Construction industry is considered as one of the most high-risk industries for work-related injuries and fatalities, accounting for more than half of fatalities in Korea. Advanced countries have recognized the critical role of designers in preventing construction accidents and have established regulations on design for safety. In line with this, the Korean government have also implemented regulations that require owners and designers to review the safety of design outcomes. However, it has been observed that designers face challenges in identifying hazards and integrating design solutions at the design stage mainly due to their shortage of required knowledge and skills. This study aimed to examine design solutions that can be applied to prevent fall accidents in the construction industry, and to establish a relationship between these solutions and fatal fall accidents occurred over the past three years in Korea. This study also analyzed the relationships of four variables (construction type, cost, work type, and fall location) with design solutions. The results indicated that all four variables have significant relationships with design solutions, with fall location showing the strongest relationship. The design solutions and their relationships with fatal fall accidents identified in this study can be utilized in identifying hazard and integrating design solutions to ensure design for safety.

본 연구는 노인들의 낙상 위험 기전을 이해하고 필라테스 재활 운동 원리가 노인들의 균형 능력 과 자세 안정화에 긍정적 효과를 기대할 수 있는지 선행 연구 자료를 고찰하였고, 재활 필라테스 운동의 낙상 예방 효과에 대한 문헌적 기초자료를 제시하는데 연구의 목적이 있다. 이에 다음과 같은 결론을 제시 하고자 한다. 첫째, 재활 필라테스 운동은 척추와 골반의 안정화를 위한 신체 중심부의 강화 운동이 가능하 고, 신경근을 촉진시켜 균형과 관절 안정화에 효과가 있다. 둘째, 노화에 따른 고유수용기 감각 저하와 근 골격계 퇴행 질환은 균형 능력 상실과 자세 유지의 불안정성을 높여 운동 기능 수행의 어려움과 보행 장애 로 낙상 손상 위험을 높이게 된다. 셋째, 재활 필라테스 운동은 노인들의 코어 근력 향상으로 균형과 반응 시간 운동 기능 향상을 기대할 수 있으며, 낙상 예방에 관여되는 신체 불균형 개선과 움직임 안정성에 긍정 적 영향을 미쳐 낙상 위험률 감소에 기여할 가능성을 제시할 수 있다. 결론적으로 재활 필라테스가 노인운 동 프로그램으로서 신체의 근력 향상, 균형 감각 향상, 코어의 안정화 효과를 나타내 근골격계 퇴행에 따른 낙상 손상의 위험 요인을 감소시키고, 노인성 만성질환에 따른 심각한 활동 장애를 예방할 수 있음을 고찰 하였다.

While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, nonrandomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one’s balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.

Among the industrial disasters caused by drop, ladder related drop disasters are occurred the mostly. The victims are occurred continuously. This study analyzed current situation of industrial disasters for recent 10 years(2005~2014) and compared・analyzed statistics of death disasters of ladder by workplace scale, age, occupation, employment type, working content, scarred area, etc. in detail. This study suggested direction of safety standard modification for ladder that is an original cause material of many drops, direction of safety training strengthening of small-scaled workplace, and safety model based on disaster statistics and should contribute to reduction of disaster rate for ladder working.

Slips and falls are associated with many public injuries in Korea. It is also estimated that slipping are major contributors to slip, trip and fall injury burden. The primary purpose of the present study is to determine if, and to what extent, the standard could be improved in present environment. In order to fulfill our objective, the regulations in Korea and foreign countries were investigated and reviewed. Many kind of standard, mandatory documents and guideline were also reviewed. And then, regulations, standard, guideline etc. reviewed were compared with each others. Also, some criteria was developed in this study. Standard and criteria developed in this study will help to prevent slip, trip, and fall injuries.

Slips and falls are associated with many occupational injuries in Korea. It is also estimated that slipping are major contributors to slip, trip and fall injury burden. So「LOCAL RULE ON OCCUPATIONAL SAFETY AND HEALTH STANDAR D」must be improved, especially article 3(prevention of slip, trip and fall). The primary purpose of the present study is to determine if , and to what extent, the standard could be improved in present environment. In order to fulfill our objective, the another regulation in Korea and foreign countries were investigated and reviewed. Many kind of standard, mandatory documents and guideline were also reviewed. And then, regulations, standard, guideline etc. reviewed were compared with each others. The article 3 was revised as below. 1. The floors of the traffic route in workplace shall have no hole or slope, or be uneven or slippery so as, in each case, to expose employees to slip, trip and fall risk, except if adequate measures have been taken to prevent a employees falling. 2. The employer shall design, install and fix the drain for effective drainage if fluid contaminants were frequently occurred. So far as is reasonably practicable, An employer shall keep the workplace clean, sanitary, and dry so that employees won't have any risk to tripping or slipping at the workplace. 3. To facilitate cleaning, every floor, workplace, and passageway shall be, so far as is reasonably practicable, kept free from protruding objects, splinters, holes, etc. Also, some criteria was developed in this study. Standard and criteria developed in this study will help to prevent slip, trip, and fall injuries.

이 논문은 가파른 경사면 전면에 시공되는 낙석방지벽에 작용하는 토압의 특성에 대한 내용을 다룬다. 낙석방지벽 배면되메움 공간은 주동상태의 흙쐐기가 완전히 형성될 만큼의 공간이 없고, 토압의 특성은 벽체의 이동과 벽체와 절취사면 사이의 좁은 간격에서 발생하는 아칭 효과의 영향을 크게 받기 때문에 해석적으로 신뢰성 있는 규명이 되지 않고 있다. 연구는 실내에서 축소모형에 대한 원심력시험을 통하여 수행되었다. 연구결과는 낙석방지공 배면토압이 지반의 경사각과 벽체이동에 크게 영향 받음을 보여주었다 벽체상반부에서는 벽체이동에 의한 토압감소가. 하반부에서는 아칭 효과가 뚜렷하게 나타남을 보였다. 이 연구결과에 의하면 낙석방지벽 설계에서 벽체에 작용하는 토압은 지반경사와 공사중 또는 완공후의 벽체 이동조건을 고려하여야 함을 알 수 있었다.