermal dummy head as the convective heater and saves up to 39.1% of the energy consumption per day. However, for human subjects' vote experiments, the results show that for an environmentally controlled test room at outdoor environment temperatures of 0C and 5C, using two radiant panel heaters with a total capacity of 580 W leads to a better comfort sensation than the conventional portable natural convective heater with a 670 W capacity, with an energy saving of about 13.4%. In addition, for an outdoor environment temperature of 10C, using one radiant panel heater with a capacity of 290 W leads to a better comfort sensation than the conventional convection heater with a 670 W capacity, with an energy saving of about 56.7%. From the analytical results, it is found that distributing the radiant panel heater inside the office room, one on the wall facing the window and the other on the wall close to the window, provides the best operative temperature distribution within the room.

  11. Energy flow and thermal comfort in buildings: Comparison of radiant and air-based heating & cooling systems

    DEFF Research Database (Denmark)

    Le Dréau, Jérôme

    is based on both radiation and convection. This thesis focuses on characterizing the heat transfer from the terminal towards the space and on the parameters influencing the effectiveness of terminals. Therefore the comfort conditions and energy consumption of four types of terminals (active chilled beam...... losses, and an air-based terminal might be more energy-efficient than a radiant terminal (in terms of delivered energy). Regarding comfort, a similar global level has been observed for the radiant and air-based terminals in both numerical and experimental investigations. But the different terminals did...... not achieve the same uniformity in space. The active chilled beam theoretically achieves the most uniform comfort conditions (when disregarding the risk of draught), followed by the radiant ceiling. The least uniform conditions were obtained with the cooled floor due to large differences between the sitting...

  12. Energy flow and thermal comfort in buildings: Comparison of radiant and air-based heating & cooling systems

    DEFF Research Database (Denmark)

    Le Dréau, Jérôme

    Heating and cooling terminals can be classified in two main categories: convective terminals (e.g air conditioning, active chilled beam, fan coil) and radiant terminals. The two terminals have different modes of heat transfer: the first one is mainly based on convection, whereas the second one...... is based on both radiation and convection. This thesis focuses on characterizing the heat transfer from the terminal towards the space and on the parameters influencing the effectiveness of terminals. Therefore the comfort conditions and energy consumption of four types of terminals (active chilled beam...... losses, and an air-based terminal might be more energy-efficient than a radiant terminal (in terms of delivered energy). Regarding comfort, a similar global level has been observed for the radiant and air-based terminals in both numerical and experimental investigations. But the different terminals did...

  13. Performance evaluation of radiant cooling system application on a university building in Indonesia

    Science.gov (United States)

    Satrio, Pujo; Sholahudin, S.; Nasruddin

    2017-03-01

    The paper describes a study developed to estimate the energy savings potential of a radiant cooling system installed in an institutional building in Indonesia. The simulations were carried out using IESVE to evaluate thermal performance and energy consumption The building model was calibrated using the measured data for the installed radiant system. Then this calibrated model was used to simulate the energy consumption and temperature distribution to determine the proportional energy savings and occupant comfort under different systems. The result was radiant cooling which integrated with a Dedicated Outside Air System (DOAS) could make 41,84% energy savings compared to the installed cooling system. The Computational Fluid Dynamics (CFD) simulation showed that a radiant system integrated with DOAS provides superior human comfort than a radiant system integrated with Variable Air Volume (VAV). Percentage People Dissatisfied was kept below 10% using the proposed system.

  14. Exergy metrication of radiant panel heating and cooling with heat pumps

    International Nuclear Information System (INIS)

    Kilkis, Birol

    2012-01-01

    Highlights: ► Rational Exergy Management Model analytically relates heat pumps and radiant panels. ► Heat pumps driven by wind energy perform better with radiantpanels. ► Better CO 2 mitigation is possible with wind turbine, heat pump, radiant panel combination. ► Energy savings and thermo-mechanical performance are directly linked to CO 2 emissions. - Abstract: Radiant panels are known to be energy efficient sensible heating and cooling systems and a suitable fit for low-exergy buildings. This paper points out the little known fact that this may not necessarily be true unless their low-exergy demand is matched with low-exergy waste and alternative energy resources. In order to further investigate and metricate this condition and shed more light on this issue for different types of energy resources and energy conversion systems coupled to radiant panels, a new engineering metric was developed. Using this metric, which is based on the Rational Exergy Management Model, true potential and benefits of radiant panels coupled to ground-source heat pumps were analyzed. Results provide a new perspective in identifying the actual benefits of heat pump technology in curbing CO 2 emissions and also refer to IEA Annex 49 findings for low-exergy buildings. Case studies regarding different scenarios are compared with a base case, which comprises a radiant panel system connected to a natural gas-fired condensing boiler in heating and a grid power-driven chiller in cooling. Results show that there is a substantial CO 2 emission reduction potential if radiant panels are optimally operated with ground-source heat pumps driven by renewable energy sources, or optimally matched with combined heat and power systems, preferably running on alternative fuels.

  15. Radiant Barriers Save Energy in Buildings

    Science.gov (United States)

    2014-01-01

    Langley Research Center needed to coat the Echo 1 satellite with a fine mist of vaporized metal, and collaborated with industry to create "radiant barrier technology." In 2010, Ryan Garrett learned about a new version of the technology resistant to oxidation and founded RadiaSource in Ogden, Utah, to provide the NASA-derived technology for applications in homes, warehouses, gymnasiums, and agricultural settings.

  16. PERFORMANCE EVALUATION OF CEILING RADIANT COOLING SYSTEM IN COMPOSITE CLIMATE

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, Anuj [Malaviya National Institute of Technology (MNIT), Jaipur, India; Mathur, Jyotirmay [Malaviya National Institute of Technology (MNIT), Jaipur, India; Bhandari, Mahabir S [ORNL

    2015-01-01

    Radiant cooling systems are proving to be an energy efficient solution due to higher thermal capacity of cooling fluid especially for the buildings that require individual zone controls and where the latent loads are moderate. The Conventional air conditioners work at very low temperature i.e.5-8 c (refrigerant evaporator inlet) while the radiant cooling systems, also referred as high temperature cooling system, work at high temperatures i.e. 14-18 c. The radiant cooling systems can maintain lower MRT (Mean Radiant Temperature) as ceiling panels maintain uniform temperature gradient inside room and provide higher human comfort. The radiant cooling systems are relatively new systems and their operation and energy savings potential are not quantified for a large number of buildings and operational parameters. Moreover, there are only limited numbers of whole building simulation studies have been carried out for these systems to have a full confidence in the capability of modelling tools to simulate these systems and predict the impact of various operating parameters. Theoretically, savings achieve due to higher temperature set point of chilled water, which reduces chiller-running time. However, conventional air conditioner runs continuously to maintain requisite temperature. In this paper, experimental study for performance evaluation of radiant cooling system carried out on system installed at Malaviya National Institute of Technology Jaipur. This paper quantifies the energy savings opportunities and effective temperature by radiant cooling system at different chilled water flow rates and temperature range. The data collected/ analysed through experimental study will used for calibration and validation of system model of building prepared in building performance simulation software. This validated model used for exploring optimized combinations of key parameters for composite climate. These optimized combinations will used in formulation of radiant cooling system

  17. Radiant energy during infrared neural stimulation at the target structure

    Science.gov (United States)

    Richter, Claus-Peter; Rajguru, Suhrud; Stafford, Ryan; Stock, Stuart R.

    2013-03-01

    Infrared neural stimulation (INS) describes a method, by which an infrared laser is used to stimulate neurons. The major benefit of INS over stimulating neurons with electrical current is its spatial selectivity. To translate the technique into a clinical application it is important to know the energy required to stimulate the neural structure. With this study we provide measurements of the radiant exposure, at the target structure that is required to stimulate the auditory neurons. Flat polished fibers were inserted into scala tympani so that the spiral ganglion was in front of the optical fiber. Angle polished fibers were inserted along scala tympani, and rotating the beveled surface of the fiber allowed the radiation beam to be directed perpendicular to the spiral ganglion. The radiant exposure for stimulation at the modiolus for flat and angle polished fibers averaged 6.78+/-2.15 mJ/cm2. With the angle polished fibers, a 90º change in the orientation of the optical beam from an orientation that resulted in an INS-evoked maximum response, resulted in a 50% drop in the response amplitude. When the orientation of the beam was changed by 180º, such that it was directed opposite to the orientation with the maxima, minimum response amplitude was observed.

  18. Thermal model of attic systems with radiant barriers

    Energy Technology Data Exchange (ETDEWEB)

    Wilkes, K.E.

    1991-07-01

    This report summarizes the first phase of a project to model the thermal performance of radiant barriers. The objective of this phase of the project was to develop a refined model for the thermal performance of residential house attics, with and without radiant barriers, and to verify the model by comparing its predictions against selected existing experimental thermal performance data. Models for the thermal performance of attics with and without radiant barriers have been developed and implemented on an IBM PC/AT computer. The validity of the models has been tested by comparing their predictions with ceiling heat fluxes measured in a number of laboratory and field experiments on attics with and without radiant barriers. Cumulative heat flows predicted by the models were usually within about 5 to 10 percent of measured values. In future phases of the project, the models for attic/radiant barrier performance will be coupled with a whole-house model and further comparisons with experimental data will be made. Following this, the models will be utilized to provide an initial assessment of the energy savings potential of radiant barriers in various configurations and under various climatic conditions. 38 refs., 14 figs., 22 tabs.

  19. Radiant cooling of an enclosure

    International Nuclear Information System (INIS)

    Chebihi, Abdeslam; Byun, Ki-Hong; Wen Jin; Smith, Theodore F.

    2006-01-01

    The purpose of this study is to analyze the potential for radiant cooling using the atmospheric sky window and to evaluate the desired characteristics of a radiant cooling material (RCM) applied to the ceiling window of a three-dimensional enclosure. The thermal characteristics of the system are governed by the geometry, ambient temperature, sky radiative temperature, amount of solar energy and its direction, heat transfer modes, wall radiative properties, and radiative properties of the RCMs. A semi-gray band analysis is utilized for the solar and infrared bands. The radiosity/irradiation method is used in each band to evaluate the radiant exchanges in the enclosure. The radiative properties for the RCM are varied in a parametric study to identify the desired properties of RCMs. For performance simulation of real RCMs, the radiative properties are calculated from spectral data. The desired solar property is a high reflectance for both opaque and semi-transparent RCMs. For a semi-transparent RCM, a low value of the solar transmittance is preferred. The desired infrared property is a high emittance for an opaque RCM. For a semi-transparent RCM, a high infrared transmittance is desired, and the emittance should be greater than zero

  20. Effects of Floor Covering Resistance of a Radiant Floor on System Energy and Exergy Performances

    DEFF Research Database (Denmark)

    Kazanci, Ongun Berk; Shukuya, Masanori; Olesen, Bjarne W.

    2016-01-01

    Floor covering resistance (material and thickness) can be influenced by subjective choices (architectural design, interior design, texture, etc.) with significant effects on the performance of a radiant heating and cooling system. To study the effects of floor covering resistance on system...... performance, a water-based radiant floor heating and cooling system (dry, wooden construction) was considered to be coupled to an air-to-water heat pump, and the effects of varying floor covering resistances (0.05 m2K/W, 0.09 m2K/W and 0.15 m2K/W) on system performance were analyzed in terms of energy...... and exergy. In order to achieve the same heating and cooling outputs, higher average water temperatures are required in the heating mode (and lower temperatures in the cooling mode) with increasing floor covering resistance. These temperature requirements decrease the heat pump’s performance (lower...

  1. Solar–terrestrial radiant-energy regimes and temperature anomalies of natural and artificial turfs

    International Nuclear Information System (INIS)

    Jim, C.Y.

    2016-01-01

    Highlights: • Solar and terrestrial radian energy regimes affect temperature response of sports turfs. • Adjacent natural and artificial turfs were monitored with replications on sunny days. • Artificial turf has meager albedo, low specific heat and moisture to augment warming. • Artificial turf surface and substrate reach 70 °C but cool down effectively at night. • Artificial turf may induce heat stress on athletes in hot summer afternoon. - Abstract: Artificial turf can develop unusually high surface temperature on hot sunny days. Solar and terrestrial radiant energy regimes as key determinants of thermal performance deserve detailed investigation. This study evaluated six components of the radiant-energy environment of a natural turf (NT) and a contiguous artificial turf (AT) sports fields in Hong Kong: direct solar, reflected solar, net solar, sky thermal, ground thermal, and net thermal. Temperature was monitored at five positions: air at 150 cm, 50 cm and 15 cm height, turf surface, and substrate. The experiment included four replications, namely two summer sunny days, and two duplicated instrument sets at each turf site. The two sites reacted very differently to the same intense daily sum of solar radiation input of 23.70 MW m −2 with 9 h of bright sunshine (>120 W m −2 ), and daily sum of sky thermal radiation input of 38.59 MW m −2 . The maximum direct solar radiation reached 976.1 W m −2 at 1245 h. NT albedo of 0.23 vis-à-vis AT of merely 0.073, and higher moisture content and specific heat of NT materials, presented critical differences. The hydrophobic and generally dry plastic (polyethylene) pile-fibers and black rubber-granule infill materials have low specific heat. Intense incoming shortwave and longwave radiation absorbed readily by AT materials raised turf surface temperature to 70.2 °C and substrate 69.3 °C, in comparison with <40 °C at NT. A cascading warming effect was triggered, beginning with low albedo, high net solar

  2. Subjective evaluation of different ventilation concepts combined with radiant heating and cooling

    DEFF Research Database (Denmark)

    Krajcik, Michal; Tomasi, Roberta; Simone, Angela

    2012-01-01

    Sixteen subjects evaluated the indoor environment in four experiments with different combinations of ventilation and radiant heating/cooling systems. Two test setups simulated a room in a low energy building with a single occupant during winter. The room was equipped either by a ventilation system...... supplying warm air space heating or by a combination of radiant floor heating and mixing ventilation system. Next two test setups simulated an office room with two occupants during summer, ventilated and cooled by a single displacement ventilation system or by a radiant floor cooling combined...

  3. Radiant heating of petroleum reservoirs; Aquecimento radiante de reservatorios petroliferos

    Energy Technology Data Exchange (ETDEWEB)

    Sidrim, Fernando A.C.

    1990-12-31

    This work presents a proposal of a simplified model for the enhanced oil recovery process through radiant heating of oil reservoirs. The resulting continuity, energy and motion equations were solved analytically for the prediction of the increase in well flow rates. The heat loss to adjacent formations and the necessary for the establishment of the temperature profile,which are transient terms of energy equation, have been neglected. Also, no temperature gradient in the axial direction has been modelled as a cylindrical wave propagating in a loss medium. It is concluded that: the inclusion of a radial conduction term in the energy equation led to higher flow rates than the ones predicted by the literature existing solution; if the absorption coefficient is too large, it is profitable to dry the reservoir around the well bore; the transient terms in the energy equation are significant for extended periods of well production. 47 refs., 18 figs., 4 tabs.

  4. Experimental evaluation of an active solar thermoelectric radiant wall system

    International Nuclear Information System (INIS)

    Liu, ZhongBing; Zhang, Ling; Gong, GuangCai; Han, TianHe

    2015-01-01

    Highlights: • A novel active solar thermoelectric radiant wall are proposed and tested. • The novel wall can control thermal flux of building envelope by using solar energy. • The novel wall can eliminate building envelop thermal loads and provide cooling capacity for space cooling. • Typical application issues including connection strategies, coupling with PV system etc. are discussed. - Abstract: Active solar thermoelectric radiant wall (ASTRW) system is a new solar wall technology which integrates thermoelectric radiant cooling and photovoltaic (PV) technologies. In ASTRW system, a PV system transfers solar energy directly into electrical energy to power thermoelectric cooling modes. Both the thermoelectric cooling modes and PV system are integrated into one enclosure surface as radiant panel for space cooling and heating. Hence, ASTRW system presents fundamental shift from minimizing building envelope energy losses by optimizing the insulation thickness to a new regime where active solar envelop is designed to eliminate thermal loads and increase the building’s solar gains while providing occupant comfort in all seasons. This article presents an experimental study of an ASTRW system with a dimension of 1580 × 810 mm. Experimental results showed that the inner surface temperature of the ASTRW is 3–8 °C lower than the indoor temperature of the test room, which indicated that the ASTRW system has the ability to control thermal flux of building envelope by using solar energy and reduce the air conditioning system requirements. Based on the optimal operating current of TE modules and the analysis based upon PV modeling theories, the number and type of the electrical connections for the TE modules in ASTRW system are discussed in order to get an excellent performance in the operation of the ASTRW system

  5. The Influence of a Radiant Panel System with Integrated Phase Change Material on Energy Use and Thermal Indoor Environment

    DEFF Research Database (Denmark)

    Nielsen, Lin Flemming; Bourdakis, Eleftherios; Kazanci, Ongun Berk

    2018-01-01

    This study examined the effect on energy use and thermal comfort when combining microencapsulated phase change material (PCM) with radiant ceiling panels in a two-person office. The performance of the system was studied during the cooling season in the climates of Copenhagen, Denmark, and Rome...

  6. Experimental and Numerical Study of the Radiant Induction-Unit and the Induction Radiant Air-Conditioning System

    Directory of Open Access Journals (Sweden)

    Qiang Si

    2016-12-01

    Full Text Available In this paper we proposed the novel air-conditioning system which combined induction ventilation and radiant air-conditioning. The indoor terminal device is the radiant induction-unit (RIDU. The RIDU is the induction unit combined with the pore radiant panel on which the copper pipes with rigid aluminum diffusion fins are installed. The two-stage evaporator chiller with the non-azeotropic mixture refrigerant is utilized in the system to reduce the initial investment in equipment. With the performance test and the steady state heat transfer model based on the theory of radiative heat transfer, the relationship between the induction ratio of the RIDU and the characteristic of the air supply was studied. Based on this, it is verified that the RIDU has a lower dew-point temperature and better anti-condensation performance than a traditional plate-type radiant panel. The characteristics of the radiation and convection heat transfer of the RIDU were studied. The total heat exchange of the RIDU can be 16.5% greater than that of the traditional plate-type radiant terminal.

  7. Radiant exchange in partially specular architectural environments

    Science.gov (United States)

    Beamer, C. Walter; Muehleisen, Ralph T.

    2003-10-01

    The radiant exchange method, also known as radiosity, was originally developed for thermal radiative heat transfer applications. Later it was used to model architectural lighting systems, and more recently it has been extended to model acoustic systems. While there are subtle differences in these applications, the basic method is based on solving a system of energy balance equations, and it is best applied to spaces with mainly diffuse reflecting surfaces. The obvious drawback to this method is that it is based around the assumption that all surfaces in the system are diffuse reflectors. Because almost all architectural systems have at least some partially specular reflecting surfaces in the system it is important to extend the radiant exchange method to deal with this type of surface reflection. [Work supported by NSF.

  8. Radiant Heating and Cooling Systems. Part one

    DEFF Research Database (Denmark)

    Kim, Kwan Woo; Olesen, Bjarne W.

    2015-01-01

    The use of radiant heating systems has several thousand years of history.1,2 The early stage of radiant system application was for heating purposes, where hot air from flue gas (cooking, fires) was circulated under floors or in walls. After the introduction of plastic piping water-based radiant...

  9. Validation of the uncertainty budget for soft X-ray radiant power measurement using a cryogenic radiometer

    CERN Document Server

    Rabus, H; Scholze, F; Thornagel, R; Ulm, G

    2002-01-01

    The cryogenic radiometer SYRES, a thermal detector based on the electrical substitution principle, has been used as the primary detector standard for radiant power measurement in the ultraviolet, vacuum ultraviolet and soft X-ray spectral ranges. In order to investigate the possibility of radiant energy being deposited in its absorber cavity without being transformed into heat when detecting soft X-rays, SYRES has been directly compared with the electron storage ring BESSY 1, a primary radiometric source standard of calculable spectral radiant power. To this end, the integral radiant power emitted by the storage ring,into a solid angle defined by a high-precision aperture was measured with SYRES. The experiments were conducted at two nominal energies of the circulating electrons, 800 MeV and 340 MeV, to study the influence of the different spectral distributions of the synchrotron radiation. For the original graphite-coated cavity absorber, significant discrepancies were found which could be traced back to th...

  10. Extinction of radiant energy by large atmospheric crystals with different shapes

    International Nuclear Information System (INIS)

    Shefer, Olga

    2016-01-01

    The calculated results of extinction characteristics of visible and infrared radiation for large semi-transparent crystals are obtained by hybrid technique, which is a combination of the geometric optics method and the physical optics method. Energy and polarization characteristics of the radiation extinction in terms of the elements of the extinction matrix for individual large crystals and ensemble of crystals are discussed. Influences of particle shapes, aspect ratios, parameters of size distribution, complex refractive index, orientation of crystals, wavelength, and the polarization state of an incident radiation on the extinction are illustrated. It is shown that the most expressive and stable features of energy and polarization characteristics of the extinction are observed in the midinfrared region, despite the fact that the ice particles significantly absorb the radiant energy of this spectrum. It is demonstrated that the polarized extinction characteristics can reach several tens of percent at IR wavelengths. For the large crystals, the conditions of occurrence of the spectral behavior of the extinction coefficient in the visible, near-IR, and mid-IR wavelength ranges are determined. - Highlights: • Method of physical optics is used at coherent sum of diffracted and refracted fields. • The extinction characteristics in terms of elements of extinction matrix are obtained. • Influence of shapes and sizes of large particles on the extinction is evaluated. • Conditions of occurrence of extinction features are determined.

  11. Validation of the uncertainty budget for soft X-ray radiant power measurement using a cryogenic radiometer

    International Nuclear Information System (INIS)

    Rabus, H.; Klein, R.; Scholze, F.; Thornagel, R.; Ulm, G.

    2002-01-01

    The cryogenic radiometer SYRES, a thermal detector based on the electrical substitution principle, has been used as the primary detector standard for radiant power measurement in the ultraviolet, vacuum ultraviolet and soft X-ray spectral ranges. In order to investigate the possibility of radiant energy being deposited in its absorber cavity without being transformed into heat when detecting soft X-rays, SYRES has been directly compared with the electron storage ring BESSY 1, a primary radiometric source standard of calculable spectral radiant power. To this end, the integral radiant power emitted by the storage ring,into a solid angle defined by a high-precision aperture was measured with SYRES. The experiments were conducted at two nominal energies of the circulating electrons, 800 MeV and 340 MeV, to study the influence of the different spectral distributions of the synchrotron radiation. For the original graphite-coated cavity absorber, significant discrepancies were found which could be traced back to the ablation of the graphite coating from the copper cavity body. In the case of the new gold-coated cavity absorber, the calculated and measured values of the radiant power agreed in all experiments within the combined relative uncertainties of typically 2.5 x 10 -3 (k = 1). (author)

  12. Radiant absorption characteristics of corrugated curved tubes

    Directory of Open Access Journals (Sweden)

    Đorđević Milan Lj.

    2017-01-01

    Full Text Available The utilization of modern paraboloidal concentrators for conversion of solar radiation into heat energy requires the development and implementation of compact and efficient heat absorbers. Accurate estimation of geometry influence on absorption characteristics of receiver tubes is an important step in this process. This paper deals with absorption characteristics of heat absorber made of spirally coiled tubes with transverse circular corrugations. Detailed 3-D surface-to-surface Hemicube method was applied to compare radiation performances of corrugated and smooth curved tubes. The numerical results were obtained by varying the tube curvature ratio and incident radiant heat flux intensity. The details of absorption efficiency of corrugated tubes and the effect of curvature on absorption properties for both corrugated and smooth tubes were presented. The results may have significance to further analysis of highly efficient heat absorbers exposed to concentrated radiant heating. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 42006

  13. Clouds and the Earth's Radiant Energy System (CERES) Data Products for Climate Research

    Science.gov (United States)

    Kato, Seiji; Loeb, Norman G.; Rutan, David A.; Rose, Fred G.

    2015-01-01

    NASA's Clouds and the Earth's Radiant Energy System (CERES) project integrates CERES, Moderate Resolution Imaging Spectroradiometer (MODIS), and geostationary satellite observations to provide top-of-atmosphere (TOA) irradiances derived from broadband radiance observations by CERES instruments. It also uses snow cover and sea ice extent retrieved from microwave instruments as well as thermodynamic variables from reanalysis. In addition, these variables are used for surface and atmospheric irradiance computations. The CERES project provides TOA, surface, and atmospheric irradiances in various spatial and temporal resolutions. These data sets are for climate research and evaluation of climate models. Long-term observations are required to understand how the Earth system responds to radiative forcing. A simple model is used to estimate the time to detect trends in TOA reflected shortwave and emitted longwave irradiances.

  14. Advanced radiant combustion system. Final report, September 1989--September 1996

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, J.D.; Carswell, M.G.; Long, F.S.

    1996-09-01

    Results of the Advanced Radiant Combustion System (ARCS) project are presented in this report. This work was performed by Alzeta Corporation as prime contractor under a contract to the U.S. Department of Energy Office of Industrial Technologies as part of a larger DOE program entitled Research Program for Advanced Combustion Systems. The goals of the Alzeta ARCS project were to (a) Improve the high temperature performance characteristics of porous surface ceramic fiber burners, (b) Develop an Advanced Radiant Combustion System (ARCS) that combines combustion controls with an advanced radiant burner, and (c) Demonstrate the advanced burner and controls in an industrial application. Prior to the start of this project, Alzeta had developed and commercialized a porous surface radiant burner, the Pyrocore{trademark} burner. The product had been commercially available for approximately 5 years and had achieved commercial success in a number of applications ranging from small burners for commercial cooking equipment to large burners for low temperature industrial fluid heating applications. The burner was not recommended for use in applications with process temperatures above 1000{degrees}F, which prevented the burner from being used in intermediate to high temperature processes in the chemical and petroleum refining industries. The interest in increasing the maximum use temperature of the burner was motivated in part by a desire to expand the number of applications that could use the Pyrocore product, but also because many of the fluid sensitive heating applications of interest would benefit from the distributed flux characteristic of porous surface burners. Background information on porous surface radiant burners, and a discussion of advantages that would be provided by an improved product, are presented in Section 2.

  15. Numerical Modeling of Conjugate Thermogravitational Convection in a Closed System with a Radiant Energy Source in Conditions of Convective-Radiative Heat Exchange at the External Boundary

    Directory of Open Access Journals (Sweden)

    Nee Alexander

    2016-01-01

    Full Text Available Mathematical modeling of conjugate natural convection in a closed rectangular cavity with a radiant energy source in conditions of convective-radiative heat exchange at the external boundary was conducted. The radiant energy distribution was set by the Lambert’s law. Conduction and convection processes analysis showed that the air masses flow pattern is modified slightly over the time. The temperature increases in the gas cavity, despite the heat removal from the one of the external boundary. According to the results of the integral heat transfer analysis were established that the average Nusselt number (Nuav increasing occurs up to τ = 200 (dimensionless time. Further Nuav has changed insignificantly due to the temperature field equalization near the interfaces “gas – wall”.

  16. Airflow and Heat Transfer in the Slot-Vented Room with Radiant Floor Heating Unit

    Directory of Open Access Journals (Sweden)

    Xiang-Long Liu

    2012-01-01

    Full Text Available Radiant floor heating has received increasing attention due to its diverse advantages, especially the energy saving as compared to the conventional dwelling heating system. This paper presents a numerical investigation of airflow and heat transfer in the slot-vented room with the radiant floor heating unit. Combination of fluid convection and thermal radiation has been implemented through the thermal boundary conditions. Spatial distributions of indoor air temperature and velocity, as well as the heat transfer rates along the radiant floor and the outer wall, have been presented and analyzed covering the domains from complete natural convection to forced convection dominated flows. The numerical results demonstrate that the levels of average temperature in the room with lateral slot-ventilation are higher than those without slot-ventilation, but lower than those in the room with ceiling slot-ventilation. Overall, the slot-ventilation room with radiant floor heating unit could offer better indoor air quality through increasing the indoor air temperature and fresh air exchanging rate simultaneously. Concerning the airborne pollutant transports and moisture condensations, the performance of radiant floor heating unit will be further optimized in our future researches.

  17. Surface radiant flux densities inferred from LAC and GAC AVHRR data

    Science.gov (United States)

    Berger, F.; Klaes, D.

    To infer surface radiant flux densities from current (NOAA-AVHRR, ERS-1/2 ATSR) and future meteorological (Envisat AATSR, MSG, METOP) satellite data, the complex, modular analysis scheme SESAT (Strahlungs- und Energieflüsse aus Satellitendaten) could be developed (Berger, 2001). This scheme allows the determination of cloud types, optical and microphysical cloud properties as well as surface and TOA radiant flux densities. After testing of SESAT in Central Europe and the Baltic Sea catchment (more than 400scenes U including a detailed validation with various surface measurements) it could be applied to a large number of NOAA-16 AVHRR overpasses covering the globe.For the analysis, two different spatial resolutions U local area coverage (LAC) andwere considered. Therefore, all inferred results, like global area coverage (GAC) U cloud cover, cloud properties and radiant properties, could be intercompared. Specific emphasis could be made to the surface radiant flux densities (all radiative balance compoments), where results for different regions, like Southern America, Southern Africa, Northern America, Europe, and Indonesia, will be presented. Applying SESAT, energy flux densities, like latent and sensible heat flux densities could also be determined additionally. A statistical analysis of all results including a detailed discussion for the two spatial resolutions will close this study.

  18. Simplified Building Thermal Model Used for Optimal Control of Radiant Cooling System

    Directory of Open Access Journals (Sweden)

    Lei He

    2016-01-01

    Full Text Available MPC has the ability to optimize the system operation parameters for energy conservation. Recently, it has been used in HVAC systems for saving energy, but there are very few applications in radiant cooling systems. To implement MPC in buildings with radiant terminals, the predictions of cooling load and thermal environment are indispensable. In this paper, a simplified thermal model is proposed for predicting cooling load and thermal environment in buildings with radiant floor. In this thermal model, the black-box model is introduced to derive the incident solar radiation, while the genetic algorithm is utilized to identify the parameters of the thermal model. In order to further validate this simplified thermal model, simulated results from TRNSYS are compared with those from this model and the deviation is evaluated based on coefficient of variation of root mean square (CV. The results show that the simplified model can predict the operative temperature with a CV lower than 1% and predict cooling loads with a CV lower than 10%. For the purpose of supervisory control in HVAC systems, this simplified RC thermal model has an acceptable accuracy and can be used for further MPC in buildings with radiation terminals.

  19. Ten questions about radiant heating and cooling systems

    DEFF Research Database (Denmark)

    Rhee, Kyu-Nam; Olesen, Bjarne W.; Kim, Kwang Woo

    2017-01-01

    studies on RHC systems in terms of comfort, heat transfer analysis, energy simulation, control strategy, system configurations and so on. Many studies have demonstrated that the RHC system is a good solution to improve indoor environmental quality while reducing building energy consumption for heating......Radiant heating and cooling (RHC) systems are being increasingly applied not only in residential but also in non-residential buildings such as commercial buildings, education facilities, and even large scale buildings such as airport terminals. Furthermore, with the combined ventilation system used...

  20. Radiant Heat Transfer in Reusable Surface Insulation

    Science.gov (United States)

    Hughes, T. A.; Linford, R. M. F.; Chmitt, R. J.; Christensen, H. E.

    1973-01-01

    During radiant testing of mullite panels, temperatures in the insulation and support structure exceeded those predicted on the basis of guarded hot plate thermal conductivity tests. Similar results were obtained during arc tunnel tests of mullite specimens. The differences between effective conductivity and guarded hot plate values suggested that radiant transfer through the mullite was occurring. To study the radiant transport, measurements were made of the infrared transmission through various insulating materials and fibers of interest to the shuttle program, using black body sources over the range of 780 to 2000 K. Experimental data were analyzed and scattering coefficients were derived for a variety of materials, fiber diameters, and source temperature.

  1. Use of local convective and radiant cooling at warm environment

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Krejcirikova, Barbora; Kaczmarczyk, Jan

    2012-01-01

    The effect of four local cooling devices (convective, radiant and combined) on SBS symptoms reported by 24 subjects at 28 ˚C and 50% RH was studied. The devices studied were: (1) desk cooling fan, (2) personalized ventilation providing clean air, (3) two radiant panels and (4) two radiant panels...... and with radiant panel with attached fans, which also helped people to feel less fatigue. The SBS symptoms increased the most when the cooling fan, generating movement of polluted room air, was used....

  2. Radiant heat testing of the H1224A shipping/storage container

    Energy Technology Data Exchange (ETDEWEB)

    Harding, D.C.; Bobbe, J.G.; Stenberg, D.R.; Arviso, M.

    1994-05-01

    H1224A weapons containers have been used for years by the Departments of Energy and Defense to transport and store W78 warhead midsections. Although designed to protect the midsections only from low-energy impacts, a recent transportation risk assessment effort has identified a need to evaluate the container`s ability to protect weapons in more severe accident environments. Four radiant heat tests were performed: two each on an H1224A container (with a Mk12a Mod 6c mass mock-up midsection inside) and two on a low-cost simulated H1224A container (with a hollow Mk12 aeroshell midsections inside). For each unit tested, temperatures were recorded at numerous points throughout the container and midsection during a 4-hour 121{degrees}C (250{degrees}F) and 30-minute 1010{degrees}C (1850{degrees}F) radiant environment. Measured peak temperatures experienced by the inner walls of the midsections as a result of exposure to the high-temperature radiant environment ranged from 650{degrees} C to 980{degrees} C (1200{degrees} F to 1800{degrees}F) for the H1224A container and 770 {degrees} to 990 {degrees}C (1420{degrees} F to 1810{degrees}F) for the simulated container. The majority of both containers were completely destroyed during the high-temperature test. Temperature profiles will be used to benchmark analytical models and predict warhead midsection temperatures over a wide range of the thermal accident conditions.

  3. Numerical Model and Experimental Analysis of the Thermal Behavior of Electric Radiant Heating Panels

    Directory of Open Access Journals (Sweden)

    Giovanni Ferrarini

    2018-01-01

    Full Text Available Electric radiant heating panels are frequently selected during the design phase of residential and industrial heating systems, especially for retrofit of existing buildings, as an alternative to other common heating systems, such as radiators or air conditioners. The possibility of saving living and working space and the ease of installation are the main advantages of electric radiant solutions. This paper investigates the thermal performance of a typical electric radiant panel. A climatic room was equipped with temperature sensors and heat flow meters to perform a steady state experimental analysis. For the dynamic behavior, a mathematical model was created and compared to a thermographic measurement procedure. The results showed for the steady state an efficiency of energy transformation close to one, while in a transient thermal regime the time constant to reach the steady state condition was slightly faster than the typical ones of hydronic systems.

  4. Analysis of excimer laser radiant exposure effect toward corneal ablation volume at LASIK procedure

    Science.gov (United States)

    Adiati, Rima Fitria; Rini Rizki, Artha Bona; Kusumawardhani, Apriani; Setijono, Heru; Rahmadiansah, Andi

    2016-11-01

    LASIK (Laser Asissted In Situ Interlamelar Keratomilieusis) is a technique for correcting refractive disorders of the eye such as myopia and astigmatism using an excimer laser. This procedure use photoablation technique to decompose corneal tissues. Although preferred due to its efficiency, permanency, and accuracy, the inappropriate amount radiant exposure often cause side effects like under-over correction, irregular astigmatism and problems on surrounding tissues. In this study, the radiant exposure effect toward corneal ablation volume has been modelled through several processes. Data collecting results is laser data specifications with 193 nm wavelength, beam diameter of 0.065 - 0.65 cm, and fluence of 160 mJ/cm2. For the medical data, the myopia-astigmatism value, cornea size, corneal ablation thickness, and flap data are taken. The first modelling step is determining the laser diameter between 0.065 - 0.65 cm with 0.45 cm increment. The energy, power, and intensity of laser determined from laser beam area. Number of pulse and total energy is calculated before the radiant exposure of laser is obtained. Next is to determine the parameters influence the ablation volume. Regression method used to create the equation, and then the spot size is substituted to the model. The validation used is statistic correlation method to both experimental data and theory. By the model created, it is expected that any potential complications can be prevented during LASIK procedures. The recommendations can give the users clearer picture to determine the appropriate amount of radiant exposure with the corneal ablation volume necessary.

  5. Dynamic heat transfer modeling and parametric study of thermoelectric radiant cooling and heating panel system

    International Nuclear Information System (INIS)

    Luo, Yongqiang; Zhang, Ling; Liu, Zhongbing; Wang, Yingzi; Wu, Jing; Wang, Xiliang

    2016-01-01

    Highlights: • Dynamic model of thermoelectric radiant panel system is established. • The internal parameters of thermoelectric module are dynamically calculated in simulation. • Both artificial neural networks model and system model are verified through experiment data. • Optimized system structure is obtained through parametric study. - Abstract: Radiant panel system can optimize indoor thermal comfort with lower energy consumption. The thermoelectric radiant panel (TERP) system is a new and effective prototype of radiant system using thermoelectric module (TEM) instead of conventional water pipes, as heat source. The TERP can realize more stable and easier system control as well as lower initial and operative cost. In this study, an improved system dynamic model was established by combining analytical system model and artificial neural networks (ANN) as well as the dynamic calculation functions of internal parameters of TEM. The double integral was used for the calculation of surface average temperature of TERP. The ANN model and system model were in good agreement with experiment data in both cooling and heating mode. In order to optimize the system design structure, parametric study was conducted in terms of the thickness of aluminum panel and insulation, as well as the arrangement of TEMs on the surface of radiant panel. It was found through simulation results that the optimum thickness of aluminum panel and insulation are respectively around 1–2 mm and 40–50 mm. In addition, TEMs should be uniformly installed on the surface of radiant panel and each TEM should stand at the central position of a square-shaped typical region with length around 0.387–0.548 m.

  6. Wearable Fall Detector using Integrated Sensors and Energy Devices

    Science.gov (United States)

    Jung, Sungmook; Hong, Seungki; Kim, Jaemin; Lee, Sangkyu; Hyeon, Taeghwan; Lee, Minbaek; Kim, Dae-Hyeong

    2015-11-01

    Wearable devices have attracted great attentions as next-generation electronic devices. For the comfortable, portable, and easy-to-use system platform in wearable electronics, a key requirement is to replace conventional bulky and rigid energy devices into thin and deformable ones accompanying the capability of long-term energy supply. Here, we demonstrate a wearable fall detection system composed of a wristband-type deformable triboelectric generator and lithium ion battery in conjunction with integrated sensors, controllers, and wireless units. A stretchable conductive nylon is used as electrodes of the triboelectric generator and the interconnection between battery cells. Ethoxylated polyethylenimine, coated on the surface of the conductive nylon electrode, tunes the work function of a triboelectric generator and maximizes its performance. The electrical energy harvested from the triboelectric generator through human body motions continuously recharges the stretchable battery and prolongs hours of its use. The integrated energy supply system runs the 3-axis accelerometer and related electronics that record human body motions and send the data wirelessly. Upon the unexpected fall occurring, a custom-made software discriminates the fall signal and an emergency alert is immediately sent to an external mobile device. This wearable fall detection system would provide new opportunities in the mobile electronics and wearable healthcare.

  7. A RADIANT AIR-CONDITIONING SYSTEM USING SOLAR-DRIVEN

    Directory of Open Access Journals (Sweden)

    S. A. ABDALLA

    2006-12-01

    Full Text Available Every air-conditioning system needs some fresh air to provide adequate ventilation air required to remove moisture, gases like ammonia and hydrogen sulphide, disease organisms, and heat from occupied spaces. However, natural ventilation is difficult to control because urban areas outside air is often polluted and cannot be supplied to inner spaces before being filtered. Besides the high electrical demand of refrigerant compression units used by most air-conditioning systems, and fans used to transport the cool air through the thermal distribution system draw a significant amount of electrical energy in comparison with electrical energy used by the building thermal conditioning systems. Part of this electricity heats the cooled air; thereby add to the internal thermal cooling peak load. In addition, refrigerant compression has both direct and indirect negative effects on the environment on both local and global scales. In seeking for innovative air-conditioning systems that maintain and improve indoor air quality under potentially more demanding performance criteria without increasing environmental impact, this paper presents radiant air-conditioning system which uses a solar-driven liquid desiccant evaporative cooler. The paper describes the proposed solar-driven liquid desiccant evaporative cooling system and the method used for investigating its performance in providing cold water for a radiant air-conditioning system in Khartoum (Central Sudan. The results of the investigation show that the system can operate in humid as well as dry climates and that employing such a system reduces air-conditioning peak electrical demands as compared to vapour compression systems.

  8. Electric radiant heating : a hot profitable idea

    Energy Technology Data Exchange (ETDEWEB)

    Lemieux, G. [Britech Corp., Toronto, ON (Canada)

    2006-09-15

    Due to the high cost of heating oil, natural gas and propane, floor mounted radiant heating systems are now proving to be a cost effective method of heating homes. The systems provide evenly distributed heat across the entire floor area. Unlike hydronic floor systems, radiant floor systems require no maintenance, and are easy to control because no mechanical rooms or boilers are required. The system is comprised of a series of resistant heating cables, a thermostat, and a solid state relay. The cables are installed in a poured concrete pad. Separate temperature control devices are used to heat individual areas of floorspace. Building automation systems can also control the heating system by using simple ambient air- and floor-mounted sensors in conjunction with relays to energize the heating cables. The cost of thermostats and heating cables to heat a standard 2000 square foot home are estimated at $9000.00, with an additional 64 hours of installation costs. It was noted that the systems may prove to be less costly in the long-term than hydronic systems, which require additional boilers, pumps and water treatments. Electric radiant heating can be an even more cost-effective application when used with thermal storage heating applications that use lower-cost off-peak electricity to generate and store heat in concrete floor slabs or ceramic bricks contained in insulated cabinets. It was concluded that radiant heating systems are a viable and cost-effective alternative to expensive hydronic systems, which are costly to install and maintain. 4 figs.

  9. Radiative heat exchange of a meteor body in the approximation of radiant heat conduction

    International Nuclear Information System (INIS)

    Pilyugin, N.N.; Chernova, T.A.

    1986-01-01

    The problem of the thermal and dynamic destruction of large meteor bodies moving in planetary atmospheres is fundamental for the clarification of optical observations and anomalous phenomena in the atmosphere, the determination of the physicochemical properties of meteoroids, and the explanation of the fall of remnants of large meteorites. Therefore, it is important to calculate the coefficient of radiant heat exchange (which is the determining factor under these conditions) for large meteor bodies as they move with hypersonic velocities in an atmosphere. The solution of this problem enables one to find the ablation of a meteorite during its aerodynamic heating and to determine the initial conditions for the solution of problems of the breakup of large bodies and their subsequent motion and ablation. Hypersonic flow of an inviscid gas stream over an axisymmetric blunt body is analyzed with allowance for radiative transfer in a thick-thin approximation. The gas-dynamic problem of the flow of an optically thick gas over a large body is solved by the method of asymptotic joined expansions, using a hypersonic approximation and local self-similarity. An equation is obtained for the coefficient of radiant heat exchange and the peculiarities of such heat exchange for meteor bodies of large size are noted

  10. Numerical study of influence of different dispersed components of crystal cloud on transmission of radiant energy

    Science.gov (United States)

    Shefer, Olga

    2017-11-01

    The calculated results of the transmission of visible and infrared radiation by an atmosphere layer involving ensembles of large preferentially oriented crystals and spherical particles are presented. To calculate extinction characteristics, the physical optics method and the Mie theory are applied. Among all atmospheric particles, both the small particles that are commensurable with the wavelength of the incident radiation and the large plates and the columns are distinguished by the most pronounced dependence of the transmission on spectra of radiant energy. The work illustrates features of influence of parameters of the particle size distribution, particle aspect ratios, orientation and particle refractive index, also polarization state of the incident radiation on the transmission. The predominant effect of the plates on the wavelength dependence of the transmission is shown. A separated and cooperative contributes of the large plates and the small volume shape particles to the common transmission by medium are considered.

  11. An Energy-Efficient Multi-Tier Architecture for Fall Detection Using Smartphones.

    Science.gov (United States)

    Guvensan, M Amac; Kansiz, A Oguz; Camgoz, N Cihan; Turkmen, H Irem; Yavuz, A Gokhan; Karsligil, M Elif

    2017-06-23

    Automatic detection of fall events is vital to providing fast medical assistance to the causality, particularly when the injury causes loss of consciousness. Optimization of the energy consumption of mobile applications, especially those which run 24/7 in the background, is essential for longer use of smartphones. In order to improve energy-efficiency without compromising on the fall detection performance, we propose a novel 3-tier architecture that combines simple thresholding methods with machine learning algorithms. The proposed method is implemented on a mobile application, called uSurvive, for Android smartphones. It runs as a background service and monitors the activities of a person in daily life and automatically sends a notification to the appropriate authorities and/or user defined contacts when it detects a fall. The performance of the proposed method was evaluated in terms of fall detection performance and energy consumption. Real life performance tests conducted on two different models of smartphone demonstrate that our 3-tier architecture with feature reduction could save up to 62% of energy compared to machine learning only solutions. In addition to this energy saving, the hybrid method has a 93% of accuracy, which is superior to thresholding methods and better than machine learning only solutions.

  12. Comparison of energy inputs in glasshouse double crop (fall and summer crops) tomato production

    Energy Technology Data Exchange (ETDEWEB)

    Ozkan, Burhan; Ceylan, R. Figen; Kizilay, Hatice [Faculty of Agriculture, Department of Agricultural Economics, Akdeniz University, Antalya 07070 (Turkey)

    2011-05-15

    The study examines energy use patterns and the relationship between energy inputs and yield for double crop (fall and summer) glasshouse tomato production in Antalya province, where is one of the most important greenhouse centres in Turkey. The data of the study was retrieved from 37 fall and 25 summer glasshouse tomato producers via face to face survey in 2007. The research findings revealed energy use values for inputs such as manure, electricity, chemical fertilizer and fuel. While the average yield per hectare is 25025.4 kg for enterprises involved in tomato production in fall, it is 22392.9 kg for summer production. The overall energy consumption is higher in fall production with 81362.2 MJ ha{sup -1} in comparison to summer production 63023.2 MJ ha{sup -1}. In addition, the specific energy requirement is 3521.2 MJ t{sup -1} and 2814.4 MJ t{sup -1} for fall and summer production in order and the energy efficiency was found out to be 0.31 kg MJ{sup -1} and 0.36 kg MJ{sup -1} respectively. Finally, the energy relationship was tested using the production relationship. The findings indicated that direct energy sources are effective in tomato yield for both of the two seasons. More clearly, the most significant energy input was electrical energy for summer production and a combination of electrical energy, human power and machinery for fall production. Yet, excess and unconscious use of chemical ingredients in glasshouse tomato production was confirmed as energy derived from chemical drugs leaded a declination in the yield for fall season. Therefore, the paper revealed energy relationship for double crop glasshouse tomato production in Antalya, being a reference for similar production methodologies. (author)

  13. Tunnel effect wave energy detection

    Science.gov (United States)

    Kaiser, William J. (Inventor); Waltman, Steven B. (Inventor); Kenny, Thomas W. (Inventor)

    1995-01-01

    Methods and apparatus for measuring gravitational and inertial forces, magnetic fields, or wave or radiant energy acting on an object or fluid in space provide an electric tunneling current through a gap between an electrode and that object or fluid in space and vary that gap with any selected one of such forces, magnetic fields, or wave or radiant energy acting on that object or fluid. These methods and apparatus sense a corresponding variation in an electric property of that gap and determine the latter force, magnetic fields, or wave or radiant energy in response to that corresponding variation, and thereby sense or measure such parameters as acceleration, position, particle mass, velocity, magnetic field strength, presence or direction, or wave or radiant energy intensity, presence or direction.

  14. Mathematical modelling, variational formulation and numerical simulation of the energy transfer process in a gray plate in the presence of a thermal radiant source

    International Nuclear Information System (INIS)

    Gama, R.M.S. da.

    1992-05-01

    The energy transfer process in a gray, opaque and rigid plate, heated by an external thermal radiant source, is considered. The source is regarded as a spherical black body, with radius a (a → 0) and uniform heat generation, placed above the plate. A mathematical model is constructed, assuming that the heat transfer from/to the plate takes place by thermal radiation. The obtained mathematical model is nonlinear. Is presented a suitable variational principle which is employed for simulating some particular cases. (author)

  15. Radiant Floor Cooling Systems

    DEFF Research Database (Denmark)

    Olesen, Bjarne W.

    2008-01-01

    In many countries, hydronic radiant floor systems are widely used for heating all types of buildings such as residential, churches, gymnasiums, hospitals, hangars, storage buildings, industrial buildings, and smaller offices. However, few systems are used for cooling.This article describes a floor...... cooling system that includes such considerations as thermal comfort of the occupants, which design parameters will influence the cooling capacity and how the system should be controlled. Examples of applications are presented....

  16. Error analysis of thermocouple measurements in the Radiant Heat Facility

    International Nuclear Information System (INIS)

    Nakos, J.T.; Strait, B.G.

    1980-12-01

    The measurement most frequently made in the Radiant Heat Facility is temperature, and the transducer which is used almost exclusively is the thermocouple. Other methods, such as resistance thermometers and thermistors, are used but very rarely. Since a majority of the information gathered at Radiant Heat is from thermocouples, a reasonable measure of the quality of the measurements made at the facility is the accuracy of the thermocouple temperature data

  17. Radiant Energy Measurements from a Scaled Jet Engine Axisymmetric Exhaust Nozzle for a Baseline Code Validation Case

    Science.gov (United States)

    Baumeister, Joseph F.

    1994-01-01

    A non-flowing, electrically heated test rig was developed to verify computer codes that calculate radiant energy propagation from nozzle geometries that represent aircraft propulsion nozzle systems. Since there are a variety of analysis tools used to evaluate thermal radiation propagation from partially enclosed nozzle surfaces, an experimental benchmark test case was developed for code comparison. This paper briefly describes the nozzle test rig and the developed analytical nozzle geometry used to compare the experimental and predicted thermal radiation results. A major objective of this effort was to make available the experimental results and the analytical model in a format to facilitate conversion to existing computer code formats. For code validation purposes this nozzle geometry represents one validation case for one set of analysis conditions. Since each computer code has advantages and disadvantages based on scope, requirements, and desired accuracy, the usefulness of this single nozzle baseline validation case can be limited for some code comparisons.

  18. Electric radiant heating or, why are plumbers getting our work?

    Energy Technology Data Exchange (ETDEWEB)

    Lemieux, G. [Britech, Toronto, ON (Canada)

    2009-02-15

    Electric radiant heating (ERH) technologies are now being installed in floors as a means of reducing heating costs. The radiant installations have seen a large increase in sales over the last decade, and are now being used in commercial applications. Sales of hydronic ERH systems have increased by 24 per cent over the last year. ERH systems are energy efficient and do not cause drafts. The systems consist of resistant heating cables installed within the floors of a room. The cables are supplied as loose cables and tracks with predetermined spacings or rugged, heavier cable that can be stapled onto wooden subfloors. Program temperature setbacks can be applied on a room-by-room basis. Electric thermal storage systems allow building owners to store heat in the floors and are ideal for use in combination with time-of-use electric metering. Some electric utilities are now promoting the use of electric thermal storage in order to reduce demand during peak times. Thermostats used with the systems should have floor sensors and ambient air sensors to control space heating in conjunction with the floor sensor. It was concluded that electrical contractors who gain knowledge in the application and installation of the systems will tap into a growing revenue stream. 5 figs.

  19. Electric radiant heating or, why are plumbers getting our work?

    International Nuclear Information System (INIS)

    Lemieux, G.

    2009-01-01

    Electric radiant heating (ERH) technologies are now being installed in floors as a means of reducing heating costs. The radiant installations have seen a large increase in sales over the last decade, and are now being used in commercial applications. Sales of hydronic ERH systems have increased by 24 per cent over the last year. ERH systems are energy efficient and do not cause drafts. The systems consist of resistant heating cables installed within the floors of a room. The cables are supplied as loose cables and tracks with predetermined spacings or rugged, heavier cable that can be stapled onto wooden subfloors. Program temperature setbacks can be applied on a room-by-room basis. Electric thermal storage systems allow building owners to store heat in the floors and are ideal for use in combination with time-of-use electric metering. Some electric utilities are now promoting the use of electric thermal storage in order to reduce demand during peak times. Thermostats used with the systems should have floor sensors and ambient air sensors to control space heating in conjunction with the floor sensor. It was concluded that electrical contractors who gain knowledge in the application and installation of the systems will tap into a growing revenue stream. 5 figs

  20. Human response to local convective and radiant cooling in a warm environment

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Krejcirikova, Barbora; Kaczmarczyk, Jan

    2013-01-01

    The response of 24 human subjects to local convective cooling, radiant cooling, and combined radiant and convective cooling was studied at 28°C and 50% relative humidity. The local cooling devices used were (1) a tabletop cooling fan, (2) personalized ventilation providing a stream of clean air, (3...

  1. Energy efficiency of electrical infrared heating elements

    International Nuclear Information System (INIS)

    Brown, K.J.; Farrelly, R.; O’Shaughnessy, S.M.; Robinson, A.J.

    2016-01-01

    Highlights: • Characterization of the radiant energy efficiency of infrared heating elements. • Performed for a commercially available ceramic heater element for two cases. • Total radiant power and net radiant efficiency is computed. • Radiant efficiencies are strongly dependant on the input power to the element. • In-plane efficiencies depend on the distance from the heater. - Abstract: A measurement system has been designed to characterize the radiant energy efficiency of infrared heating elements. The system also allows for measurement of the radiant heat flux distribution emitted from radiant heater assemblies. To facilitate these, a 6-axis robotic arm is fitted with a Schmidt–Boelter radiant heat flux gauge. A LabVIEW interface operates the robot and positions the sensor in the desired location and subsequently acquires the desired radiant heat flux measurement. To illustrate the functionality of the measurement system and methodology, radiant heat flux distributions and efficiency calculations are performed for a commercially available ceramic heater element for two cases. In the first, a spherical surface is traced around the entire heater assembly and the total radiant power and net radiant efficiency is computed. In the second, 50 cm × 50 cm vertical planes are traced parallel to the front face of the heater assembly at distances between 10 cm and 50 cm and the in-plane power and efficiencies are computed. The results indicate that the radiant efficiencies are strongly dependant on the input power to the element and, for the in-plane efficiencies, depend on the distance from the heater.

  2. Present and projected future mean radiant temperature for three European cities

    Science.gov (United States)

    Thorsson, Sofia; Rayner, David; Lindberg, Fredrik; Monteiro, Ana; Katzschner, Lutz; Lau, Kevin Ka-Lun; Campe, Sabrina; Katzschner, Antje; Konarska, Janina; Onomura, Shiho; Velho, Sara; Holmer, Björn

    2017-09-01

    Present-day and projected future changes in mean radiant temperature, T mrt in one northern, one mid-, and one southern European city (represented by Gothenburg, Frankfurt, and Porto), are presented, and the concept of hot spots is adopted. Air temperature, T a , increased in all cities by 2100, but changes in solar radiation due to changes in cloudiness counterbalanced or exacerbated the effects on T mrt. The number of days with high T mrt in Gothenburg was relatively unchanged at the end of the century (+1 day), whereas it more than doubled in Frankfurt and tripled in Porto. The use of street trees to reduce daytime radiant heat load was analyzed using hot spots to identify where trees could be most beneficial. Hot spots, although varying in intensity and frequency, were generally confined to near sunlit southeast-southwest facing walls, in northeast corner of courtyards, and in open spaces in all three cities. By adding trees in these spaces, the radiant heat load can be reduced, especially in spaces with no or few trees. A set of design principles for reducing the radiant heat load is outlined based on these findings and existing literature.

  3. Fixed, low radiant exposure vs. incremental radiant exposure approach for diode laser hair reduction: a randomized, split axilla, comparative single-blinded trial.

    Science.gov (United States)

    Pavlović, M D; Adamič, M; Nenadić, D

    2015-12-01

    Diode lasers are the most commonly used treatment modalities for unwanted hair reduction. Only a few controlled clinical trials but not a single randomized controlled trial (RCT) compared the impact of various laser parameters, especially radiant exposure, onto efficacy, tolerability and safety of laser hair reduction. To compare the safety, tolerability and mid-term efficacy of fixed, low and incremental radiant exposures of diode lasers (800 nm) for axillary hair removal, we conducted an intrapatient, left-to-right, patient- and assessor-blinded and controlled trial. Diode laser (800 nm) treatments were evaluated in 39 study participants (skin type II-III) with unwanted axillary hairs. Randomization and allocation to split axilla treatments were carried out by a web-based randomization tool. Six treatments were performed at 4- to 6-week intervals with study subjects blinded to the type of treatment. Final assessment of hair reduction was conducted 6 months after the last treatment by means of blinded 4-point clinical scale using photographs. The primary endpoint was reduction in hair growth, and secondary endpoints were patient-rated tolerability and satisfaction with the treatment, treatment-related pain and adverse effects. Excellent reduction in axillary hairs (≥ 76%) at 6-month follow-up visit after receiving fixed, low and incremental radiant exposure diode laser treatments was obtained in 59% and 67% of study participants respectively (Z value: 1.342, P = 0.180). Patients reported lower visual analogue scale (VAS) pain score on the fixed (4.26) than on the incremental radiant exposure side (5.64) (P diode laser treatments were less painful and better tolerated. © 2015 European Academy of Dermatology and Venereology.

  4. Three-dimensional simulation of super-radiant Smith-Purcell radiation

    International Nuclear Information System (INIS)

    Li, D.; Imasaki, K.; Yang, Z.; Park, Gun-Sik

    2006-01-01

    A simulation of coherent and super-radiant Smith-Purcell radiation is performed in the gigahertz regime using a three-dimensional particle-in-cell code. The simulation model supposes a rectangular grating to be driven by a single electron bunch and a train of periodic bunches, respectively. The true Smith-Purcell radiation is distinguished from the evanescent wave, which has an angle independent frequency lower than the minimum allowed Smith-Purcell frequency. We also find that the super-radiant radiations excited by periodic bunches are emitted at higher harmonics of the bunching frequency and at the corresponding Smith-Purcell angles

  5. Finite-elements modeling of radiant heat transfers between mobile surfaces; Modelisation par elements finis de transferts radiatifs entre surfaces mobiles

    Energy Technology Data Exchange (ETDEWEB)

    Daurelle, J V; Cadene, V; Occelli, R [Universite de Provence, 13 - Marseille (France)

    1997-12-31

    In the numerical modeling of thermal industrial problems, radiant heat transfers remain difficult to take into account and require important computer memory and long computing time. These difficulties are enhanced when radiant heat transfers are coupled with finite-elements diffusive heat transfers because finite-elements architecture is complex and requires a lot of memory. In the case of radiant heat transfers along mobile boundaries, the methods must be optimized. The model described in this paper concerns the radiant heat transfers between diffuse grey surfaces. These transfers are coupled with conduction transfers in the limits of the diffusive opaque domain. 2-D and 3-D geometries are analyzed and two configurations of mobile boundaries are considered. In the first configuration, the boundary follows the deformation of the mesh, while in the second, the boundary moves along the fixed mesh. Matter displacement is taken into account in the term of transport of the energy equation, and an appropriate variation of the thermophysical properties of the transition elements between the opaque and transparent media is used. After a description of the introduction of radiative limit conditions in a finite-elements thermal model, the original methods used to optimize calculation time are explained. Two examples of application illustrate the approach used. The first concerns the modeling of radiant heat transfers between fuel rods during a reactor cooling accident, and the second concerns the study of heat transfers inside the air-gap of an electric motor. The method of identification of the mobile surface on the fixed mesh is described. (J.S.) 12 refs.

  6. Finite-elements modeling of radiant heat transfers between mobile surfaces; Modelisation par elements finis de transferts radiatifs entre surfaces mobiles

    Energy Technology Data Exchange (ETDEWEB)

    Daurelle, J.V.; Cadene, V.; Occelli, R. [Universite de Provence, 13 - Marseille (France)

    1996-12-31

    In the numerical modeling of thermal industrial problems, radiant heat transfers remain difficult to take into account and require important computer memory and long computing time. These difficulties are enhanced when radiant heat transfers are coupled with finite-elements diffusive heat transfers because finite-elements architecture is complex and requires a lot of memory. In the case of radiant heat transfers along mobile boundaries, the methods must be optimized. The model described in this paper concerns the radiant heat transfers between diffuse grey surfaces. These transfers are coupled with conduction transfers in the limits of the diffusive opaque domain. 2-D and 3-D geometries are analyzed and two configurations of mobile boundaries are considered. In the first configuration, the boundary follows the deformation of the mesh, while in the second, the boundary moves along the fixed mesh. Matter displacement is taken into account in the term of transport of the energy equation, and an appropriate variation of the thermophysical properties of the transition elements between the opaque and transparent media is used. After a description of the introduction of radiative limit conditions in a finite-elements thermal model, the original methods used to optimize calculation time are explained. Two examples of application illustrate the approach used. The first concerns the modeling of radiant heat transfers between fuel rods during a reactor cooling accident, and the second concerns the study of heat transfers inside the air-gap of an electric motor. The method of identification of the mobile surface on the fixed mesh is described. (J.S.) 12 refs.

  7. Depression after low-energy fracture in older women predicts future falls: a prospective observational study

    Science.gov (United States)

    2011-01-01

    Background Falls are one of the main causes of fractures in elderly people and after a recent fracture, the risk of another fall is increased, resulting in subsequent fracture. Therefore, risk factors for future falls should be determined. We prospectively investigated the relationship between depression and the incidence of falls in post-menopausal women after a low-energy fracture. Methods At baseline, 181 women aged 60 years and older who presented with a recent low-energy fracture were evaluated at the fracture and osteoporosis outpatient clinics of two hospitals. As well as clinical evaluation and bone mineral density tests, the presence of depression (measured using the Edinburgh Depression Scale, EDS, depression cut-off > 11) and risk factors for falling were assessed. During two years of follow-up, the incidence of falls was registered annually by means of detailed questionnaires and interviews. Results Seventy-nine (44%) of the women sustained at least one fall during follow-up. Of these, 28% (n = 22) suffered from depression at baseline compared to 10% (n = 10) of the 102 women who did not sustain a fall during follow-up (Χ2 = 8.76, df = 1, p = .003). Multiple logistic regression showed that the presence of depression and co-morbidity at baseline were independently related to falls (OR = 4.13, 95% CI = 1.58-10.80; OR = 2.25, 95% CI = 1.11-4.56, respectively) during follow-up. Conclusions The presence of depression in women aged 60 years and older with recent low-energy fractures is an important risk factor for future falls. We propose that clinicians treating patients with recent low-energy fractures should anticipate not only on skeletal-related risk factors for fractures, but also on fall-related risk factors including depression. PMID:22060677

  8. Depression after low-energy fracture in older women predicts future falls: a prospective observational study

    Directory of Open Access Journals (Sweden)

    van den Berg Martha

    2011-11-01

    Full Text Available Abstract Background Falls are one of the main causes of fractures in elderly people and after a recent fracture, the risk of another fall is increased, resulting in subsequent fracture. Therefore, risk factors for future falls should be determined. We prospectively investigated the relationship between depression and the incidence of falls in post-menopausal women after a low-energy fracture. Methods At baseline, 181 women aged 60 years and older who presented with a recent low-energy fracture were evaluated at the fracture and osteoporosis outpatient clinics of two hospitals. As well as clinical evaluation and bone mineral density tests, the presence of depression (measured using the Edinburgh Depression Scale, EDS, depression cut-off > 11 and risk factors for falling were assessed. During two years of follow-up, the incidence of falls was registered annually by means of detailed questionnaires and interviews. Results Seventy-nine (44% of the women sustained at least one fall during follow-up. Of these, 28% (n = 22 suffered from depression at baseline compared to 10% (n = 10 of the 102 women who did not sustain a fall during follow-up (Χ2 = 8.76, df = 1, p = .003. Multiple logistic regression showed that the presence of depression and co-morbidity at baseline were independently related to falls (OR = 4.13, 95% CI = 1.58-10.80; OR = 2.25, 95% CI = 1.11-4.56, respectively during follow-up. Conclusions The presence of depression in women aged 60 years and older with recent low-energy fractures is an important risk factor for future falls. We propose that clinicians treating patients with recent low-energy fractures should anticipate not only on skeletal-related risk factors for fractures, but also on fall-related risk factors including depression.

  9. Radiant heat increases piglets’ use of the heated creep area on the critical days after birth

    DEFF Research Database (Denmark)

    Larsen, Mona Lilian Vestbjerg; Thodberg, Karen; Pedersen, Lene Juul

    2017-01-01

    The aim of the present study was to investigate how piglets’ use of a creep area is affected by using radiant heat compared to an incandescent light bulb. It was hypothesised that radiant heat would increase the use of the creep area. Twenty litters were randomly assigned to one of two heat sources...... in the creep area: (1) an incandescent light bulb (STANDARD, n=10) or (2) a radiant heat source (RADIANT, n=10) with five of each type of heat source in each of two batches. Observations on piglets’ position in the pen were made by scan sampling every ten minutes in a 4-hour period from 1100 to 1500 h on day 1......–7, 14 and 21 post partum. A higher percentage of piglets in the creep area was seen for RADIANT litters compared to STANDARD litters on day 2 (P=0.002) and day 3 (P=0.005), and percentage of piglets in the creep area increased for RADIANT litters from day 1 to 2 (P

  10. Performance analysis on solar-water compound source heat pump for radiant floor heating system

    Institute of Scientific and Technical Information of China (English)

    曲世林; 马飞; 仇安兵

    2009-01-01

    A solar-water compound source heat pump for radiant floor heating (SWHP-RFH) experimental system was introduced and analyzed. The SWHP-RFH system mainly consists of 11.44 m2 vacuum tube solar collector,1 000 L water tank assisted 3 kW electrical heater,a water source heat pump,the radiant floor heating system with cross-linked polyethylene (PE-X) of diameter 20 mm,temperature controller and solar testing system. The SWHP-RFH system was tested from December to February during the heating season in Beijing,China under different operation situations. The test parameters include the outdoor air temperature,solar radiation intensity,indoor air temperature,radiation floor average surface temperature,average surface temperature of the building envelope,the inlet and outlet temperatures of solar collector,the temperature of water tank,the heat medium temperatures of heat pump condenser side and evaporator side,and the power consumption includes the water source heat pump system,the solar source heat pump system,the auxiliary heater and the radiant floor heating systems etc. The experimental results were used to calculate the collector efficiency,heat pump dynamic coefficient of performance (COP),total energy consumption and seasonal heating performance during the heating season. The results indicate that the performance of the compound source heat pump system is better than that of the air source heat pump system. Furthermore,some methods are suggested to improve the thermal performance of each component and the whole SWHP-RFH system.

  11. Numerical analysis of diffuse ceiling ventilation and its integration with a radiant ceiling system

    DEFF Research Database (Denmark)

    Zhang, Chen; Heiselberg, Per Kvols; Chen, Qingyan

    2017-01-01

    A novel system combining diffuse ceiling ventilation and radiant ceiling was proposed recently, with the aim of providing energy efficient and comfort environment to office buildings. Designing of such a system is challenging because of complex interactions between the two subsystems and a large ......-uniformity air distribution and further led to the draught problem in the occupied zone. This system was recommended to apply in the small offices instead of large, open spaces....

  12. 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...

  13. Solar hybrid cooling system for high-tech offices in subtropical climate - Radiant cooling by absorption refrigeration and desiccant dehumidification

    International Nuclear Information System (INIS)

    Fong, K.F.; Chow, T.T.; Lee, C.K.; Lin, Z.; Chan, L.S.

    2011-01-01

    Highlights: → A solar hybrid cooling system is proposed for high-tech offices in subtropical climate. → An integration of radiant cooling, absorption refrigeration and desiccant dehumidification. → Year-round cooling and energy performances were evaluated through dynamic simulation. → Its annual primary energy consumption was lower than conventional system up to 36.5%. → The passive chilled beams were more energy-efficient than the active chilled beams. - Abstract: A solar hybrid cooling design is proposed for high cooling load demand in hot and humid climate. For the typical building cooling load, the system can handle the zone cooling load (mainly sensible) by radiant cooling with the chilled water from absorption refrigeration, while the ventilation load (largely latent) by desiccant dehumidification. This hybrid system utilizes solar energy for driving the absorption chiller and regenerating the desiccant wheel. Since a high chilled water temperature generated from the absorption chiller is not effective to handle the required latent load, desiccant dehumidification is therefore involved. It is an integration of radiant cooling, absorption refrigeration and desiccant dehumidification, which are powered up by solar energy. In this study, the application potential of the solar hybrid cooling system was evaluated for the high-tech offices in the subtropical climate through dynamic simulation. The high-tech offices are featured with relatively high internal sensible heat gains due to the intensive office electric equipment. The key performance indicators included the solar fraction and the primary energy consumption. Comparative study was also carried out for the solar hybrid cooling system using two common types of chilled ceilings, the passive chilled beams and active chilled beams. It was found that the solar hybrid cooling system was technically feasible for the applications of relatively higher cooling load demand. The annual primary energy

  14. Wearable Fall Detector using Integrated Sensors and Energy Devices

    OpenAIRE

    Sungmook Jung; Seungki Hong; Jaemin Kim; Sangkyu Lee; Taeghwan Hyeon; Minbaek Lee; Dae-Hyeong Kim

    2015-01-01

    Wearable devices have attracted great attentions as next-generation electronic devices. For the comfortable, portable, and easy-to-use system platform in wearable electronics, a key requirement is to replace conventional bulky and rigid energy devices into thin and deformable ones accompanying the capability of long-term energy supply. Here, we demonstrate a wearable fall detection system composed of a wristband-type deformable triboelectric generator and lithium ion battery in conjunction wi...

  15. Linearization of the interaction principle: Analytic Jacobians in the 'Radiant' model

    International Nuclear Information System (INIS)

    Spurr, R.J.D.; Christi, M.J.

    2007-01-01

    In this paper we present a new linearization of the Radiant radiative transfer model. Radiant uses discrete ordinates for solving the radiative transfer equation in a multiply-scattering anisotropic medium with solar and thermal sources, but employs the adding method (interaction principle) for the stacking of reflection and transmission matrices in a multilayer atmosphere. For the linearization, we show that the entire radiation field is analytically differentiable with respect to any surface or atmospheric parameter for which we require Jacobians (derivatives of the radiance field). Derivatives of the discrete ordinate solutions are based on existing methods developed for the LIDORT radiative transfer models. Linearization of the interaction principle is completely new and constitutes the major theme of the paper. We discuss the application of the Radiant model and its linearization in the Level 2 algorithm for the retrieval of columns of carbon dioxide as the main target of the Orbiting Carbon Observatory (OCO) mission

  16. Experimental evaluation of heat transfer coefficients between radiant ceiling and room

    DEFF Research Database (Denmark)

    Causone, Francesco; Corgnati, Stefano P.; Filippi, Marco

    2009-01-01

    The heat transfer coefficients between radiant surfaces and room are influenced by several parameters: surfaces temperature distributions, internal gains, air movements. The aim of this paper is to evaluate the heat transfer coefficients between radiant ceiling and room in typical conditions...... of occupancy of an office or residential building. Internal gains were therefore simulated using heated cylinders and heat losses using cooled surfaces. Evaluations were developed by means of experimental tests in an environmental chamber. Heat transfer coefficient may be expressed separately for radiation...

  17. Radiometric measurements of wall temperatures in the 800 K to 1150 K range for a quartz radiant heating tube

    International Nuclear Information System (INIS)

    Blevins, L.G.; Sivathanu, Y.R.; Gore, J.P.; Shahien, M.A.

    1995-01-01

    Many industrial applications require heat transfer to a load in an inert environment, which can be achieved by using gas-fired radiant tubes. A radiant tube consists of a flame confined in a cylindrical metal or ceramic chamber. The flame heats the tube wall, which in turn radiates to the load. One important characteristic of radiant heating tubes is wall temperature uniformity. Numerical models of radiant tubes have been used to predict wall temperatures, but there is a lack of experimental data for validation. Recently, Namazian et al., Singh and Gorski, and Peters et al. have measured wall temperature profiles of radiant tubes using thermocouples. 13 refs., 3 figs

  18. Hip fractures. Epidemiology, risk factors, falls, energy absorption, hip protectors, and prevention

    DEFF Research Database (Denmark)

    Lauritzen, J B

    1997-01-01

    have a high risk of hip fracture (annual rate of 5-6%), and the incidence of falls is about 1,500 falls/1,000 persons/year. Most hip fractures are a result of a direct trauma against the hip. The incidence of falls on the hip among nursing home residents is about 290 falls/1,000 persons/year and about......%, corresponding to 9 out of 247 residents saved from sustaining a hip fracture. The review points to the essentials of the development of hip fracture, which constitutes; risk of fall, type of fall, type of impact, energy absorption, and lastly bone strength, which is the ultimate and last permissive factor......The present review summarizes the pathogenic mechanisms leading to hip fracture based on epidemiological, experimental, and controlled studies. The estimated lifetime risk of hip fracture is about 14% in postmenopausal women and 6% in men. The incidence of hip fractures increases exponentially...

  19. 16 CFR Figure 3 to Subpart A of... - Flooring Radiant Tester Schematic Side Elevation

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Flooring Radiant Tester Schematic Side Elevation 3 Figure 3 to Subpart A of Part 1209 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION.... 1209, Subpt. A, Fig. 3 Figure 3 to Subpart A of Part 1209—Flooring Radiant Tester Schematic Side...

  20. Study on coal char ignition by radiant heat flux.

    Science.gov (United States)

    Korotkikh, A. G.; Slyusarskiy, K. V.

    2017-11-01

    The study on coal char ignition by CO2-continuous laser was carried out. The coal char samples of T-grade bituminous coal and 2B-grade lignite were studied via CO2-laser ignition setup. Ignition delay times were determined at ambient condition in heat flux density range 90-200 W/cm2. The average ignition delay time value for lignite samples were 2 times lower while this difference is larger in high heat flux region and lower in low heat flux region. The kinetic constants for overall oxidation reaction were determined using analytic solution of simplified one-dimensional heat transfer equation with radiant heat transfer boundary condition. The activation energy for lignite char was found to be less than it is for bituminous coal char by approximately 20 %.

  1. An experimental study of thermal comfort at different combinations of air and mean radiant temperature

    DEFF Research Database (Denmark)

    Simone, Angela; Olesen, Bjarne W.

    2009-01-01

    It is often discussed if a person prefers a low air temperature (ta) and a high mean radiant temperature (tr), vice-versa or it does not matter as long as the operative temperature is acceptable. One of the hypotheses is that it does not matter for thermal comfort but for perceived air quality......, a lower air temperature is preferred. This paper presents an experimental study with 30 human subjects exposed to three different combinations of air- and mean radiant temperature with an operative temperature around 23 °C. The subjects gave subjective evaluations of thermal comfort and perceived air...... quality during the experiments. The PMV-index gave a good estimation of thermal sensation vote (TSV) when the air and mean radiant temperature were the same. In the environment with different air- and mean radiant temperatures, a thermal comfort evaluation shows an error up to 1 scale unit on the 7-point...

  2. Super-radiant Smith–Purcell radiation from periodic line charges

    International Nuclear Information System (INIS)

    Li, D.; Hangyo, M.; Tsunawaki, Y.; Yang, Z.; Wei, Y.; Miyamoto, S; Asakawa, M.R.; Imasaki, K.

    2012-01-01

    Smith–Purcell radiation occurs when an electron passes close to the surface of a metallic grating. The radiation becomes coherent when the length of the electron bunch is smaller than the wavelength of the radiation. A train of periodic bunches can enhance the spectral intensity by changing the angular and spectral distribution of the radiation. This is called super-radiant Smith–Purcell radiation, and has been observed in experiments and particle-in-cell simulations. In this paper, we introduce a new method to study this effect by calculating the reflected waves of an incident evanescent wave from periodic line charges. The reflection coefficients are numerically computed, and the spectral distributions of the super-radiant radiation are demonstrated. These analytical results are in agreement with those obtained through part-in-cell simulations.

  3. Load calculations of radiant cooling systems for sizing the plant

    DEFF Research Database (Denmark)

    Bourdakis, Eleftherios; Kazanci, Ongun Berk; Olesen, Bjarne W.

    2015-01-01

    The aim of this study was, by using a building simulation software, to prove that a radiant cooling system should not be sized based on the maximum cooling load but at a lower value. For that reason six radiant cooling models were simulated with two control principles using 100%, 70% and 50......% of the maximum cooling load. It was concluded that all tested systems were able to provide an acceptable thermal environment even when the 50% of the maximum cooling load was used. From all the simulated systems the one that performed the best under both control principles was the ESCS ceiling system. Finally...... it was proved that ventilation systems should be sized based on the maximum cooling load....

  4. Cooling load calculation by the radiant time series method - effect of solar radiation models

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Alexandre M.S. [Universidade Estadual de Maringa (UEM), PR (Brazil)], E-mail: amscosta@uem.br

    2010-07-01

    In this work was analyzed numerically the effect of three different models for solar radiation on the cooling load calculated by the radiant time series' method. The solar radiation models implemented were clear sky, isotropic sky and anisotropic sky. The radiant time series' method (RTS) was proposed by ASHRAE (2001) for replacing the classical methods of cooling load calculation, such as TETD/TA. The method is based on computing the effect of space thermal energy storage on the instantaneous cooling load. The computing is carried out by splitting the heat gain components in convective and radiant parts. Following the radiant part is transformed using time series, which coefficients are a function of the construction type and heat gain (solar or non-solar). The transformed result is added to the convective part, giving the instantaneous cooling load. The method was applied for investigate the influence for an example room. The location used was - 23 degree S and 51 degree W and the day was 21 of January, a typical summer day in the southern hemisphere. The room was composed of two vertical walls with windows exposed to outdoors with azimuth angles equals to west and east directions. The output of the different models of solar radiation for the two walls in terms of direct and diffuse components as well heat gains were investigated. It was verified that the clear sky exhibited the less conservative (higher values) for the direct component of solar radiation, with the opposite trend for the diffuse component. For the heat gain, the clear sky gives the higher values, three times higher for the peek hours than the other models. Both isotropic and anisotropic models predicted similar magnitude for the heat gain. The same behavior was also verified for the cooling load. The effect of room thermal inertia was decreasing the cooling load during the peak hours. On the other hand the higher thermal inertia values are the greater for the non peak hours. The effect

  5. Optimum pulse duration and radiant exposure for vascular laser therapy of dark port-wine skin: a theoretical study

    International Nuclear Information System (INIS)

    Tunnell, James W.; Anvari, Bahman; Wang, Lihong V.

    2003-01-01

    Laser therapy for cutaneous hypervascular malformations such as port-wine stain birthmarks is currently not feasible for dark-skinned individuals. We study the effects of pulse duration, radiant exposure, and cryogen spray cooling (CSC) on the thermal response of skin, using a Monte Carlo based optical-thermal model. Thermal injury to the epidermis decreases with increasing pulse duration during irradiation at a constant radiant exposure; however, maintaining vascular injury requires that the radiant exposure also increase. At short pulse durations, only a minimal increase in radiant exposure is necessary for a therapeutic effect to be achieved because thermal diffusion from the vessels is minimal. However, at longer pulse durations the radiant exposure must be greatly increased. There exists an optimum pulse duration at which minimal damage to the epidermis and significant injury within the targeted vasculature occur. For example, the model predicts optimum pulse durations of approximately 1.5, 6, and 20 ms for vessel diameters of 40, 80, and 120 μm, respectively. Optimization of laser pulse duration and radiant exposure in combination with CSC may offer a means to treat cutaneous lesions in dark-skinned individuals

  6. Falling behind - Canada's lost clean energy jobs

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-05-15

    With the depletion of conventional resources and the increasing concerns about the environment, emphasis has been put on developing clean energy. Clean energy is expected to become one of the main industrial sectors within the next decade, thus creating numerous jobs. While significant investments have been made by several countries to shift to clean energy, Canada is investing in highly polluting resources such as the tar sands. It is shown that if Canada were to match U.S. efforts in terms of clean energy on a per person basis, they would need to invest 11 billion additional dollars and this would result in the creation of 66,000 clean energy jobs. This paper showed that Canada is falling behind in terms of clean energy and the authors recommend that the Canadian government match U.S. investments and design policies in support of clean energy and put a price on carbon so as to favor the development of the clean energy sector and its consequent job creation.

  7. Evaluation of Various Retrofitting Concepts of Building Envelope for Offices Equipped with Large Radiant Ceiling Panels by Dynamic Simulations

    Directory of Open Access Journals (Sweden)

    Sabina Jordan

    2015-09-01

    Full Text Available In order to achieve significant savings in energy and an improved level of thermal comfort in retrofitted existing buildings, specific retrofitting concepts that combine new technologies and design need to be developed and implemented. Large radiant surfaces systems are now among the most promising future technologies to be used both in retrofitted and in new low-energy buildings. These kinds of systems have been the topic of several studies dealing with thermal comfort and energy utilization, but some specific issues concerning their possible use in various concepts for retrofitting are still poorly understood. In the present paper, some results of dynamic simulations, with the transient system simulation tool (TRNSYS model, of the retrofitted offices equipped with radiant ceiling panels are presented and thoroughly analysed. Based on a precise comparison of the results of these simulations with actual measurements in the offices, certain input data for the model were added, so that the model was consequently validated. The model was then applied to the evaluation of various concepts of building envelopes for office retrofitting. By means of dynamic simulations of indoor environment it was possible to determine the benefits and limitations of individual retrofitting concepts. Some specific parameters, which are relevant to these concepts, were also identified.

  8. Automatic drawing and CAD actualization in processing data of radiant sampling in physics prospect

    International Nuclear Information System (INIS)

    Liu Jinsheng

    2010-01-01

    In this paper discussed a method of processing radiant sampling data with computer. By this method can get expain the curve of radiant sampling data, and we can combine mineral masses and analyse and calculate them, then record the result on Notebook. There are many merites of this method: easy to learn, simple to use, high efficient. It adapts to all sorts of mines. (authors)

  9. Automatic drawing and cad actualiztion in processing data of radiant sampling in physics prospect

    International Nuclear Information System (INIS)

    Liu Jinsheng

    2010-01-01

    In this paper discussed a method of processing radiant sampling data with computer. By this method can get explain the curve of radiant sampling data, and we can combine mineral masses and analyses and calculate them, then record the result on Notebook. There are many merites of this method: easy to learn, simple to use, high efficient. It adapts to all sorts of mines. (authors)

  10. Electric radiant heating: A hot item in home comfort

    Energy Technology Data Exchange (ETDEWEB)

    Lemieux, G. [Britech Corp., Toronto, ON (Canada)

    2003-12-01

    Electric radiant heating as a floor warming system and its growing popularity in home comfort are discussed. Price can be as low as $2.00 per square foot; cost of operation may be as little as 30 cents per square foot per year, depending on time of use and local hydro rates. The use of radiant cable heating is said to have surged in popularity; it provides the same warmth and comfort as more expensive hydronic systems. Radiant cable is simple and inexpensive to install since unlike hydronic systems, it requires no complicated mechanical system with boiler, heat exchanger, valves, pumps and extensive controls. Nevertheless, prospective end users are warned to make sure that the cable is sturdy, tough, has multiple layers of protection with a thick grounding system and conductor core. In addition to heating floors, electric heating cables can also be used for snow and ice control and for melting in driveways and gutters. In these type of installations heavy duty cables are used which are installed under asphalt, concrete or interlocking stones. Thirty watts per square foot per hour is the typical requirement for melting snow and ice. Based on average electricity prices in Ontario, melting snow on an 800 square foot driveway would cost about $2.20 per hour. Assuming five hours for the system to clear the driveway, installing a heating system under the driveway could be an economically viable solution for the home owner, providing freedom from ice, the inconvenience of shovelling snow, and saving time and money.

  11. The relationship between radiant heat, air temperature and thermal comfort at rest and exercise.

    Science.gov (United States)

    Guéritée, Julien; Tipton, Michael J

    2015-02-01

    The aims of the present work were to investigate the relationships between radiant heat load, air velocity and body temperatures with or without coincidental exercise to determine the physiological mechanisms that drive thermal comfort and thermoregulatory behaviour. Seven male volunteers wearing swimming trunks in 18°C, 22°C or 26°C air were exposed to increasing air velocities up to 3 m s(-1) and self-adjusted the intensity of the direct radiant heat received on the front of the body to just maintain overall thermal comfort, at rest or when cycling (60 W, 60 rpm). During the 30 min of the experiments, skin and rectal temperatures were continuously recorded. We hypothesized that mean body temperature should be maintained stable and the intensity of the radiant heat and the mean skin temperatures would be lower when cycling. In all conditions, mean body temperature was lower when facing winds of 3 m s(-1) than during the first 5 min, without wind. When facing winds, in all but the 26°C air, the radiant heat was statistically higher at rest than when exercising. In 26°C air mean skin temperature was lower at rest than when exercising. No other significant difference was observed. In all air temperatures, high correlation coefficients were observed between the air velocity and the radiant heat load. Other factors that we did not measure may have contributed to the constant overall thermal comfort status despite dropping mean skin and body temperatures. It is suggested that the allowance to behaviourally adjust the thermal environment increases the tolerance of cold discomfort. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Cooling load calculations of radiant and all-air systems for commercial buildings

    DEFF Research Database (Denmark)

    Bourdakis, Eleftherios; Bauman, Fred; Schiavon, Stefano

    The authors simulated in TRNSYS three radiant systems coupled with a 50% sized variable air volume (VAV) system and a 50% sized all-air VAV system with night ventilation. The objective of this study was to identify the differences in the cooling load profiles of the examined systems when they are......The authors simulated in TRNSYS three radiant systems coupled with a 50% sized variable air volume (VAV) system and a 50% sized all-air VAV system with night ventilation. The objective of this study was to identify the differences in the cooling load profiles of the examined systems when...

  13. Radiant heat loss, an unexploited path for heat stress reduction in shaded cattle.

    Science.gov (United States)

    Berman, A; Horovitz, T

    2012-06-01

    Reducing thermal radiation on shaded animals reduces heat stress independently of other means of stress relief. Radiant heat exchange was estimated as a function of climate, shade structure, and animal density. Body surface portion exposed to radiant sources in shaded environments was determined by geometrical relations to determine angles of view of radiation sources (roof underside, sky, sun-exposed ground, shaded ground) on the animal's surface. The relative representation of environment radiation sources on the body surface was determined. Animal thermal radiation balance was derived from radiant heat gained from radiation sources (including surrounding animals) and that lost from the animal surface. The animal environment was assumed to have different shade dimensions and temperatures. These were summed to the radiant heat balance of the cow. The data formed served to estimate the effect of changes in intensity of radiation sources, roof and shaded surface dimensions, and animal density on radiant heat balance (Rbal) of cattle. Roof height effect was expressed by effect of roof temperature on Rbal. Roof underside temperature (35 to 75°C) effect on Rbal was reduced by roof height. If roof height were 4m, an increase in its underside temperature from 35 to 75°C would increase mean Rbal from -63 to -2 W·m⁻², whereas if roof height were 10 m, Rbal would only increase from -99 to -88 W·m⁻². A hot ground temperature increase from 35 to 65°C reduced mean Rbal heat loss from -45 to 3 W·m⁻². Increasing the surface of the shaded area had only a minor effect on Rbal and on the effect of hot ground on Rbal. Increasing shade roof height reduced the effect of roof temperature on Rbal to minor levels when height was > 8m. Increasing the roof height from 4 to 10 m decreased Rbal from -32 to -94 W·m⁻². Increasing indirect radiation from 100 to 500 W·m⁻² was associated with an increase in Rbal from -135 to +23 W·m⁻². Their combined effects were lower

  14. Effects of cryogen spray cooling and high radiant exposures on selective vascular injury during laser irradiation of human skin.

    Science.gov (United States)

    Tunnell, James W; Chang, David W; Johnston, Carol; Torres, Jorge H; Patrick, Charles W; Miller, Michael J; Thomsen, Sharon L; Anvari, Bahman

    2003-06-01

    Increasing radiant exposure offers a means to increase treatment efficacy during laser-mediated treatment of vascular lesions, such as port-wine stains; however, excessive radiant exposure decreases selective vascular injury due to increased heat generation within the epidermis and collateral damage to perivascular collagen. To determine if cryogen spray cooling could be used to maintain selective vascular injury (ie, prevent epidermal and perivascular collagen damage) when using high radiant exposures (16-30 J/cm2). Observational study. Academic hospital and research laboratory. Twenty women with normal abdominal skin (skin phototypes I-VI). Skin was irradiated with a pulsed dye laser (wavelength = 585 nm; pulse duration = 1.5 milliseconds; 5-mm-diameter spot) using various radiant exposures (8-30 J/cm2) without and with cryogen spray cooling (50- to 300-millisecond cryogen spurts). Hematoxylin-eosin-stained histologic sections from each irradiated site were examined for the degree of epidermal damage, maximum depth of red blood cell coagulation, and percentage of vessels containing perivascular collagen coagulation. Long cryogen spurt durations (>200 milliseconds) protected the epidermis in light-skinned individuals (skin phototypes I-IV) at the highest radiant exposure (30 J/cm2); however, epidermal protection could not be achieved in dark-skinned individuals (skin phototypes V-VI) even at the lowest radiant exposure (8 J/cm2). The red blood cell coagulation depth increased with increasing radiant exposure (to >2.5 mm for skin phototypes I-IV and to approximately 1.2 mm for skin phototypes V-VI). In addition, long cryogen spurt durations (>200 milliseconds) prevented perivascular collagen coagulation in all skin types. Cryogen spurt durations much longer than those currently used in therapy (>200 milliseconds) may be clinically useful for protecting the epidermis and perivascular tissues when using high radiant exposures during cutaneous laser therapies

  15. Analysis of Mechanical Energy Transport on Free-Falling Wedge during Water-Entry Phase

    Directory of Open Access Journals (Sweden)

    Wen-Hua Wang

    2012-01-01

    Full Text Available For better discussing and understanding the physical phenomena and body-fluid interaction of water-entry problem, here mechanical-energy transport (wedge, fluid, and each other of water-entry model for free falling wedge is studied by numerical method based on free surface capturing method and Cartesian cut cell mesh. In this method, incompressible Euler equations for a variable density fluid are numerically calculated by the finite volume method. Then artificial compressibility method, dual-time stepping technique, and Roe's approximate Riemann solver are applied in the numerical scheme. Furthermore, the projection method of momentum equations and exact Riemann solution are used to calculate the fluid pressure on solid boundary. On this basis, during water-entry phase of the free-falling wedge, macroscopic energy conversion of overall body-fluid system and microscopic energy transformation in fluid field are analyzed and discussed. Finally, based on test cases, many useful conclusions about mechanical energy transport for water entry problem are made and presented.

  16. Electron energy distribution function in a cathode fall region of DC-glow discharge

    International Nuclear Information System (INIS)

    Elakshar, F.F.; Garamoon, A.A.; Hassouba, M.A.

    1997-01-01

    Recently a substantial effort has been devoted towards the development of a quantitative microscopic measurements in the cathode fall region of the DC-glow discharge magnetron sputtering unit. The electron energy distribution function (EEDF) has been measured using a single Langmuir probe at the edge of the cathode fall. Two groups of electrons are observed in helium and argon gas discharges. The two groups have no chance to be thermalized since they leave the cathode fall region fast. The electron temperature measurements have been compared with spectroscopic determination. Plasma density has been computed and compared with probe measurements. Sources of the two groups of electrons are also discussed. (author)

  17. Measurement of radiant properties of ceramic foam

    International Nuclear Information System (INIS)

    Hoornstra, J.; Turecky, M.; Maatman, D.

    1994-07-01

    An experimental facility is described for the measurement of the normal spectral and total emissivity and transmissivity of semi-transparent materials in the temperature range of 600 C to 1200 C. The set-up was used for the measurement of radiation properties of highly porous ceramic foam which is used in low NO x radiant burners. Emissivity and transmissivity data were measured and are presented for coated and uncoated ceramic foam of different thicknesses. (orig.)

  18. Thermal Conditions in a Simulated Office Environment with Convective and Radiant Cooling Systems

    DEFF Research Database (Denmark)

    Mustakallio, Panu; Bolashikov, Zhecho Dimitrov; Kostov, Kalin

    2013-01-01

    velocity and turbulent intensity were measured and draft rate levels calculated in the room. Manikin-based equivalent temperature (MBET) was determined by two thermal manikins to identify the impact of the local thermal conditions generated by the studied systems on occupants’ thermal comfort. The results......The thermal conditions in a two person office room were measured with four air conditioning systems: chilled beam (CB), chilled beam with radiant panel (CBR), chilled ceiling with ceiling installed mixing ventilation (CCMV) and four desk partition mounted local radiant cooling panels with mixing...

  19. Characteristics of infrared thermometers manufactured in Japan and calibration methods for sky radiant emittance

    International Nuclear Information System (INIS)

    Wang, X.; Horiguchi, I.; Machimura, T.

    1993-01-01

    Infrared thermometers to measure surface temperature have been increasingly adopted in recent years. The characteristics of the IR thermometer, however, are not well known.IR thermometers manufactured in Japan systematically adjust for ambient radiation based on the internal temperature of the thermometer. If, therefore, there is a large difference between the internal temperature of the IR thermometer and the apparent temperature associated with the surrounding radiation, a large error will be induced into the measured surface temperature.The purpose of our research was to determine the characteristics and measurement errors of IR thermometers. Experiments were performed with regard to the following items: (1) Measurement errors related to the internal temperature of the IR thermometer. (2) Linearity of the output signal of the IR thermometer. (3) Response of the output signal to changes in the emissivity setting. (4) Effect of sky radiant emittance on the measured surface temperature. (5) Calibration method for the terrestrial surface.The following is a summary of the results: Measurement error is affected by the internal temperature of the IR thermometer. Measurement accuracy is improved with a controlled internal temperature of 20-30°C. The measurement error becomes larger at emissivity settings under 0.7.The measurement error outdoors was not proportional to the downward longwave radiation, but to the sky radiant temperature measured by the IR thermometer. Calibration for sky radiant emittance was improved by using the difference between sky radiant temperature and air temperature.When the surface temperature measured by the infrared thermometer is plotted against the surface temperature measured by thermocouple, the sky radiant emittance error is obtained from the Y intercept. Additionally, the difference between true temperature and output of the IR thermometer for a reference plate was compared to that obtained for vegetation, and the RMS obtained was

  20. Inverse optimal design of the radiant heating in materials processing and manufacturing

    Science.gov (United States)

    Fedorov, A. G.; Lee, K. H.; Viskanta, R.

    1998-12-01

    Combined convective, conductive, and radiative heat transfer is analyzed during heating of a continuously moving load in the industrial radiant oven. A transient, quasi-three-dimensional model of heat transfer between a continuous load of parts moving inside an oven on a conveyor belt at a constant speed and an array of radiant heaters/burners placed inside the furnace enclosure is developed. The model accounts for radiative exchange between the heaters and the load, heat conduction in the load, and convective heat transfer between the moving load and oven environment. The thermal model developed has been used to construct a general framework for an inverse optimal design of an industrial oven as an example. In particular, the procedure based on the Levenberg-Marquardt nonlinear least squares optimization algorithm has been developed to obtain the optimal temperatures of the heaters/burners that need to be specified to achieve a prescribed temperature distribution of the surface of a load. The results of calculations for several sample cases are reported to illustrate the capabilities of the procedure developed for the optimal inverse design of an industrial radiant oven.

  1. Radiant{trademark} Liquid Radioisotope Intravascular Radiation Therapy System

    Energy Technology Data Exchange (ETDEWEB)

    Eigler, N.; Whiting, J.; Chernomorsky, A.; Jackson, J.; Knapp, F.F., Jr.; Litvack, F.

    1998-01-16

    RADIANT{trademark} is manufactured by United States Surgical Corporation, Vascular Therapies Division, (formerly Progressive Angioplasty Systems). The system comprises a liquid {beta}-radiation source, a shielded isolation/transfer device (ISAT), modified over-the-wire or rapid exchange delivery balloons, and accessory kits. The liquid {beta}-source is Rhenium-188 in the form of sodium perrhenate (NaReO{sub 4}), Rhenium-188 is primarily a {beta}-emitter with a physical half-life of 17.0 hours. The maximum energy of the {beta}-particles is 2.1 MeV. The source is produced daily in the nuclear pharmacy hot lab by eluting a Tungsten-188/Rhenium-188 generator manufactured by Oak Ridge National Laboratory (ORNL). Using anion exchange columns and Millipore filters the effluent is concentrated to approximately 100 mCi/ml, calibrated, and loaded into the (ISAT) which is subsequently transported to the cardiac catheterization laboratory. The delivery catheters are modified Champion{trademark} over-the-wire, and TNT{trademark} rapid exchange stent delivery balloons. These balloons have thickened polyethylene walls to augment puncture resistance; dual radio-opaque markers and specially configured connectors.

  2. Radiant zone heated particulate filter

    Science.gov (United States)

    Gonze, Eugene V [Pinckney, MI

    2011-12-27

    A system includes a particulate matter (PM) filter including an upstream end for receiving exhaust gas and a downstream end. A radiant zoned heater includes N zones, where N is an integer greater than one, wherein each of the N zones includes M sub-zones, where M is an integer greater than or equal to one. A control module selectively activates at least a selected one of the N zones to initiate regeneration in downstream portions of the PM filter from the one of the N zones, restricts exhaust gas flow in a portion of the PM filter that corresponds to the selected one of the N zones, and deactivates non-selected ones of the N zones.

  3. 16 CFR Figure 4 to Subpart A of... - Flooring Radiant Panel Tester Schematic Low Flux End, Elevation

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Flooring Radiant Panel Tester Schematic Low Flux End, Elevation 4 Figure 4 to Subpart A of Part 1209 Commercial Practices CONSUMER PRODUCT SAFETY... Standard Pt. 1209, Subpt. A, Fig. 4 Figure 4 to Subpart A of Part 1209—Flooring Radiant Panel Tester...

  4. Applicability of meteor radiant determination methods depending on orbit type. I. High-eccentric orbits

    Science.gov (United States)

    Svoren, J.; Neslusan, L.; Porubcan, V.

    1993-07-01

    It is evident that there is no uniform method of calculating meteor radiants which would yield reliable results for all types of cometary orbits. In the present paper an analysis of this problem is presented, together with recommended methods for various types of orbits. Some additional methods resulting from mathematical modelling are presented and discussed together with Porter's, Steel-Baggaley's and Hasegawa's methods. In order to be able to compare how suitable the application of the individual radiant determination methods is, it is necessary to determine the accuracy with which they approximate real meteor orbits. To verify the accuracy with which the orbit of a meteoroid with at least one node at 1 AU fits the original orbit of the parent body, we applied the Southworth-Hawkins D-criterion (Southworth, R.B., Hawkins, G.S.: 1963, Smithson. Contr. Astrophys 7, 261). D0.2 the fit is rather poor and the change of orbit unrealistic. The optimal methods with the smallest values of D for given types of orbits are shown in two series of six plots. The new method of rotation around the line of apsides we propose is very appropriate in the region of small inclinations. There is no doubt that Hasegawa's omega-adjustment method (Hasegawa, I.: 1990, Publ. Astron. Soc. Japan 42, 175) has the widest application. A comparison of the theoretical radiants with the observed radiants of seven known meteor showers is also presented.

  5. General Relativistic Radiant Shock Waves in the Post-Quasistatic Approximation

    Energy Technology Data Exchange (ETDEWEB)

    H, Jorge A Rueda [Centro de Fisica Fundamental, Universidad de Los Andes, Merida 5101, Venezuela Escuela de Fisica, Universidad Industrial de Santander, A.A. 678, Bucaramanga (Colombia); Nunez, L A [Centro de Fisica Fundamental, Universidad de Los Andes, Merida 5101, Venezuela Centro Nacional de Calculo Cientifico, Universidad de Los Andes, CeCalCULA, Corporacion Parque Tecnologico de Merida, Merida 5101, Venezuela (Venezuela)

    2007-05-15

    An evolution of radiant shock wave front is considered in the framework of a recently presented method to study self-gravitating relativistic spheres, whose rationale becomes intelligible and finds full justification within the context of a suitable definition of the post-quasistatic approximation. The spherical matter configuration is divided into two regions by the shock and each side of the interface having a different equation of state and anisotropic phase. In order to simulate dissipation effects due to the transfer of photons and/or neutrinos within the matter configuration, we introduce the flux factor, the variable Eddington factor and a closure relation between them. As we expected the strong of the shock increases the speed of the fluid to relativistic ones and for some critical values is larger than light speed. In addition, we find that energy conditions are very sensible to the anisotropy, specially the strong energy condition. As a special feature of the model, we find that the contribution of the matter and radiation to the radial pressure are the same order of magnitude as in the mant as in the core, moreover, in the core radiation pressure is larger than matter pressure.

  6. General Relativistic Radiant Shock Waves in the Post-Quasistatic Approximation

    International Nuclear Information System (INIS)

    H, Jorge A Rueda; Nunez, L A

    2007-01-01

    An evolution of radiant shock wave front is considered in the framework of a recently presented method to study self-gravitating relativistic spheres, whose rationale becomes intelligible and finds full justification within the context of a suitable definition of the post-quasistatic approximation. The spherical matter configuration is divided into two regions by the shock and each side of the interface having a different equation of state and anisotropic phase. In order to simulate dissipation effects due to the transfer of photons and/or neutrinos within the matter configuration, we introduce the flux factor, the variable Eddington factor and a closure relation between them. As we expected the strong of the shock increases the speed of the fluid to relativistic ones and for some critical values is larger than light speed. In addition, we find that energy conditions are very sensible to the anisotropy, specially the strong energy condition. As a special feature of the model, we find that the contribution of the matter and radiation to the radial pressure are the same order of magnitude as in the mant as in the core, moreover, in the core radiation pressure is larger than matter pressure

  7. Towards a uniform specification of light therapy devices for the treatment of affective disorders and use for non-image forming effects: Radiant flux.

    Science.gov (United States)

    Aarts, M P J; Rosemann, A L P

    2018-08-01

    For treating affective disorders like SAD, light therapy is used although the underlying mechanism explaining this success remains unclear. To accelerate the research on defining the light characteristics responsible for inducing a specific effect a uniform manner for specifying the irradiance at the eye should be defined. This allows a genuine comparison between light-affect studies. An important factor impacting the irradiance at the eye are the radiant characteristics of the used light therapy device. In this study the radiant fluxes of five different light therapy devices were measured. The values were weighted against the spectral sensitivity of the five photopigments present in the human eye. A measurement was taken every five minutes to control for a potential stabilizing effect. The results show that all five devices show large differences in radiant flux. The devices equipped with blue LED lights have a much lower spectral radiant flux than the devices equipped with a fluorescent light source or a white LED. The devices with fluorescent lamps needed 30 min to stabilize to a constant radiant flux. In this study only five devices were measured. Radiant flux is just the first step to identify uniform specifications for light therapy devices. It is recommended to provide all five α-opic radiant fluxes. Preferably, the devices should come with a spectral power distribution of the radiant flux. For the devices equipped with a fluorescent lamp it is recommended to provide information on the stabilization time. Copyright © 2018 Elsevier B.V. All rights reserved.

  8. Reducing heat loss from the energy absorber of a solar collector

    Science.gov (United States)

    Chao, Bei Tse; Rabl, Ari

    1976-01-01

    A device is provided for reducing convective heat loss in a cylindrical radiant energy collector. It includes a curved reflective wall in the shape of the arc of a circle positioned on the opposite side of the exit aperture from the reflective side walls of the collector. Radiant energy exiting the exit aperture is directed by the curved wall onto an energy absorber such that the portion of the absorber upon which the energy is directed faces downward to reduce convective heat loss from the absorber.

  9. Theoretical Analysis of Interferometer Wave Front Tilt and Fringe Radiant Flux on a Rectangular Photodetector

    Directory of Open Access Journals (Sweden)

    Franz Konstantin Fuss

    2013-09-01

    Full Text Available This paper is a theoretical analysis of mirror tilt in a Michelson interferometer and its effect on the radiant flux over the active area of a rectangular photodetector or image sensor pixel. It is relevant to sensor applications using homodyne interferometry where these opto-electronic devices are employed for partial fringe counting. Formulas are derived for radiant flux across the detector for variable location within the fringe pattern and with varying wave front angle. The results indicate that the flux is a damped sine function of the wave front angle, with a decay constant of the ratio of wavelength to detector width. The modulation amplitude of the dynamic fringe pattern reduces to zero at wave front angles that are an integer multiple of this ratio and the results show that the polarity of the radiant flux changes exclusively at these multiples. Varying tilt angle causes radiant flux oscillations under an envelope curve, the frequency of which is dependent on the location of the detector with the fringe pattern. It is also shown that a fringe count of zero can be obtained for specific photodetector locations and wave front angles where the combined effect of fringe contraction and fringe tilt can have equal and opposite effects. Fringe tilt as a result of a wave front angle of 0.05° can introduce a phase measurement difference of 16° between a photodetector/pixel located 20 mm and one located 100 mm from the optical origin.

  10. Mapping temperature and radiant geothermal heat flux anomalies in the Yellowstone geothermal system using ASTER thermal infrared data

    Science.gov (United States)

    Vaughan, R. Greg; Lowenstern, Jacob B.; Keszthelyi, Laszlo P.; Jaworowski, Cheryl; Heasler, Henry

    2012-01-01

    The purpose of this work was to use satellite-based thermal infrared (TIR) remote sensing data to measure, map, and monitor geothermal activity within the Yellowstone geothermal area to help meet the missions of both the U.S. Geological Survey Yellowstone Volcano Observatory and the Yellowstone National Park Geology Program. Specifically, the goals were to: 1) address the challenges of remotely characterizing the spatially and temporally dynamic thermal features in Yellowstone by using nighttime TIR data from the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) and 2) estimate the temperature, geothermal radiant emittance, and radiant geothermal heat flux (GHF) for Yellowstone’s thermal areas (both Park wide and for individual thermal areas). ASTER TIR data (90-m pixels) acquired at night during January and February, 2010, were used to estimate surface temperature, radiant emittance, and radiant GHF from all of Yellowstone’s thermal features, produce thermal anomaly maps, and update field-based maps of thermal areas. A background subtraction technique was used to isolate the geothermal component of TIR radiance from thermal radiance due to insolation. A lower limit for the Yellowstone’s total radiant GHF was established at ~2.0 GW, which is ~30-45% of the heat flux estimated through geochemical (Cl-flux) methods. Additionally, about 5 km2 was added to the geodatabase of mapped thermal areas. This work provides a framework for future satellite-based thermal monitoring at Yellowstone as well as exploration of other volcanic / geothermal systems on a global scale.

  11. Clouds and Earth Radiant Energy System (CERES), a Review: Past, Present and Future

    Science.gov (United States)

    Smith, G. L.; Priestley, K. J.; Loeb, N. G.; Wielicki, B. A.; Charlock, T. P.; Minnis, P.; Doelling, D. R.; Rutan, D. A.

    2011-01-01

    The Clouds and Earth Radiant Energy System (CERES) project s objectives are to measure the reflected solar radiance (shortwave) and Earth-emitted (longwave) radiances and from these measurements to compute the shortwave and longwave radiation fluxes at the top of the atmosphere (TOA) and the surface and radiation divergence within the atmosphere. The fluxes at TOA are to be retrieved to an accuracy of 2%. Improved bidirectional reflectance distribution functions (BRDFs) have been developed to compute the fluxes at TOA from the measured radiances with errors reduced from ERBE by a factor of two or more. Instruments aboard the Terra and Aqua spacecraft provide sampling at four local times. In order to further reduce temporal sampling errors, data are used from the geostationary meteorological satellites to account for changes of scenes between observations by the CERES radiometers. A validation protocol including in-flight calibrations and comparisons of measurements has reduced the instrument errors to less than 1%. The data are processed through three editions. The first edition provides a timely flow of data to investigators and the third edition provides data products as accurate as possible with resources available. A suite of cloud properties retrieved from the MODerate-resolution Imaging Spectroradiometer (MODIS) by the CERES team is used to identify the cloud properties for each pixel in order to select the BRDF for each pixel so as to compute radiation fluxes from radiances. Also, the cloud information is used to compute radiation at the surface and through the atmosphere and to facilitate study of the relationship between clouds and the radiation budget. The data products from CERES include, in addition to the reflected solar radiation and Earth emitted radiation fluxes at TOA, the upward and downward shortwave and longwave radiation fluxes at the surface and at various levels in the atmosphere. Also at the surface the photosynthetically active radiation

  12. Radiant recuperator modelling and design

    Directory of Open Access Journals (Sweden)

    Knežević Suzana D.

    2017-01-01

    Full Text Available Recuperators are frequently used in glass production and metallurgical processes to preheat combustion air by heat exchange with high temperature flue gases. Mass and energy balances of a 15 m high, concurrent radiant recuperator used in a glass fiber production process are given. The balances are used: for validation of a cell modeling method that predicts the performance of different recuperator designs, and for finding a simple solution to improve the existing recuperator. Three possible solutions are analyzed: to use the existing recuperator as a countercurrent one, to add an extra cylinder over the existing construction, and to make a system that consists of a central pipe and two concentric annular ducts. In the latter, two air streams flow in opposite directions, whereas air in the inner annular passage flows concurrently or countercurrently to flue gases. Compared with the concurrent recuperator, the countercurrent has only one drawback: the interface temperature is higher at the bottom. The advantages are: lower interface temperature at the top where the material is under maximal load, higher efficiency, and smaller pressure drop. Both concurrent and countercurrent double pipe-in-pipe systems are only slightly more efficient than pure concurrent and countercurrent recuperators, respectively. Their advantages are smaller interface temperatures whereas the disadvantages are their costs and pressure drops. To implement these solutions, the average velocities should be: for flue gas around 5 m/s, for air in the first passage less than 2 m/s, and for air in the second passage more than 25 m/s. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. EE 33027

  13. Phase-Change Thermal Energy Storage

    Science.gov (United States)

    1989-11-01

    The goal of this program is to advance the engineering and scientific understanding of solar thermal technology and to establish the technology base from which private industry can develop solar thermal power production options for introduction into the competitive energy market. Solar thermal technology concentrates the solar flux using tracking mirrors or lenses onto a receiver where the solar energy is absorbed as heat and converted into electricity or incorporated into products as process heat. The two primary solar thermal technologies, central receivers and distributed receivers, employ various point and line-focus optics to concentrate sunlight. Current central receiver systems use fields of heliostats (two-axes tracking mirrors) to focus the sun's radiant energy onto a single, tower-mounted receiver. Point focus concentrators up to 17 meters in diameter track the sun in two axes and use parabolic dish mirrors or Fresnel lenses to focus radiant energy onto a receiver. Troughs and bowls are line-focus tracking reflectors that concentrate sunlight onto receiver tubes along their focal lines. Concentrating collector modules can be used alone or in a multimodule system. The concentrated radiant energy absorbed by the solar thermal receiver is transported to the conversion process by a circulating working fluid. Receiver temperatures range from 100 C in low-temperature troughs to over 1500 C in dish and central receiver systems.

  14. Analysis of directional radiative behavior and heating efficiency for a gas-fired radiant burner

    International Nuclear Information System (INIS)

    Li, B.X.; Lu, Y.P.; Liu, L.H.; Kudo, K.; Tan, H.P.

    2005-01-01

    For the purpose of energy conservation and uniform heating of object surface, a gas-fired porous radiant burner with a bundle of reflecting tubes is developed. A physical model is developed to simulate the directional radiative behavior of this heating device, in which the Monte Carlo method based on the concept of radiation distribution factor is used to compute the directional radiative behavior. The effects of relating parameters on the directional behavior of radiative heating and the heating efficiency are analyzed. With the increase of the length-to-radius ratio of tube, the radiation heating efficiency decreases, but the radiation energy incident on the object surface is more collimated. The radiation heating efficiency increases with the specular reflectivity. With the increase in length of tube segment with specular reflective surface, the radiation heating efficiency increases, but the extent of concentration and collimation of radiative energy decreases. For real design of the heating device, some trade-offs are needed to balance the radiation heating efficiency and the uniformity of radiative heating of object surface

  15. Radiant non-catalytic recuperative reformer

    Energy Technology Data Exchange (ETDEWEB)

    Khinkis, Mark J.; Kozlov, Aleksandr P.

    2017-10-31

    A radiant, non-catalytic recuperative reformer has a flue gas flow path for conducting hot exhaust gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is positioned adjacent to the flue gas flow path to permit heat transfer from the hot exhaust gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, a portion of the reforming mixture flow path is positioned outside of flue gas flow path for a relatively large residence time.

  16. Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation.

    Science.gov (United States)

    Hamoda, Reem E; Gander, Jennifer C; McPherson, Laura J; Arriola, Kimberly J; Cobb, Loren; Pastan, Stephen O; Plantinga, Laura; Browne, Teri; Hartmann, Erica; Mulloy, Laura; Zayas, Carlos; Krisher, Jenna; Patzer, Rachel E

    2018-01-15

    The Reducing Disparities in Access to kidNey Transplantation Community Study (RaDIANT) was an End-Stage Renal Disease (ESRD) Network 6-developed, dialysis facility-level randomized trial testing the effectiveness of a 1-year multicomponent education and quality improvement intervention in increasing referral for kidney transplant evaluation among selected Georgia dialysis facilities. To assess implementation of the RaDIANT intervention, we conducted a process evaluation at the conclusion of the intervention period (January-December 2014). We administered a 20-item survey to the staff involved with transplant education in 67 dialysis facilities randomized to participate in intervention activities. Survey items assessed facility participation in the intervention (fidelity and reach), helpfulness and willingness to continue intervention activities (sustainability), suggestions for improving intervention components (sustainability), and factors that may have influenced participation and study outcomes (context). We defined high fidelity to the intervention as completing 11 or more activities, and high participation in an activity as having at least 75% participation across intervention facilities. Staff from 65 of the 67 dialysis facilities completed the questionnaire, and more than half (50.8%) reported high adherence (fidelity) to RaDIANT intervention requirements. Nearly two-thirds (63.1%) of facilities reported that RaDIANT intervention activities were helpful or very helpful, with 90.8% of facilities willing to continue at least one intervention component beyond the study period. Intervention components with high participation emphasized staff and patient-level education, including in-service staff orientations, patient and family education programs, and patient educational materials. Suggested improvements for intervention activities emphasized addressing financial barriers to transplantation, with financial education materials perceived as most helpful among RaDIANT

  17. A METHOD FOR EVALUATION OF NON-UNIFORM RADIANT-CONVECTIVE LOAD ON HUMAN BODY DURING MENTAL WORK

    Directory of Open Access Journals (Sweden)

    Lenka Prokšová Zuská

    2017-10-01

    Full Text Available The objective of this study was to develop a documentation for the amendment of the microclimatic part of the Czech Government Regulation, particularly in a non-uniform radiant-convective load evaluation. Changes in regulation were made based on experimental data obtained on a group of experimental individuals in a climatic chamber. One of the objectives of the climatic chamber experiments was to evaluate whether there was a possibility to use an alternative method, which utilizes a new value – stereotemperature, for the assessment. A group of 24 women was exposed to a non-uniform radiant-convective load in a climatic chamber for 1 hour during their computer work. Measurements were divided according to the globe temperature into 3 stages. The physical parameters of air were continuously measured: the air temperature, globe temperature, air velocity, radiant temperature, relative humidity, stereotemperature and physiological parameters. Thermal sensations of experimental subjects were expressed in the seven-point scale according to EN ISO 7730. The thermal sensation correlated very well with the difference of stereotemperature and the globe temperature. The stereotemperature correlated very well with the radiant temperature. In this work, the composed equations were used to develop the limit values for the thermal stress evaluation in the uniform and non-uniform thermal environment at workplaces. It is possible to determine how the body of an exposed person perceives the non-uniform climatic conditions in the indoor environment, by adding the stereotemperature to government regulations.

  18. Dynamic behavior of radiant cooling system based on capillary tubes in walls made of high performance concrete

    DEFF Research Database (Denmark)

    Mikeska, Tomás; Svendsen, Svend

    2015-01-01

    elements made of high performance concrete. The influence of the radiant cooling system on the indoor climate of the test room in terms of the air, surface and operative temperatures and velocities was investigated.The results show that the temperature of the room air can be kept in a comfortable range...... using cooling water for the radiant cooling system with a temperature only about 4K lower than the temperature of the room air. The relatively high speed reaction of the designed system is a result of the slim construction of the sandwich wall elements made of high performance concrete. (C) 2015...... the small amount of fresh air required by standards to provide a healthy indoor environment.This paper reports on experimental analyses evaluating the dynamic behavior of a test room equipped with a radiant cooling system composed of plastic capillary tubes integrated into the inner layer of sandwich wall...

  19. Solar radiation and cooling load calculation for radiant systems: Definition and evaluation of the Direct Solar Load

    DEFF Research Database (Denmark)

    Causone, Francesco; Corgnati, Stefano P.; Filippi, Marco

    2010-01-01

    The study of the influence of solar radiation on the built environment is a basic issue in building physics and currently it is extremely important because glazed envelopes are widely used in contemporary architecture. In the present study, the removal of solar heat gains by radiant cooling systems...... is investigated. Particular attention is given to the portion of solar radiation converted to cooling load, without taking part in thermal absorption phenomena due to the thermal mass of the room. This specific component of the cooling load is defined as the Direct Solar Load. A simplified procedure to correctly...... calculate the magnitude of the Direct Solar Load in cooling load calculations is proposed and it is implemented with the Heat Balance method and the Radiant Time Series method. The F ratio of the solar heat gains directly converted to cooling load, in the case of a low thermal mass radiant ceiling...

  20. Energy efficient heating and ventilation of large halls

    CERN Document Server

    Hojer, Ondrej; Kabele, Karel; Kotrbaty, Miroslav; Sommer, Klaus; Petras, Dusan

    2011-01-01

    This guidebook is focused on modern methods for design, control and operation of energy efficient heating systems in large spaces and industrial halls. The book deals with thermal comfort, light and dark gas radiant heaters, panel radiant heating, floor heating and industrial air heating systems. Various heating systems are illustrated with case studies. Design principles, methods and modeling tools are presented for various systems.

  1. Morteros acumuladores con parafinas microencapsuladas para el aprovechamiento de la energía solar en suelos radiantes

    OpenAIRE

    Zetola Vargas, Vicente Andrés

    2013-01-01

    Esta Tesis plantea la pregunta de si el uso de morteros con parafinas microencapsuladas combinado con colectores solares térmicos puede reducir el consumo de energías convencionales, en un sistema tradicional de suelo radiante. Se pretende contribuir al conocimiento acerca del efecto que produce en el edificio, el calor latente acumulado en suelos radiantes, utilizando morteros de cemento Portland con material de cambio de fase (PCM), en conjunto con la energía solar. Para cumplir con este pr...

  2. Use of local convective and radiant cooling at warm environment: effect on thermal comfort and perceived air quality

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Duszyk, Marcin; Krejcirikova, Barbora

    2012-01-01

    The effect of four local cooling devices (convective, radiant and combined) on thermal comfort and perceived air quality reported by 24 subjects at 28 ˚C and 50% RH was studied. The devices studied were: (1) desk cooling fan, (2) personalized ventilation providing clean air, (3) two radiant panels...... and (4) two radiant panels with one panel equipped with small fans. A reference condition without cooling was tested as well. The response of the subjects to the exposed conditions was collected by computerized questionnaires. The cooling devices significantly (pthermal comfort...... compared to without cooling. The acceptability of the thermal environment was similar for all cooling devices. The acceptability of air movement and PAQ increased when the local cooling methods were used. The best results were achieved with personalized ventilation and cooling fan. The improvement in PAQ...

  3. Clean and efficient energy conversion processes (Cecon-project). Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    The objectives of the work programme reported are the development and testing of two optimised energy conversion processes, both consisting of a radiant surface gas burner and a ceramic heat exchanger. The first sub-objective of the programme is related to industrial heating, drying and curing processes requireing low and medium heat fluxes. It is estimated that around one tenth of the total EC industrial energy use is associated with such processes. The majority of these processes currently use convection and conduction as the main heat transfer mechanisms and overall energy efficiencies are typically below 25%. For many drying and finishing processes (such as curing powder coatings and drying paints, varnishes, inks, and for the fabrication of paper and textiles), radiant heating can achieve much faster dyring rates and higher energy efficiency than convective heating. In the project new concepts of natural gas fired radiant heating have been investigated which would be much more efficient than the existing processes. One element of the programme was the evelopment of gas burners having enhanced radiant efficiencies. A second concerned the investigation of the safety of gas burners containing significant volumes of mixed gas and air. Finally the new gas burners were tested in combination with the high temperature heat exchanger to create highly efficient radiant heating systems. The second sub-objective concerned the development of a compact low cost heat exchanger capable of achieving high levels of heat recovery (up to 60%) which could be easily installed on industrial processes. This would make heat recovery a practical proposition on processes where existing heat recovery technology is currently not cost effective. The project will have an impact on industrial processes consuming around 80 MTOE of energy per year within EU countries (1 MTOE equals 41.8 PJ). The overall energy saving potential of the project is estimated to be around 22 MTOE which is around 10

  4. Thermal environment in simulated offices with convective and radiant cooling systems under cooling (summer) mode of operation

    DEFF Research Database (Denmark)

    Mustakallio, Panu; Bolashikov, Zhecho Dimitrov; Kostov, Kalin

    2016-01-01

    The thermal environment in a double office room and in a six-person meeting room obtained with chilled beam (CB), chilled beam with radiant panel (CBR), chilled ceiling with ceiling installed mixing ventilation (CCMV) and four desk partition-mounted local radiant cooling panels with mixing...... calculated. Manikin-based equivalent temperature (MBET) was determined by using two thermal manikins to identify the impact of the local thermal conditions generated by the studied systems on occupants' thermal perception. The results revealed that the differences in the thermal conditions achieved...

  5. A full-scale experimental set-up for assessing the energy performance of radiant wall and active chilled beam for cooling buildings

    DEFF Research Database (Denmark)

    Le Dreau, Jerome; Heiselberg, Per; Jensen, Rasmus Lund

    2015-01-01

    in decreasing the cooling need of the radiant wall compared to the active chilled beam. It has also been observed that the type and repartition of heat load have an influence on the cooling demand. Regarding the comfort level, both terminals met the general requirements, except at high solar heat gains......: overheating has been observed due to the absence of solar shading and the limited cooling capacity of the terminals. No local discomfort has been observed although some segments of the thermal manikin were slightly colder....

  6. Experimental and numerical analysis of air and radiant cooling systems in offices

    DEFF Research Database (Denmark)

    Corgnati, S. P.; Perino, M.; Fracastoro, G. V.

    2009-01-01

    This paper analyses office cooling systems based on all air mixing ventilation systems alone or coupled with radiant ceiling panels. This last solution may be effectively applied to retrofit all air systems that are no longer able to maintain a suitable thermal comfort in the indoor environment, ...

  7. Radiant heat transfers in turbojet engines. Two applications, three levels of modeling; Transferts radiatifs dans les foyers de turboreacteurs. Deux applications, trois niveaux de modelisation

    Energy Technology Data Exchange (ETDEWEB)

    Schultz, J L; Desaulty, M [SNECMA, Centre de Villaroche, 77 - Moissy-Cramayel (France); Taine, J [Ecole Centrale de Paris, Laboratoire EM2C. CNRS, 92 - Chatenay-Malabry (France)

    1997-12-31

    Several applications linked with the dimensioning of turbojet engines require the use of modeling of radiant heat transfers. Two different applications are presented in this study: the modeling of heat transfers in the main combustion chamber, and modeling of the infrared signature of the post-combustion chamber of a military engine. In the first application, two types of radiant heat transfer modeling are presented: a global modeling based on empirical considerations and used in rapid pre-dimensioning methods, and a modeling based on a grey gases concept and combined to a ray shooting type technique allowing the determination of local radiant heat flux values. In the second application, a specific modeling of the radiant heat flux is used in the framework of a ray shooting method. Each model represents a different level of successive approximations of the radiant heat transfer adapted to flow specificities and to the performance requested. (J.S.) 16 refs.

  8. Radiant heat transfers in turbojet engines. Two applications, three levels of modeling; Transferts radiatifs dans les foyers de turboreacteurs. Deux applications, trois niveaux de modelisation

    Energy Technology Data Exchange (ETDEWEB)

    Schultz, J.L.; Desaulty, M. [SNECMA, Centre de Villaroche, 77 - Moissy-Cramayel (France); Taine, J. [Ecole Centrale de Paris, Laboratoire EM2C. CNRS, 92 - Chatenay-Malabry (France)

    1996-12-31

    Several applications linked with the dimensioning of turbojet engines require the use of modeling of radiant heat transfers. Two different applications are presented in this study: the modeling of heat transfers in the main combustion chamber, and modeling of the infrared signature of the post-combustion chamber of a military engine. In the first application, two types of radiant heat transfer modeling are presented: a global modeling based on empirical considerations and used in rapid pre-dimensioning methods, and a modeling based on a grey gases concept and combined to a ray shooting type technique allowing the determination of local radiant heat flux values. In the second application, a specific modeling of the radiant heat flux is used in the framework of a ray shooting method. Each model represents a different level of successive approximations of the radiant heat transfer adapted to flow specificities and to the performance requested. (J.S.) 16 refs.

  9. Where the Solar system meets the solar neighbourhood: patterns in the distribution of radiants of observed hyperbolic minor bodies

    Science.gov (United States)

    de la Fuente Marcos, Carlos; de la Fuente Marcos, Raúl; Aarseth, Sverre J.

    2018-05-01

    Observed hyperbolic minor bodies might have an interstellar origin, but they can be natives of the Solar system as well. Fly-bys with the known planets or the Sun may result in the hyperbolic ejection of an originally bound minor body; in addition, members of the Oort cloud could be forced to follow inbound hyperbolic paths as a result of secular perturbations induced by the Galactic disc or, less frequently, due to impulsive interactions with passing stars. These four processes must leave distinctive signatures in the distribution of radiants of observed hyperbolic objects, both in terms of coordinates and velocity. Here, we perform a systematic numerical exploration of the past orbital evolution of known hyperbolic minor bodies using a full N-body approach and statistical analyses to study their radiants. Our results confirm the theoretical expectations that strong anisotropies are present in the data. We also identify a statistically significant overdensity of high-speed radiants towards the constellation of Gemini that could be due to the closest and most recent known fly-by of a star to the Solar system, that of the so-called Scholz's star. In addition to and besides 1I/2017 U1 (`Oumuamua), we single out eight candidate interstellar comets based on their radiants' velocities.

  10. Solar ultraviolet and the occupational radiant exposure of Queensland school teachers: A comparative study between teaching classifications and behavior patterns.

    Science.gov (United States)

    Downs, Nathan J; Harrison, Simone L; Chavez, Daniel R Garzon; Parisi, Alfio V

    2016-05-01

    Classroom teachers located in Queensland, Australia are exposed to high levels of ambient solar ultraviolet as part of the occupational requirement to provide supervision of children during lunch and break times. We investigated the relationship between periods of outdoor occupational radiant exposure and available ambient solar radiation across different teaching classifications and schools relative to the daily occupational solar ultraviolet radiation (HICNIRP) protection standard of 30J/m(2). Self-reported daily sun exposure habits (n=480) and personal radiant exposures were monitored using calibrated polysulphone dosimeters (n=474) in 57 teaching staff from 6 different schools located in tropical north and southern Queensland. Daily radiant exposure patterns among teaching groups were compared to the ambient UV-Index. Personal sun exposures were stratified among teaching classifications, school location, school ownership (government vs non-government), and type (primary vs secondary). Median daily radiant exposures were 15J/m(2) and 5J/m(2)HICNIRP for schools located in northern and southern Queensland respectively. Of the 474 analyzed dosimeter-days, 23.0% were found to exceed the solar radiation protection standard, with the highest prevalence found among physical education teachers (57.4% dosimeter-days), followed by teacher aides (22.6% dosimeter-days) and classroom teachers (18.1% dosimeter-days). In Queensland, peak outdoor exposure times of teaching staff correspond with periods of extreme UV-Index. The daily occupational HICNIRP radiant exposure standard was exceeded in all schools and in all teaching classifications. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. Symposium on the Physical Chemistry of Solar Energy Conversion, Indianapolis American Chemical Society Meetings, Fall 2013

    Energy Technology Data Exchange (ETDEWEB)

    Lian, Tianquan [PI, Emory Univ.

    2013-09-20

    The Symposium on the Physical Chemistry of Solar Energy Conversion at the Fall ACS Meeting in Indianapolis, IN (Sept. 8-12) featured the following sessions (approx. 6 speakers per session): (1) Quantum Dots and Nanorods for Solar Energy Conversion (2 half-day sessions); (2) Artificial Photosynthesis: Water Oxidation; (3) Artificial Photosynthesis: Solar Fuels (2 half-day sessions); (4) Organic Solar Cells; (5) Novel Concepts for Solar Energy Conversion (2 half-day sessions); (6) Emerging Techniques for Solar Energy Conversion; (7) Interfacial Electron Transfer

  12. An experimental study about effect of far infrared radiant ceramics on efficient methane fermentation

    International Nuclear Information System (INIS)

    Oda, A.; Yamazaki, M.; Oida, A.

    2003-01-01

    Methane fermentation, well known as one of the methods for organic wastes treatment, has been used as an energy production process in order to produce a gaseous fuel. But methane fermentation has some problems to be solved about gas production rate and volatile solids reduction efficiency. Simple methods to improve these problems are needed. In this study, we focused on far infrared radiant ceramics as a stimulating substance to activate methanogenic bacteria. Firstly, through the experiment of one batch fermentation, it was confirmed that the ceramics in the fermenter caused increase of total gas production. Next, even through the experiment of continuous fermentation, same stimulating effect was confirmed. It was considered that this effect was caused not only by a function of bio-contactor of the ceramics but also by far infrared radiation from ceramics. (author)

  13. Integrated thermal infrared imaging and Structure-from-Motion photogrametry to map apparent temperature and radiant hydrothermal heat flux at Mammoth Mountain, CA USA

    Science.gov (United States)

    Lewis, Aaron; George Hilley,; Lewicki, Jennifer L.

    2015-01-01

    This work presents a method to create high-resolution (cm-scale) orthorectified and georeferenced maps of apparent surface temperature and radiant hydrothermal heat flux and estimate the radiant hydrothermal heat emission rate from a study area. A ground-based thermal infrared (TIR) camera was used to collect (1) a set of overlapping and offset visible imagery around the study area during the daytime and (2) time series of co-located visible and TIR imagery at one or more sites within the study area from pre-dawn to daytime. Daytime visible imagery was processed using the Structure-from-Motion photogrammetric method to create a digital elevation model onto which pre-dawn TIR imagery was orthorectified and georeferenced. Three-dimensional maps of apparent surface temperature and radiant hydrothermal heat flux were then visualized and analyzed from various computer platforms (e.g., Google Earth, ArcGIS). We demonstrate this method at the Mammoth Mountain fumarole area on Mammoth Mountain, CA. Time-averaged apparent surface temperatures and radiant hydrothermal heat fluxes were observed up to 73.7 oC and 450 W m-2, respectively, while the estimated radiant hydrothermal heat emission rate from the area was 1.54 kW. Results should provide a basis for monitoring potential volcanic unrest and mitigating hydrothermal heat-related hazards on the volcano.

  14. The efficacy of radiant heat controls on workers' heat stress around the blast furnace of a steel industry.

    Science.gov (United States)

    Giahi, Omid; Darvishi, Ebrahim; Aliabadi, Mohsen; Khoubi, Jamshid

    2015-01-01

    Workers' exposure to excessive heat in molten industries is mainly due to radiant heat from hot sources. The aim of this study was to evaluate the efficacy of radiant heat controls on workers heat stress around a typical blast furnace. Two main interventions were applied for reducing radiant heat around the blast furnace of a steel industry located in western Iran. These included using a heat absorbing system in the furnace body and installing reflective aluminum barrier in the main workstation. Heat stress indexes were measured before and after each intervention using the digital WBGT-meter. The results showed MRT and WBGT indexes decreased by 20 °C and 3.9 °C, respectively after using heat absorbing system and also decreased by 18.6 °C and 2.5 °C, respectively after installing a reflective barrier. These indexes decrease by 26.5 °C and 5.2 °C, respectively due to the simultaneous application of the two interventions which were statistically significant (p steel industries.

  15. Optimal Scheduling of Residential Microgrids Considering Virtual Energy Storage System

    Directory of Open Access Journals (Sweden)

    Weiliang Liu

    2018-04-01

    Full Text Available The increasingly complex residential microgrids (r-microgrid consisting of renewable generation, energy storage systems, and residential buildings require a more intelligent scheduling method. Firstly, aiming at the radiant floor heating/cooling system widely utilized in residential buildings, the mathematical relationship between the operative temperature and heating/cooling demand is established based on the equivalent thermodynamic parameters (ETP model, by which the thermal storage capacity is analyzed. Secondly, the radiant floor heating/cooling system is treated as virtual energy storage system (VESS, and an optimization model based on mixed-integer nonlinear programming (MINLP for r-microgrid scheduling is established which takes thermal comfort level and economy as the optimization objectives. Finally, the optimal scheduling results of two typical r-microgrids are analyzed. Case studies demonstrate that the proposed scheduling method can effectively employ the thermal storage capacity of radiant floor heating/cooling system, thus lowering the operating cost of the r-microgrid effectively while ensuring the thermal comfort level of users.

  16. Control characteristics and heating performance analysis of automatic thermostatic valves for radiant slab heating system in residential apartments

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Byung-Cheon [Department of Building Equipment System Engineering, Kyungwon University, Seongnam City (Korea); Song, Jae-Yeob [Graduate School, Building Equipment System Engineering, Kyungwon University, Seongnam City (Korea)

    2010-04-15

    Computer simulations and experiments are carried out to research the control characteristics and heating performances for a radiant slab heating system with automatic thermostatic valves in residential apartments. An electrical equivalent R-C circuit is applied to analyze the unsteady heat transfer in the house. In addition, the radiant heat transfer between slabs, ceilings and walls in the room is evaluated by enclosure analysis method. Results of heating performance and control characteristics were determined from control methods such as automatic thermostatic valves, room air temperature-sensing method, water-temperature-sensing method, proportional control method, and On-Off control method. (author)

  17. Application of roof radiant burners in large pusher-type furnaces

    Directory of Open Access Journals (Sweden)

    A. Varga

    2009-07-01

    Full Text Available The paper deals with the application of roof flat-flame burners in the pusher-type steel slab reheating furnaces, after furnace reconstruction and replacement of conventional torch burners, with the objective to increase the efficiency of radiative heat transfer from the refractory roof to the charge. Based on observations and on measurements of the construction and process parameters under operating conditions, the advantages and disadvantages of indirectly oriented radiant heat transfer are analysed in relation to the heat transfer in classically fired furnaces.

  18. Clouds and the Earth's Radiant Energy System (CERES) algorithm theoretical basis document. volume 2; Geolocation, calibration, and ERBE-like analyses (subsystems 1-3)

    Science.gov (United States)

    Wielicki, B. A. (Principal Investigator); Barkstrom, B. R. (Principal Investigator); Charlock, T. P.; Baum, B. A.; Green, R. N.; Minnis, P.; Smith, G. L.; Coakley, J. A.; Randall, D. R.; Lee, R. B., III

    1995-01-01

    The theoretical bases for the Release 1 algorithms that will be used to process satellite data for investigation of the Clouds and Earth's Radiant Energy System (CERES) are described. The architecture for software implementation of the methodologies is outlined. Volume 2 details the techniques used to geolocate and calibrate the CERES scanning radiometer measurements of shortwave and longwave radiance to invert the radiances to top-of-the-atmosphere (TOA) and surface fluxes following the Earth Radiation Budget Experiment (ERBE) approach, and to average the fluxes over various time and spatial scales to produce an ERBE-like product. Spacecraft ephemeris and sensor telemetry are used with calibration coefficients to produce a chronologically ordered data product called bidirectional scan (BDS) radiances. A spatially organized instrument Earth scan product is developed for the cloud-processing subsystem. The ERBE-like inversion subsystem converts BDS radiances to unfiltered instantaneous TOA and surface fluxes. The TOA fluxes are determined by using established ERBE techniques. Hourly TOA fluxes are computed from the instantaneous values by using ERBE methods. Hourly surface fluxes are estimated from TOA fluxes by using simple parameterizations based on recent research. The averaging process produces daily, monthly-hourly, and monthly means of TOA and surface fluxes at various scales. This product provides a continuation of the ERBE record.

  19. Calculation codes for radiant heat transfers; Les codes de calcul de rayonnement thermique

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    This document reports on 12 papers about computerized simulation and modeling of radiant heat transfers and fluid flows in various industrial and domestic situations: space heating, metal industry (furnaces, boilers..), aerospace industry (turbojet engines, combustion chambers) etc.. This workshop was organized by the ``radiation`` section of the French society of thermal engineers. (J.S.)

  20. Calculation codes for radiant heat transfers; Les codes de calcul de rayonnement thermique

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This document reports on 12 papers about computerized simulation and modeling of radiant heat transfers and fluid flows in various industrial and domestic situations: space heating, metal industry (furnaces, boilers..), aerospace industry (turbojet engines, combustion chambers) etc.. This workshop was organized by the ``radiation`` section of the French society of thermal engineers. (J.S.)

  1. Effect of radiant heat transfer on the performance of high temperature heat exchanger

    International Nuclear Information System (INIS)

    Mori, Yasuo; Hijikata, Kunio; Yamada, Yukio

    1975-01-01

    The development of high temperature gas-cooled reactors is motivated by the consideration of the application of nuclear heat for industrial uses or direct steelmaking and chemical processes. For these purposes, reliable and efficient heat exchangers should be developed. This report analyzes the effect of radiant heat transfer on the performance of high temperature heat exchangers. The heat transfer model is as follows: the channel composed with two parallel adiabatic walls is divided with one parallel plate between the walls. Non-radiative fluid flows in the two separated channels in opposite direction. Heat transfer equations for this system were obtained, and these equations were solved by some approximate method and numerical analysis. The effect of radiation on heat transfer became larger as the radiant heat transfer between two walls was larger. In the heat exchangers of counter flow type, the thermal efficiency is controlled with three parameters, namely radiation-convection parameter, Stanton number and temperature difference. The thermal efficiency was larger with the increase of these parameters. (Iwase, T.)

  2. Non-uniform velocity profile mechanism for flame stabilization in a porous radiant burner

    Energy Technology Data Exchange (ETDEWEB)

    Catapan, R.C.; Costa, M. [Mechanical Engineering Department, Instituto Superior Tecnico, Technical University of Lisbon, Avenida Rovisco Pais, 1049-001 Lisbon (Portugal); Oliveira, A.A.M. [Mechanical Engineering Department, Federal University of Santa Catarina, Campus Universitario Professor Joao David Ferreira Lima, 88040-900 Florianopolis, SC (Brazil)

    2011-01-15

    Industrial processes where the heating of large surfaces is required lead to the possibility of using large surface porous radiant burners. This causes additional temperature uniformity problems, since it is increasingly difficult to evenly distribute the reactant mixture over a large burner surface while retaining its stability and keeping low pollutant emissions. In order to allow for larger surface area burners, a non-uniform velocity profile mechanism for flame stabilization in a porous radiant burner using a single large injection hole is proposed and analyzed for a double-layered burner operating in open and closed hot (laboratory-scale furnace, with temperature-controlled, isothermal walls) environments. In both environments, local mean temperatures within the porous medium have been measured. For lower reactant flow rate and ambient temperature the flame shape is conical and anchored at the rim of the injection hole. As the volumetric flow rate or furnace temperature is raised, the flame undergoes a transition to a plane flame stabilized near the external burner surface. However, the stability range envelope remains the same in both regimes. (author)

  3. Simulation of an under-floor heating system integrated with solar energy under the weather conditions of Beirut

    Energy Technology Data Exchange (ETDEWEB)

    Kattan, Patrick; Ghali, Kamel [American University of Beirut (Lebanon)], email: pek01@aub.edu.lb, email: ka04@aub.edu.lb

    2011-07-01

    Residential heating indoors can use convective systems, where hot air is blown into the space, or radiant systems, where a radiant panel transfers heat via both convection and radiation. Radiant systems can provide thermal comfort for less energy by directly heating the human body. The aim of this paper is to assess the feasibility of using under-floor solar energy heating systems in the climatic conditions of Beirut. An under-floor heating system with solar/diesel energy system was developed and optimized specifically for Beirut. Results showed that the system could lead to 38% energy savings and a 96% reduction in CO2 emissions with a solar fraction of 95%. An economic analysis was also performed using incremental prices of diesel costs and the cost of land for the installation; it yielded a figure of 19000$/m2 savings over the system's lifetime. This study demonstrated that the use of an under-floor heating system with solar energy in Beirut would have ecological and economic benefits.

  4. Rock-fall Hazard In The Yosemite Valley, California

    Science.gov (United States)

    Guzzetti, F.; Reichenbach, P.; Wieczorek, G. F.

    Rock slides and rock falls are the most frequent slope movements in Yosemite Na- tional Park, California. In historical time (1851-2001), more than 400 rock falls and rock slides have been documented in the valley, and some of them have been mapped in detail. We present the preliminary results of an attempt to assess rockfall hazard in the Yosemite Valley using STONE, a 3-dimensional rock-fall simulation computer program. The software computes 3-dimensional rock-fall trajectories starting from a digital terrain model (DTM), the location of rock-fall release points (source areas), and maps of the dynamic rolling coefficient and of the coefficients of normal and tan- gential energy restitution. For each DTM cell the software also calculates the number of rock falls passing through the cell, the maximum rock-fall velocity and the maxi- mum flying height. For the Yosemite Valley, a DTM with a ground resolution of 10 x 10 m was prepared using topographic contour lines from USGS 1:24,000-scale maps. Rock-fall release points were identified as DTM cells having a slope steeper than 60 degrees, an assumption based on the location of historical rock falls. Maps of the nor- mal and tangential energy restitution coefficients and of the rolling friction coefficient were produced from a surficial geologic map. The availability of historical rock falls mapped in detail allowed us to check the computer program performance and to cali- brate the model parameters. Visual and statistical comparison of the model results with the mapped rock falls confirmed the accuracy of the model. The model results are also compared with a geomorphic assessment of rock-fall hazard based on potential energy referred to as a "shadow angle" approach, recently completed for the Yosemite Valley.

  5. Radiant-and-plasma technology for coal processing

    Directory of Open Access Journals (Sweden)

    Vladimir Messerle

    2012-12-01

    Full Text Available Radiant-and-plasma technology for coal processing is presented in the article. Thermodynamic computation and experiments on plasma processing of bituminous coal preliminary electron-beam activated were fulfilled in comparison with plasma processing of the coal. Positive influence of the preliminary electron-beam activation of coal on synthesis gas yield was found. Experiments were carried out in the plasma gasifier of 100 kW power. As a result of the measurements of material and heat balance of the process gave the following integral indicators: weight-average temperature of 2200-2300 K, and carbon gasification degree of 82,4-83,2%. Synthesis gas yield at thermochemical preparation of raw coal dust for burning was 24,5% and in the case of electron-beam activation of coal synthesis gas yield reached 36,4%, which is 48% higher.

  6. Radiant science, dark politics: a memoir of the nuclear age

    International Nuclear Information System (INIS)

    Kamen, M.D.

    1985-01-01

    The reviewer describes Radiant Science, Dark Politics: A Memoir of the Nuclear Age in contrast to a memoir by James R. Killian, Jr., a contemporary of Kamen. Kamen, co-discoverer of carbon-14 and a valued member of the Berkeley Radiation Laboratory, was fired in 1944 and blackballed as a security risk. Rehabilitated by the end of the war, his continued fight against political injustice through the McCarthy era colors the book and, for the reviewer, makes it self-serving. Kamen's later scientific work reflected his desire to work alone rather than in collaboration

  7. Study of thermosiphon and radiant panel passive heating systems for metal buildings

    Energy Technology Data Exchange (ETDEWEB)

    Biehl, F.A.; Schnurr, N.M.; Wray, W.O.

    1983-01-01

    A study of passive-heating systems appropriate for use on metal buildings is being conducted at Los Alamos National Laboratory for the Naval Civil Engineering Laboratory, Port Hueneme, California. The systems selected for study were chosen on the basis of their appropriateness for retrofit applications, although they are also suitable for new construction: simple radiant panels that communicate directly with the building interior and a backflow thermosiphon that provides heat indirectly.

  8. Newborns' temperature submitted to radiant heat and to the Top Maternal device at birth.

    Science.gov (United States)

    Albuquerque, Rosemeire Sartori de; Mariani, Corintio; Bersusa, Ana Aparecida Sanches; Dias, Vanessa Macedo; Silva, Maria Izabel Mota da

    2016-08-08

    to compare the axillar temperatures of newborns that are put immediately after birth in skin-to-skin contact under the Top Maternal device, as compared to those in a radiant heat crib. comparatives observational study of the case-control type about temperature of 60 babies born at the Obstetric Center and Normal Delivery Center of a public hospital of the municipality of Sao Paulo, being them: 29 receiving assistance in heated crib and 31 in skin-to skin contact, shielded by a cotton tissue placed on mother's thorax, called Top Maternal. the temperature of the babies of the skin-to-skin contact group presented higher values in a larger share of the time measures verified, as compared to those that were placed in radiant heat crib, independently from the place of birth. Differences between the two groups were not statistically significant. the study contributes to generate new knowledge, supporting the idea of keeping babies with their mothers immediately after birth protected with the Maternal Top, without harming their wellbeing, as it keeps the axillar temperature in recommendable levels. comparar a temperatura axilar dos recém-nascidos acomodados - imediatamente após o nascimento - em contato pele a pele, sob o Top Maternal, em berço de calor radiante. estudo comparativo observacional do tipo Caso-Controle sobre a temperatura de 60 bebês nascidos no Centro Obstétrico e Centro de Parto Normal de um hospital público do município de São Paulo, sendo: 29 assistidos em berço aquecido e 31 em contato pele a pele, protegidos por uma malha de algodão colocada sobre o tórax da mãe, denominada Top Maternal. a temperatura dos bebês do grupo de contato pele a pele teve maior valor na maioria dos tempos verificados comparada à dos que foram colocados em berço de calor radiante, independentemente do local de nascimento. A diferença entre os grupos não foi estatisticamente significante. o estudo contribui com a geração de um novo conhecimento que sustenta a

  9. Radiant Research. Institute for Energy Technology 1948-98

    International Nuclear Information System (INIS)

    Njoelstad, Olav

    1999-01-01

    Institutt for Atomenergi (IFA), or Institute for Atomic Energy, at Kjeller, Norway, was founded in 1948. The history of the institute as given in this book was published in 1999 on the occasion of the institute's 50th anniversary. The scope of the institute was to do research and development as a foundation for peaceful application of nuclear energy and radioactive substances in Norway. The book tells the story of how Norway in 1951 became the first country after the four superpowers and Canada to have its own research reactor. After the completion of the reactor, the institute experienced a long and successful period and became the biggest scientific and technological research institute in Norway. Three more reactors were built, one in Halden and two at Kjeller. Plans were developed to build nuclear powered ships and nuclear power stations. It became clear, however, in the 1970s, that there was no longer political support for nuclear power in Norway, and it was necessary for the institute to change its research profile. In 1980, the institute changed its name to Institutt for energiteknikk (IFE), or Institute for energy technology, to signal the broadened scope. The book describes this painful but successful readjustment and shows how IFE in the 1980s and 1990s succeeded in using its special competence from the nuclear field to establish special competence in new research fields with great commercial potential

  10. High-temperature process heat reactor with solid coolant and radiant heat exchange

    International Nuclear Information System (INIS)

    Alekseev, A.M.; Bulkin, Yu.M.; Vasil'ev, S.I.

    1984-01-01

    The high temperature graphite reactor with the solid coolant in which heat transfer is realized by radiant heat exchange is described. Neutron-physical and thermal-technological features of the reactor are considered. The reactor vessel is made of sheet carbon steel in the form of a sealed rectangular annular box. The moderator is a set of graphite blocks mounted as rows of arched laying Between the moderator rows the solid coolant annular layings made of graphite blocks with high temperature nuclear fuel in the form of coated microparticles are placed. The coolant layings are mounted onto ring movable platforms, the continuous rotation of which is realizod by special electric drives. Each part of the graphite coolant laying consecutively passes through the reactor core neutron cut-off zones and technological zone. In the core the graphite is heated up to the temperature of 1350 deg C sufficient for effective radiant heat transfer. In the neutron cut-off zone the chain reaction and further graphite heating are stopped. In the technological zone the graphite transfers the accumulated heat to the walls of technological channels in which the working medium moves. The described reactor is supposed to be used in nuclear-chemical complex for ammonia production by the method of methane steam catalytic conversion

  11. Standard Terminology Relating to Photovoltaic Solar Energy Conversion

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2005-01-01

    1.1 This terminology pertains to photovoltaic (radiant-to-electrical energy conversion) device performance measurements and is not a comprehensive list of terminology for photovoltaics in general. 1.2 Additional terms used in this terminology and of interest to solar energy may be found in Terminology E 772.

  12. Optimal design approach for heating irregular-shaped objects in three-dimensional radiant furnaces using a hybrid genetic algorithm-artificial neural network method

    Science.gov (United States)

    Darvishvand, Leila; Kamkari, Babak; Kowsary, Farshad

    2018-03-01

    In this article, a new hybrid method based on the combination of the genetic algorithm (GA) and artificial neural network (ANN) is developed to optimize the design of three-dimensional (3-D) radiant furnaces. A 3-D irregular shape design body (DB) heated inside a 3-D radiant furnace is considered as a case study. The uniform thermal conditions on the DB surfaces are obtained by minimizing an objective function. An ANN is developed to predict the objective function value which is trained through the data produced by applying the Monte Carlo method. The trained ANN is used in conjunction with the GA to find the optimal design variables. The results show that the computational time using the GA-ANN approach is significantly less than that of the conventional method. It is concluded that the integration of the ANN with GA is an efficient technique for optimization of the radiant furnaces.

  13. PAIR INFLUENCE OF WIND SPEED AND MEAN RADIANT TEMPERATURE ON OUTDOOR THERMAL COMFORT OF HUMID TROPICAL ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    Sangkertadi Sangkertadi

    2016-01-01

    Full Text Available The purposes of this article is to explore knowledge of outdoor thermal comfort in humid tropical environment for urban activities especially for people in walking activity, and those who stationary/seated with moderate action. It will be characterized the pair influence of wind speed and radiant temperature on the outdoor thermal comfort. Many of researchers stated that those two microclimate variables give significant role on outdoor thermal comfort in tropical humid area. Outdoor Tropical Comfort (OTC model was used for simulation in this study. The model output is comfort scale that refers on ASHRAE definition. The model consists of two regression equations with variables of air temperature, globe temperature, wind speed, humidity and body posture, for two types of activity: walking and seated. From the results it can be stated that there is significant role of wind speed to reduce mean radiant temperature and globe temperature, when the velocity is elevated from 0.5 m/s to 2 m/s. However, the wind has not play significant role when the speed is changed from 2 m/s to 3.5 m/s. The results of the study may inspire us to implement effectiveness of electrical-fan equipment for outdoor space in order to get optimum wind speed, coupled with optimum design of shading devices to minimize radiant temperature for thermal comfort.

  14. Radiant coolers - Theory, flight histories, design comparisons and future applications

    Science.gov (United States)

    Donohoe, M. J.; Sherman, A.; Hickman, D. E.

    1975-01-01

    Radiant coolers have been developed for application to the cooling of infrared detectors aboard NASA earth observation systems and as part of the Defense Meteorological Satellite Program. The prime design constraints for these coolers are the location of the cooler aboard the satellite and the satellite orbit. Flight data from several coolers indicates that, in general, design temperatures are achieved. However, potential problems relative to the contamination of cold surfaces are also revealed by the data. A comparison among the various cooler designs and flight performances indicates design improvements that can minimize the contamination problem in the future.

  15. Radiant and convective heat transfer for flow of a transparent gas in a short tube with prescribed sinusoidal wall heat flux

    International Nuclear Information System (INIS)

    de Lemos, M.J.S.

    1982-01-01

    The present analysis accounts for radiant and convective heat transfer for a transparent fluid flowing in a short tube with prescribed wall heat flux. The heat flux distribution used was of sine shape with maximum at the middle of the tube. Such a solution is the approximate one for axial power in a nuclear reactor. The solutions for the tube wall and gas bulk temperatures were obtained by successive substitutions for the wall and gas balance energy equations. The results show a decrease of 30% for the maximum wall temperature using black surface (e = 1). In this same case, the increasing in the gas temperature shows a decrease of 58%

  16. Prediction of radiant heat flux from horizontal propane jet fire

    International Nuclear Information System (INIS)

    Zhou, Kuibin; Liu, Jiaoyan; Jiang, Juncheng

    2016-01-01

    Highlights: • Line source model for the radiant heat flux from horizontal jet fire is proposed. • A review on the difference between horizontal and vertical jet fires is conducted. • Effects of lift-off distance and flame shape are discussed for the line source model. • Line source model gives encouraging results relative to the validity of model system. - Abstract: Jet fires are often reported to occur in process industry with lots of hazardous heat energy released. A line source model describing the flame emissive power and subsequent heat flux radiated from a horizontal propane jet fire is evaluated through a testing against experimental fire data and comparison against other models. By a review on the jet flame behavior, the correlations of the lift-off distance, flame length and radiative fraction are proposed to close the line source model in theory. It is found that the fuel jet direction holds a considerable effect on the flame behavior by comparison between horizontal and vertical jet fires. Results indicate that the lift-off distance and the flame shape influence the model prediction to some extent. Comparison of model predictions against data collected in the near field and predictions from the point source model and multipoint source model gives encouraging results relative to the validity of model system.

  17. Modular assembly of a photovoltaic solar energy receiver

    Science.gov (United States)

    Graven, Robert M.; Gorski, Anthony J.; Schertz, William W.; Graae, Johan E. A.

    1978-01-01

    There is provided a modular assembly of a solar energy concentrator having a photovoltaic energy receiver with passive cooling. Solar cell means are fixedly coupled to a radiant energy concentrator. Tension means bias a large area heat sink against the cell thereby allowing the cell to expand or contract with respect to the heat sink due to differential heat expansion.

  18. 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.

  19. The energy balance of the earth's surface : a practical approach

    NARCIS (Netherlands)

    Bruin, de H.A.R.

    1982-01-01

    This study is devoted to the energy balance of the earth's surface with a special emphasis on practical applications. A simple picture of the energy exchange processes that take place at the ground is the following. Per unit time and area an amount of radiant energy is supplied to the surface. This

  20. Improvement on life and NO{sub x} discharge of radiant heat transfer tube heating system by the elasto-plasticity creep analysis; Dansosei kuripukaiseki ni yoru hosha dennetsukan kanetsu shisutemu no jumyo to NO{sub x} haishutsuryo no kaizen

    Energy Technology Data Exchange (ETDEWEB)

    Nakagawa, Futahiko; Ikaruda, Kunihiro; Abe, Yoshio; Arai, Norio

    1999-06-05

    Combustion thermal process using the radiant heat transfer tube has widely been applied as a heating method which separates the combustion atmosphere from the heating-e atmosphere in various heating furnace such as iron and steel industry. In this thermal process, in order to burn the fuel in tight space in radiant heat transfer service area, radiant heat transfer tube and burner life were short under high temperature and high-load combustion, and there was a problem that that and, burning characteristic such as NO{sub x} generation rate are improved was difficult. In this study, large temperature distribution by the combustion in the radiant heat transfer tube clarified that the life of the radiant heat transfer tube was shortened by elasto-plasticity creep analysis of the radiant heat transfer tube. Then, two steps combustion burner of the exhaust gas self recycling type was developed as a method for reducing the NO{sub x} generation rate, while the temperature distribution of the radiant heat transfer tube was equalized. As the result, it was possible to reduce over 20% in comparison with conventional two steps combustion burner, while radiant heat transfer tube and life of the burner are extended over the conventional double, in respect of the NO{sub x} generation rate. (translated by NEDO)

  1. Assessing the accuracy of globe thermometer method in predicting outdoor mean radiant temperature under Malaysia tropical microclimate

    Science.gov (United States)

    Khrit, N. G.; Alghoul, M. A.; Sopian, K.; Lahimer, A. A.; Elayeb, O. K.

    2017-11-01

    Assessing outdoor human thermal comfort and urban climate quality require experimental investigation of microclimatic conditions and their variations in open urban spaces. For this, it is essential to provide quantitative information on air temperature, humidity, wind velocity and mean radiant temperature. These parameters can be quantified directly except mean radiant temperature (Tmrt). The most accurate method to quantify Tmrt is integral radiation measurements (3-D shortwave and long-wave) which require using expensive radiometer instruments. To overcome this limitation the well-known globe thermometer method was suggested to calculate Tmrt. The aim of this study was to assess the possibility of using indoor globe thermometer method in predicting outdoor mean radiant temperature under Malaysia tropical microclimate. Globe thermometer method using small and large sizes of black-painted copper globes (50mm, 150mm) were used to estimate Tmrt and compare it with the reference Tmrt estimated by integral radiation method. The results revealed that the globe thermometer method considerably overestimated Tmrt during the middle of the day and slightly underestimated it in the morning and late evening. The difference between the two methods was obvious when the amount of incoming solar radiation was high. The results also showed that the effect of globe size on the estimated Tmrt is mostly small. Though, the estimated Tmrt by the small globe showed a relatively large amount of scattering caused by rapid changes in radiation and wind speed.

  2. Performance Evaluation of Radiator and Radiant Floor Heating Systems for an Office Room Connected to a Ground-Coupled Heat Pump

    Directory of Open Access Journals (Sweden)

    Ioan Sarbu

    2016-03-01

    Full Text Available A ground-coupled heat pump (GCHP system used to provide the space heating for an office room is a renewable, high performance technology. This paper discusses vapour compression-based HP systems, briefly describing the thermodynamic cycle calculations, as well as the coefficient of performance (COP and CO2 emissions of a HP with an electro-compressor and compares different heating systems in terms of energy consumption, thermal comfort and environmental impact. It is focused on an experimental study performed to test the energy efficiency of the radiator or radiant floor heating system for an office room connected to a GCHP. The main performance parameters (COP and CO2 emissions are obtained for one month of operation of the GCHP system, and a comparative analysis of these parameters is presented. Additionally, two numerical simulation models of useful thermal energy and the system COP in heating mode are developed using the Transient Systems Simulation (TRNSYS software. Finally, the simulations obtained from TRNSYS software are analysed and compared to the experimental data, showing good agreement and thus validating the simulation models.

  3. Everolimus in advanced, progressive, well-differentiated, non-functional neuroendocrine tumors: RADIANT-4 lung subgroup analysis.

    Science.gov (United States)

    Fazio, Nicola; Buzzoni, Roberto; Delle Fave, Gianfranco; Tesselaar, Margot E; Wolin, Edward; Van Cutsem, Eric; Tomassetti, Paola; Strosberg, Jonathan; Voi, Maurizio; Bubuteishvili-Pacaud, Lida; Ridolfi, Antonia; Herbst, Fabian; Tomasek, Jiri; Singh, Simron; Pavel, Marianne; Kulke, Matthew H; Valle, Juan W; Yao, James C

    2018-01-01

    In the phase III RADIANT-4 study, everolimus improved median progression-free survival (PFS) by 7.1 months in patients with advanced, progressive, well-differentiated (grade 1 or grade 2), non-functional lung or gastrointestinal neuroendocrine tumors (NETs) vs placebo (hazard ratio, 0.48; 95% confidence interval [CI], 0.35-0.67; P < .00001). This exploratory analysis reports the outcomes of the subgroup of patients with lung NETs. In RADIANT-4, patients were randomized (2:1) to everolimus 10 mg/d or placebo, both with best supportive care. This is a post hoc analysis of the lung subgroup with PFS, by central radiology review, as the primary endpoint; secondary endpoints included objective response rate and safety measures. Ninety of the 302 patients enrolled in the study had primary lung NET (everolimus, n = 63; placebo, n = 27). Median PFS (95% CI) by central review was 9.2 (6.8-10.9) months in the everolimus arm vs 3.6 (1.9-5.1) months in the placebo arm (hazard ratio, 0.50; 95% CI, 0.28-0.88). More patients who received everolimus (58%) experienced tumor shrinkage compared with placebo (13%). Most frequently reported (≥5% incidence) grade 3-4 drug-related adverse events (everolimus vs. placebo) included stomatitis (11% vs. 0%), hyperglycemia (10% vs. 0%), and any infections (8% vs. 0%). In patients with advanced, progressive, well-differentiated, non-functional lung NET, treatment with everolimus was associated with a median PFS improvement of 5.6 months, with a safety profile similar to that of the overall RADIANT-4 cohort. These results support the use of everolimus in patients with advanced, non-functional lung NET. The trial is registered with ClinicalTrials.gov (no. NCT01524783). © 2017 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

  4. Dynamic ignition regime of condensed system by radiate heat flux

    International Nuclear Information System (INIS)

    Arkhipov, V A; Zolotorev, N N; Korotkikh, A G; Kuznetsov, V T

    2017-01-01

    The main ignition characteristics of high-energy materials are the ignition time and critical heat flux allowing evaluation of the critical conditions for ignition, fire and explosive safety for the test solid propellants. The ignition process is typically studied in stationary conditions of heat input at constant temperature of the heating surface, environment or the radiate heat flux on the sample surface. In real conditions, ignition is usually effected at variable time-dependent values of the heat flux. In this case, the heated layer is formed on the sample surface in dynamic conditions and significantly depends on the heat flux change, i.e. increasing or decreasing falling heat flux in the reaction period of the propellant sample. This paper presents a method for measuring the ignition characteristics of a high-energy material sample in initiation of the dynamic radiant heat flux, which includes the measurement of the ignition time when exposed to a sample time varying radiant heat flux given intensity. In case of pyroxyline containing 1 wt. % of soot, it is shown that the ignition times are reduced by 20–50 % depending on the initial value of the radiant flux density in initiation by increasing or decreasing radiant heat flux compared with the stationary conditions of heat supply in the same ambient conditions. (paper)

  5. Potency of Solar Energy Applications in Indonesia

    OpenAIRE

    Handayani, Noer Abyor; Ariyanti, Dessy

    2012-01-01

    Currently, 80% of conventional energy is used to fulfill general public's needs andindustries. The depletion of oil and gas reserves and rapid growth in conventional energyconsumption have continuously forced us to discover renewable energy sources, like solar, wind,biomass, and hydropower, to support economic development in the future. Solar energy travels at aspeed of 186,000 miles per second. Only a small part of the radiant energy that the sun emits intospace ever reaches the Earth, but t...

  6. Experimental study including subjective evaluations of mixing and displacement ventilation combined with radiant floor heating/cooling system

    DEFF Research Database (Denmark)

    Krajcik, Michal; Tomasi, Roberta; Simone, Angela

    2013-01-01

    Sixteen subjects evaluated the indoor environment in four experiments with different combinations of ventilation systems and radiant heating/cooling systems. In the first two tests, the simulated residential room was equipped either by a mixing ventilation system supplying warm air for space heat...

  7. A search for space energy alternatives

    Science.gov (United States)

    Gilbreath, W. P.; Billman, K. W.

    1978-01-01

    This paper takes a look at a number of schemes for converting radiant energy in space to useful energy for man. These schemes are possible alternatives to the currently most studied solar power satellite concept. Possible primary collection and conversion devices discussed include the space particle flux devices, solar windmills, photovoltaic devices, photochemical cells, photoemissive converters, heat engines, dielectric energy conversion, electrostatic generators, plasma solar collectors, and thermionic schemes. Transmission devices reviewed include lasers and masers.

  8. Distribution of separated energy and injected charge at normal falling of fast electron beam on target

    CERN Document Server

    Smolyar, V A; Eremin, V V

    2002-01-01

    In terms of a kinetic equation diffusion model for a beam of electrons falling on a target along the normal one derived analytical formulae for distributions of separated energy and injected charge. In this case, no empirical adjustable parameters are introduced to the theory. The calculated distributions of separated energy for an electron plate directed source within infinite medium for C, Al, Sn and Pb are in good consistency with the Spencer data derived on the basis of the accurate solution of the Bethe equation being the source one in assumption of a diffusion model, as well

  9. Distribution of separated energy and injected charge at normal falling of fast electron beam on target

    International Nuclear Information System (INIS)

    Smolyar, V.A.; Eremin, A.V.; Eremin, V.V.

    2002-01-01

    In terms of a kinetic equation diffusion model for a beam of electrons falling on a target along the normal one derived analytical formulae for distributions of separated energy and injected charge. In this case, no empirical adjustable parameters are introduced to the theory. The calculated distributions of separated energy for an electron plate directed source within infinite medium for C, Al, Sn and Pb are in good consistency with the Spencer data derived on the basis of the accurate solution of the Bethe equation being the source one in assumption of a diffusion model, as well [ru

  10. Failure Investigation of Radiant Platen Superheater Tube of Thermal Power Plant Boiler

    Science.gov (United States)

    Ghosh, D.; Ray, S.; Mandal, A.; Roy, H.

    2015-04-01

    This paper highlights a case study of typical premature failure of a radiant platen superheater tube of 210 MW thermal power plant boiler. Visual examination, dimensional measurement and chemical analysis, are conducted as part of the investigations. Apart from these, metallographic analysis and fractography are also conducted to ascertain the probable cause of failure. Finally it has been concluded that the premature failure of the super heater tube can be attributed to localized creep at high temperature. The corrective actions has also been suggested to avoid this type of failure in near future.

  11. Thermal indoor environment and energy consumption in a plus-energy house: cooling season measurements

    DEFF Research Database (Denmark)

    Kazanci, Ongun Berk; Olesen, Bjarne W.

    2015-01-01

    indoor environment. For the energy consumption of the HVAC system, air-to-brine heat pump, mixing station and controller of the radiant floor, and the air handling unit were considered. The measurements were analyzed based on the achieved indoor environment category (according to EN 15251...... the floor cooling system) and increasing the ventilation rate provided a better thermal indoor environment but with increased energy consumption. The thermal indoor environment and energy performance of the house can be improved with decreased glazing area, increased thermal mass, installation of solar...

  12. Sigmund Freud: pioneer in energy healing.

    Science.gov (United States)

    Edwards, Stephen D; Edwards, David J

    2010-02-01

    Energy healing is a popular contemporary term for forms of healing that facilitate a natural healing process through harmonizing, rebalancing, and releasing energy flow disturbed or blocked by disease and illness. Biographical evidence indicates that Freud used physical, suggestive, and radiant forms of energy healing, and that his personal life, metapsychology, and psychoanalysis were founded on dynamic, energetic experiences and conceptualizations. Analysis of Freud's life and work leads to the conclusion that in experience, theory, and practice, Freud typified the traditional role of therapist and was a pioneer in modern forms of energy healing.

  13. The Super-Radiant Mechanism and the Widths of Compound Nuclear States

    International Nuclear Information System (INIS)

    Auerbach, N

    2012-01-01

    In the introduction I will present the theory of the super-radiant mechanism as applied to various phenomena. I will then discuss the statistics of resonance widths in a many-body Fermi system with open decay channels. Depending on the strength of the coupling to the continuum such systems show deviations from the standard Porter-Thomas distribution. The deviations result from the process of increasing interaction of the intrinsic states through the common decay channels. In the limit of very strong coupling this leads to super-radiance. The results I will present are important for the understanding of recent experimental data concerning the width distribution of compound neutron resonances in nuclei.

  14. Methods of total spectral radiant flux realization at VNIIOFI

    Science.gov (United States)

    Ivashin, Evgeniy; Lalek, Jan; Rybczyński, Andrzej; Ogarev, Sergey; Khlevnoy, Boris; Dobroserdov, Dmitry; Sapritsky, Victor

    2018-02-01

    VNIIOFI carries out works on realization of independent methods for realization of the total spectral radiant flux (TSRF) of incoherent optical radiation sources - reference high-temperature blackbodies (BB), halogen lamps, and LED with quasi-Lambert spatial distribution of radiance. The paper describes three schemes for measuring facilities using photometers, spectroradiometers and computer-controlled high class goniometer. The paper describes different approaches for TSRF realization at the VNIIOFI National radiometric standard on the basis of high-temperature BB and LED sources, and gonio-spectroradiometer. Further, they are planned to be compared, and the use of fixed-point cells (in particular, based on the high-temperature δ(MoC)-C metal-carbon eutectic with a phase transition temperature of 2583 °C corresponding to the metrological optical “source-A”) as an option instead of the BB is considered in order to enhance calibration accuracy.

  15. Effects of radiant exposure and wavelength spectrum of light-curing units on chemical and physical properties of resin cements

    Directory of Open Access Journals (Sweden)

    Adriano Fonseca Lima

    2016-11-01

    Full Text Available Objectives In this study, we evaluated the influence of different radiant exposures provided by single-peak and polywave light-curing units (LCUs on the degree of conversion (DC and the mechanical properties of resin cements. Materials and Methods Six experimental groups were established for each cement (RelyX ARC, 3M ESPE; LuxaCore Dual, Ivoclar Vivadent; Variolink, DMG, according to the different radiant exposures (5, 10, and 20 J/cm2 and two LCUs (single-peak and polywave. The specimens were made (7 mm in length × 2 mm in width × 1 mm in height using silicone molds. After 24 hours of preparation, DC measurement was performed using Fourier transform infrared spectrometry. The same specimens were used for the evaluation of mechanical properties (flexural strength, FS; elastic modulus, E by a three-point bending test. Data were assessed for normality, after which two-way analysis of variance (ANOVA and post hoc Tukey's test were performed. Results No properties of the Variolink cement were influenced by any of the considered experimental conditions. In the case of the RelyX ARC cement, DC was higher when polywave LCU was used; FS and E were not influenced by the conditions evaluated. The LuxaCore cement showed greater sensitivity to the different protocols. Conclusions On the basis of these results, both the spectrum of light emitted and the radiant exposure used could affect the properties of resin cements. However, the influence was material-dependent.

  16. Means of increasing efficiency of CPC solar energy collector

    Science.gov (United States)

    Chao, B.T.; Rabl, A.

    1975-06-27

    A device is provided for improving the thermal efficiency of a cylindrical radiant energy collector. A channel is placed next to and in close proximity to the nonreflective side of an energy reflective wall of a cylindrical collector. A coolant is piped through the channel and removes a portion of the nonreflective energy incident on the wall which is absorbed by the wall. The energy transferred to the coolant may be utilized in a useful manner.

  17. Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old.

    Science.gov (United States)

    Pereira, Catarina L N; Baptista, Fátima; Infante, Paulo

    2014-01-01

    This study examined the effect of the type, level and amount of physical activity in falls and fall-related injuries. Participants were 506 community-dwelling adults aged >50 years (390 women: 67.7 ± 6.8 years and 116 men: 69.6 ± 6.6 years). Falls, fall-related injuries (slight and severe), and physical activity (type, level and energy expenditure) were evaluated by questionnaires. Confounders included co-morbidities, fear of falling, environmental hazards and physical fitness. After adjustment for confounders, logistic analysis revealed that the likelihood of falling decreased by 2% for each 100 metabolic expenditure (MET-min/week) of total physical activity and increased by 5% for each 100 MET-min/week of vigorous-intensity physical activity; total physical activity >1125 MET-min/week and vigorous physical activity physical activity level, increased physical activity levels diminished the likelihood of the occurrence of severe fall-related injuries by 76% (moderate) and 58% (high; p active, especially sufficiently active, reduces fall-related injuries by decreasing falls and by safeguarding against severe injuries when falls occur. At least 1125 MET-min/week of total physical activity including >500 MET-min/week of vigorous intensity seems to prevent falls and, therefore, fall-related injuries.

  18. Numerical Simulation of the Thermal Process in a W-Shape Radiant Tube Burner

    Science.gov (United States)

    Wang, Yi; Li, Jiyong; Zhang, Lifeng; Ling, Haitao; Li, Yanlong

    2014-07-01

    In the current work, three-dimensional mathematical models were developed for the heat transfer and combustion in a W-shape radiant tube burner (RTB) and were solved using Fluent software (ANSYS Inc., Canonsburg, PA). The standard k- ɛ model, nonpremixed combustion model, and the discrete ordinate model were used for the modeling of turbulence, combustion, and radiant heat transfer, respectively. In addition, the NO x postprocessor was used for the prediction of the NO emission. A corresponding experiment was performed for the validation of mathematical models. The details of fluid flow, heat transfer, and combustion in the RTB were investigated. Moreover, the effect of the air/fuel ratio (A/F) and air staging on the performance of RTB was studied with the reference indexes including heat efficiency, maximum temperature difference on shell wall, and NO emission at the outlet. The results indicated that a low speed zone formed in the vicinity of the combustion chamber outlet, and there were two relative high-temperature zones in the RTB, one in combustion chamber that favored the flame stability and the other from the main flame in the RTB. The maximum temperature difference was 95.48 K. As the A/F increased, the temperature increased first and then decreased. As the ratio of the primary to secondary air increased, the recirculation zone at the outlet of combustion chamber shrank gradually to disappear, and the flame length was longer and the temperature in flame decreased correspondingly.

  19. Radiant heat transfer during the natural evaporation from free surfaces exposed to solar radiation; Transferencia de calor radiante durante a evaporacao natural em superficies livres expostas a radiacao solar

    Energy Technology Data Exchange (ETDEWEB)

    Teixeira, C O.M. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia; Hackenberg, C M [Universidade Federal do Rio de Janeiro, RJ (Brazil). Escola de Quimica

    1985-12-31

    In this work a conductive-convective-radiant model which includes phase change behavior, is developed in order to determine the rate of evaporation from free surface exposed to solar radiation and consequently the most important parameters, and their effects, on the design of salt solutions concentrating natural evaporation reservoirs may be analysed. The numerical solutions of the resulting of system of equations are shown to represent very well the experimental results measured on evaporation chambers specially built for daily operations. The thermal effect of spectrally selective surfaces as coating agents for the reservoir is also analysed. (author). 11 refs., 8 figs

  20. Effect of radiant heat at the birth site in farrowing crates on hypothermia and behaviour in neonatal piglets

    DEFF Research Database (Denmark)

    Andersen, Heidi Mai-Lis; Pedersen, Lene Juul

    2016-01-01

    It has been documented that floor heating of the farrowing area in loose housed sows improves survival of piglets significantly. However, today, the majority of farrowing pens are designed with crating of sows and slatted floor at the birth site. The aim of this study was to investigate whether...... providing radiant heat at the birth site to new-born piglets in pens with crated sows reduced hypothermia, time to first milk intake and growth of the piglets during the 1st week. Second parity Danish Landrace×Yorkshire sows (n=36) were randomly divided into two groups: Control (CG) and heat (HG......). In the area behind the sow (zone 1), two radiant heat panels were mounted above the slatted floor in the HG. The farrowings were attended, and the heaters were turned on at birth of first piglet and turned off 12 h after. Birth time, time to leave zone 1, time to first contact with udder and time to first...

  1. 77 FR 64496 - Freedom Falls, LLC; Notice of Application Ready for Environmental Analysis and Soliciting...

    Science.gov (United States)

    2012-10-22

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14421-000] Freedom Falls... 1, 2012. d. Applicant: Freedom Falls, LLC. e. Name of Project: Freedom Falls Hydroelectric Project. f. Location: On Sandy Stream, in the Town of Freedom, Waldo County, Maine. The project would not...

  2. 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.

  3. Comparison of radiant and convective cooling of office room: effect of workstation layout

    DEFF Research Database (Denmark)

    Bolashikov, Zhecho Dimitrov; Melikov, Arsen Krikor; Rezgals, Lauris

    2014-01-01

    and compared. The room was furnished with two workstations, two laptops and two thermal manikins resembling occupants. Two heat load levels, design (65 W/m2) and usual (39 W/m2), were generated by adding heat from warm panels simulating solar radiation. Two set-ups were studied: occupants sitting......The impact of heat source location (room layout) on the thermal environment generated in a double office room with four cooling ventilation systems - overhead ventilation, chilled ceiling with overhead ventilation, active chilled beam and active chilled beam with radiant panels was measured...

  4. 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.

  5. Rock-fall potential in the Yosemite Valley, California

    Science.gov (United States)

    Wieczorek, G.F.; Morrissey, M.M.; Iovine, Giulio; Godt, Jonathan

    1999-01-01

    We used two methods of estimating rock-fall potential in the Yosemite Valley, California based on (1) physical evidence of previous rock-fall travel, in which the potential extends to the base of the talus, and (2) theoretical potential energy considerations, in which the potential can extend beyond the base of the talus, herein referred to as the rock-fall shadow. Rock falls in the valley commonly range in size from individual boulders of less than 1 m3 to moderate-sized falls with volumes of about 100,000 m3. Larger rock falls exceeding 100,000 m3, referred to as rock avalanches, are considered to be much less likely to occur based on the relatively few prehistoric rock-fall avalanche deposits in the Yosemite Valley. Because the valley has steep walls and is relatively narrow, there are no areas that are absolutely safe from large rock avalanches. The map shows areas of rock-fall potential, but does not predict when or how frequently a rock fall will occur. Consequently, neither the hazard in terms of probability of a rock fall at any specific location, nor the risk to people or facilities to such events can be assessed from this map.

  6. Effects of blue diode laser (445 nm) and LED (430-480 nm) radiant heat treatments on dental glass ionomer restoratives

    Science.gov (United States)

    Dionysopoulos, Dimitrios; Tolidis, Kosmas; Strakas, Dimitrios; Gerasimou, Paris; Sfeikos, Thrasyvoulos; Gutknecht, Norbert

    2018-02-01

    The purpose of this in vitro study was to evaluate the effect of two radiant heat treatments on water sorption, solubility and surface roughness of three conventional glass ionomer cements by using a blue diode laser (445 nm) and a light emitting diode (LED) unit (430-480 nm). Thirty disk-shaped specimens were prepared for each tested GIC (Equia Fil, Ketac Universal Aplicap and Riva Self Cure). The experimental groups (n = 10) of the study were as follows: Group 1 was the control group, in Group 2 the specimens were irradiated for 60 s at the top surface using a LED light-curing unit and in Group 3 the specimens were irradiated for 60 s at the top surface using a blue light diode laser. Statistical analysis was performed using one-way ANOVA and Tukey post hoc tests at a level of significance of a = 0.05. Radiant heat treatments with both laser and LED devices significantly decreased water sorption and solubility (p tested GICs. Blue diode laser treatment was seemed to be more effective compared to LED treatment for some of the tested materials. There were no changes in surface roughness of the GICs after the treatments (p > 0.05). Among the tested materials there were differences in water sorption and solubility (p 0.05). The use of the blue diode laser for this radiant heat treatment was harmless for the surface of the tested GICs and may be advantageous for the longevity of their restorations.

  7. Radiant Ceiling Panels Combined with Localized Methods for Improved Thermal Comfort of Both Patient and Medical Staff in Patient Room

    DEFF Research Database (Denmark)

    Mori, Sakura; Barova, Mariya; Bolashikov, Zhecho Dimitrov

    2012-01-01

    The objectives were to identify whether ceiling installed radiant heating panels can provide thermal comfort to the occupants in a patient room, and to determine a method for optimal thermal environment to both patient and medical staff simultaneously. The experiments were performed in a climate...... mattress were used to provide local heating for the patient. The effects of the methods were identified by comparing the manikin based equivalent temperatures. The optimal thermal comfort level for both patient and medical staff would obtained when two conventional cotton blankets were used with extra...... chamber resembling a single-bed patient room under convective air conditioning alone or combined with the ceiling installed radiant heating panels. Two thermal manikins simulated a patient lying in the bed and a doctor standing next to the patient. Conventional cotton blanket, electric blanket, electric...

  8. There is more to life than risk avoidance - elderly people's experiences of falls, fall-injuries and compliant flooring.

    Science.gov (United States)

    Gustavsson, Johanna; Jernbro, Carolina; Nilson, Finn

    2018-12-01

    Falls are the most common cause of injury in all ages and are especially difficult to prevent among residential care residents. Compliant flooring that absorbs energy generated within the fall, has been proposed as a measure to prevent fall-injury, however little is known regarding the implementation aspects in clinical settings. The aim of this study is to explore the experiences of falls, the risk of fall-injury, prevention in general and specifically compliant flooring as an injury preventative measure amongst frail elderly people living in a residential care facility with compliant flooring. Through this, generate a theory that further explains the underlying barriers of active prevention amongst elderly people. We used the grounded theory method and conducted semi-structured in-depth interviews with eight elderly people in residential care (data collected between February and December 2017). The identified categories were Falling as a part of life, Fearing the consequences and A wish to prevent falls and injuries. Through the results it was clear that There is more to life than risk avoidance, permeated the interviews, therefore forming the grounded theory. The interviewees viewed falls as something common and normal, and were uninterested in focusing on the risk of falls. Although they wanted to prevent falls, it was often difficult to integrate preventative measures into their everyday life. They embraced the idea of an injury-reducing compliant flooring, however their main interests lay elsewhere, preferring to focus on social interaction and issues concerning daily activities. The theory generated in this paper proposes explanations on the obstacles of implementing fall prevention measures in an elderly frail population. The findings give insights as to why interest and compliance for active fall prevention measures are low. We conclude that complaint flooring, from the perspective of the residents, can work well in residential care.

  9. 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.

  10. Comparison of indoor air distribution and thermal environment for different combinations of radiant heating systems with mechanical ventilation systems

    DEFF Research Database (Denmark)

    Wu, Xiaozhou; Fang, Lei; Olesen, Bjarne W.

    2018-01-01

    A hybrid system with a radiant heating system and a mechanical ventilation system, which is regarded as an advanced heating, ventilation and air-conditioning (HVAC) system, has been applied in many modern buildings worldwide. To date, almost no studies focused on comparative analysis of the indoor...... air distribution and the thermal environment for all combinations of radiant heating systems with mechanical ventilation systems. Therefore, in this article, the indoor air distribution and the thermal environment were comparatively analyzed in a room with floor heating (FH) or ceiling heating (CH......) and mixing ventilation (MV) or displacement ventilation (DV) when the supply air temperature ranged from 15.0°C to 19.0°C. The results showed that the temperature effectiveness values were 1.05–1.16 and 0.95–1.02 for MV+ FH and MV+ CH, respectively, and they were 0.78–0.91 and 0.51–0.67 for DV + FH and DV...

  11. Results from radiant treatment in no Hodgkin's lymphomas of adults

    International Nuclear Information System (INIS)

    Alert, J.; Rodriguez, E.; Mesa, E.; Diaz, C.

    1982-01-01

    From 1973 to 1979, at the Institute of Oncology and Radiobiology, Havana City, 91 adults were irradiated because they underwent no Hodgkin's lymphomas at Stage I (located) and Stage II (regional extension) to whom radiant treatment was the basic therapeutic selection, with single or multiple fields and dose ranging between 3 500 and 4 000 rads-tumor, and some of them at Stage III, where primary treatment was chemotherapy. Present survival for all of them after 3 and 5 years is 55.7% and 54.7%, with 84.4% for patients at Stage I, 55.8% and 52.4% for Stage II and 33.8% for Stage III. Survival was similar for both sexes; in the same way ganglionar processes and those of extraganglionar localization presented no significant survival differences. Only to 7 patients (7.7%) modular forms were diagnosed. (author)

  12. Free of pollution gas - an utopia or attainable goal? Gas radiant burner with a small capacity

    International Nuclear Information System (INIS)

    Hofbauer, P.; Bornscheuer, W.

    1993-01-01

    The firm Viessmann has developed a gas radiant burner for boiler capacities up to 100 kN combusting gas with extremely low pollutant emissions. This is possible since from the reaction zone a considerable part of the combustion heat is delivered through radiation by means of a glowing special steel structure. The theoretical fundamentals are explained by means of considerations regarding the equilibrium and a reaction kinetic numerical model. (orig.) [de

  13. Modelling and Simulation of the Radiant Field in an Annular Heterogeneous Photoreactor Using a Four-Flux Model

    Directory of Open Access Journals (Sweden)

    O. Alvarado-Rolon

    2018-01-01

    Full Text Available This work focuses on modeling and simulating the absorption and scattering of radiation in a photocatalytic annular reactor. To achieve so, a model based on four fluxes (FFM of radiation in cylindrical coordinates to describe the radiant field is assessed. This model allows calculating the local volumetric rate energy absorption (LVREA profiles when the reaction space of the reactors is not a thin film. The obtained results were compared to radiation experimental data from other authors and with the results obtained by discrete ordinate method (DOM carried out with the Heat Transfer Module of Comsol Multiphysics® 4.4. The FFM showed a good agreement with the results of Monte Carlo method (MC and the six-flux model (SFM. Through this model, the LVREA is obtained, which is an important parameter to establish the reaction rate equation. In this study, the photocatalytic oxidation of benzyl alcohol to benzaldehyde was carried out, and the kinetic equation for this process was obtained. To perform the simulation, the commercial software COMSOL Multiphysics v. 4.4 was employed.

  14. 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.

  15. The effects of radiant cooling versus convective cooling on human eye tear film stability and blinking rate

    DEFF Research Database (Denmark)

    Nygaard, Linette; Uth, Simon C.; Bolashikov, Zhecho Dimitrov

    2014-01-01

    The effect of indoor temperature, radiant and convective cooling on tear film stability and eye blink frequency was examined. 24 human subjects were exposed to the non-uniform environment generated by localised chilled beam and a chilled ceiling combined with overhead mixing ventilation. The subj......The effect of indoor temperature, radiant and convective cooling on tear film stability and eye blink frequency was examined. 24 human subjects were exposed to the non-uniform environment generated by localised chilled beam and a chilled ceiling combined with overhead mixing ventilation....... The subjects participated in four two-hour experiments. The room air temperature was kept at 26 °C or 28 °C. Tear film samples were collected after 30 min of acclimatisation and at the end of the exposures. Eye blinking frequency was analysed for the first and last 15 min of each exposure. The tear film...... stability decreased as the temperature increased. The highest number of subjects with unchanged or improved tear film quality was observed with the localised chilled beam at 26 °C. A trend was found between subjects who reported eye irritation and had a bad tear film quality....

  16. Sensitivity analysis of the thermal performance of radiant and convective terminals for cooling buildings

    DEFF Research Database (Denmark)

    Le Dréau, J.; Heiselberg, P.

    2014-01-01

    Heating and cooling terminals can be classified in two main categories: convective terminals (e.g. active chilled beam, air conditioning) and radiant terminals. The mode of heat transfer of the two emitters is different: the first one is mainly based on convection, whereas the second one is based...... conducted to determine the parameters influencing their thermal performance the most. The air change rate, the outdoor temperature and the air temperature stratification have the largest effect on the cooling need (maintaining a constant operative temperature). For air change rates higher than 0.5 ACH...

  17. 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

  18. 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

  19. Absolute radiant power measurement for the Au M lines of laser-plasma using a calibrated broadband soft X-ray spectrometer with flat-spectral response.

    Science.gov (United States)

    Troussel, Ph; Villette, B; Emprin, B; Oudot, G; Tassin, V; Bridou, F; Delmotte, F; Krumrey, M

    2014-01-01

    CEA implemented an absolutely calibrated broadband soft X-ray spectrometer called DMX on the Omega laser facility at the Laboratory for Laser Energetics (LLE) in 1999 to measure radiant power and spectral distribution of the radiation of the Au plasma. The DMX spectrometer is composed of 20 channels covering the spectral range from 50 eV to 20 keV. The channels for energies below 1.5 keV combine a mirror and a filter with a coaxial photo-emissive detector. For the channels above 5 keV the photoemissive detector is replaced by a conductive detector. The intermediate energy channels (1.5 keV power measurements with the new MLM channel and with the usual channel composed of a thin titanium filter and a coaxial detector (without mirror) are compared. All elements of the channel have been calibrated in the laboratory of the Physikalisch-Technische Bundesanstalt, Germany's National Metrology Institute, at the synchrotron radiation facility BESSY II in Berlin using dedicated well established and validated methods.

  20. Fall from heights: does height really matter?

    Science.gov (United States)

    Alizo, G; Sciarretta, J D; Gibson, S; Muertos, K; Romano, A; Davis, J; Pepe, A

    2018-06-01

    Fall from heights is high energy injuries and constitutes a fraction of all fall-related trauma evaluations while bearing an increase in morbidity and mortality. We hypothesize that despite advancements in trauma care, the overall survivability has not improved in this subset of trauma patients. All adult trauma patients treated after sustaining a fall from heights during a 40-month period were retrospectively reviewed. Admission demographics, clinical data, fall height (ft), injury patterns, ISS, GCS, length of stay, and mortality were reviewed. 116 patients sustained a fall from heights, 90.4% accidental. A mean age of 37± 14.7 years, 86% male, and a fall height of 19 ± 10 ft were encountered. Admission GCS was 13 ± 2 with ISS 10 ± 11. Overall LOS was 6.6 ± 14.9 days and an ICU LOS of 2.8 ± 8.9 days. Falls ≥ 25 ft.(16%) had lower GCS 10.4 ± 5.8, increased ISS 22.6 ± 13.8, a fall height 37.9 ± 13.1 ft and associated increased mortality (p < 0.001). Mortality was 5.2%, a mean distance fallen of 39 ± 22 ft. and an ISS of 31.5 ±16.5. Brain injury was the leading cause of death, 50% with open skull fractures. Level of height fallen is a good predictor of overall outcome and survival. Despite advances in trauma care, death rates remain unchanged. Safety awareness and injury prevention programs are needed to reduce the risk of high-level falls.

  1. 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.

  2. 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.

  3. 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

  4. 77 FR 36524 - Freedom Falls, LLC; Notice of Application Tendered for Filing With the Commission and Soliciting...

    Science.gov (United States)

    2012-06-19

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14421-000] Freedom Falls.... c. Date filed: June 1, 2012. d. Applicant: Freedom Falls, LLC. e. Name of Project: Freedom Falls Hydroelectric Project. f. Location: On Sandy Stream, in the Town of Freedom, Waldo County, [[Page 36525

  5. 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.

  6. 77 FR 55206 - Freedom Falls, LLC; Notice of Application Accepted for Filing, Intent To Waive Scoping, and...

    Science.gov (United States)

    2012-09-07

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 14421-000] Freedom Falls.... Project No.: 14421-000. c. Date filed: June 1, 2012. d. Applicant: Freedom Falls, LLC. e. Name of Project: Freedom Falls Hydroelectric Project. f. Location: On Sandy Stream, in the Town of Freedom, Waldo County...

  7. Coupling of a discrete ordinate 3-D radiant heat transfer model with the PHOENICS fluid mechanics software; Couplage d`un modele radiatif tridimensionnel aux ordonnees discretes au logiciel de mecanique des fluides phoenics

    Energy Technology Data Exchange (ETDEWEB)

    Muller, J [IRSID, Institut de Recherches Siderurgie, 57 - Maizieres-les-Metz (France)

    1997-12-31

    Radiant heat transfer is the main solution retained in many iron and steel metallurgy installations (re-heating and annealing furnaces etc..). Today, it has become important to dispose of performing radiant heat transfer models in heat transfer and fluid mechanics simulation softwares, and well adapted to multidimensional industrial problems. This work presents the discrete ordinate radiant heat transfer model developed at the IRSID (the French institute of research in iron and steel metallurgy) and coupled with the PHOENICS heat transfer-fluid mechanics software. Three modeling approaches are presented concerning the radiative properties of gases (H{sub 2}O-CO{sub 2}). A ``weighted grey gases sum`` model gives satisfactory results for several 1-D validation cases. (J.S.) 20 refs.

  8. Coupling of a discrete ordinate 3-D radiant heat transfer model with the PHOENICS fluid mechanics software; Couplage d`un modele radiatif tridimensionnel aux ordonnees discretes au logiciel de mecanique des fluides phoenics

    Energy Technology Data Exchange (ETDEWEB)

    Muller, J. [IRSID, Institut de Recherches Siderurgie, 57 - Maizieres-les-Metz (France)

    1996-12-31

    Radiant heat transfer is the main solution retained in many iron and steel metallurgy installations (re-heating and annealing furnaces etc..). Today, it has become important to dispose of performing radiant heat transfer models in heat transfer and fluid mechanics simulation softwares, and well adapted to multidimensional industrial problems. This work presents the discrete ordinate radiant heat transfer model developed at the IRSID (the French institute of research in iron and steel metallurgy) and coupled with the PHOENICS heat transfer-fluid mechanics software. Three modeling approaches are presented concerning the radiative properties of gases (H{sub 2}O-CO{sub 2}). A ``weighted grey gases sum`` model gives satisfactory results for several 1-D validation cases. (J.S.) 20 refs.

  9. 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.

  10. Smart Control of Air Climatization System in Function on the Values of Mean Local Radiant Temperature

    Directory of Open Access Journals (Sweden)

    Giuseppe Cannistraro

    2015-08-01

    Full Text Available The hygrothermal comfort indoor conditions are defined as: those environmental conditions in which an individual exposed, expresses a state of satisfaction. These conditions cannot always be achieved anywhere in an optimal way and economically; in some cases they can be obtained only in work environments specific areas. This could be explained because of air conditioning systems designing is generally performed both on the basis of the fundamental parameters’ average values, such as temperature, velocity and relative humidity (Ta, va e φa and derived parameters such as operating temperature and mean radiant one (Top eTmr. However, in some specific cases - large open-spaces or in case of radiating surfaces - the descriptors defining indoor comfort conditions, based on average values, do not provide the optimum values required during the air conditioning systems design phase. This is largely due to the variability of real environmental parameters values compared to the average ones taken as input in the calculation. The results obtained in previous scientific papers on the thermal comfort have been the driving element of this work. It offers a simple, original and clever way of thinking about the new domotic systems for air conditioning, based on the “local mean radiant temperature.” This is a very important parameter when one wants to analyze comfort in environments characterized by the presence of radiating surfaces, as will be seen hereinafter. In order to take into account the effects of radiative exchanges in the open-space workplace, where any occupant may find themselves in different temperature and humidity conditions, this paper proposes an action on the domotic climate control, with ducts and vents air distribution placed in different zones. Comparisons were performed between the parameters values representing the punctual thermal comfort, with the Predicted Mean Vote PMV, in an environment marked by radiating surfaces (i

  11. Modeling of hydronic radiant cooling of a thermally homeostatic building using a parametric cooling tower

    International Nuclear Information System (INIS)

    Ma, Peizheng; Wang, Lin-Shu; Guo, Nianhua

    2014-01-01

    Highlights: • Investigated cooling of thermally homeostatic buildings in 7 U.S. cities by modeling. • Natural energy is harnessed by cooling tower to extract heat for building cooling. • Systematically studied possibility and conditions of using cooling tower in buildings. • Diurnal ambient temperature amplitude is taken into account in cooling tower cooling. • Homeostatic building cooling is possible in locations with large ambient T amplitude. - Abstract: A case is made that while it is important to mitigate dissipative losses associated with heat dissipation and mechanical/electrical resistance for engineering efficiency gain, the “architect” of energy efficiency is the conception of best heat extraction frameworks—which determine the realm of possible efficiency. This precept is applied to building energy efficiency here. Following a proposed process assumption-based design method, which was used for determining the required thermal qualities of building thermal autonomy, this paper continues this line of investigation and applies heat extraction approach investigating the extent of building partial homeostasis and the possibility of full homeostasis by using cooling tower in one summer in seven selected U.S. cities. Cooling tower heat extraction is applied parametrically to hydronically activated radiant-surfaces model-buildings. Instead of sizing equipment as a function of design peak hourly temperature as it is done in heat balance design-approach of selecting HVAC equipment, it is shown that the conditions of using cooling tower depend on both “design-peak” daily-mean temperature and the distribution of diurnal range in hourly temperature (i.e., diurnal temperature amplitude). Our study indicates that homeostatic building with natural cooling (by cooling tower alone) is possible only in locations of special meso-scale climatic condition such as Sacramento, CA. In other locations the use of cooling tower alone can only achieve homeostasis

  12. Climate Model Evaluation using New Datasets from the Clouds and the Earth's Radiant Energy System (CERES)

    Science.gov (United States)

    Loeb, Norman G.; Wielicki, Bruce A.; Doelling, David R.

    2008-01-01

    There are some in the science community who believe that the response of the climate system to anthropogenic radiative forcing is unpredictable and we should therefore call off the quest . The key limitation in climate predictability is associated with cloud feedback. Narrowing the uncertainty in cloud feedback (and therefore climate sensitivity) requires optimal use of the best available observations to evaluate and improve climate model processes and constrain climate model simulations over longer time scales. The Clouds and the Earth s Radiant Energy System (CERES) is a satellite-based program that provides global cloud, aerosol and radiative flux observations for improving our understanding of cloud-aerosol-radiation feedbacks in the Earth s climate system. CERES is the successor to the Earth Radiation Budget Experiment (ERBE), which has widely been used to evaluate climate models both at short time scales (e.g., process studies) and at decadal time scales. A CERES instrument flew on the TRMM satellite and captured the dramatic 1998 El Nino, and four other CERES instruments are currently flying aboard the Terra and Aqua platforms. Plans are underway to fly the remaining copy of CERES on the upcoming NPP spacecraft (mid-2010 launch date). Every aspect of CERES represents a significant improvement over ERBE. While both CERES and ERBE measure broadband radiation, CERES calibration is a factor of 2 better than ERBE. In order to improve the characterization of clouds and aerosols within a CERES footprint, we use coincident higher-resolution imager observations (VIRS, MODIS or VIIRS) to provide a consistent cloud-aerosol-radiation dataset at climate accuracy. Improved radiative fluxes are obtained by using new CERES-derived Angular Distribution Models (ADMs) for converting measured radiances to fluxes. CERES radiative fluxes are a factor of 2 more accurate than ERBE overall, but the improvement by cloud type and at high latitudes can be as high as a factor of 5

  13. 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.

  14. 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 .

  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. Three dimensional modelling and numerical analysis of super-radiant harmonic emission in FEL (optical klystron)

    International Nuclear Information System (INIS)

    Gover, A.; Friedman, A.; Luccio, A.

    1986-09-01

    A full 3-D Analysis of super-radiant (bunched electron) free electron harmonic radiation is presented. A generalized form of the FEL pendulum equation was derived and numerically solved. Both spectral and phasor formulation were developed to treat the radiation in the time domain. In space the radiation field is expanded in terms of either a set of free space discrete modes or plane waves. The numerical solutions reveal some new distinctly 3-D effects to which we provide a physical explanation. 12 refs., 9 figs., 5 tabs

  18. Experimental research on the indoor temperature and humidity fields in radiant ceiling air-conditioning system under natural ventilation

    Science.gov (United States)

    Huang, Tao; Xiang, Yutong; Wang, Yonghong

    2017-05-01

    In this paper, the indoor temperature and humidity fields of the air in a metal ceiling radiant panel air conditioning system with fresh air under natural ventilation were researched. The temperature and humidity distributions at different height and different position were compared. Through the computation analysis of partial pressure of water vapor, the self-recovery characteristics of humidity after the natural ventilation was discussed.

  19. Long-term Surveillance Plan for the Falls City Disposal Site, Falls City, Texas. Revision 1

    International Nuclear Information System (INIS)

    1995-08-01

    This long-term surveillance plan (LTSP) for the Uranium Mill Tailings Remedial Action (UMTRA) Project Falls City disposal site, Falls City, Texas, describes the surveillance activities for the disposal site. The US Department of Energy (DOE) will carry out these activities to ensure that the disposal cell continues to function as designed. This LTSP was prepared as a requirement for acceptance under the US Nuclear Regulatory Commission (NRC) general license for custody and long-term care of residual radioactive materials. This LTSP documents whether the land and interests are owned by the United States and details how long-term care of the disposal site will be carried out. It is based on the DOE's Guidance for Implementing the UMTRA Project Long-term Surveillance Program (DOE, 1992a)

  20. Full Scale Measurements and CFD Investigations of a Wall Radiant Cooling System Based on Plastic Capillary Tubes in Thin Concrete Walls

    DEFF Research Database (Denmark)

    Mikeska, Tomás; Fan, Jianhua; Svendsen, Svend

    2017-01-01

    Densely occupied spaces such as classrooms can very often have problems with overheating. It can be difficult to cool such spaces by means of a ventilation system without creating draughts and causing discomfort for occupants. The use of a wall radiant cooling system is a suitable option for spaces...

  1. Ignition of Cellulosic Paper at Low Radiant Fluxes

    Science.gov (United States)

    White, K. Alan

    1996-01-01

    The ignition of cellulosic paper by low level thermal radiation is investigated. Past work on radiative ignition of paper is briefly reviewed. No experimental study has been reported for radiative ignition of paper at irradiances below 10 Watts/sq.cm. An experimental study of radiative ignition of paper at these low irradiances is reported. Experimental parameters investigated and discussed include radiant power levels incident on the sample, the method of applying the radiation (focussed vs. diffuse Gaussian source), the presence and relative position of a separate pilot ignition source, and the effects of natural convection (buoyancy) on the ignition process in a normal gravity environment. It is observed that the incident radiative flux (in W/sq.cm) has the greatest influence on ignition time. For a given flux level, a focussed Gaussian source is found to be advantageous to a more diffuse, lower amplitude, thermal source. The precise positioning of a pilot igniter relative to gravity and to the fuel sample affects the ignition process, but the precise effects are not fully understood. Ignition was more readily achieved and sustained with a horizontal fuel sample, indicating the buoyancy plays a role in the ignition process of cellulosic paper. Smoldering combustion of doped paper samples was briefly investigated, and results are discussed.

  2. Dynamic loading of the structural wall in a lithium fall fusion reactor

    International Nuclear Information System (INIS)

    Glenn, L.A.

    1979-01-01

    In one version of an inertial confinement fusion (ICF) power reactor, the laser-imploded pellet is surrounded by a thick, annular 'waterfall' of liquid lithium. The fall has three functions: to breed tritium for pellet resupply, to act as an energy sink and heat exchange mdeium with an external power loop, and to protect the first wall of the reactor from excessive neutronic and hydrodynamic loading. Our primary concern here is with this last function. We formulated a simple model of a lithium-fall ICF reactor and calculated the fall disassembly and the subsequent fluid-wall interaction resulting from the energy deposition by the imploded pellet. Two potential mechanisms for wall damage were identified: surface erosion and hoop failure. For single fall designs, the erosion problem appears to be serious. Concentric annuli (multiple fall) or packed jet configurations may be feasible but experiments are needed to clarify the physical model, especially with reg (orig.)ard to /orig.the characteristics of the cavitated liquid lithium and of the two-phase liquid-vapor region.

  3. 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.

  4. Anode Fall Formation in a Hall Thruster

    International Nuclear Information System (INIS)

    Dorf, Leonid A.; Raitses, Yevgeny F.; Smirnov, Artem N.; Fisch, Nathaniel J.

    2004-01-01

    As was reported in our previous work, accurate, nondisturbing near-anode measurements of the plasma density, electron temperature, and plasma potential performed with biased and emissive probes allowed the first experimental identification of both electron-repelling (negative anode fall) and electron-attracting (positive anode fall) anode sheaths in Hall thrusters. An interesting new phenomenon revealed by the probe measurements is that the anode fall changes from positive to negative upon removal of the dielectric coating, which appears on the anode surface during the course of Hall thruster operation. As reported in the present work, energy dispersion spectroscopy analysis of the chemical composition of the anode dielectric coating indicates that the coating layer consists essentially of an oxide of the anode material (stainless steel). However, it is still unclear how oxygen gets into the thruster channel. Most importantly, possible mechanisms of anode fall formation in a Hall thruster with a clean and a coated anodes are analyzed in this work; practical implication of understanding the general structure of the electron-attracting anode sheath in the case of a coated anode is also discussed

  5. Disseny de calefacció amb terra radiant d'una casa a l'horta de Lleida mitjançant energia geotèrmica

    OpenAIRE

    Fillat Sobrino, Jordi

    2008-01-01

    S'ha realitzat el disseny de calefacció d'una vivenda mitjançant energia geotèrmica de baixa temperatura, amb un bescanviador vertical de 80 m de profunditat. El sistema de calefacció és de terra radiant en forma d'espiral.

  6. Quantitative assessment of diffuse rock fall hazard along a cliff foot

    Directory of Open Access Journals (Sweden)

    D. Hantz

    2011-05-01

    Full Text Available Many works have shown that the relation between rock fall frequency and volume is well fitted by a power law. Based on this relation, a new method is presented which allows estimating the fall frequency and probability for a wall section in a homogenous cliff, considering all possible rock fall volumes. The hazard for an element located at the foot of the cliff, with a minimal energy, is also estimated. The method has been applied to an itinerary, for which the human risk has also been estimated. Rock fall inventories featuring the location, date, and volume of the falls and the dimensions of the fallen compartments (width, length, and thickness are needed for better estimating of hazard and risk.

  7. Perceived air quality, thermal comfort, and SBS symptoms at low air temperature and increased radiant temperature

    DEFF Research Database (Denmark)

    Toftum, Jørn; Reimann, Gregers Peter; Foldbjerg, P.

    2002-01-01

    source present at the low temperature. To maintain overall thermal neutrality, the low air temperature was partly compensated for by individually controlled radiant heating, and partly by allowing subjects to modify clothing insulation. A reduction of the air temperature from 23 deg.C to 18 deg.......C suggested an improvement of the perceived air quality, while no systematic effect on symptom intensity was observed. The overall indoor environment was evaluated equally acceptable at both temperatures due to local thermal discomfort at the low air temperature....

  8. 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.

  9. 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...

  10. Falling Liquid Films

    CERN Document Server

    Kalliadasis, S; Scheid, B

    2012-01-01

    This research monograph gives a detailed review of the state-of-the-art theoretical methodologies for the analysis of dissipative wave dynamics and pattern formation on the surface of a film falling down a planar, inclined substrate. This prototype is an open-flow hydrodynamic instability representing an excellent paradigm for the study of complexity in active nonlinear media with energy supply, dissipation and dispersion. Whenever possible, the link between theory and experiments is illustrated and the development of order-of-magnitude estimates and scaling arguments is used to facilitate the

  11. 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.

  12. Operation of heat pumps for smart grid integrated buildings with thermal energy storage

    NARCIS (Netherlands)

    Finck, C.J.; Li, R.; Zeiler, W.

    2017-01-01

    A small scale office building consisting of radiant heating, a heat pump, and a water thermal energy storage tank is implemented in an optimal control framework. The optimal control aims to minimize operational electricity costs of the heat pump based on real-time power spot market prices. Optimal

  13. 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...

  14. Radiant heating tests of several liquid metal heat-pipe sandwich panels

    International Nuclear Information System (INIS)

    Camarda, C.J.; Basiulis, A.

    1983-08-01

    Integral heat pipe sandwich panels, which synergistically combine the thermal efficiency of heat pipes and the structural efficiency of honeycomb sandwich construction, were conceived as a means of alleviating thermal stress problems in the Langley Scramjet Engine. Test panels which utilized two different wickable honeycomb cores, facesheets with screen mesh sintered to the internal surfaces, and a liquid metal working fluid (either sodium or potassium) were tested by radiant heating at various heat load levels. The heat pipe panels reduced maximum temperature differences by 31 percent with sodium working fluid and 45 percent with potassium working fluid. Results indicate that a heat pipe sandwich panel is a potential, simple solution to the engine thermal stress problem. Other interesting applications of the concept include: cold plates for electronic component and circuit card cooling, radiators for large space platforms, low distortion large area structures (e.g., space antennas) and laser mirrors

  15. DOE Zero Energy Ready Home Case Study: Amaris Homes, Afton Model

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2017-09-01

    Amaris Homes built this 3,734-ft2 home in Afton, Minnesota, to the performance criteria of the DOE Zero Energy Ready Home (ZERH) program. A high-efficiency gas boiler provides hot water for the zoned radiant floor system as well as for faucets and showers. A high-efficiency heat pump provides zoned cooling.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. Global Precipitation Measurement (GPM) Core Observatory Falling Snow Estimates

    Science.gov (United States)

    Skofronick Jackson, G.; Kulie, M.; Milani, L.; Munchak, S. J.; Wood, N.; Levizzani, V.

    2017-12-01

    Retrievals of falling snow from space represent an important data set for understanding and linking the Earth's atmospheric, hydrological, and energy cycles. Estimates of falling snow must be captured to obtain the true global precipitation water cycle, snowfall accumulations are required for hydrological studies, and without knowledge of the frozen particles in clouds one cannot adequately understand the energy and radiation budgets. This work focuses on comparing the first stable falling snow retrieval products (released May 2017) for the Global Precipitation Measurement (GPM) Core Observatory (GPM-CO), which was launched February 2014, and carries both an active dual frequency (Ku- and Ka-band) precipitation radar (DPR) and a passive microwave radiometer (GPM Microwave Imager-GMI). Five separate GPM-CO falling snow retrieval algorithm products are analyzed including those from DPR Matched (Ka+Ku) Scan, DPR Normal Scan (Ku), DPR High Sensitivity Scan (Ka), combined DPR+GMI, and GMI. While satellite-based remote sensing provides global coverage of falling snow events, the science is relatively new, the different on-orbit instruments don't capture all snow rates equally, and retrieval algorithms differ. Thus a detailed comparison among the GPM-CO products elucidates advantages and disadvantages of the retrievals. GPM and CloudSat global snowfall evaluation exercises are natural investigative pathways to explore, but caution must be undertaken when analyzing these datasets for comparative purposes. This work includes outlining the challenges associated with comparing GPM-CO to CloudSat satellite snow estimates due to the different sampling, algorithms, and instrument capabilities. We will highlight some factors and assumptions that can be altered or statistically normalized and applied in an effort to make comparisons between GPM and CloudSat global satellite falling snow products as equitable as possible.

  1. The effects of mixing air distribution and heat load arrangement on the performance of ceiling radiant panels under cooling mode of operation

    DEFF Research Database (Denmark)

    Mustakallio, Panu; Kosonen, Risto; Melikov, Arsen Krikor

    2016-01-01

    arrangement and air distribution generated in a room by linear slot diffuser, radial multi-nozzle diffuser and radial swirl induction unit on the cooling power of radiant panels was compared. The impact on the thermal environment was also studied. Measurements were carried out without and with supply air...

  2. Determination of Swimming Speeds and Energetic Demands of Upriver Migrating Fall Chinook Salmon (Oncorhynchus Tshawytscha) in the Klickitat River, Washington.

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Richard S.; Geist, David R.; Confederated Tribes and Bands of the Yakama Nation, Washington

    2002-08-30

    This report describes a study conducted by Pacific Northwest National Laboratory for the Bonneville Power Administration's Columbia Basin Fish and Wildlife Program during the fall of 2001. The objective was to study the migration and energy use of adult fall chinook salmon (Oncorhynchus tshawytscha) traveling up the Klickitat River to spawn. The salmon were tagged with either surgically implanted electromyogram (EMG) transmitters or gastrically implanted coded transmitters and were monitored with mobile and stationary receivers. Swim speed and aerobic and anaerobic energy use were determined for the fish as they attempted passage of three waterfalls on the lower Klickitat River and as they traversed free-flowing stretches between, below, and above the falls. Of the 35 EMG-tagged fish released near the mouth of the Klickitat River, 40% passed the first falls, 24% passed the second falls, and 20% made it to Lyle Falls. None of the EMG-tagged fish were able to pass Lyle Falls, either over the falls or via a fishway at Lyle Falls. Mean swimming speeds ranged from as low as 52.6 centimeters per second (cm s{sup -1}) between falls to as high as 189 (cm s{sup -1}) at falls passage. Fish swam above critical swimming speeds while passing the falls more often than while swimming between the falls (58.9% versus 1.7% of the transmitter signals). However, fish expended more energy swimming the stretches between the falls than during actual falls passage (100.7 to 128.2 kilocalories [kcals] to traverse areas between or below falls versus 0.3 to 1.0 kcals to pass falls). Relationships between sex, length, and time of day on the success of falls passage were also examined. Average swimming speeds were highest during the day in all areas except at some waterfalls. There was no apparent relationship between either fish condition or length and successful passage of waterfalls in the lower Klickitat River. Female fall chinook salmon, however, had a much lower likelihood of

  3. 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.

  4. 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

  5. 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.

  6. 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

  7. 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

  8. Churchill Falls (Labrador) Corporation Limited and Twin Falls Power Corporation Limited: Auditor's report and financial statements for the year ended December 31, 1992

    International Nuclear Information System (INIS)

    1993-01-01

    Churchill Falls (Labrador) Corp. Ltd. operates a hydroelectric generating plant and related transmission facilities in Labrador with a rated capacity of 5,428 MW. A power contract with Hydro-Quebec provides for the sale of substantially all of the energy from the plant until 2041. The corporation owns a 33.3% equity interest and a 66.7% voting interest in Twin Falls Power Corp., which has an inoperative 225 MW hydroelectric plant on the Unknown River in Labrador. Financial statements for the two corporations are presented for 1992. Total revenues from sales of power by Churchill Falls in 1992 were $87.4 million, and net income for the year was $26.3 million

  9. 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.

  10. Research on the Improvement of a Natural Gas Fired Burner for the CHP Application in a Central Heating Boiler using Radiant Burner Technology

    Energy Technology Data Exchange (ETDEWEB)

    Bieleveld, T.

    2010-08-15

    These days, the reduction of CO2 emissions from combustion devices is one of the main priorities for each design improvement. For the domestic use of the central heating boiler, Microgen Engine Corporation produces free piston Stirling engines for the Combined Heat and Power (CHP) application in these central heating boilers (Dutch: 'HRe ketel'). With CHP, the generation of electricity and heat are combined to increase overall efficiency, as heat is generally a waste product from the combustion to electric generation process. In this application, the Stirling engine, which can be defined as an external combustion engine, is heated by a natural gas fired engine-burner and cooled by a coolant flow. The heat transfer into the engine is converted into mechanical work and a heat flux from the engine. The mechanical work is used to produce electricity via a linear alternator. Heat in the flue gasses from the engine-burner is reused in a secondary burner and condensing heat exchanger. The coolant flow from the engine, after passing the secondary burner, is used for heating purposes. The heat transfer from engine-burner to the Stirling engine is analyzed and via several motivations it is found that it is favorable to improve fuel to electric conversion efficiency, for which the heat transfer efficiency of the engine-burner to the Stirling engine should be improved, as the engine design is not to be altered. From an initially developed linear free piston Stirling engine model and measurements performed at Microgen Engine Corporation, St. Petersborough, (UK), the engine power demand and engine-burner performance are found. The results are used to visualize the current energy flows of the Stirling engine and engine burner subsystem. The heat transfer to the engine is analyzed to find possible heat transfer improvements. It is concluded that heat transfer from the engine-burner to the engine can be approved if the flue losses due to convective heat transfer are

  11. 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.

  12. Review of fall risk assessment in geriatric populations using inertial sensors

    Science.gov (United States)

    2013-01-01

    Background Falls are a prevalent issue in the geriatric population and can result in damaging physical and psychological consequences. Fall risk assessment can provide information to enable appropriate interventions for those at risk of falling. Wearable inertial-sensor-based systems can provide quantitative measures indicative of fall risk in the geriatric population. Methods Forty studies that used inertial sensors to evaluate geriatric fall risk were reviewed and pertinent methodological features were extracted; including, sensor placement, derived parameters used to assess fall risk, fall risk classification method, and fall risk classification model outcomes. Results Inertial sensors were placed only on the lower back in the majority of papers (65%). One hundred and thirty distinct variables were assessed, which were categorized as position and angle (7.7%), angular velocity (11.5%), linear acceleration (20%), spatial (3.8%), temporal (23.1%), energy (3.8%), frequency (15.4%), and other (14.6%). Fallers were classified using retrospective fall history (30%), prospective fall occurrence (15%), and clinical assessment (32.5%), with 22.5% using a combination of retrospective fall occurrence and clinical assessments. Half of the studies derived models for fall risk prediction, which reached high levels of accuracy (62-100%), specificity (35-100%), and sensitivity (55-99%). Conclusions Inertial sensors are promising sensors for fall risk assessment. Future studies should identify fallers using prospective techniques and focus on determining the most promising sensor sites, in conjunction with determination of optimally predictive variables. Further research should also attempt to link predictive variables to specific fall risk factors and investigate disease populations that are at high risk of falls. PMID:23927446

  13. 75 FR 68352 - Salmon Falls Wind Park, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Science.gov (United States)

    2010-11-05

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER11-1893-000] Salmon Falls Wind Park, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket... proceeding of Salmon Falls Wind Park, LLC's application for market-based rate authority, with an accompanying...

  14. 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.

  15. 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.

  16. Experimental investigation of the influence of the air jet trajectory on convective heat transfer in buildings equipped with air-based and radiant cooling systems

    DEFF Research Database (Denmark)

    Le Dreau, Jerome; Heiselberg, Per; Jensen, Rasmus Lund

    2015-01-01

    -state and dynamic conditions. With the air-based cooling system, a dependency of the convective heat transfer on the air jet trajectory has been observed. New correlations have been developed, introducing a modified Archimedes number to account for the air flow pattern. The accuracy of the new correlations has been...... evaluated to±15%. Besides the study with an air-based cooling system, the convective heat transfer with a radiant cooling system has also been investigated. The convective flow at the activated surface is mainly driven by natural convection. For other surfaces, the complexity of the flow and the large......The complexity and diversity of airflow in buildings make the accurate definition of convective heat transfer coefficients (CHTCs) difficult. In a full-scale test facility, the convective heat transfer of two cooling systems (active chilled beam and radiant wall) has been investigated under steady...

  17. 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.

  18. 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.

  19. Experimental and modelling analysis of an office building HVAC system based in a ground-coupled heat pump and radiant floor

    International Nuclear Information System (INIS)

    Villarino, José Ignacio; Villarino, Alberto; Fernández, Francisco Ángel

    2017-01-01

    Highlights: • A case study of a geothermal heat pump in an office building. • A numerical model in EnergyPlus is validated by experimental results. • An energy, economic and environmental analysis is presented. • A comparison with other technologies demonstrates the potential of the system. - Abstract: This paper shows the evaluation of the performance of a ground-coupled heat pump system monitored building providing heating, ventilating and air conditioning to an office building located in Madrid, in Spain. The system consists of one borehole exchanger, heat pump unit, radiant floor system, mechanical ventilation and data control system. A simulation model was performed with EnergyPlus software and validated. The analyzed period corresponds to the most unfavorable weather conditions in heating and cooling mode. The coefficient of performance obtained in heating and cooling mode was 3.86/5.29, considering all the energy consumption elements of the building and the thermal demand corresponding to an office operation. The CO_2 emissions obtained with a value of 34.68 kg corresponding to the period analyzed represents a low CO_2 emission system. The monitored temperatures reached set point values of 22 °C/25 °C, considered as acceptable comfort temperatures. The values obtained in the validated simulation model presented a deviation of 2% respected experimental results in heating and cooling mode. A comparative of COP_s_y_s and CO_2 emissions with other technologies is performed in order to analyze GCHP compared to other available technologies. The GCHP system is presented as a technology that can fully supply the HVAC conditions for a building and environmentally friendly.

  20. 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.

  1. 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.

  2. 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

  3. 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.

  4. Bilateral Posterior Native Hip Dislocations after Fall from Standing

    Directory of Open Access Journals (Sweden)

    Jane Xiao

    2017-10-01

    Full Text Available We present a case of bilateral posterior native hip dislocations after a fall from standing. This exceedingly rare diagnosis is classically associated with younger patients whose bones are strong enough to dislocate rather than fracture in the setting of a high-momentum collision. We present an unusual case of an 88-year-old male with native hips who sustained a low-energy collision after falling from standing and was found to have bilateral posterior hip dislocations without associated pelvis or femur fractures.

  5. Design and construction of a regenerative radiant tube burner

    International Nuclear Information System (INIS)

    Henao, Diego Alberto; Cano C, Carlos Andres; Amell Arrieta, Andres A.

    2002-01-01

    The technological development of the gas industry in Colombia, aiming at efficient and safe use of the natural gas, requires the assimilation and adaptation of new generation, technologies for this purpose in this article results are presented on the design, construction and characterization of a prototype of a burner of regenerative radiant robe with a thermal power of 9,94 kW and a factor of air 1,05. This system takes advantage of the high exit temperature of the combustion smokes, after they go trough a metallic robe where they transfer the heat by radiation, to heat a ceramic channel that has the capacity to absorbing a part of the heat of the smokes and then transferring them to a current of cold air. The benefits of air heating are a saving in fuel, compared with other processes that don't incorporate the recovery of heat from the combustion gases. In this work it was possible to probe a methodology for the design of this type of burners and to reach maximum temperatures of heating of combustion air of 377,9 centigrade degrees, using a material available in the national market, whose regenerative properties should be studied in depth

  6. 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.

  7. 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

  8. Simulation of Solar Energy Use in Livelihood of Buildings

    Science.gov (United States)

    Lvocich, I. Ya; Preobrazhenskiy, A. P.; Choporov, O. N.

    2017-11-01

    Solar energy can be considered as the most technological and economical type of renewable energy. The purpose of the paper is to increase the efficiency of solar energy utilization on the basis of the mathematical simulation of the solar collector. A mathematical model of the radiant heat transfer vacuum solar collector is clarified. The model was based on the process of radiative heat transfer between glass and copper walls with the defined blackness degrees. A mathematical model of the ether phase transition point is developed. The dependence of the reservoir walls temperature change on the ambient temperature over time is obtained. The results of the paper can be useful for the development of prospective sources using solar energy.

  9. Influencia del tiempo de explotación del Láser de CO2 y la cantidad de ventiladores del Sistema de Enfriamiento sobre la estabilidad del flujo radiante a la salida del Sistema Láser SYNRAD 48-2. // The Influences of the time of exploitation of the Laser o

    Directory of Open Access Journals (Sweden)

    V. Ramirez Chi

    2002-09-01

    Full Text Available En el diseño de un Sistema Láser para ser utilizado con fines médicos, un aspecto a tener en cuenta por su importancia es lagarantía de lograr un Sistema de Ventilación que implique mantener estable el flujo radiante de láser a la salida del equipodurante el período de explotación. En el Centro Nacional de Investigaciones Científicas (CENIC se han hechoinvestigaciones en estos equipos de Sistemas Láser con el objetivo de determinar en que medida influyen la cantidad deventiladores dispuestos sobre el flujo radiante del láser a la salida del equipo de Láser de CO2 y el tiempo de explotacióndel equipo sobre la estabilidad del flujo radiante del láser de salida. Mediante la modelación, la simulación, el Diseño deExperimento y métodos estadísticos se determinó que el tiempo de explotación del equipo durante cada intervenciónmédica y la cantidad de ventiladores implican una influencia significativa sobre la estabilidad del flujo radiante de salida.Esta investigación se llevó a cabo en el equipo de Láser de CO2 SYNRAD 48-2 y se empleó en la misma el programa decomputación para el Diseño de Experimentos Statgrafics-Plus.Palabras claves: Láser, flujo radiante.____________________________________________________________________AbstractIn the design of a Laser System/s to be used with ends doctors, an aspect to keep in mind for its importance is the guaranteeof achieving a System of Ventilation that implies to maintain stable the radiant flow of exit of the Laser during the periodof exploitation. In the CENIC investigations have been made in these Laser System/s with the objective of determining inthat measured they influence the quantity of willing fans about the radiant flow of exit of the Laser of CO2 and the time ofexploitation of the Laser about the stability of the radiant flow of exit. By means of the modelación, the simulation, theDesign of Experiment and statistical methods were determined that the time of

  10. Performance of the Falling Snow Retrieval Algorithms for the Global Precipitation Measurement (GPM) Mission

    Science.gov (United States)

    Skofronick-Jackson, Gail; Munchak, Stephen J.; Ringerud, Sarah

    2016-01-01

    Retrievals of falling snow from space represent an important data set for understanding the Earth's atmospheric, hydrological, and energy cycles, especially during climate change. Estimates of falling snow must be captured to obtain the true global precipitation water cycle, snowfall accumulations are required for hydrological studies, and without knowledge of the frozen particles in clouds one cannot adequately understand the energy and radiation budgets. While satellite-based remote sensing provides global coverage of falling snow events, the science is relatively new and retrievals are still undergoing development with challenges remaining). This work reports on the development and testing of retrieval algorithms for the Global Precipitation Measurement (GPM) mission Core Satellite, launched February 2014.

  11. 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

  12. Effect of Set-point Variation on Thermal Comfort and Energy Use in a Plus-energy Dwelling

    DEFF Research Database (Denmark)

    Toftum, Jørn; Kazanci, Ongun Berk; Olesen, Bjarne W.

    2016-01-01

    When designing buildings and space conditioning systems, the occupant thermal comfort, health, and productivity are the main criteria to satisfy. However, this should be achieved with the most energy-efficient space conditioning systems (heating, cooling, and ventilation). Control strategy, set......-points, and control dead-bands have a direct effect on the thermal environment in and the energy use of a building. The thermal environment in and the energy use of a building are associated with the thermal mass of the building and the control strategy, including set-points and control dead-bands. With thermally...... active building systems (TABS), temperatures are allowed to drift within the comfort zone, while in spaces with air-conditioning, temperatures in a narrower interval typically are aimed at. This behavior of radiant systems provides certain advantages regarding energy use, since the temperatures...

  13. A critical examination of the validity of simplified models for radiant heat transfer analysis.

    Science.gov (United States)

    Toor, J. S.; Viskanta, R.

    1972-01-01

    Examination of the directional effects of the simplified models by comparing the experimental data with the predictions based on simple and more detailed models for the radiation characteristics of surfaces. Analytical results indicate that the constant property diffuse and specular models do not yield the upper and lower bounds on local radiant heat flux. In general, the constant property specular analysis yields higher values of irradiation than the constant property diffuse analysis. A diffuse surface in the enclosure appears to destroy the effect of specularity of the other surfaces. Semigray and gray analyses predict the irradiation reasonably well provided that the directional properties and the specularity of the surfaces are taken into account. The uniform and nonuniform radiosity diffuse models are in satisfactory agreement with each other.

  14. 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.

  15. Conceptual design considerations and neutronics of lithium fall laser target chambers

    International Nuclear Information System (INIS)

    Meier, W.R.; Thomson, W.B.

    1978-01-01

    Atomics International and Lawrence Livermore Laboratory are involved in the conceptual design of a laser fusion power plant incorporating the lithium fall target chamber. In this paper we discuss some of the more important design considerations for the target chamber and evaluate its nuclear performance. Sizing and configuration of the fall, hydraulic effects, and mechanical design considerations are addressed. The nuclear aspects examined include tritium breeding, energy deposition, and radiation damage

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. Experimental investigation and feasibility analysis on a capillary radiant heating system based on solar and air source heat pump dual heat source

    International Nuclear Information System (INIS)

    Zhao, M.; Gu, Z.L.; Kang, W.B.; Liu, X.; Zhang, L.Y.; Jin, L.W.; Zhang, Q.L.

    2017-01-01

    Graphical abstract: (a) Vertical temperature gradient in Case 3, (b) PMV and PPD of the test room in Case 3, (c) operating time of SPCTS and ASHP systems in Case 3 and (d) the proportion of SPCTS operating time. - Highlights: • A capillary heating system based on solar and air source heat pump was developed. • Influence of supply water temperature on solar energy saving rate was investigated. • Heating performance and thermal comfort of capillary heating system were analyzed. • Low temperature heating with capillary is suitable for solar heating system. - Abstract: Due to sustainable development, solar energy has drawn much attention and been widely applied in buildings. However, the application of solar energy is limited because of its instability, intermittency and low energy density in winter. In order to use low density and instable solar energy source for heating and improve the utilization efficiency of solar energy, a solar phase change thermal storage (SPCTS) heating system using a radiant-capillary-terminal (RCT) to effectively match the low temperature hot water, a phase change thermal storage (PCTS) to store and continuously utilize the solar energy, and an air source heat pump (ASHP) as an alternate energy, was proposed and set up in this research. Series of experiments were conducted to obtain the relation between the solar radiation utilization rate and the heating supply temperatures, and to evaluate the performance of the RCT module and the indoor thermal environment of the system for its practical application in a residential building in the north-western City of Xi’an, China. The results show that energy saving of the solar heating system can be significantly improved by reducing the supplied water temperature, and the supplied water temperature of the RCT would be no more than 35 °C. The capillary radiation heating can adopt a lower water temperature and create a good thermal comfort environment as well. These results may lead to the

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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

    Our objective was to assess the pasture productivity and forage characteristics of 2 fall-grown oat (Avena sativa L.) cultivars, specifically for extending the grazing season and reducing reliance on harvested forages by replacement dairy heifers. A total of 160 gravid Holstein heifers (80 heifers/yr) were stratified by weight, and assigned to 1 of 10 identical research pens (8 heifers/pen). Initial body weights were 480 ± 43.5 kg in 2011 and 509 ± 39.4 kg in 2012. During both years of the trial, four 1.0-ha pasture replicates were seeded in August with Ogle oat (Schumitsch Seed Inc., Antigo, WI), and 4 separate, but similarly configured, pasture replicates were seeded with Forage Plus oat (Kratz Farms, Slinger, WI). Heifer groups were maintained as units, assigned to specific pastures, and then allowed to graze fall-oat pastures for 6h daily before returning to the barn, where they were offered a forage-based basal total mixed ration. Two heifer groups were retained in confinement (without grazing) as controls and offered the identical total mixed ration as pasture groups. During 2011, available forage mass increased with strong linear and quadratic effects for both cultivars, peaking at almost 9 Mg/ha on October 31. In contrast, forage mass was not affected by evaluation date in 2012, remaining ≤ 2,639 kg/ha across all dates because of droughty climatic conditions. During 2012, Ogle exhibited greater forage mass than Forage Plus across all sampling dates (2,678 vs. 1,856 kg/ha), largely because of its more rapid maturation rate and greater canopy height. Estimates of energy density for oat forage ranged from 59.6 to 69.1% during 2011, and ranged narrowly from 68.4 to 70.4% during 2012. For 2011, responses for both cultivars had strong quadratic character, in which the most energy-dense forages occurred in mid November, largely due to accumulation of water-soluble carbohydrates that reached maximum concentrations of 18.2 and 15.1% for Forage Plus and Ogle

  6. Direct evaluation of reflector effects on radiant flux from InGaN-based light-emitting diodes

    Science.gov (United States)

    Masui, Hisashi; Fellows, Natalie N.; Sato, Hitoshi; Asamizu, Hirokuni; Nakamura, Shuji; Denbaars, Steven P.

    2007-08-01

    A metal layer formed on the backside of InGaN/sapphire-based light-emitting diodes deteriorates the inherent optical power output. An experimental approach of a suspended die is employed to study the effects of such metal layers via a direct comparison in radiant flux from a discrete die with and without a reflector. A sphere package that employs no reflector is proposed and fabricated. Light extraction of the sphere design is discussed; a light source in the sphere package would not have to be either an ideal point or placed at the center of the sphere, due to a finite critical angle at the sphere/air interface.

  7. 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

  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. Improvement of life and NO{sub x} emission of radiant tube heating system by elastic-plastic creep analysis; Dansosei kuripu kaiseki ni yoru hosha dennetsukan kanetsu shisutemu no jumyo to NO{sub x} haishutsuryo no kaizen

    Energy Technology Data Exchange (ETDEWEB)

    Nakagawa, Tsuguhiko; Nuta, Kunihiro [Kawasaki Steel Corp., Okayama, (Japan). Mizushima Warks

    1999-03-10

    The radiant tube heating system has been widely applied to the furnaces which require isolation of the heating atmosphere from the combustion atmosphere. However, the conventional system has a short life and it is difficult to reduce NO{sub x} emission when it is used at a high furnace temperature under high combustion load, because the fuel is burned in a small space. In order to solve this problem, we have studied the cause of radiant tube life depends on the uniformity of the temperature distribution along the radiant tube. We have developed a new burner using a two-stage combustion method with exhaust gas self-recirculation. As a result, the file of the new system has been increased by a factor of two or more, and NO{sub x} emission has been reduced by 20 % from previous levels. This paper presents an outline of the elastic-plastic creep analysis and the new burner, and describes the effect of its use on system life. (author)

  10. 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.

  11. 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…

  12. 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.

  13. Comparative multibody dynamics analysis of falls from playground climbing frames.

    Science.gov (United States)

    Forero Rueda, M A; Gilchrist, M D

    2009-10-30

    This paper shows the utility of multibody dynamics in evaluating changes in injury related parameters of the head and lower limbs of children following falls from playground climbing frames. A particular fall case was used as a starting point to analyze the influence of surface properties, posture of the body at impact, and intermediate collisions against the climbing frame before impacting the ground. Simulations were made using the 6-year-old pedestrian MADYMO rigid body model and scaled head contact characteristics. Energy absorbing surfaces were shown to reduce injury severity parameters by up to 30-80% of those of rigid surfaces, depending on impact posture and surface. Collisions against components of a climbing frame during a fall can increase injury severity of the final impact of the head with the ground by more than 90%. Negligible changes are associated with lower limb injury risks when different surfacing materials are used. Computer reconstructions of actual falls that are intended to quantify the severity of physical injuries rely on accurate knowledge of initial conditions prior to falling, intermediate kinematics of the fall and the orientation of the body when it impacts against the ground. Multibody modelling proved to be a valuable tool to analyze the quality of eyewitness information and analyze the relative injury risk associated with changes in components influencing fall injuries from playground climbing frames. Such simulations can also support forensic investigations by evaluating alternative hypotheses for the sequence of kinematic motion of falls which result in known injuries.

  14. Energy Performance of Water-based and Air-based Cooling Systems in Plus-energy Housing

    DEFF Research Database (Denmark)

    Andersen, Mads E.; Schøtt, Jacob; Kazanci, Ongun Berk

    2016-01-01

    -space, and air-to-water heat pump vs. ground heat exchanger as cooling source) on the system energy performance were investigated while achieving the same thermal indoor conditions. The results show that the water-based floor cooling system performed better than the air-based cooling system in terms of energy...... energy use reductions. The coupling of radiant floor with the ground enables to obtain “free” cooling, although the brine pump power should be kept to a minimum to fully take advantage of this solution. By implementing a ground heat exchanger instead of the heat pump and use the crawl-space air as intake...... air an improvement of 37% was achieved. The cooling demand should be minimized in the design phase as a priority and then the resulting cooling load should be addressed with the most energy efficient cooling strategy. The floor cooling coupled with a ground heat exchanger was shown to be an effective...

  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. Microwave-assisted low temperature fabrication of ZnO thin film electrodes for solar energy harvesting

    Energy Technology Data Exchange (ETDEWEB)

    Nirmal Peiris, T.A.; Sagu, Jagdeep S.; Hazim Yusof, Y.; Upul Wijayantha, K.G., E-mail: U.Wijayantha@lboro.ac.uk

    2015-09-01

    Metallic Zn thin films were electrodeposited on fluorine-doped tin oxide (FTO) glass substrates and oxidized under air by conventional radiant and microwave post-annealing methods to obtain ZnO thin film electrodes. The temperature of each post-annealing method was varied systematically and the photoelectrochemical (PEC) performance of electrodes was evaluated. The best photocurrent density achieved by the conventional radiant annealing method at 425 °C for 15 min was 93 μA cm{sup −2} at 1.23 V vs. NHE and the electrode showed an incident photon-to-electron conversion efficiency (IPCE) of 28.2%. X-ray diffractogram of this electrode showed that the oxidation of Zn to ZnO was not completed during the radiant annealing process as evident by the presence of metallic Zn in the electrode. For the electrode oxidized from Zn to ZnO under microwave irradiation, a photocurrent of 130 μA cm{sup −2} at 1.23 V vs. NHE and IPCE of 35.6% was observed after annealing for just 3 min, during which the temperature reached 250 °C. The photocurrent was 40% higher for the microwave annealed sample; this increase was attributed to higher surface area by preserving the nanostructure, confirmed by SEM surface topographical analysis, and better conversion yields to crystalline ZnO. Overall, it was demonstrated that oxidation of Zn to ZnO can be accomplished by microwave annealing five times faster than that of conventional annealing, thus resulting in a ~ 75% power saving. This study shows that microwave processing of materials offers significant economic and performance advantages for industrial scale up. - Highlights: • Conversion of Zn to ZnO by microwave and radiant annealing was conducted. • Microwave conversion was 5 times faster compared to radiant annealing. • Photoelectrochemical performance of microwave annealed ZnO was 40% higher. • Microwave annealing results in a 75% energy saving.

  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. Buildings for the 21st Century, Fall 2001

    Energy Technology Data Exchange (ETDEWEB)

    2001-10-01

    The Buildings for the 21st Century newsletter is produced by the Office of Building Technology, State and Community Programs and contains information on building programs, events, products, and initiatives, with a focus on energy efficiency and renewable energy. The fall issue includes information on weatherization, Boise's geothermal heating system, the BTS Core Databook, the Solar Decathlon, a Rebuild America partnership, the BigHorn Home Improvement Center, AIA's Top Ten Buildings, a sub-CFL procurement program, the U.S. investment in energy efficient research, new efficiency standards, PNNL's building software, and a calendar of meetings and conferences.

  3. Blanchability and sensory quality of large runner peanuts blanched in a radiant wall oven using infrared radiation.

    Science.gov (United States)

    Kettler, Katrina; Adhikari, Koushik; Singh, Rakesh K

    2017-10-01

    The main factors behind the growing popularity of infrared radiation heating in food processing include its energy efficiency, food quality retention and process speed, as well as the simplicity of equipment. Infrared radiation was employed as an alternative heat treatment to the conventional hot air method used in peanut blanching. The present study aimed to investigate the application of infrared heating for blanching peanuts and determine their blanchability and sensory quality under various processing conditions. The total blanchabilities (expressed as a percentage of total blanched) of the infrared radiation trials (radiant wall oven) at 343 °C for 1.5 min, 316 °C for 1.5 min, 288 °C for 1.5 min and 343 °C for 1 min did not differ significantly compared to the hot air control trials (impingement oven) at 100 °C for 30 and 20 min. All infrared trials had significantly lower (P infrared samples demonstrated the possible initiation of oxidation for the conventionally blanched sample at 18 weeks of storage at 24 °C (room temperature), with no indication of oxidation in the infrared samples stored at the same temperature. Infrared radiation peanut blanching is a viable alternative to conventional hot air blanching because of the shorter process time and longer shelf-life, as evident from the sensory storage study. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  4. 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.

  5. The 'Falling Box' method in general relativity

    International Nuclear Information System (INIS)

    Gladush, V.D.

    1998-01-01

    The problems of justification, generalization, and applicability of the 'falling box' method to obtained some exact solutions of the vacuum Einstein equations are investigated. The 'physical' inference of the Reissner-Nordstrom-de Sitter and Kerr metrics is shown. Explanation is given for the well-known relativistic phenomenon which consists in that gravity is created by the double density of the electrical field energy

  6. 78 FR 19477 - Freedom Falls, LLC; Notice of Availability of Environmental Assessment

    Science.gov (United States)

    2013-04-01

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [ Project No. 14421-000--ME] Freedom... from licensing for the Freedom Falls Hydroelectric Project, to be located on Sandy Stream, in the Town of Freedom, Waldo County, Maine, and has prepared an Environmental Assessment (EA). In the EA...

  7. Falling chains as variable-mass systems: theoretical model and experimental analysis

    International Nuclear Information System (INIS)

    De Sousa, Célia A; Costa, Pedro; Gordo, Paulo M

    2012-01-01

    In this paper, we revisit, theoretically and experimentally, the fall of a folded U-chain and of a pile-chain. The model calculation implies the division of the whole system into two subsystems of variable mass, allowing us to explore the role of tensional contact forces at the boundary of the subsystems. This justifies, for instance, that the folded U-chain falls faster than the acceleration due to the gravitational force. This result, which matches quite well with the experimental data independently of the type of chain, implies that the falling chain is well described by energy conservation. We verify that these conclusions are not observed for the pile-chain motion. (paper)

  8. Time resolved measurements of cathode fall in high frequency fluorescent lamps

    International Nuclear Information System (INIS)

    Hadrath, S; Garner, R C; Lieder, G H; Ehlbeck, J

    2007-01-01

    Measurements are presented of the time resolved cathode and anode falls of high frequency fluorescent lamps for a range of discharge currents typically encountered in dimming mode. Measurements were performed with the movable anode technique. Supporting spectroscopic emission measurements were made of key transitions (argon 420.1 nm and mercury 435.8 nm), whose onset coincide with cathode fall equalling the value associated with the energy, relative to the ground state, of the upper level of the respective transition. The measurements are in general agreement with the well-known understanding of dimmed lamp operation: peak cathode fall decreases with increasing lamp current and with increasing auxiliary coil heating. However, the time dependence of the measurements offers additional insight

  9. Conceptual design considerations and neutronics of lithium fall laser fusion target chambers

    International Nuclear Information System (INIS)

    Meier, W.R.; Thomson, W.B.

    1978-01-01

    Atomics International and Lawrence Livermore Laboratory are involved in the conceptual design of a laser fusion power plant incorporating the lithium fall target chamber. In this paper we discuss some of the more important design considerations for the target chamber and evaluate its nuclear performance. Sizing and configuration of the fall, hydraulic effects, and mechanical design considerations are addressed. The nuclear aspects examined include tritium breeding, energy deposition, and radiation damage

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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 ...

  15. Development and demonstration of a gas-fired recuperative confined radiant burner (deliverable 42/43). Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-06-01

    The objective of the project was to develop and demonstrate an innovative, efficient, low-pollutant, recuperative gas-fired IR-system (infrared radiation) for industrial processes (hereafter referred to as the CONRAD-system). The CONRAD-system is confined, so flue gases from the combustion can be kept separated from the product. The gas/air mixture to the burner is preheated by means of the flue gas, which increases the radiant efficiency of the CONRAD-system significantly over traditional gas-fired IR burners. During the first phase of the project, the CONRAD-system was designed and developed. The conducted work included a survey on suitable burner materials, modelling of the burner system, basic design of burner construction, control etc., experimental characterisation of several preprototypes and detailed design of the internal heat exchanger in the burner. The result is a cost effective burner system with a documented radiant efficiency up to 66% and low emissions (NO{sub x} and CO) all in accordance with the criteria of success set up at the start of the project. In the second phase of the project, the burner system was established and tested in laboratory and in four selected industrial applications: 1) Drying of coatings on sand cores in the automotive industry. 2) Baking of bread/cake. 3) General purpose painting/powder curing process 4. Curing of powder paint on wood components. The results from the preliminary tests Overe used to optimise the CONRAD-system, before it was applied in the industrial processes and demonstrated. However, the optimised burners manufactured for demonstration suffered from different 'infant failures', which made the installation in an industrial environment very cumbersome, and even impossible in the food industry and the automotive industry. In the latter cases realistic laboratory tests Overe carried out and the established know how reported for use when the burner problems are overcome.(au)

  16. 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

  17. 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

  18. Chinese energy demand falls back

    Energy Technology Data Exchange (ETDEWEB)

    Smil, V.

    1977-10-01

    China's growth in energy demand and production declined in 1976, partly because of difficulty of sustaining a rapid 5.4 percent growth and partly because of the disruptions caused by a major earthquake and the deaths of Mao Tse-Tung and Chou En-Lai. The earthquake, which damaged all mines, the power station, refineries, and transportation lines in the Tangshan area, has had serious economic consequences. The failure to back up a growing coal industry with adequate investments and mechanization was recognized in 1975 and prompted a 10-year modernization program. Progress has been made with new mine shafts, pulverizing equipment, and the use of small mines for local industries. Oil and gas production increased after the discovery of new fields and the use of new technology in the hydrocarbon industries. Ports and terminal facilities to handle large tankers will increase China's oil export traffic. Electricity generation increased with new power facilities, although China's dependence on human and animal power is still a major factor. Changes in energy consumption patterns are developing, but industry still represents 50 percent and transportation less than 10 percent. (DCK)

  19. 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.

  20. 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

  1. Comparison of Software Models for Energy Savings from Cool Roofs

    Energy Technology Data Exchange (ETDEWEB)

    New, Joshua Ryan [ORNL; Miller, William A [ORNL; Huang, Yu (Joe) [White Box Technologies; Levinson, Ronnen [Lawrence Berkeley National Laboratory (LBNL)

    2014-01-01

    A web-based Roof Savings Calculator (RSC) has been deployed for the United States Department of Energy as an industry-consensus tool to help building owners, manufacturers, distributors, contractors and researchers easily run complex roof and attic simulations. This tool employs modern web technologies, usability design, and national average defaults as an interface to annual simulations of hour-by-hour, whole-building performance using the world-class simulation tools DOE-2.1E and AtticSim in order to provide estimated annual energy and cost savings. In addition to cool reflective roofs, RSC simulates multiple roof and attic configurations including different roof slopes, above sheathing ventilation, radiant barriers, low-emittance roof surfaces, duct location, duct leakage rates, multiple substrate types, and insulation levels. A base case and energy-efficient alternative can be compared side-by-side to estimate monthly energy. RSC was benchmarked against field data from demonstration homes in Ft. Irwin, California; while cooling savings were similar, heating penalty varied significantly across different simulation engines. RSC results reduce cool roofing cost-effectiveness thus mitigating expected economic incentives for this countermeasure to the urban heat island effect. This paper consolidates comparison of RSC s projected energy savings to other simulation engines including DOE-2.1E, AtticSim, Micropas, and EnergyPlus, and presents preliminary analyses. RSC s algorithms for capturing radiant heat transfer and duct interaction in the attic assembly are considered major contributing factors to increased cooling savings and heating penalties. Comparison to previous simulation-based studies, analysis on the force multiplier of RSC cooling savings and heating penalties, the role of radiative heat exchange in an attic assembly, and changes made for increased accuracy of the duct model are included.

  2. Gravitational radiation emitted when a mass falls onto a compact star.

    Science.gov (United States)

    Borelli, A.

    1997-03-01

    The authors study the energy spectrum related to the axial perturbations of a compact star when a particle falls spiralling onto it. They find that both slowly-damped quasi-normal modes and strongly damped w-modes are excited, and that a part of the energy in the process is associated to these w-modes. A substantial difference between the energy spectra of compact stars and black holes is shown.

  3. 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.

  4. Field tests on human tolerance to (LNG) fire radiant heat exposure, and attenuation effects of clothing and other objects

    International Nuclear Information System (INIS)

    Raj, Phani K.

    2008-01-01

    A series of field tests exposing mannequins clothed with civilian clothing to a 3 m x 3 m square liquefied natural gas (LNG) pool fire was conducted. Both single layer clothing and double layer clothing were used. The radiant heat flux incident outside the clothing and incident on the skin covered by clothing were measured using wide-angle radiometers, for durations of 100-200 s (per test). The levels of heat flux incident on the clothing were close to 5 kW/m 2 . The magnitude of the radiant heat attenuation factor (AF) across the thickness was determined. AF varies between 2 and higher for cotton and polyester clothing (thickness 0.286-1.347 mm); AF value of 6 was measured for 1.347 mm thickness. Single sheet newspaper held about 5 cm in front of mannequins and exposed to incident flux of 5 kW/m 2 resulted in AF of 5, and AF of 8 with double sheets. AF decreases linearly with increasing heat flux values and linearly increases with thickness. The author exposed himself, in normal civilian clothing (of full sleeve cotton/polyester shirt and jean pants), to radiant heat from a LNG fire. The exposure was for several tens of seconds to heat flux levels ranging from 3.5 kW/m 2 to 5 + kW/m 2 (exposure times from 25 s to 97 s at average heat flux values in the 4 kW/m 2 and 5 kW/m 2 range). Occasionally, he was exposed to (as high as) 7 kW/m 2 for durations of several seconds. He did not suffer any unbearable or even severe pain nor did he experience blisters or burns or any other injury on the unprotected skin of his body. The incident heat fluxes on the author were measured by a hand-held radiometer (with digital display) as well as by strapped on wide-angle radiometers connected to a computer. He could withstand the US regulatory criterion of 5 kW/m 2 (for 30 s) without suffering any damage or burns. Temperature measured on author's skin covered by clothing did not rise above the normal body temperature even after 200 s of exposure to 4 kW/m 2 average heat flux

  5. Radioactive fall-out in Norway after the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Skjerve, Eystein [Dept. of Food Hygiene, Norwegian College of Veterinary Medicine (Norway)

    1986-07-01

    During the fall-out from the atmosphere during the fifties and sixties, a system of local control of radioactive contamination of food was built up. (LORACON - LOcal RAdioactivity COntrol). The different Meat and Food Inspection Services were equipped with Geiger Mueller instruments. The system was in operation until late seventies. From 1977 there was no testing and calibration of the instruments. The development towards a reduction of the state of readiness was accelerated when the Norwegian Parliament decided that Norway should not establish any nuclear power plants (1979). Only the universities and special institutions as the National Institute of Radiation Hygiene and the Institute for Energy Technique were still able to analyse on radioactive isotopes. The confusion about how much radioactive fall-out from the Chernobyl reactor accident Norway received lasted for some weeks in Norway. Partially, this was due to the lack of instruments, but also many experts rejected the idea that an accident so far away might cause these amounts of fall-out consisted of Iodine and Cesium. The fall-out followed a very irregular pattern both nationally and locally with the mountain areas in Middle Norway most affected.

  6. Radioactive fall-out in Norway after the Chernobyl accident

    International Nuclear Information System (INIS)

    Skjerve, Eystein

    1986-01-01

    During the fall-out from the atmosphere during the fifties and sixties, a system of local control of radioactive contamination of food was built up. (LORACON - LOcal RAdioactivity COntrol). The different Meat and Food Inspection Services were equipped with Geiger Mueller instruments. The system was in operation until late seventies. From 1977 there was no testing and calibration of the instruments. The development towards a reduction of the state of readiness was accelerated when the Norwegian Parliament decided that Norway should not establish any nuclear power plants (1979). Only the universities and special institutions as the National Institute of Radiation Hygiene and the Institute for Energy Technique were still able to analyse on radioactive isotopes. The confusion about how much radioactive fall-out from the Chernobyl reactor accident Norway received lasted for some weeks in Norway. Partially, this was due to the lack of instruments, but also many experts rejected the idea that an accident so far away might cause these amounts of fall-out consisted of Iodine and Cesium. The fall-out followed a very irregular pattern both nationally and locally with the mountain areas in Middle Norway most affected

  7. 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

  8. 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.

  9. Energy market barometer report 1 - Fall 2013

    International Nuclear Information System (INIS)

    Schleich, Joachim; Cateura, Olivier; Faure, Corinne; Molecke, Greg; Olsthoorn, Mark; Pinkse, Jonatan; Vernay, Anne-Lorene

    2014-01-01

    The Grenoble Ecole de Management (GEM) Energy Market Barometer Report aims to track the key trends and challenges of the energy market, on a regular basis, in collaboration with the 'ZEW', the Center for European Economic Research. This edition analyses the expectations of the energy market experts on the role of shale gas, the future electricity mix in France, and the development of energy prices. Key findings: - Two out of three experts believe that exploring shale gas will be authorized in France in the future; - It will take France approximately 30 years to meet the government's goal of reducing the share of nuclear power in the electricity mix from 76% (current) to 50%; - Most experts believe the prices for electricity, gas, oil, coal and CO_2 certificates will remain relatively stable over the next 6 months, but they will increase over the next 5 years

  10. [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.

  11. 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.

  12. 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.

  13. Radiant thinking and the use of the mind map in nurse practitioner education.

    Science.gov (United States)

    Spencer, Julie R; Anderson, Kelley M; Ellis, Kathryn K

    2013-05-01

    The concept of radiant thinking, which led to the concept of mind mapping, promotes all aspects of the brain working in synergy, with thought beginning from a central point. The mind map, which is a graphical technique to improve creative thinking and knowledge attainment, utilizes colors, images, codes, and dimensions to amplify and enhance key ideas. This technique augments the visualization of relationships and links between concepts, which aids in information acquisition, data retention, and overall comprehension. Faculty can promote students' use of the technique for brainstorming, organizing ideas, taking notes, learning collaboratively, presenting, and studying. These applications can be used in problem-based learning, developing plans of care, health promotion activities, synthesizing disease processes, and forming differential diagnoses. Mind mapping is a creative way for students to engage in a unique method of learning that can expand memory recall and help create a new environment for processing information. Copyright 2013, SLACK Incorporated.

  14. Evaluation of detector responses to natural environmental and fall-out gamma radiation

    International Nuclear Information System (INIS)

    Arvela, H.

    1988-01-01

    Instrument responses to the thorium, uranium and potassium components of the natural environmental as well as the fall-out radiation field were evaluated. The responses to the 137 Cs fall-out radiation field differ by less than 6% from the response at 0.662 MeV, except for that of the NaI scintillator. Differences of more than 30% were found in the responses of two energy compensated instruments to normal natural background radiation and to radiation from fresh fall-out. The best estimate of the terrestrial component of the dose rate measured was obtained by carrying out the following corrections of the measured readings: cosmic ray contribution and internal background subtraction with response correction, including 137 Cs calibration correction. After the Chernobyl accident the dose rate levels due to 137 Cs and 134 Cs fall-out were comparable to the natural background gamma radiation. The responses calculated as well as the results from measurements of the low level environmental exposure levels caused by the Chernobyl fall-out, confirmed the need to take into account the instrument response to natural as well as fall-out radiation fields. (author)

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. Influence of a falling edge on high power microwave pulse combination

    Science.gov (United States)

    Li, Jiawei; Huang, Wenhua; Zhu, Qi; Xiao, Renzhen; Shao, Hao

    2016-07-01

    This paper presents an explanation of the influence of a microwave falling edge on high-power microwave pulse combination. Through particle-in-cell simulations, we discover that the falling edge is the driving factor that limits the output power of the combined pulses. We demonstrate that the space charge field, which accumulates to become comparable to the E-field at the falling edge of the former pulse, will trap the electrons in the gas layer and decrease its energy to attain a high ionization rate. Hence, avalanche discharge, caused by trapped electrons, makes the plasma density to approach the critical density and cuts off the latter microwave pulse. An X-band combination experiment is conducted with different pulse intervals. This experiment confirms that the high density plasma induced by the falling edge can cut off the latter pulse, and that the time required for plasma recombination in the transmission channel is several microseconds. To ensure a high output power for combined pulses, the latter pulse should be moved ahead of the falling edge of the former one, and consequently, a beat wave with high peak power becomes the output by adding two pulses with normal amplitudes.

  2. [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

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. Everolimus for Advanced Pancreatic Neuroendocrine Tumours: A Subgroup Analysis Evaluating Japanese Patients in the RADIANT-3 Trial

    Science.gov (United States)

    Ito, Tetsuhide; Okusaka, Takuji; Ikeda, Masafumi; Igarashi, Hisato; Morizane, Chigusa; Nakachi, Kohei; Tajima, Takeshi; Kasuga, Akio; Fujita, Yoshie; Furuse, Junji

    2012-01-01

    Objective Everolimus, an inhibitor of the mammalian target of rapamycin, has recently demonstrated efficacy and safety in a Phase III, double-blind, randomized trial (RADIANT-3) in 410 patients with low- or intermediate-grade advanced pancreatic neuroendocrine tumours. Everolimus 10 mg/day provided a 2.4-fold improvement compared with placebo in progression-free survival, representing a 65% risk reduction for progression. The purpose of this analysis was to investigate the efficacy and safety of everolimus in the Japanese subgroup enrolled in the RADIANT-3 study. Methods Subgroup analysis of the Japanese patients was performed comparing efficacy and safety between everolimus 10 mg/day orally (n = 23) and matching placebo (n = 17). The primary endpoint was progression-free survival. Safety was evaluated on the basis of the incidence of adverse drug reactions. Results Progression-free survival was significantly prolonged with everolimus compared with placebo. The median progression-free survival was 19.45 months (95% confidence interval, 8.31–not available) with everolimus vs 2.83 months (95% confidence interval, 2.46–8.34) with placebo, resulting in an 81% risk reduction in progression (hazard ratio, 0.19; 95% confidence interval, 0.08–0.48; P< 0.001). Adverse drug reactions occurred in all 23 (100%) Japanese patients receiving everolimus and in 13 (77%) patients receiving placebo; most were grade 1/2 in severity. The most common adverse drug reactions in the everolimus group were rash (n = 20; 87%), stomatitis (n = 17; 74%), infections (n = 15; 65%), nail disorders (n = 12; 52%), epistaxis (n = 10; 44%) and pneumonitis (n = 10; 44%). Conclusions These results support the use of everolimus as a valuable treatment option for Japanese patients with advanced pancreatic neuroendocrine tumours. PMID:22859827

  13. The variability of meteoroid falling

    Science.gov (United States)

    Velasco Herrera, V. M.; Cordero, G.

    2016-10-01

    We analysed a historical catalogue of meteoroid falling during the last 400 years. We report here for the first time the synchronization between observed meteors and solar barycentric parameters in 19.6 and 13.2 years periodicities using a new multiple cross wavelet. The group of moderated number of meteors is distributed around the positive phase of the solar barycentric periodicity of 13.2 years. While the group of severe number of meteors are distributed on the positive phase of the solar barycentric periodicity of 19.6 years. These periodicities could be associated with Jupiter periodicities. So understanding the modulation of meteoroid falling is important for determining the falling patterns of these objects and for knowing when it is more likely to expect the entry of one of these objects into the Earth's atmosphere, because bodies falling onto the Earth can cause damage from minor impacts to mass-extinctions events. One of the most extreme events was the formation of the Chicxulub impact crater 65,000,000 years ago that caused one of the five major mass extinctions in the last 500,000,000 years. During the 20th and 21st centuries, a series of events demonstrated the importance of collisions between planets and small bodies (comets and asteroids), which included our own planet. In the case of the Earth, we can cite three examples: Tunguska, Curuça and Chelyabinsk. These events invite us to think that perhaps the occurrence of this phenomenon might be more common than we realize, but the lack of communication or people in the area where they happened prevents us from having a complete record. Modern man has not witnessed the impact of large asteroids or comets on our planet, but it has been observed on other planetary bodies. The most spectacular of these events was the collision of fragments of the comet Shoemaker-Levy 9 with Jupiter in 1994. The total energy of the 21 impacts on Jupiter's atmosphere was estimated as the equivalent of tens of millions of

  14. 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.

  15. [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

  16. 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.

  17. 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.

  18. High-quality 3D correction of ring and radiant artifacts in flat panel detector-based cone beam volume CT imaging

    Science.gov (United States)

    Abu Anas, Emran Mohammad; Kim, Jae Gon; Lee, Soo Yeol; Kamrul Hasan, Md

    2011-10-01

    The use of an x-ray flat panel detector is increasingly becoming popular in 3D cone beam volume CT machines. Due to the deficient semiconductor array manufacturing process, the cone beam projection data are often corrupted by different types of abnormalities, which cause severe ring and radiant artifacts in a cone beam reconstruction image, and as a result, the diagnostic image quality is degraded. In this paper, a novel technique is presented for the correction of error in the 2D cone beam projections due to abnormalities often observed in 2D x-ray flat panel detectors. Template images are derived from the responses of the detector pixels using their statistical properties and then an effective non-causal derivative-based detection algorithm in 2D space is presented for the detection of defective and mis-calibrated detector elements separately. An image inpainting-based 3D correction scheme is proposed for the estimation of responses of defective detector elements, and the responses of the mis-calibrated detector elements are corrected using the normalization technique. For real-time implementation, a simplification of the proposed off-line method is also suggested. Finally, the proposed algorithms are tested using different real cone beam volume CT images and the experimental results demonstrate that the proposed methods can effectively remove ring and radiant artifacts from cone beam volume CT images compared to other reported techniques in the literature.

  19. High-quality 3D correction of ring and radiant artifacts in flat panel detector-based cone beam volume CT imaging

    International Nuclear Information System (INIS)

    Anas, Emran Mohammad Abu; Hasan, Md Kamrul; Kim, Jae Gon; Lee, Soo Yeol

    2011-01-01

    The use of an x-ray flat panel detector is increasingly becoming popular in 3D cone beam volume CT machines. Due to the deficient semiconductor array manufacturing process, the cone beam projection data are often corrupted by different types of abnormalities, which cause severe ring and radiant artifacts in a cone beam reconstruction image, and as a result, the diagnostic image quality is degraded. In this paper, a novel technique is presented for the correction of error in the 2D cone beam projections due to abnormalities often observed in 2D x-ray flat panel detectors. Template images are derived from the responses of the detector pixels using their statistical properties and then an effective non-causal derivative-based detection algorithm in 2D space is presented for the detection of defective and mis-calibrated detector elements separately. An image inpainting-based 3D correction scheme is proposed for the estimation of responses of defective detector elements, and the responses of the mis-calibrated detector elements are corrected using the normalization technique. For real-time implementation, a simplification of the proposed off-line method is also suggested. Finally, the proposed algorithms are tested using different real cone beam volume CT images and the experimental results demonstrate that the proposed methods can effectively remove ring and radiant artifacts from cone beam volume CT images compared to other reported techniques in the literature.

  20. 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.

  1. Dietary patterns associated with fall-related fracture in elderly Japanese: a population based prospective study.

    Science.gov (United States)

    Monma, Yasutake; Niu, Kaijun; Iwasaki, Koh; Tomita, Naoki; Nakaya, Naoki; Hozawa, Atsushi; Kuriyama, Shinichi; Takayama, Shin; Seki, Takashi; Takeda, Takashi; Yaegashi, Nobuo; Ebihara, Satoru; Arai, Hiroyuki; Nagatomi, Ryoichi; Tsuji, Ichiro

    2010-06-01

    Diet is considered an important factor for bone health, but is composed of a wide variety of foods containing complex combinations of nutrients. Therefore we investigated the relationship between dietary patterns and fall-related fractures in the elderly. We designed a population-based prospective survey of 1178 elderly people in Japan in 2002. Dietary intake was assessed with a 75-item food frequency questionnaire (FFQ), from which dietary patterns were created by factor analysis from 27 food groups. The frequency of fall-related fracture was investigated based on insurance claim records from 2002 until 2006. The relationship between the incidence of fall-related fracture and modifiable factors, including dietary patterns, were examined. The Cox proportional hazards regression model was used to examine the relationships between dietary patterns and incidence of fall-related fracture with adjustment for age, gender, Body Mass Index (BMI) and energy intake. Among 877 participants who agreed to a 4 year follow-up, 28 suffered from a fall-related fracture. Three dietary patterns were identified: mainly vegetable, mainly meat and mainly traditional Japanese. The moderately confirmed (see statistical methods) groups with a Meat pattern showed a reduced risk of fall-related fracture (Hazard ratio = 0.36, 95% CI = 0.13 - 0.94) after adjustment for age, gender, BMI and energy intake. The Vegetable pattern showed a significant risk increase (Hazard ratio = 2.67, 95% CI = 1.03 - 6.90) after adjustment for age, gender and BMI. The Traditional Japanese pattern had no relationship to the risk of fall-related fracture. The results of this study have the potential to reduce fall-related fracture risk in elderly Japanese. The results should be interpreted in light of the overall low meat intake of the Japanese population.

  2. Dietary patterns associated with fall-related fracture in elderly Japanese: a population based prospective study

    Directory of Open Access Journals (Sweden)

    Yaegashi Nobuo

    2010-06-01

    Full Text Available Abstract Background Diet is considered an important factor for bone health, but is composed of a wide variety of foods containing complex combinations of nutrients. Therefore we investigated the relationship between dietary patterns and fall-related fractures in the elderly. Methods We designed a population-based prospective survey of 1178 elderly people in Japan in 2002. Dietary intake was assessed with a 75-item food frequency questionnaire (FFQ, from which dietary patterns were created by factor analysis from 27 food groups. The frequency of fall-related fracture was investigated based on insurance claim records from 2002 until 2006. The relationship between the incidence of fall-related fracture and modifiable factors, including dietary patterns, were examined. The Cox proportional hazards regression model was used to examine the relationships between dietary patterns and incidence of fall-related fracture with adjustment for age, gender, Body Mass Index (BMI and energy intake. Results Among 877 participants who agreed to a 4 year follow-up, 28 suffered from a fall-related fracture. Three dietary patterns were identified: mainly vegetable, mainly meat and mainly traditional Japanese. The moderately confirmed (see statistical methods groups with a Meat pattern showed a reduced risk of fall-related fracture (Hazard ratio = 0.36, 95% CI = 0.13 - 0.94 after adjustment for age, gender, BMI and energy intake. The Vegetable pattern showed a significant risk increase (Hazard ratio = 2.67, 95% CI = 1.03 - 6.90 after adjustment for age, gender and BMI. The Traditional Japanese pattern had no relationship to the risk of fall-related fracture. Conclusions The results of this study have the potential to reduce fall-related fracture risk in elderly Japanese. The results should be interpreted in light of the overall low meat intake of the Japanese population.

  3. 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 ...

  4. Potency of Solar Energy Applications in Indonesia

    Directory of Open Access Journals (Sweden)

    Noer Abyor Handayani

    2012-07-01

    Full Text Available Currently, 80% of conventional energy is used to fulfill general public's needs andindustries. The depletion of oil and gas reserves and rapid growth in conventional energyconsumption have continuously forced us to discover renewable energy sources, like solar, wind,biomass, and hydropower, to support economic development in the future. Solar energy travels at aspeed of 186,000 miles per second. Only a small part of the radiant energy that the sun emits intospace ever reaches the Earth, but that is more than enough to supply all our energy demand.Indonesia is a tropical country and located in the equator line, so it has an abundant potential ofsolar energy. Most of Indonesian area get enough intensity of solar radiation with the average dailyradiation around 4 kWh/m2. Basically, the solar systems use solar collectors and concentrators forcollecting, storing, and using solar radiation to be applied for the benefit of domestics, commercials,and industrials. Common applications for solar thermal energy used in industry are the SWHs, solardryers, space heating, cooling systems and water desalination.

  5. 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

  6. 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.

  7. 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.

  8. Hawking, fiducial, and free-fall temperature of black hole on gravity's rainbow

    Energy Technology Data Exchange (ETDEWEB)

    Gim, Yongwan; Kim, Wontae [Sogang University, Department of Physics, Seoul (Korea, Republic of)

    2016-03-15

    On gravity's rainbow, the energy of test particles deforms the geometry of a black hole in such a way that the corresponding Hawking temperature is expected to be modified. It means that the fiducial and free-fall temperatures on the black hole background should also be modified according to deformation of the geometry. In this work, the probing energy of test particles is assumed as the average energy of the Hawking particle in order to study the particle back reaction of the geometry by using the advantage of gravity's rainbow. We shall obtain the modified fiducial and free-fall temperatures, respectively. The behaviors of these two temperatures on the horizon tell us that black hole complementarity is still well defined on gravity's rainbow. (orig.)

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Fusion energy for alternate applications: the design of a high temperature falling bed as a long-lived blanket

    International Nuclear Information System (INIS)

    Harkness, S.D.; Stevens, H.C.; Hall, M.M.; Gohar, M.Y.A.; de Paz, J.F.

    1979-01-01

    The high temperature falling bed conceptual design work has consisted of a coordinated effort in neutronics, materials science, thermal hydraulics and mechanical design. The neutronics work has been based on a one-dimensional transport analysis and has been used to scope the implication of blanket dimensions, breeding materials, ceramic pebble material and coolant choice on both tritium breeding capabilities and energy deposition into the high temperature region of the blanket. The materials science effort has concentrated on defining the selection of a particular ceramic material. The thermal hydraulic analysis has been concerned with sizing the heat transfer system and defining the temperature gradients in the high temperature blanket. The mechanical design work has evaluated how such a system might be constructed from the point of view of maintainability and structural support

  14. 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,…

  15. Proceedings of the KSME 2009 fall annual meeting

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    This proceedings contains articles of the KSME 2009 fall annual meeting. It was held on 4-6 Nov, 2009 in Pyeongchang, Korea. This proceedings is comprised of 10 sessions. The main subject titles of session are as follows: materials and fracture mechanics, CAE and applied mechanics, dynamics and control, fabrication and design, reliability, biotechnology, micro/nano-mechanics, thermodynamics, fluid mechanics, energy and dynamics. (Yi, J. H.)

  16. Fall from a car driving at high speed: A case report.

    Science.gov (United States)

    Maujean, Géraldine; Guinet, Tiphaine; Malicier, Daniel

    2016-04-01

    In cases of falls, the key issue for forensic scientists is to determine the manner of death. They must distinguish between accidental falls, suicidal falls, falls including blows and falls caused by a blow. Several strategies have been proposed in the literature to help explain injury patterns. Here, we report an original case of a man who died after jumping from a car moving at high speed. A mathematical and modeling approach was developed to reconstruct the trajectory of the body in order to understand the injury pattern and apparent discrepancy between the high speed of the car from which the victim jumped and the topography of the bone fractures, which were limited to the skull. To define the initial values of the model's parameters, a technical vehicle evaluation and several test jumps at low speed were carried out. We studied in greater detail the trajectory of three characteristic points corresponding to the dummy's center of gravity, head and right foot. Calculations were made with and without the air friction effect to show its influence. Finally, we were successful in modeling the initial trajectory of the body and the variation of its head energy over time, which were consistent with the injuries observed. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  17. 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.

  18. 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.

  19. 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%.

  20. 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.

  1. Energy and information near black hole horizons

    International Nuclear Information System (INIS)

    Freivogel, Ben

    2014-01-01

    The central challenge in trying to resolve the firewall paradox is to identify excitations in the near-horizon zone of a black hole that can carry information without injuring a freely falling observer. By analyzing the problem from the point of view of a freely falling observer, I arrive at a simple proposal for the degrees of freedom that carry information out of the black hole. An infalling observer experiences the information-carrying modes as ingoing, negative energy excitations of the quantum fields. In these states, freely falling observers who fall in from infinity do not encounter a firewall, but freely falling observers who begin their free fall from a location close to the horizon are ''frozen'' by a flux of negative energy. When the black hole is ''mined,'' the number of information-carrying modes increases, increasing the negative energy flux in the infalling frame without violating the equivalence principle. Finally, I point out a loophole in recent arguments that an infalling observer must detect a violation of unitarity, effective field theory, or free infall

  2. Applications of plasma core reactors to terrestrial energy systems

    International Nuclear Information System (INIS)

    Lantham, T.S.; Biancardi, F.R.; Rodgers, R.J.

    1974-01-01

    Plasma core reactors offer several new options for future energy needs in addition to space power and propulsion applications. Power extraction from plasma core reactors with gaseous nuclear fuel allows operation at temperatures higher than conventional reactors. Highly efficient thermodynamic cycles and applications employing direct coupling of radiant energy are possible. Conceptual configurations of plasma core reactors for terrestrail applications are described. Closed-cycle gas turbines, MHD systems, photo- and thermo-chemical hydrogen production processes, and laser systems using plasma core reactors as prime energy sources are considered. Cycle efficiencies in the range of 50 to 65 percent are calculated for closed-cycle gas turbine and MHD electrical generators. Reactor advantages include continuous fuel reprocessing which limits inventory of radioactive by-products and thorium-U-233 breeder configurations with about 5-year doubling times

  3. 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.

  4. 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.

  5. 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

  6. Head and neck injury patterns in fatal falls: epidemiologic and biomechanical considerations.

    Science.gov (United States)

    Freeman, Michael D; Eriksson, Anders; Leith, Wendy

    2014-01-01

    base and lower cervical spine fracture in falls from a height are consistent with prior observations that the risk of such injuries is related to the degree of victim inversion at impact. The finding that C0-C1 dislocations are most common in falls from more than 3 m is unique, an indication that the injuries likely result from high energy shear forces rather than pure tension, as previously thought. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  7. Gamma radiation and gamma ray protection factors of ships in various situations of radioactive fall-out

    International Nuclear Information System (INIS)

    Brehm, E.H.; Holst, T.

    1975-01-01

    In this report the development of methods of evaluating gamma ray protection factors (GSF) of ships for various situations of radioactive fall-out is described. The joining calculations of gamma ray protection factors are performed by the newly developed computer procedure GASUFA. These protection factors determine - in connection with a measured gamma radiation dose at a given detector point - the gamma radiation in different compartments of the ships. The computer program GASUFA is able to perform calculations considering the dependence of energy, place and time for the following situations: - the ship is under a radioactive cloud without fall-out; - the ship is under a radioactive cloud with fall-out; - the ship is contaminated by radioactive fall-out; - the clean or decontaminated ship is going through a zone, which is contaminated by radioactive fall-out; - the ship and the surrounding water surface are contaminated by radioactive fall-out. (orig.) [de

  8. Thermal Texture Selection and Correction for Building Facade Inspection Based on Thermal Radiant Characteristics

    Science.gov (United States)

    Lin, D.; Jarzabek-Rychard, M.; Schneider, D.; Maas, H.-G.

    2018-05-01

    An automatic building façade thermal texture mapping approach, using uncooled thermal camera data, is proposed in this paper. First, a shutter-less radiometric thermal camera calibration method is implemented to remove the large offset deviations caused by changing ambient environment. Then, a 3D façade model is generated from a RGB image sequence using structure-from-motion (SfM) techniques. Subsequently, for each triangle in the 3D model, the optimal texture is selected by taking into consideration local image scale, object incident angle, image viewing angle as well as occlusions. Afterwards, the selected textures can be further corrected using thermal radiant characteristics. Finally, the Gauss filter outperforms the voted texture strategy at the seams smoothing and thus for instance helping to reduce the false alarm rate in façade thermal leakages detection. Our approach is evaluated on a building row façade located at Dresden, Germany.

  9. Influence on living body by radiant rays produced in low power reactor

    International Nuclear Information System (INIS)

    Ogura, Isao; Nakamura, Katsuichi; Usuyama, Hideo; Usui, Akinori; Hosomi, Takashi; Yoshimura, Yoshinao; Nakai, Takahide; Egashira, Masamichi

    1984-01-01

    There is possibility of a risk that a living body is irradiated by those for slightly indifference to radiant rays, radiation source or devices of low level dose or dose rate. Accordingly, a low power reactor (UTR-KINKI) was utilized for a observation of influence by radiation of low level dose or dose rate, the rabbits were irradiated in it at output 1 w. The large influence was not expected for the low level dose rate of 1.313 Rad/hr even if they were irradiated for the several hours, but in a part of blood components a slight change was recognized. The change of M pattern in white blood corpuscle number was indicated likewise as irradiation of 500R X-ray, reported from Jacobson and others, by irradiation to about 13 Rads. In addition, lymphocyte number was increased considerably in an early stage. This fact will be useful for a recovery of an injury as mentioned by Lucky. The rabbits of alloxan diabetes mellitus and hepatitis were irradiated in the same way as above, but they scarcely showed the alterations. However, numerous rabbits can't be used in this experiment for the equipment and others. (author)

  10. 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 ...

  11. 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.

  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. A study of using smartphone to detect and identify construction workers' near-miss falls based on ANN

    Science.gov (United States)

    Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

    2018-03-01

    As an effective fall accident preventive method, insight into near-miss falls provides an efficient solution to find out the causes of fall accidents, classify the type of near-miss falls and control the potential hazards. In this context, the paper proposes a method to detect and identify near-miss falls that occur when a worker walks in a workplace based on artificial neural network (ANN). The energy variation generated by workers who meet with near-miss falls is measured by sensors embedded in smart phone. Two experiments were designed to train the algorithm to identify various types of near-miss falls and test the recognition accuracy, respectively. At last, a test was conducted by workers wearing smart phones as they walked around a simulated construction workplace. The motion data was collected, processed and inputted to the trained ANN to detect and identify near-miss falls. Thresholds were obtained to measure the relationship between near-miss falls and fall accidents in a quantitate way. This approach, which integrates smart phone and ANN, will help detect near-miss fall events, identify hazardous elements and vulnerable workers, providing opportunities to eliminate dangerous conditions in a construction site or to alert possible victims that need to change their behavior before the occurrence of a fall accident.

  14. 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.

  15. 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.

  16. 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...

  17. 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.

  18. 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.

  19. 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...

  20. 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.

  1. Comment on Origin of Groundwater Discharge at Fall River Springs

    Energy Technology Data Exchange (ETDEWEB)

    Rose, T

    2006-10-20

    that the large volume cold springs associated with the Cascade Volcanoes commonly contain dissolved CO{sub 2} that originated from the volcanoes. This volcanic CO{sub 2} component is readily identified from carbon-14 measurements of the water. Carbon-14 analyses of the Fall River samples indicate that at least 27% of the dissolved inorganic carbon in the springs was derived from a volcanic CO{sub 2} source. Such a large volcanic CO{sub 2} flux requires that the groundwater supplying flow to the Fall River Springs must originate from a volcano where magma degassing is actively occurring. Given the hydrogeologic configuration of the Fall River aquifer system, it appears that the Medicine Lake Volcano is the only likely source of the volcanic CO{sub 2}. These data independently confirm the Medicine Lake highlands as a significant recharge source for the Fall River Springs. Moreover, these data indicate that groundwater recharge occurring on Medicine Lake Volcano must interact with a CO{sub 2} volatile phase derived from the geothermal system beneath the volcano. The lack of hot springs on Medicine Lake Volcano suggests that the geothermal system underlying the volcano is relatively tightly sealed. Nevertheless, it is probable that the geothermal fluid originates from precipitation falling on the volcanic edifice. This is the same water that supplies an important fraction of the Fall River Spring discharge. The source of the geothermal fluid can be evaluated using stable isotopes. The oxygen isotope signature of the geothermal fluid may have been modified by high temperature oxygen isotope exchange with the surrounding rock, but the hydrogen isotope signature should still be diagnostic of the origin of the fluid. Although the geothermal system appears to be largely decoupled from the shallow groundwater system that supplies the Fall River Springs, it is uncertain what impact the development of the geothermal system as an energy resource would have on groundwater

  2. 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

  3. Comprehensive energy and economic analyses on a zero energy house versus a conventional house

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, L. [School of Architecture, Tianjin University, Tianjin, 300072 (China); Hurt, R.; Correa, D.; Boehm, R. [Center for Energy Research, University of Nevada, Las Vegas, NV 89154 (United States)

    2009-09-15

    A zero energy house (ZEH) was built side by side with a baseline house in suburban Las Vegas. Actual energy performance measurements were carried out on the incorporated energy saving features and solar applications. The data show that a radiant barrier and a water-cooled air conditioner are major contributors to the energy savings, while an insulated floor slab and thermal mass walls are not effective for energy-conservation during cooling periods. Photovoltaic roof tiles produce enough green power to cover the use in the ZEH, and the solar water heater can reach a peak efficiency of 80%. The energy saving contribution of each incorporated component was obtained using Energy10 and eQUEST3.6 models, and then these codes were used for economic application evaluation. The two analysis codes yield similar results that compare well with the actual building performance data. Four items are clearly economically valuable for these applications: high performance windows, compact fluorescent lights, highly-insulated roofs and air conditioners with water-cooled condensers. PV tiles show a good financial return when rebates are considered. The Integrated Collector Storage (ICS) unit has a high efficiency but with a little higher thermal price. Thermal mass walls are too costly to have wide market appeal. (author)

  4. 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

  5. [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.

  6. Prediction of liquid metal alloy radiant properties from measurements of the Hall coefficient and the direct current resistivity

    International Nuclear Information System (INIS)

    Havstad, M.A.; Qiu, T.

    1995-04-01

    The thermal radiative properties of high temperature solid and liquid metal alloys are particularly useful to research and development efforts in laser cladding and machining, electron beam welding and laser isotope separation. However the cost, complexity, and difficulty of measuring these properties have forced the use of crude estimates from the Hagen-Rubens relation, the Drude relations, or extrapolation from low temperature or otherwise flawed data (e.g., oxidized). The authors have found in this work that published values for the Hall coefficient and the electrical resistivity of liquid metal alloys can provide useful estimates of the reflectance and emittance of some groups of binary liquid metal and high temperature solid alloys. The estimation method computes the Drude free electron parameters, and thence the optical constants and the radiant properties from the dependence of the Hall coefficient and direct current resistivity on alloy composition (the Hall coefficient gives the free electron density and the resistivity gives the average time between collisions). They find that predictions of the radiant properties of molten cerium-copper alloy, which use the measured variations in the Hall coefficient and resistivity (both highly nonlinear) as a function of alloy fraction (rather than linear combinations of the values of the pure elements) yield a good comparison to published measurements of the variation of the normal spectral emittance (a different but also nonlinear function) of cerium-copper alloy at the single wavelength available for comparison, 0.645 μm. The success of the approach in the visible range is particularly notable because one expects a Drude based approach to improve with increasing wavelength from the visible into the infrared. Details of the estimation method, the comparison between the calculation and the measured emittance, and a discussion of what groups of elements may also provide agreement is given

  7. 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.

  8. 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

  9. 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.

  10. 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...

  11. 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.

  12. 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.

  13. Historical changes and recent energy saving potential of residential heating in Korea

    International Nuclear Information System (INIS)

    Yeo, M.-S.; Yang, I.-H.; Kim, K.-W.

    2003-01-01

    The residential heating method in Korea underwent various phases of development to reach the current system. The first phase was the traditional Ondol (the traditional under-floor heating system in Korea), where the floor was heated by the circulation of hot gas produced by a fire furnace (before the 1950s). The second phase involved the use of the modified anthracite coal Ondol, for which the fire furnace was modified for briquette use (from the early 1950s to the late 1970s). The third phase involved the use of hot water radiant floor heating with embedded tubes (from the late 1970s). This paper presents insights into the problem of current residential heating in Korea and the general aspects of heating energy savings by tracing the history of residential heating in Korea and analyzing related data. The results show that modern apartment buildings with hot water radiant floor heating (the third phase) yield less heat loss due to the tighter envelope, but also yield higher energy consumption than the traditional Ondol heating housing (the first phase). Because of an inefficient system and lack of thermal insulation of the traditional Ondol heating housing, Ondol heating was used to heat occupants sitting directly on the floor, keeping lower room temperature and higher floor surface temperature. So the range of comfortable floor temperature for Korean people is higher and this unique comfort sense is related to energy consumption in modern apartment housing. As a result, several energy saving methods were found such as reducing the total floor heating area or zoning the floor area, receiving continuous heat supply, and installing a delicate control system and metering devices. (author)

  14. Radiation and the evolution of life

    International Nuclear Information System (INIS)

    Gentner, N.E.; Myers, D.K.

    1980-08-01

    A general review is presented of the nature of various forms of radiation; radiant energy which reaches the earth from the sun; the role of this energy in prebiotic chemical evolution; current ideas on the origin of life; the dependence of living organisms upon radiant energy; the mechanisms responsible for the evolution of life, from the viewpoint of modern genetics and molecular biology; the biological consequences of alterations in the genetic material; and the role of ionizing radiation in production of genetic changes and in evolution. In the final analysis, the biosynthetic processes of life are driven by radiant energy from the sun. This overview is necessarily focussed on the infrared, visible and ultraviolet regions of the solar output spectrum since these particular radiations are responsible for most of the radiant energy that reaches the earth's surface. Ionizing radiation appears to have played at best a minor role in biological evolution. Small increments in the amounts of ionizing radiation are therefore unlikely to have a significant effect on life or its evolution. (auth)

  15. Advanced, Integrated Control for Building Operations to Achieve 40% Energy Saving

    Energy Technology Data Exchange (ETDEWEB)

    Lu, Yan; Song, Zhen; Loftness, Vivian; Ji, Kun; Zheng, Sam; Lasternas, Bertrand; Marion, Flore; Yuebin, Yu

    2012-10-15

    We developed and demonstrated a software based integrated advanced building control platform called Smart Energy Box (SEB), which can coordinate building subsystem controls, integrate variety of energy optimization algorithms and provide proactive and collaborative energy management and control for building operations using weather and occupancy information. The integrated control system is a low cost solution and also features: Scalable component based architecture allows to build a solution for different building control system configurations with needed components; Open Architecture with a central data repository for data exchange among runtime components; Extendible to accommodate variety of communication protocols. Optimal building control for central loads, distributed loads and onsite energy resource; uses web server as a loosely coupled way to engage both building operators and building occupants in collaboration for energy conservation. Based on the open platform of SEB, we have investigated and evaluated a variety of operation and energy saving control strategies on Carnegie Mellon University Intelligent Work place which is equipped with alternative cooling/heating/ventilation/lighting methods, including radiant mullions, radiant cooling/heating ceiling panels, cool waves, dedicated ventilation unit, motorized window and blinds, and external louvers. Based on the validation results of these control strategies, they were integrated in SEB in a collaborative and dynamic way. This advanced control system was programmed and computer tested with a model of the Intelligent Workplace's northern section (IWn). The advanced control program was then installed in the IWn control system; the performance was measured and compared with that of the state of the art control system to verify the overall energy savings great than 40%. In addition advanced human machine interfaces (HMI's) were developed to communicate both with building

  16. 76 FR 28024 - Swan Falls Hydroelectric Project, Idaho Power Company; Notice of Teleconference

    Science.gov (United States)

    2011-05-13

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 503-048-ID] Swan Falls Hydroelectric Project, Idaho Power Company; Notice of Teleconference a. Date and Time of Meeting: Tuesday, May 24, 2011 at 10 a.m. (Mountain Time). b. Place: By copy of this notice we are inviting all interested parties to attend a teleconference from...

  17. 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.

  18. 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

  19. 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

  20. 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....

  1. 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 ...

  2. 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.

  3. 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.

  4. The Trajectory, Orbit and Preliminary Fall Data of the JUNE BOOTID Superbolide of July 23, 2008

    Science.gov (United States)

    Konovalova, N. A.; Madiedo, J. M.; Trigo-Rodriguez, J. M.

    2011-01-01

    The results of the atmospheric trajectory, radiant, orbit and preliminary fall data calculations of an extremely bright slow-moving fireball are presented. The fireball had a -20.7 maximum absolute magnitude and the spectacular long-persistence dust trail (Fig 1 and 2) was observed in a widespread region of Tajikistan twenty eight minutes after sunset, precisely at 14h 45m 25s UT on July 23, 2008. The bolide was first recorded at a height of 38.2 km, and attained its maximum brightness at a height of 35.0 km and finished at a height of 19.6 km. These values are very much in line with other well-known fireballs producing meteorites. The first break-up must have occurred under an aerodynamic pressure Pdyn of about 1.5 MPa, similar to those derived from the study of atmospheric break-ups of previously reported meteorite-dropping bolides. Our trajectory, and dynamic results suggest that one might well expect to find meteorites on the ground in this case. The heliocentric orbit of the meteoroid determined from the observations is very similar to the mean orbit of the June Bootid meteor shower, whose parental comet is 7P/Pons-Winnecke (Lindblad et al. 2003). If the parent was indeed a comet, this has implications for the internal structure of comets, and for the survivability of cometary meteorites.

  5. 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.

  6. 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.

  7. [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.

  8. 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

  9. 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

  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. [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.

  13. 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

  14. 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.

  15. 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

  16. Box of ideal gas in free fall

    Energy Technology Data Exchange (ETDEWEB)

    Kothawala, Dawood, E-mail: dawood@physics.iitm.ac.in [Department of Mathematics and Statistics, University of New Brunswick, Fredericton, NB, E3B 5A3 (Canada)

    2013-03-26

    We study the quantum partition function of non-relativistic, ideal gas in a (non-cubical) box falling freely in arbitrary curved spacetime with center 4-velocity u{sup a}. When perturbed energy eigenvalues are properly taken into account, we find that corrections to various thermodynamic quantities include a very specific, sub-dominant term which is independent of kinematic details such as box dimensions and mass of particles. This term is characterized by the dimensionless quantity, Ξ=R{sub 0{sup ^}0{sup ^}}Λ{sup 2}, where R{sub 0{sup ^}0{sup ^}}=R{sub ab}u{sup a}u{sup b} and Λ=βℏc, and, quite intriguingly, produces Euler relation of homogeneity two between entropy and energy – a relation familiar from black hole thermodynamics.

  17. 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.

  18. 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.

  19. 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 ...

  20. Electromagnetic wave energy conversion research

    Science.gov (United States)

    Bailey, R. L.; Callahan, P. S.

    1975-01-01

    Known electromagnetic wave absorbing structures found in nature were first studied for clues of how one might later design large area man-made radiant-electric converters. This led to the study of the electro-optics of insect dielectric antennae. Insights were achieved into how these antennae probably operate in the infrared 7-14um range. EWEC theoretical models and relevant cases were concisely formulated and justified for metal and dielectric absorber materials. Finding the electromagnetic field solutions to these models is a problem not yet solved. A rough estimate of losses in metal, solid dielectric, and hollow dielectric waveguides indicates future radiant-electric EWEC research should aim toward dielectric materials for maximum conversion efficiency. It was also found that the absorber bandwidth is a theoretical limitation on radiant-electric conversion efficiency. Ideally, the absorbers' wavelength would be centered on the irradiating spectrum and have the same bandwith as the irradiating wave. The EWEC concept appears to have a valid scientific basis, but considerable more research is needed before it is thoroughly understood, especially for the complex randomly polarized, wide band, phase incoherent spectrum of the sun. Specific recommended research areas are identified.

  1. A Simulation Study on the Performance of Radiant Ceilings Combined with Free-Hanging Horizontal Sound Absorbers

    DEFF Research Database (Denmark)

    Kazanci, Ongun Berk; Domínguez, L. Marcos; Rage, Niels

    2018-01-01

    using TABS, most building simulation models assume an uncovered ceiling; however, this might not be the case in practice, due to the use of free-hanging horizontal (or vertical) sound absorbers for the control of room acoustic conditions. The use of sound absorbers will decrease the performance...... of radiant ceiling cooling systems. Therefore, the quantification of the effects during the design phase is important for predicting the resulting thermal indoor environment and for system dimensioning. In this study, a two-person office room equipped with TABS was simulated using a commercially available...... simulation software with a recently developed plug-in that allows simulating the effects of horizontal sound absorbers on the performance of TABS and on the thermal indoor environment. The change in thermal indoor environment and in performance of TABS were quantified, and the simulation results were...

  2. 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.

  3. 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...

  4. Study on Gas-liquid Falling Film Flow in Internal Heat Integrated Distillation Column

    Science.gov (United States)

    Liu, Chong

    2017-10-01

    Gas-liquid internally heat integrated distillation column falling film flow with nonlinear characteristics, study on gas liquid falling film flow regulation control law, can reduce emissions of the distillation column, and it can improve the quality of products. According to the distribution of gas-liquid mass balance internally heat integrated distillation column independent region, distribution model of heat transfer coefficient of building internal heat integrated distillation tower is obtained liquid distillation falling film flow in the saturated vapour pressure of liquid water balance, using heat transfer equation and energy equation to balance the relationship between the circulating iterative gas-liquid falling film flow area, flow parameter information, at a given temperature, pressure conditions, gas-liquid flow falling film theory makes the optimal parameters to achieve the best fitting value with the measured values. The results show that the geometric gas-liquid internally heat integrated distillation column falling film flow heat exchange area and import column thermostat, the average temperature has significant. The positive correlation between the heat exchanger tube entrance due to temperature difference between inside and outside, the heat flux is larger, with the increase of internal heat integrated distillation column temperature, the slope decreases its temperature rise, which accurately describes the internal gas-liquid heat integrated distillation tower falling film flow regularity, take appropriate measures to promote the enhancement of heat transfer. It can enhance the overall efficiency of the heat exchanger.

  5. Energy to the Edge (E2E) Equipment Assessment U.S. Army Rapid Equipping Force

    Science.gov (United States)

    2015-05-01

    84 Contents Energy to the Edge • U.S. Army Rapid Equipping Force U.S. Army Rapid Equipping Force 1.0 Executive Summary Executive Summary U.S. Army... audiovisual equipment. • Once radiant barrier liner is inserted, the process of subsequent setups • Cables for lighting and outlets are located...behind the internal barrier • The shelter comes with organic audiovisual equipment. b. • • This shelter has a different setup and tear down process

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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

  11. 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.

  12. Impact of falls and fear of falling on health-related quality of life in patients with Parkinson's disease

    NARCIS (Netherlands)

    Grimbergen, Y.A.M.; Schrag, A.; Mazibrada, G.; Borm, G.F.; Bloem, B.R.

    2013-01-01

    Postural instability, recurrent falls and fear of falling are common in advanced Parkinson's disease (PD). We examined the impact of fall frequency, fear of falling, balance confidence and objectively measured balance impairment (using Tinetti's Mobility Index) on health-related quality of life

  13. [Influence of high fall-related self-efficacy on falls due to dissociation with ADL among elderly women in nursing homes].

    Science.gov (United States)

    Kato, Chikako; Ida, Kunio; Harada, Atsushi

    2009-09-01

    We examined the influence of high fall-related self-efficacy on falls due to dissociation with activities of daily living (ADL) among elderly women in nursing homes. We enrolled 72 female nursing home residents who were 70 years old or over and who scored 18 or higher on the Mini-Mental State Examination (MMSE). Subjects were classified into three groups based on the relationship between ADL and fall-related self-efficacy derived from a scattergram of the Functional Independence Measure (FIM) motor items and Falls Efficacy Scale (FES). The three groups were: group I which had low ADL and high fall-related self-efficacy (n=25); group II which had high ADL and low fall-related self-efficacy (n=30); and group III which had a correlation of ADL and fall-related self-efficacy in the 95% confidence interval (n=17). Then, we investigated the incidence of falls and the number of falls after 6 months in the three groups. The risk factor of falls was also investigated using multiple logistic regression analysis. The incidence and number of falls were significantly different in the three groups after 6 months. Moreover, the incidence of those falling was significantly different between group I and group III. The occurrence of falls was also significantly related with a past history of falls, FES, and group I which had low ADL and high fall-related self-efficacy. These findings suggest that the risk of falling increases in the presence of excessive fall-related self-efficacy dissociated from ADL.

  14. Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations: a systematic review.

    Science.gov (United States)

    Lukaszyk, Caroline; Harvey, Lara; Sherrington, Cathie; Keay, Lisa; Tiedemann, Anne; Coombes, Julieann; Clemson, Lindy; Ivers, Rebecca

    2016-12-01

    To examine the risk factors, incidence, consequences and existing prevention strategies for falls and fall-related injury in older indigenous people. Relevant literature was identified through searching 14 electronic databases, a range of institutional websites, online search engines and government databases, using search terms pertaining to indigenous status, injury and ageing. Thirteen studies from Australia, the United States, Central America and Canada were identified. Few studies reported on fall rates but two reported that around 30% of indigenous people aged 45 years and above experienced at least one fall during the past year. The most common hospitalised fall injuries among older indigenous people were hip fracture and head injury. Risk factors significantly associated with falls within indigenous populations included poor mobility, a history of stroke, epilepsy, head injury, poor hearing and urinary incontinence. No formally evaluated, indigenous-specific fall prevention interventions were identified. Falls are a significant and growing health issue for older indigenous people worldwide that can lead to severe health consequences and even death. No fully-evaluated, indigenous-specific fall prevention programs were identified. Implications for Public Health: Research into fall patterns and fall-related injury among indigenous people is necessary for the development of appropriate fall prevention interventions. © 2016 Public Health Association of Australia.

  15. An update on falls

    NARCIS (Netherlands)

    Bloem, B.R.; Steijns, J.A.G.; Smits-Engelsman, B.C.M.

    2003-01-01

    Purpose of review: Falls among elderly persons create immense social problems because of their association with physical decline, serious psychosocial consequences, negative impact on the quality of life, and markedly reduced survival. In addition, falls pose high costs to the public health service.

  16. An update on falls.

    NARCIS (Netherlands)

    Bloem, B.R.; Steijns, J.A.G.; Smits-Engelsman, B.C.M.

    2003-01-01

    PURPOSE OF REVIEW: Falls among elderly persons create immense social problems because of their association with physical decline, serious psychosocial consequences, negative impact on the quality of life, and markedly reduced survival. In addition, falls pose high costs to the public health service.

  17. Survival of falling robots

    Science.gov (United States)

    Cameron, Jonathan M.; Arkin, Ronald C.

    1992-01-01

    As mobile robots are used in more uncertain and dangerous environments, it will become important to design them so that they can survive falls. In this paper, we examine a number of mechanisms and strategies that animals use to withstand these potentially catastrophic events and extend them to the design of robots. A brief survey of several aspects of how common cats survive falls provides an understanding of the issues involved in preventing traumatic injury during a falling event. After outlining situations in which robots might fall, a number of factors affecting their survival are described. From this background, several robot design guidelines are derived. These include recommendations for the physical structure of the robot as well as requirements for the robot control architecture. A control architecture is proposed based on reactive control techniques and action-oriented perception that is geared to support this form of survival behavior.

  18. Survival of falling robots

    Science.gov (United States)

    Cameron, Jonathan M.; Arkin, Ronald C.

    1992-02-01

    As mobile robots are used in more uncertain and dangerous environments, it will become important to design them so that they can survive falls. In this paper, we examine a number of mechanisms and strategies that animals use to withstand these potentially catastrophic events and extend them to the design of robots. A brief survey of several aspects of how common cats survive falls provides an understanding of the issues involved in preventing traumatic injury during a falling event. After outlining situations in which robots might fall, a number of factors affecting their survival are described. From this background, several robot design guidelines are derived. These include recommendations for the physical structure of the robot as well as requirements for the robot control architecture. A control architecture is proposed based on reactive control techniques and action-oriented perception that is geared to support this form of survival behavior.

  19. Comparison of fall prediction by the Hessisch Oldendorf Fall Risk Scale and the Fall Risk Scale by Huhn in neurological rehabilitation: an observational study.

    Science.gov (United States)

    Hermann, Olena; Schmidt, Simone B; Boltzmann, Melanie; Rollnik, Jens D

    2018-05-01

    To calculate scale performance of the newly developed Hessisch Oldendorf Fall Risk Scale (HOSS) for classifying fallers and non-fallers in comparison with the Risk of Falling Scale by Huhn (FSH), a frequently used assessment tool. A prospective observational trail was conducted. The study was performed in a large specialized neurological rehabilitation facility. The study population ( n = 690) included neurological and neurosurgery patients during neurological rehabilitation with varying levels of disability. Around the half of the study patients were independent and dependent in the activities of daily living (ADL), respectively. Fall risk of each patient was assessed by HOSS and FSH within the first seven days after admission. Event of fall during rehabilitation was compared with HOSS and FSH scores as well as the according fall risk. Scale performance including sensitivity and specificity was calculated for both scales. A total of 107 (15.5%) patients experienced at least one fall. In general, fallers were characterized by an older age, a prolonged length of stay, and a lower Barthel Index (higher dependence in the ADL) on admission than non-fallers. The verification of fall prediction for both scales showed a sensitivity of 83% and a specificity of 64% for the HOSS scale, and a sensitivity of 98% with a specificity of 12% for the FSH scale, respectively. The HOSS shows an adequate sensitivity, a higher specificity and therefore a better scale performance than the FSH. Thus, the HOSS might be superior to existing assessments.

  20. Fear of falling and gait parameters in older adults with and without fall history.

    Science.gov (United States)

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

    2017-12-01

    Fear of falling (FOF) is associated with spatial and temporal gait parameters in older adults. FOF is prevalent among older adults, both those with and without fall history. It is still unclear whether the relationships between FOF and gait parameters are affected by fall history. The aim of the present study was to compare gait parameters by the presence of FOF and fall history. A total of 3575 older adults (mean age 71.7 years, 49.7% female) met the inclusion criteria for the present study. We assessed the presence of fall history and FOF by face-to-face interview, and gait parameters (gait speed, stride length, step rate, double support time and variation of stride length) at a comfortable speed using a computerized electronic walkway. Prevalences of fall history and FOF were as follows: non-fallers without FOF 52.6% (n = 1881); fallers without FOF 6.3% (n = 227); non-fallers with FOF 34.4% (n = 1229); and fallers with FOF 6.7% (n = 238). Analysis of covariance showed significant differences among the four groups in all gait variables even after adjusting for age, sex and number of medications used. It should be noted that non-fallers with FOF showed significantly slower gait speed, shorter stride length and longer double support time than did non-fallers without FOF (P fall history. The assessment of FOF might be helpful for better understanding of age-related changes in gait control. Geriatr Gerontol Int 2017; 17: 2455-2459. © 2017 Japan Geriatrics Society.

  1. Does functional capacity, fall risk awareness and physical activity level predict falls in older adults in different age groups?

    Science.gov (United States)

    Moreira, Natália Boneti; Rodacki, Andre Luiz Felix; Pereira, Gléber; Bento, Paulo Cesar Barauce

    2018-04-11

    The aims of this study were to examine whether: i) functional capacity and physical activity level differ between fallers and non-fallers older adults, by controlling for fall risk awareness; ii) functional capacity, fall risk awareness and physical activity differ between fallers and non-fallers older adults, by controlling for age; iii) variables and which may predict falls in different age groups. 1826 older adults performed a series of functional tests and reported their fall episodes, fall risk awareness and physical activity level. The overall incidence of falls was high (40.2%), and falls risk awareness scores reduced with age. The older adults with greater falls risk awareness and non-fallers presented better scores in all functional tests and physical activity level (P age groups and differed between fallers and non-fallers, irrespective of age group (P age groups (odds ranging: 1.05-1.09). Handgrip strength and balance scores predicted falls until 79 years (OR = 1.04, 95%CI = 1.01-1.06). The physical activity level predicted falls up to 70 years (OR = 1.09, 95%CI = 1.06-1.12). Functional mobility was able to predict falls up to 80 years (OR = 1.06, 95%CI = 1.01-1.08). Therefore, according to age, functional capacity, physical activity level and falls risk awareness can be a predictor of falls in older adults. Copyright © 2018 Elsevier B.V. All rights reserved.

  2. 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

    Directory of Open Access Journals (Sweden)

    Chandran Manju

    2011-06-01

    Full Text Available Abstract Background 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. Methods 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. Discussions 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. Trial registration Australia and New Zealand Clinical Trials Register (ANZCTR: ACTRN12610000576022

  3. Super Energy Efficient Design (S.E.E.D.) Home Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    German, A. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Dakin, B. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Backman, C. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Weitzel, E. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States); Springer, D. [Alliance for Residential Building Innovation (ARBI), Davis, CA (United States)

    2012-12-01

    This report describes the results of evaluation by the Alliance for Residential Building Innovation (ARBI) Building America team of the “Super Energy Efficient Design” (S.E.E.D) home, a 1,935 sq. ft., single-story spec home located in Tucson, AZ. This prototype design was developed with the goal of providing an exceptionally energy efficient yet affordable home and includes numerous aggressive energy features intended to significantly reduce heating and cooling loads such as structural insulated panel (SIP) walls and roof, high performance windows, an ERV, an air-to-water heat pump with mixed-mode radiant and forced air delivery, solar water heating, and rooftop PV. Source energy savings are estimated at 45% over the Building America B10 Benchmark. System commissioning, short term testing, long term monitoring and detailed analysis of results was conducted to identify the performance attributes and cost effectiveness of the whole house measure package.

  4. A New Hybrid Bathroom System Based on Energy Saving Concept

    Directory of Open Access Journals (Sweden)

    Cui Bo-wen

    2016-01-01

    Full Text Available Based on the characteristics of hot water supply in bathroom, this article proposes a new hybrid energy hot water supply system. The programmable logic controller(PLC as the master controller was adopted in this system, which could automatically detect and storage main thermal physical of the system, such as temperature, water level, solar radiation intensity, power consumption and so on. The active thermal utilization technology of solar energy, air-source heat pump technology, solar energy intensive natural ventilation technology and low temperature hot water floor radiant heating technology were organically integrated in this system, which has the advantages of energy conservation and environment protection, high automation, safe and reliable operation, etc. At the same time, it can make good use of electric power cost between on-peak and off-peak, and promote the optimal allocation of power resources and reduce the cost, which can achieve the goal of intelligent control and energy saving.

  5. Body mass index, falls, and injurious falls among U.S. adults: Findings from the 2014 Behavioral Risk Factor Surveillance System.

    Science.gov (United States)

    Ylitalo, Kelly R; Karvonen-Gutierrez, Carrie A

    2016-10-01

    Falls are an important health concern because they are associated with loss of independence and disability, particularly among women. We determined the age- and sex-specific prevalence of injurious falls among adults in the United States and examined the impact of obesity on fall risk. Self-reported falls, injurious falls, and health histories were obtained from 280,035 adults aged 45-79years in the 2014 Behavioral Risk Factor Surveillance System. Body mass index was categorized as underweight (fall in the previous 12months. Mid-life women 55-59years reported the highest prevalence of injurious falls (15.4%). Among mid-life women, overweight was associated with injurious falls (RR=1.17; 95% CI: 1.08, 1.28), but overweight was not associated with falling among other age-sex groups. Class II/III obesity was associated with injurious falls among all age-sex groups. After considering the mediators like health conditions (depression, cardiovascular disease, diabetes, arthritis) and behaviors (physical activity, sleep), the association of class II/III obesity and injurious fall risk persisted only among mid-life women (RR=1.23; 95% CI: 1.12, 1.36). Not only are mid-life women at high risk for falls, but the class II/III obesity is a risk factor for injurious falls. Targeting mid-life women for fall and injury prevention is an important aim for practitioners, particularly given unique correlates of falling for this group. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Energies and raw materials, economic energy situation april 1998; Energies et matieres premieres, conjoncture energetique avril 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    Here is the economic energy situation in France in April 1998. The energy consumption, the evolution of the different energy sources are given. The energy invoice is decreasing with the fall of petroleum price. The imports and energy demand are studied. Energy data are given in tables, comparison between the months of January in the three years 1996, 1997,1998 for consumption, invoices, prices are reported in curves. (N.C.)

  7. “The balancing act”— Licensed practical nurse experiences of falls and fall prevention: a qualitative study

    Directory of Open Access Journals (Sweden)

    Häggqvist Beatrice

    2012-10-01

    Full Text Available Abstract Background Falls are common in old age and may have serious consequences. There are many strategies to predict and prevent falls from occurring in long-term care and hospitals. The aim of this study was to describe licensed practical nurse experiences of predicting and preventing further falls when working with patients who had experienced a fall-related fracture. Licensed practical nurses are the main caretakers that work most closely with the patients. Methods A qualitative study of focus groups interviews and field observations was done. 15 licensed practical nurses from a rehabilitation ward and an acute ward in a hospital in northern Sweden were interviewed. Content was analyzed using qualitative content analysis. Results The result of the licensed practical nurse thoughts and experiences about risk of falling and fall prevention work is represented in one theme, “the balancing act”. The theme includes three categories: “the right to decide”, “the constant watch”, and “the ongoing negotiation” as well as nine subcategories. The analysis showed similarities and differences between rehabilitation and acute wards. At both wards it was a core strategy in the licensed practical nurse work to always be ready and to pay attention to patients’ appearance and behavior. At the rehabilitation ward, it was an explicit working task to judge the patients’ risk of falling and to be active to prevent falls. At the acute ward, the words “risk of falling” were not used and fall prevention were not discussed; instead the licensed practical nurses used for example “dizzy and pale”. The results also indicated differences in components that facilitate workplace learning and knowledge transfer. Conclusions Differences between the wards are most probably rooted in organizational differences. When it is expected by the leadership, licensed practical nurses can express patient risk of falling, share their observations with others

  8. 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

    OpenAIRE

    Kwok, Boon Chong; Mamun, Kaysar; Chandran, Manju; Wong, Chek Hooi

    2011-01-01

    Abstract Background 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 contri...

  9. Numerical investigation on the convective heat transfer in a spiral coil with radiant heating

    Directory of Open Access Journals (Sweden)

    Đorđević Milan Lj.

    2016-01-01

    Full Text Available The objective of this study was to numerically investigate the heat transfer in spiral coil tube in the laminar, transitional, and turbulent flow regimes. The Archimedean spiral coil was exposed to radiant heating and should represent heat absorber of parabolic dish solar concentrator. Specific boundary conditions represent the uniqueness of this study, since the heat flux upon the tube external surfaces varies not only in the circumferential direction, but also in the axial direction. The curvature ratio of spiral coil varies from 0.029 at the flow inlet to 0.234 at the flow outlet, while the heat transfer fluid is water. The 3-D steady-state transport equations were solved using the Reynolds stress turbulence model. Results showed that secondary flows strongly affect the flow and that the heat transfer is strongly asymmetric, with higher values near the outer wall of spiral. Although overall turbulence levels were lower than in a straight pipe, heat transfer rates were larger due to the curvature-induced modifications of the mean flow and temperature fields. [Projekat Ministarstva nauke Republike Srbije, br. 42006

  10. Falls and fractures in participants and excluded non-participants of a fall prevention exercise program for elderly women with a history of falls: 1-year follow-up study.

    Science.gov (United States)

    Kim, Hunkyung; Yoshida, Hideyo; Suzuki, Takao

    2014-04-01

    To evaluate the effectiveness of a strength and balance enhancing exercise intervention as a means of preventing falls in community-dwelling elderly Japanese women with a history of falls, while comparing functional fitness, fall and fracture rate in excluded subjects. A 1-year follow-up trial was carried out on 105 participants over the age of 70 years, who were randomly assigned to the exercise or education group, and also on 91 women excluded based on the exclusion criteria. The exercise group attended a 60-min exercise class twice a week for 3 months. Falls, injuries, fractures, and functional fitness assessments were measured at baseline, post-intervention and 1-year follow up. During the follow up, fall rates were 19.6% in the exercise group, 40.4% in the education group and 40.8% in excluded subjects (χ(2)  = 7.069, P = 0.029). Compared with the exercise group, the odds ratio (OR) for falls was greater in the education group (OR 2.78, 95% confidence interval (CI) 1.17-6.96) and excluded participants (OR 2.83, 95%CI 1.25-6.80). The OR for fractures was over fourfold greater in excluded participants (OR 4.30, 95% CI 1.02-9.70) than the exercise group. The exercise intervention for participants with fall history effectively decreased incidences of falls and fractures. However, fall and fracture rates in excluded people were high. Further research focusing on feasible countermeasures for falls in excluded people who are at high risk of fractures is required. © 2013 Japan Geriatrics Society.

  11. Falls from height: A retrospective analysis.

    Science.gov (United States)

    Turgut, Kasim; Sarihan, Mehmet Ediz; Colak, Cemil; Güven, Taner; Gür, Ali; Gürbüz, Sükrü

    2018-01-01

    Emergency services manage trauma patients frequently and falls from height comprise the main cause of emergency service admissions. In this study, we aimed to analyse the demographic characteristics of falls from height and their relationship to the mortality. A total of 460 patients, who admitted to the Emergency Department of Inonu University between November 2011 and November 2014 with a history of fall from height, were examined retrospectively. Demographic parameters, fall characteristics and their effect to mortality were evaluated statistically. The study comprised of 292 (63.5%) men and 168 (36.5%) women patients. The mean age of all patients was 27±24.99 years. Twenty-six (5.6%) patients died and the majority of them were in ≥62 years old group. The highest percentage of falls was at 0-5 years age group (28.3%). People fell mainly from 1.1-4 metres(m) level (46.1%). The causes of falls were ordered as unintentional (92.2%), workplace (8.1%) and suicidal (1.7%). Skin and soft tissue injuries (37.4%) were the main traumatic lesions. Age, fall height, fall place, lineer skull fracture, subarachnoidal hemorrhage, cervical fracture, thoracic vertebra fracture and trauma scores had statistically significant effect on mortality. The casualties died because of subarachnoid hemorrhage mostly.

  12. Fear of Falling in Older Adults: Comprehensive Review

    Directory of Open Access Journals (Sweden)

    Dukyoo Jung, PhD, RN

    2008-12-01

    Full Text Available Fear of falling has been reported in a high percentage of community-dwelling elderly who both do and don't have a history of falling. The aims of this review are to: (a elucidate the definition of fear of falling; (b clarify measurements of fear of falling based on its definition; and (c describe the risk factors for fear of falling. Despite the importance of the percentage and the consequences of fear of falling, its definition is still vague and warrants clarification. Based on a literature review, major fear of falling measurements involve the evaluation of fear of falling and use of a fall efficacy scale. Using a correct definition of fear of falling, nurses working close with older adults need to identify the different definitions of fear of falling and fall efficacy scale. In addition, nurses who work closely with older adults should encourage them to increase or maintain modifiable factors by maximizing their basic health status and enhancing their physical activity to decrease fear of falling.

  13. Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized childrens hospital in Saudi Arabia.

    Science.gov (United States)

    AlSowailmi, Banan Abdullah; AlAkeely, Maha Heshaam; AlJutaily, Hayat Ibrahim; Alhasoon, Mohammad Abdulaziz; Omair, Amir; AlKhalaf, Hamad Abdullah

    2018-01-01

    Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children's falls during hospitalization. Identify the prevalence of fall injuries among hospital.ized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall. Descriptive, cross-sectional prevalence study. Specialized children's hospital. Data was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children less than or equal 14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded. Prevalence and possible risk factors for fall events. 48. The prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1-5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previ.ous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03). Risk factor identification is required to prevent falls and their severe outcomes. Underreporting and single-centered study. None.

  14. Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly.

    Science.gov (United States)

    Ishimoto, Yasuko; Wada, Taizo; Kasahara, Yoriko; Kimura, Yumi; Fukutomi, Eriko; Chen, Wenling; Hirosaki, Mayumi; Nakatsuka, Masahiro; Fujisawa, Michiko; Sakamoto, Ryota; Ishine, Masayuki; Okumiya, Kiyohito; Otsuka, Kuniaki; Matsubayashi, Kozo

    2012-10-01

    The 21-item Fall Risk Index (FRI-21) has been used to detect elderly persons at risk for falls. The aim of this longitudinal study was to evaluate the FRI-21 as a predictor of decline in basic activities of daily living (BADL) among Japanese community-dwelling elderly persons independent of fall risk. The study population consisted of 518 elderly participants aged 65 years and older who were BADL independent at baseline in Tosa, Japan. We examined risk factors for BADL decline from 2008 to 2009 by multiple logistic regression analysis on the FRI-21 and other functional status measures in all participants. We carried out the same analysis in selected participants who had no experience of falls to remove the effect of falls. A total of 45 of 518 participants showed decline in BADL within 1 year. Multivariate logistic regression analysis showed that age (odds ratio [OR] 1.13, 95% confidence interval [CI] 1.05-1.20), FRI-21 ≥ 10 (OR 3.81, 95% CI 1.49-9.27), intellectual activity dependence (OR 3.25, 95% CI 1.42-7.44) and history of osteoarthropathy (OR 3.17, 95% CI 1.40-7.21) were significant independent risk factors for BADL decline within 1 year. FRI-21 ≥ 10 and intellectual activity dependence (≤ 3) remained significant predictors, even in selected non-fallers. FRI-21 ≥ 10 and intellectual activity dependence were significant predictive factors of BADL decline, regardless of fall experience, after adjustment for confounding variables. The FRI-21 is a brief, useful tool not only for predicting falls, but also future decline in functional ability in community-dwelling elderly persons. © 2012 Japan Geriatrics Society.

  15. Definitions and methods of measuring and reporting on injurious falls in randomised controlled fall prevention trials: a systematic review

    Directory of Open Access Journals (Sweden)

    Schwenk Michael

    2012-04-01

    Full Text Available Abstract Background The standardisation of the assessment methodology and case definition represents a major precondition for the comparison of study results and the conduction of meta-analyses. International guidelines provide recommendations for the standardisation of falls methodology; however, injurious falls have not been targeted. The aim of the present article was to review systematically the range of case definitions and methods used to measure and report on injurious falls in randomised controlled trials (RCTs on fall prevention. Methods An electronic literature search of selected comprehensive databases was performed to identify injurious falls definitions in published trials. Inclusion criteria were: RCTs on falls prevention published in English, study population ≥ 65 years, definition of injurious falls as a study endpoint by using the terms "injuries" and "falls". Results The search yielded 2089 articles, 2048 were excluded according to defined inclusion criteria. Forty-one articles were included. The systematic analysis of the methodology applied in RCTs disclosed substantial variations in the definition and methods used to measure and document injurious falls. The limited standardisation hampered comparability of study results. Our results also highlight that studies which used a similar, standardised definition of injurious falls showed comparable outcomes. Conclusions No standard for defining, measuring, and documenting injurious falls could be identified among published RCTs. A standardised injurious falls definition enhances the comparability of study results as demonstrated by a subgroup of RCTs used a similar definition. Recommendations for standardising the methodology are given in the present review.

  16. Work-related falls among union carpenters in Washington State before and after the Vertical Fall Arrest Standard.

    Science.gov (United States)

    Lipscomb, Hester J; Li, Leiming; Dement, John

    2003-08-01

    Washington State enacted a change in their fall standard for the construction industry in 1991, preceding the Safety Standard for Fall Protection in the Construction Industry promulgated by Federal OSHA in 1994. We evaluated changes in the rate of falls from elevations and measures of severity among a large cohort of union carpenters after the fall standard change in Washington State, taking into account the temporal trends in their overall injury rates. There was a significant decrease in the rate of falls from height after the standard went into effect, even after adjusting for the overall decrease in work-related injuries among this cohort. Much of the decrease was immediate, likely representing the publicity surrounding fatal falls and subsequent promulgation of the standard. The greatest decrease was seen between 3 and 3(1/2) years after the standard went into effect. There was a significant reduction in mean paid lost days per event after the standard change and there was a significant reduction in mean cost per fall when adjusting for age and the temporal trend for costs among non-fall injuries. Through the use of observational methods we have demonstrated significant effects of the Washington State Vertical Fall Arrest Standard among carpenters in the absence of a control or comparison group. Without controlling for the temporal trend in overall injury rates, the rate of decline in falls appeared significantly greater, but the more pronounced, but delayed, decline was not seen. The analyses demonstrate potential error in failing to account for temporal patterns or assuming that a decline after an intervention is related to the intervention. Copyright 2003 Wiley-Liss, Inc.

  17. Falls: Epidemiology, Pathophysiology, and Relationship to Fracture

    OpenAIRE

    Berry, Sarah D.; Miller, Ram

    2008-01-01

    Falls are common in the elderly, and frequently result in injury, disability, and institutionalization. Although the causes of falls are complex, 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, age-associated comorbidities such as osteoarthritis, visual impairment and d...

  18. 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

  19. Identifying nursing home residents at risk for falling.

    Science.gov (United States)

    Kiely, D K; Kiel, D P; Burrows, A B; Lipsitz, L A

    1998-05-01

    To develop a fall risk model that can be used to identify prospectively nursing home residents at risk for falling. The secondary objective was to determine whether the nursing home environment independently influenced the development of falls. A prospective study involving 1 year of follow-up. Two hundred seventy-two nursing homes in the state of Washington. A total of 18,855 residents who had a baseline assessment in 1991 and a follow-up assessment within the subsequent year. Baseline Minimum Data Set items that could be potential risk factors for falling were considered as independent variables. The dependent variable was whether the resident fell as reported at the follow-up assessment. We estimated the extrinsic risk attributable to particular nursing home environments by calculating the annual fall rate in each nursing home and grouping them into tertiles of fall risk according to these rates. Factors associated independently with falling were fall history, wandering behavior, use of a cane or walker, deterioration of activities of daily living performance, age greater than 87 years, unsteady gait, transfer independence, wheelchair independence, and male gender. Nursing home residents with a fall history were more than three times as likely to fall during the follow-up period than residents without a fall history. Residents in homes with the highest tertile of fall rates were more than twice as likely to fall compared with residents of homes in the lowest tertile, independent of resident-specific risk factors. Fall history was identified as the strongest risk factor associated with subsequent falls and accounted for the vast majority of the predictive strength of the model. We recommend that fall history be used as an initial screener for determining eligibility for fall intervention efforts. Studies are needed to determine the facility characteristics that contribute to fall risk, independent of resident-specific risk factors.

  20. Intrinsic Risk Factors of Falls in Elderly

    Directory of Open Access Journals (Sweden)

    Yasmin Amatullah

    2016-09-01

    Full Text Available Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly. Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT. Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables. Results: From 53 patients, women (35.66% were considered to have higher risk of fall than men (18.34%. The majority of patients (66% with the risk of fall were from the age group 60–74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs. Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls.

  1. Longitudinal association between habitual walking and fall occurrences among community-dwelling older adults: analyzing the different risks of falling.

    Science.gov (United States)

    Okubo, Yoshiro; Seino, Satoshi; Yabushita, Noriko; Osuka, Yosuke; Jung, Songee; Nemoto, Miyuki; Figueroa, Rafael; Tanaka, Kiyoji

    2015-01-01

    The purpose of this longitudinal study was to examine the association between habitual walking and multiple or injurious falls (falls) among community-dwelling older adults, by considering the relative risk of falling. A cohort of Japanese community-dwelling older adults (n=535) aged 60-91 years (73.1±6.6 year, 157 men and 378 women) who underwent community-based health check-ups from 2008 to 2012 were followed until 2013. Incidence rate of falls between walkers and non-walkers was compared separately by the number of risk factors (Groups R0, R1, R2, R3 and R4+). The Cox proportional hazard model was used to assess the association between habitual walking and falls separately by lower- (Rrisk groups. In Groups R0 and R1, the incidence of falls was lower in walkers than non-walkers; however, in Groups R2, R3, and R4+, the incidence of falls was higher in walkers. The Cox proportional hazard model showed that habitual walking was not significantly associated with falls (hazard ratio (HR): 0.88, 95% confidence interval (CI): 0.48-1.62) among the lower risk group but that it was significantly associated with increased falls (HR: 1.89, 95% CI: 1.04-3.43) among the higher risk group. The significant interaction between habitual walking and higher risk of falling was found (Prisk factors for falling, caution is needed when recommending walking because walking can actually increase their risk of experiencing multiple or injurious falls. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  2. Factors associated with recognition and prioritization for falling, and the effect on fall incidence in community dwelling older adults.

    Science.gov (United States)

    Jansen, Sofie; Schoe, Jolanda; van Rijn, Marjon; Abu-Hanna, Ameen; Moll van Charante, Eric P; van der Velde, Nathalie; de Rooij, Sophia E

    2015-12-17

    Recent trials have shown that multifactorial fall interventions vary in effectiveness, possibly due to lack of adherence to the interventions. The aim of this study was to examine what proportion of older adults recognize their falls risk and prioritize for fall-preventive care, and which factors are associated with this prioritization. Observational study within the intervention arm of a cluster randomized controlled trial (RCT) on the effect of preventive interventions for geriatric problems in older community-dwellers at risk of functional decline.  general practices in the Netherlands. Participants were community dwellers (70+) in whom falling was identified as a condition. A comprehensive geriatric assessment (CGA) was performed by a registered community care nurse. Participants were asked which of the identified conditions they recognized and prioritized for in a preventive care plan, and subsequent interventions were started. Multivariable logistic regression was performed to identify which factors were associated with this prioritization. Fall-incidence was measured during one-year follow-up. The RCT included 6668 participants, 3430 were in the intervention arm. Of those, 1209 were at risk of functional decline, of whom 936 underwent CGA. In 380 participants (41 %), falling was identified as a condition; 62 (16 %) recognized this and 37 (10 %) prioritized for it. Factors associated with prioritization for falls-prevention were: recurrent falls in the past year (OR 2.2 [95 % CI 1.1-4.4]), severe fear-of-falling (OR 2.7 [1.2-6.0]) and use of a walking aid (2.3 [1.1-5.0]). Sixty participants received a preventive intervention for falling; 29 had prioritized for falling. Incidence of falls was higher in the priority group than the non-priority group (67 % vs. 37 % respectively) during first six months of follow-up, but similar between groups after 12 months (40.7 % vs. 44.4 %). The proportion of community-dwellers at risk of falls that recognizes this

  3. Prevalence of falls in elderly women

    OpenAIRE

    Vitor,Priscila Regina Rorato; Oliveira,Ana Carolina Kovaleski de; Kohler,Renan; Winter,Gabriele Regiane; Rodacki,Cintia; Krause,Maressa Priscila

    2015-01-01

    OBJECTIVE: To verify prevalence of falls and fear of falling, and to compare functional fitness among elderly women fallers and non-fallers. METHODS: 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. RES...

  4. Energy mastery, 30 years later. New challenges in the sustainable development context

    International Nuclear Information System (INIS)

    Padet, J.; Bissieux, C.; Padet, C.; Lachi, M.; Pron, H.

    2005-01-01

    The main topic of the 2005 issue of the annual congress of the French society of thermal engineering (SFT) is the energy mastery as a response to the sustainable development challenge. These proceedings gather 130 publications shared between 5 sessions dealing with: transfers in multiphase environments (two-phase and phase change); convective transfers (natural, mixed, forced and jets); coupled transfers (radiant, combustion, plasmas, porous media, drying); thermophysical properties (micro-thermal, interfaces, measurements, identification); thermal systems (exchangers, processes, energetics). Among these, two articles are relevant for the INIS database, one treats of the thermal problems encountered with thermonuclear fusion. and the other deals with the scientific policy of the French agency of environment and energy mastery (Ademe). (J.S.)

  5. The consumption of two or more fall risk-increasing drugs rather than polypharmacy is associated with falls.

    Science.gov (United States)

    Zia, Anam; Kamaruzzaman, Shahrul B; Tan, Maw P

    2017-03-01

    The presemt study aimed to determine the association between the risk of recurrent and injurious falls with polypharmacy, fall risk-increasing drugs (FRID) and FRID count among community-dwelling older adults. Participants (n = 202) were aged ≥65 years with two or more falls or one injurious fall in the past year, whereas controls (n = 156) included volunteers aged ≥65 years with no falls in the past year. A detailed medication history was obtained alongside demographic data. Polypharmacy was defined as "regular use of five or more prescription drugs." FRID were identified as cardiovascular agents, central nervous system drugs, analgesics and endocrine drugs; multiple FRID were defined as two or more FRID. Multiple logistic regression analyses were used to adjust for confounders. The use of non-steroidal anti-inflammatory drugs was independently associated with an increased risk of falls. Univariate analyses showed both polypharmacy (OR 2.23, 95% CI 1.39-3.56; P = 0.001) and the use of two or more FRID (OR 2.9, 95% CI 1.9-4.5; P = 0.0001) were significantly more likely amongst fallers. After adjustment for age, sex and comorbidities, blood pressure, and physical performance scores, polypharmacy was no longer associated with falls (OR 1.6, 95% CI 0.9-2.9; P = 0.102), whereas the consumption of two or more FRID remained a significant predictor for falls (OR 2.8, 95% CI 1.4-5.3; P = 0.001). Among high risk fallers, the use of two or more FRID was an independent risk factor for falls instead of polypharmacy. Our findings will inform clinical practice in terms of medication reviews among older adults at higher risk of falls. Future intervention studies will seek to confirm whether avoidance or withdrawal of multiple FRID reduces the risk of future falls. Geriatr Gerontol Int 2017; 17: 463-470. © 2016 Japan Geriatrics Society.

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

    OpenAIRE

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

    2015-01-01

    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 stre...

  7. Electronically droplet energy harvesting using piezoelectric cantilevers

    KAUST Repository

    Al Ahmad, Mahmoud Al

    2012-01-01

    A report is presented on free falling droplet energy harvesting using piezoelectric cantilevers. The harvester incorporates a multimorph clamped-free cantilever which is composed of five layers of lead zirconate titanate piezoelectric thick films. During the impact, the droplet kinetic energy is transferred into the form of mechanical stress forcing the piezoelectric structure to vibrate. Experimental results show energy of 0.3 μJ per droplet. The scenario of moderate falling drop intensity, i.e. 230 drops per second, yields a total energy of 400 μJ. © 2012 The Institution of Engineering and Technology.

  8. Changes in physical activity, sedentary time, and risk of falling: The Women's Health Initiative Observational Study.

    Science.gov (United States)

    Bea, Jennifer W; Thomson, Cynthia A; Wallace, Robert B; Wu, Chunyuan; Seguin, Rebecca A; Going, Scott B; LaCroix, Andrea; Eaton, Charles; Ockene, Judith K; LaMonte, Michael J; Jackson, Rebecca; Jerry Mysiw, W; Wactawski-Wende, Jean

    2017-02-01

    Falling significantly affects quality of life, morbidity, and mortality among older adults. We sought to evaluate the prospective association between sedentary time, physical activity, and falling among post-menopausal women aged 50-79years recruited to the Women's Health Initiative Observational Study between 1993 and 1998 from 40 clinical centers across the United States. Baseline (B) and change in each of the following were evaluated at year 3 (Y3) and year 6 (Y6; baseline n=93,676; Y3 n=76,598; Y6 n=75,428): recreational physical activity (MET-h/wk), sitting, sleeping (min/day), and lean body mass by dual energy X-ray absorptiometry (subset N=6475). Falls per year (0, 1, 2, ≥3) were assessed annually by self-report questionnaire and then dichotomized as ≤1 and ≥2falls/year. Logistic regression models were adjusted for demographics, body mass index, fall history, tobacco and alcohol use, medical conditions, and medications. Higher baseline activity was associated with greater risk of falling at Y6 (18%; p for trend falling (1% Y3; 2% Y6; pfalling at Y3 and Y6 (p for trend falling among post-menopausal women. Additional fall prevention strategies, such as balance and resistance training, should be evaluated to assist post-menopausal women in reaching or maintaining levels of aerobic activity known to prevent and manage several chronic diseases. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. [Fall risk assessment in regular exercising elderly women].

    Science.gov (United States)

    Kikuchi, Reiko; Kozaki, Koichi; Kawashima, Yumiko; Iwata, Akiko; Hasegawa, Hiroshi; Igata, Akihiro; Toba, Kenji

    2008-09-01

    Fall prevention is important for elderly people to maintain their functional independence. We made a longitudinal fall-risk assessment using our "Fall-predicting score" of women who are 60 years or older and who exercised regularly. We sent "fall-predicting questionnaires" to 632 elderly women aged 60 years or older (mean 65.0+/-4.3), members of "Miishima gymnastics program", and asked about their fall history of falling in the past year in 2004 and 2005. We performed a logistic regression analysis to determine the future risk factor of falling in 2005. The number of people who fell was 134 (21.2%) in 2004 and 121 (19.1%) in 2005. The number of people who fell decreased in the seventh decade, but increased in the eighth decade, and members for 6-10 years showed most decreased fall rates. Logistic regression analysis revealed that age, falls in 2004, "tripping", "cannot squeeze a towel", and "walk steep slope around the house" were significant independent risk factors of "falls in 2005". Logistic regression analysis of non-fallers in 2004 showed that age and "tripping" were the significant independent risk factors of "falls in 2005", and the analysis of people who fell in 2004 showed that age, "tripping", "cannot squeeze a towel", "walk steep slope around the house", and "taking more than 5 medicines" were significant independent risk factors for falls in 2005. In regular exercising elderly women, exercise appears to prevent falls in people in the seventh decade and in the members of 6-10 years. Age, past history of falls, and fall-predicting questionnaire were important risk predictors of future falls.

  10. Impaired perceived timing of falls in the elderly.

    Science.gov (United States)

    Lupo, Julian; Barnett-Cowan, Michael

    2018-01-01

    Falls are the leading cause of injury-related deaths and hospitalizations, with older adults at an increased risk. As humans age, physical changes and health conditions make falls more likely. While we know how the body reflexively responds to prevent injury during a fall, we know little about how people perceive the fall itself. We previously found that young adults required a fall to precede a comparison sound stimulus by approximately 44ms to perceive the two events as simultaneous. This may relate to common anecdotal reports suggesting that humans often describe distortions in their perception of time - time seems to slow down during a fall - with very little recollection of how and when the fall began. Here we examine whether fall perception changes with age. Young (19-25y) and older (61-72y) healthy adults made temporal order judgments identifying whether the onset of their fall or the onset of a comparison sound came first to measure the point of subjective simultaneity. Results show that fall perception is nearly twice as slow for older adults, where perturbation onset has to precede sound onset by ∼88ms to appear coincident, compared to younger adults (∼44ms). We suggest that such age-related differences in fall perception may relate to increased fall rates in older adults. We conclude that a better understanding of how younger versus older adults perceive falls may identify important factors for innovative fall prevention strategies and rehabilitative training exercises to improve fall awareness. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls

    Directory of Open Access Journals (Sweden)

    Elizabeth A Phelan

    2016-09-01

    Full Text Available A multifactorial approach to assess and manage modifiable risk factors is recommended for older adults with a history of falls. Limited research suggests that this approach does not routinely occur in clinical practice, but most related studies are based on provider self-report, with the last chart audit of United States practice published over a decade ago. We conducted a retrospective chart review to assess the extent to which patients aged 65+ with a history of repeated falls or fall-related healthcare use received multifactorial risk assessment and interventions. The setting was an academic primary care clinic in the Pacific Northwest. Among the 116 patients meeting our inclusion criteria, 48% had some type of documented assessment. Their mean age was 79±8 years; 68% were female, and 10% were non-white. They averaged 6 primary care visits over a 12-month period subsequent to their index fall. Frequency of assessment of fall risk factors varied from 24% (for home safety to 78% (for vitamin D. An evidence-based intervention was recommended for identified risk factors 73% of the time, on average. Two risk factors were addressed infrequently: medications (21% and home safety (24%. Use of a structured visit note template independently predicted assessment of fall risk factors (P=0.003. Geriatrics specialists were more likely to use a structured note template (p=.04 and perform more fall risk factor assessments (4.6 vs. 3.6, p=.007 than general internists. These results suggest opportunities for improving multifactorial fall risk assessment and management of older adults at high fall risk in primary care. A structured visit note template facilitates assessment. Given that high-risk medications have been found to be independent risk factors for falls, increasing attention to medications should become a key focus of both public health educational efforts and fall prevention in primary care practice.

  12. 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

  13. 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.

  14. Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients.

    Science.gov (United States)

    Hou, Wen-Hsuan; Kang, Chun-Mei; Ho, Mu-Hsing; Kuo, Jessie Ming-Chuan; Chen, Hsiao-Lien; Chang, Wen-Yin

    2017-03-01

    To evaluate the accuracy of the inpatient fall risk screening tool and to identify the most critical fall risk factors in inpatients. Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients. Secondary data analysis. A subset of inpatient data for the period from June 2011-June 2014 was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei. Data were analysed using descriptive statistics, receiver operating characteristic curve analysis and logistic regression analysis. During the study period, 205 fallers and 37,232 nonfallers were identified. The results revealed that the inpatient fall risk screening tool (cut-off point of ≥3) had a low sensitivity level (60%), satisfactory specificity (87%), a positive predictive value of 2·0% and a negative predictive value of 99%. The receiver operating characteristic curve analysis revealed an area under the curve of 0·805 (sensitivity, 71·8%; specificity, 78%). To increase the sensitivity values, the Youden index suggests at least 1·5 points to be the most suitable cut-off point for the inpatient fall risk screening tool. Multivariate logistic regression analysis revealed a considerably increased fall risk in patients with impaired balance and impaired elimination. The fall risk factor was also significantly associated with days of hospital stay and with admission to surgical wards. The findings can raise awareness about the two most critical risk factors for falls among future clinical nurses and other healthcare professionals and thus facilitate the development of fall prevention interventions. This study highlights the needs for redefining the cut-off points of the inpatient fall risk screening tool to effectively identify inpatients at a high risk of falls. Furthermore, inpatients with impaired balance and impaired elimination should be closely

  15. Falling into the Light-using music and poetry as complementary modes of understanding falls in old age

    DEFF Research Database (Denmark)

    Evron, Lotte; Clausen, Nina

    that a broader understanding of falls in old age in the health care system might help health professionals to understand the complexity of falls and by this inspire older persons to prevent falls in different ways. Using poetry and music in our performance we seek to open up for a broader understanding of falls......: irresponsible behavior, disease, destiny, desire to remain independent in old age, appearing elegant/aesthetical and being physical active. One of the interviews was selected and transformed it into a poem (2-3). The poem was then translated into music by the second author. First we present the six...... understandings of falls in old age then we read the poem and finally a musical interpretation of the poem is performed by song and cello. The music is written for soprano and cello and created with direct inspiration from the poem. The fall is reproduced in a series of descending tones coming back as a "chorus...

  16. 29 CFR 1917.41 - House falls.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false House falls. 1917.41 Section 1917.41 Labor Regulations...) MARINE TERMINALS Cargo Handling Gear and Equipment § 1917.41 House falls. (a) Span beams shall be secured... working with house fall blocks. (c) Designated employees shall inspect chains, links, shackles, swivels...

  17. 29 CFR 1926.760 - Fall protection.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Fall protection. 1926.760 Section 1926.760 Labor... (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Steel Erection § 1926.760 Fall protection. (a... protection from fall hazards in accordance with paragraph (a)(1) of this section. (c) Controlled Decking Zone...

  18. Falls prevention for the elderly

    Directory of Open Access Journals (Sweden)

    Dagmar Lühmann

    2012-04-01

    Full Text Available Background: An ageing population, a growing prevalence of chronic diseases and limited financial resources for health care underpin the importance of prevention of disabling health disorders and care dependency in the elderly. A wide variety of measures is generally available for the prevention of falls and fall-related injuries. The spectrum ranges from diagnostic procedures for identifying individuals at risk of falling to complex interventions for the removal or reduction of identified risk factors. However, the clinical and economic effectiveness of the majority of recommended strategies for fall prevention is unclear. Against this background, the literature analyses in this HTA report aim to support decision-making for effective and efficient fall prevention.Research questions: The pivotal research question addresses the effectiveness of single interventions and complex programmes for the prevention of falls and fall-related injuries. The target population are the elderly (> 60 years, living in their own housing or in long term care facilities. Further research questions refer to the cost-effectiveness of fall prevention measures, and their ethical, social and legal implications. Methods: Systematic literature searches were performed in 31 databases covering the publication period from January 2003 to January 2010. While the effectiveness of interventions is solely assessed on the basis of randomised controlled trials (RCT, the assessment of the effectiveness of diagnostic procedures also considers prospective accuracy studies. In order to clarify social, ethical and legal aspects all studies deemed relevant with regard to content were taken into consideration, irrespective of their study design. Study selection and critical appraisal were conducted by two independent assessors. Due to clinical heterogeneity of the studies no meta-analyses were performed.Results: Out of 12,000 references retrieved by literature searches, 184 meet the

  19. Falls in Parkinson's disease and Huntington's disease

    NARCIS (Netherlands)

    Grimbergen, Yvette Anna Maria

    2012-01-01

    Falls in Parkinson’s (PD) and Huntington’s disease (HD) are common. 50 % of moderately affected PD patients sustained two or more falls during a prospective follow-up of 6 months. During a 3 month period 40 % of HD patients reported one or more fall. Many falls resulted in minor injuries and 42 % of

  20. Geriatric falls in the context of a hospital fall prevention program: delirium, low body mass index, and other risk factors.

    Science.gov (United States)

    Mazur, Katarzyna; Wilczyński, Krzysztof; Szewieczek, Jan

    2016-01-01

    Inpatient geriatric falls are a frequent complication of hospital care that results in significant morbidity and mortality. Evaluate factors associated with falls in geriatric inpatients after implementation of the fall prevention program. Prospective observational study comprised of 788 consecutive patients aged 79.5±7.6 years ( [Formula: see text] ± standard deviation) (66% women and 34% men) admitted to the subacute geriatric ward. Comprehensive geriatric assessment (including Mini-Mental State Examination, Barthel Index of Activities of Daily Living, and modified Get-up and Go Test) was performed. Confusion Assessment Method was used for diagnosis of delirium. Patients were categorized into low, moderate, or high fall risk groups after clinical and functional assessment. About 15.9%, 21.1%, and 63.1% of participants were classified into low, moderate, and high fall risk groups, respectively. Twenty-seven falls were recorded in 26 patients. Increased fall probability was associated with age ≥76 years ( P fall risk were included in the multivariate logistic regression model: delirium (odds ratio [OR] =7.33; 95% confidence interval [95% CI] =2.76-19.49; P falls (OR =2.55; 95% CI =1.05-6.19; P =0.039), age (OR =1.14; 95% CI =1.05-1.23; P =0.001), and BMI (OR =0.91; 95% CI =0.83-0.99; P =0.034). Delirium, history of falls, and advanced age seem to be the primary risk factors for geriatric falls in the context of a hospital fall prevention program. Higher BMI appears to be associated with protection against inpatient geriatric falls.