Bibliografie tematiche / Falls (Accidents) in old age

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Letteratura scientifica selezionata sul tema "Falls (Accidents) in old age"

Autore: Grafiati
Pubblicato: 4 giugno 2021
Ultima modifica: 30 luglio 2024

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Articoli di riviste sul tema "Falls (Accidents) in old age"

1

Freitas, Mariana Gonçalves de, Palmira de Fátima Bonolo, Edgar Nunes de Moraes e Carla Jorge Machado. "Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents". Ciência & Saúde Coletiva 20, n. 3 (marzo 2015): 701–12. http://dx.doi.org/10.1590/1413-81232015203.19582014.

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The article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA). The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. The 1812 elderly who fell were grouped together into 4 clusters: Cluster 1, in which all had disabilities; Cluster 2, all were non-white and falls took place in the home; Cluster 3, younger and active seniors; and Cluster 4, with a higher proportion of seniors 80 years old or above who were white. Among cases of traffic accidents, 446 seniors were grouped into two clusters: Cluster 1 of younger elderly, drivers or passengers; Cluster 2, with higher age seniors, mostly pedestrians. The main victims of falls were women with low schooling and unemployed; traffic accident victims were mostly younger and male. Complications were similar in victims of falls and traffic accidents. Clusters allow adoption of targeted measures of care, prevention and health promotion.
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Kingma, Johannes, e Henk-Jan Ten Duis. "Injuries Due to School Sports Accidents in 4 to 13-Yr.-Old Children". Perceptual and Motor Skills 90, n. 1 (febbraio 2000): 319–25. http://dx.doi.org/10.2466/pms.2000.90.1.319.

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505 kindergarten and primary school children from 4 to 13 years of age were treated for school sports injuries during the period 1990–1997. The incidence of injuries increased statistically significantly from .5 per 1,000 children 4- to 5-yr.-old to 4.8 injured children per 1,000 in 12- to 13-yr.-old. 59% of the injuries involved upper extremities; 35% of these were in the wrist region. 33.5% of the injuries were of the lower extremities, with 50% being of the feet and 36.4% of the ankle. Accidental falls were the main situation (53%) in which school sport accidents occurred. Nearly 65% of these accidental falls occurred at the ground level; the remaining accidents (35%) occurred when the child was working on an apparatus, e.g., parallel bars, balancing beam, side horse. The 4- to 5-yr.-old children were the most vulnerable to accidental fall (67%). A statistically significant increase in injuries in ball sports was observed from 4- to 5-yr.-olds (0%) to the 12- to 13-yr.-olds (28%).
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Budiman, Ardelia Clara, Wisnu Wardhana, Sri Maliawan e I. Wayan Niryana. "Characteristics of Patients with Spinal Cord Injury Caused by Accident in Denpasar during 2020–2022". Neurologico Spinale Medico Chirurgico 7, n. 1 (gennaio 2024): 23–28. http://dx.doi.org/10.4103/nsmc.nsmc_31_23.

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Background: Spinal cord injury (SCI) is an injury located on the medulla spinalis, which could cause damage to the motor and sensory system. There are four mechanisms of accidents, which are traffic accidents, falls from height, sports accidents, and occupation-related accidents. Research regarding SCI caused by accident in Denpasar is still limited; therefore, to understand patients’ demography and clinical characteristics, further research is needed. Subjects and Methods: This research was a descriptive, cross-sectional research using total sampling and a prospective approach taken from the medical records of patients who are referred to the neurosurgeon department at Prof. Ngoerah General Hospital. Results: Based on the research results, most patients who are suffering from SCIs are male (73.5%), within the age range of 50–59 years old (22.1%), with falling from heights as the most common mechanism of accident, majority of it are classified as Grade A classification (33.8%). Most cases appeared with fractures (77.9%), and most were found in the cervical region (66%). As for the treatment, surgery interventions are more common (63.2%). Conclusions: Patients with SCI due to accidents are dominated by men, with the largest age group being 50–59 years old. The most common mechanism of accident is falling from height, and the majority of the cases are classified into Grade A using the American Spinal Injury Associaton classification. The majority of the cases are accompanied by fractures, especially in the cervical. Most of the cases are carried out by surgery interventions.
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Rudelli, Bruno Alves, Marcelo Valerio Alabarce da Silva, Miguel Akkari e Claudio Santili. "Accidents due to falls from roof slabs". Sao Paulo Medical Journal 131, n. 3 (2013): 153–57. http://dx.doi.org/10.1590/1516-3180.2013.1313479.

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CONTEXT AND OBJECTIVE Falls from the roof slabs of houses are accidents of high potential severity that occur in large Brazilian cities and often affect children and adolescents. The aims of this study were to characterize the factors that predispose towards this type of fall involving children and adolescents, quantify the severity of associated lesions and suggest preventive measures. DESIGN AND SETTING Descriptive observational prospective longitudinal study in two hospitals in the metropolitan region of São Paulo. METHODS Data were collected from 29 cases of falls from roof slabs involving children and adolescents between October 2008 and October 2009. RESULTS Cases involving males were more prevalent, accounting for 84%. The predominant age group was schoolchildren (7 to 12 years old; 44%). Leisure activities were most frequently being practiced on the roof slab at the time of the fall (86%), and flying a kite was the most prevalent game (37.9%). In 72% of the cases, the children were unaccompanied by an adult responsible for them. Severe conditions such as multiple trauma and traumatic brain injuries resulted from 79% of the accidents. CONCLUSION Falls from roof slabs are accidents of high potential severity, and preventive measures aimed towards informing parents and guardians about the dangers and risk factors associated with this type of accident are needed, along with physical protective measures, such as low walls around the slab and gates with locks to restrict free access to these places.
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Lagbas, Clint, Shahrzad Bazargan-Hejazi, Magda Shaheen, Dulcie Kermah e Deyu Pan. "Traumatic Brain Injury Related Hospitalization and Mortality in California". BioMed Research International 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/143092.

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Objective. The aim of this study is to describe the traumatic brain injury (TBI) population and causes and identify factors associated with TBI hospitalizations and mortality in California.Methods. This is a cross-sectional study of 61,188 patients with TBI from the California Hospital Discharge Data 2001 to 2009. We used descriptive, bivariate, and multivariate analyses in SAS version 9.3.Results. TBI-related hospitalizations decreased by 14% and mortality increased by 19% from 2001 to 2009. The highest percentages of TBI hospitalizations were due to other causes (38.4%), falls (31.2%), being of age≥75years old (37.2%), being a males (58.9%), and being of Medicare patients (44%). TBIs due to falls were found in those age≤4years old (53.5%),≥75years old (44.0%), and females (37.2%). TBIs due to assaults were more frequent in Blacks (29.0%). TBIs due to motor vehicle accidents were more frequent in 15–19 and 20–24 age groups (48.7% and 48.6%, resp.) and among Hispanics (27.8%). Higher odds of mortality were found among motor vehicle accident category (adjusted odds ratio (AOR): 1.27, 95% CI: 1.14–1.41); males (AOR: 1.36, 95% CI: 1.27–1.46); and the≥75-year-old group (AOR: 6.4, 95% CI: 4.9–8.4).Conclusions. Our findings suggest a decrease in TBI-related hospitalizations but an increase in TBI-related mortality during the study period. The majority of TBI-related hospitalizations was due to other causes and falls and was more frequent in the older, male, and Medicare populations. The higher likelihood of TBI-related mortalities was found among elderly male≥75years old who had motor vehicle accidents. Our data can inform practitioners, prevention planners, educators, service sectors, and policy makers who aim to reduce the burden of TBI in the community. Implications for interventions are discussed.
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Wang, Hongwei, Yuan Zhang, Qiang Xiang, Xuke Wang, Changqing Li, Hongyan Xiong e Yue Zhou. "Epidemiology of traumatic spinal fractures: experience from medical university–affiliated hospitals in Chongqing, China, 2001–2010". Journal of Neurosurgery: Spine 17, n. 5 (novembre 2012): 459–68. http://dx.doi.org/10.3171/2012.8.spine111003.

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Object The main objective of this study was to analyze the epidemiological data obtained from patients with traumatic spinal fracture at 2 university-affiliated hospitals in Chongqing, China. Methods The authors retrospectively reviewed the hospital records of all patients who suffered traumatic spinal fracture and were treated at Xinqiao Hospital and Southwest Hospital (both affiliated with The Third Military Medical University) between January 2001 and December 2010. The demographic characteristics, injury characteristics, and clinical outcomes of patients over this 10-year period were compared. Results A total of 3142 patients (mean age 45.7 years, range 1–92 years) with traumatic spinal fractures were identified; 65.5% of the patients were male. The peak frequency of these injuries occurred in the 31- to 40-year-old age group. Accidental falls and traffic accidents were the most common causes of spinal fractures (58.9% and 20.9%, respectively). Traffic accidents tended to occur in younger patients, whereas accidental falls tended to occur in older patients. The most common area of fracture was the thoracolumbar spine (54.9%). Cervical spinal fractures were significantly more common in patients injured in traffic accidents, while lumbar spinal fractures were more common in accidental fall patients. Using the American Spinal Injury Association (ASIA) classification, 479 (15.3%) patients were classified as having ASIA A injuries; 913 (29.1%), ASIA B, ASIA C, or ASIA D; and 1750 (55.7%), ASIA E. ASIA A injuries were more common in patients who suffered thoracic spinal fractures (15.09%) than in those with fractures in other areas of the spine. A total of 954 (30.4%) patients had associated nonspinal injuries. Of these patients, 389 (40.78%) suffered a thoracic injury, and 191 (20.02%) sustained a head and neck injury. The length of hospitalization differed significantly between the accidental falls from high heights and falls from low heights, as did the mean cost of hospitalization (p < 0.05), but no significant difference was found between accidental falls from high heights and traffic accidents (p > 0.05). The length of hospitalization differed significantly among the 3 groups according to the ASIA classification, as did the mean cost of hospitalization (p < 0.05). Of patients with incomplete lesions, 39.3% improved 1 or more grades in ASIA classification during hospitalization. Conclusions Accidental falls emerged as the leading cause of traumatic spinal fracture in this study, and the numbers of fall-induced and sports-related injuries increased steadily with age. These results indicate that there should be increased concern for the consequences of fall- and sports-related injuries among the elderly.
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Betsis, Sotiris, Maria Kalogirou, Georgios Aretoulis e Maria Pertzinidou. "Work Accidents Correlation Analysis for Construction Projects in Northern Greece 2003–2007: A Retrospective Study". Safety 5, n. 2 (27 maggio 2019): 33. http://dx.doi.org/10.3390/safety5020033.

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Construction project related accidents are critical events and it is imperative that they are analyzed in order to understand and identify their root causes. Therefore, the present study analyzes work accidents on construction projects in northern Greece. The methodological approach firstly includes the collection of accident related data from the “Greek Work Inspection Organization”, which is followed by a descriptive analysis and corresponding codification of available data. The next step includes the creation of an appropriate database in SPSS to accommodate all relevant data and subsequent correlation analysis that aims to identify potential trends and tendencies within the accidents’ sample. The findings highlight the most frequent occurrences regarding construction work related accidents and at the same time identify correlations among the various parameters associated with them. The majority of accidents include inexperienced personnel and workers in the age range of 24–44 years old. Moreover, most accidents occur during the summer and are not fatal. Falls are by far the dominant type of accident, and as a consequence, fractures are the most frequently occurring type of injury. Finally, most accidents occur in the morning, with injuries focusing on the lower parts of the body, and in the presence of general use equipment. The current paper also identified associations among various accident characteristics. These findings could help towards reducing the number and severity of work-related accidents. Improved construction site organization, accompanied by the dedication of management towards health and safety and more frequent inspections, could decrease the number and severity of accidents.
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Gfeller, David, e Thomas Von Arx. "Retrospective Analysis of Dento-alveolar Injuries at a Swiss University Clinic (2011-2015)". SWISS DENTAL JOURNAL SSO – Science and Clinical Topics 131, n. 6 (14 giugno 2021): 500–510. http://dx.doi.org/10.61872/sdj-2021-06-732.

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Abstract The aim of this study was to evaluate all dento-alveolar injuries occurring within a period of 5 years that were examined at the Department of Oral Surgery and Stomatology at the University of Bern. The case histories of 852 patients (522 males and 330 females) were assessed retrospectively. The mean age was 17 years and 9 months. The youngest patient was 10 months old, the oldest was 91 years old. Most accidents were recorded in the months of March and July. Friday was observed as the weekday when accidents were at their peak. 54% of trauma patients were first examined on the day of the accident. The most frequent causes of accident were falls, cycling or sports accidents. Injury types included concussion (72.4%), subluxation (14%) and luxation (7.7%). Crown fractures without pulp exposure were recorded in 522 teeth (10.7%). Rare types of trauma were crown fractures with pulp exposure (3.7%), and avulsion injuries (3.2%). The most frequently affected teeth were central incisors (40%), followed by lateral incisors (35.6%) and canines (19.5%). 71.5% of the patients with dento-alveolar trauma also had soft-tissue injuries (from abrasions to lacerations), mostly lip (51.6%), gingival (19%), and chin injuries (10.9%). The multivariate analysis showed that age had a significant impact on concussions, subluxations, intrusions, crown fractures, root fractures and non-oral injuries. For concussions and subluxations, the probability of an injury was the highest for the mixed dentition group. For intrusions, the probability of an injury decreased with age, but it was vice versa for crown fractures, root fractures and non-oral injuries. It was found that bicycle injuries had the highest injury probability for avulsions, luxations, subluxations, soft tissue – and non-oral injuries. Accepted for publication: October 30, 2020 Published online: January 28, 2021 Read the complete article as PDF file.
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Araújo Junior, Francisco Alves de, Anderson Matsubara, Luiz Henrique Cardoso Pereira, Eric Henrique Batista Schmidt e Gabriel Luiz de Souza Kondlatsch. "Epidemiology of Spinal cord Injury in references trauma center in Curitiba (Paraná, Brazil)". Coluna/Columna 20, n. 2 (giugno 2021): 123–26. http://dx.doi.org/10.1590/s1808-185120212002240563.

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ABSTRACT Objective: To outline the clinical-epidemiological profile of patients who were victims of SCT, to identify the main trauma mechanisms for this injury and its outcome. Methods: Retrospective cross-sectional study, in which the epidemiological data, computed tomography reports and medical records of patients with fractures identified in their examinations at trauma reference hospitals in Curitiba-PR, in 2018, were analyzed. Results: 705 patients were studied. There was a male prevalence (64%), the most affected age group was 21 to 30 years old (18%), the mean age was 48.23 years, the mean female age being approximately 10 years higher. The main mechanisms were traffic accidents (34%), falls from a higher level (29%) and falls from the same level (25%). The most affected segment was the lumbar with 46% of cases. The incidence of surgical treatment was 15%, of spinal cord injury was 5%, and death was the outcome in less than 3% of cases. Conclusions: The profile of the patient victim of SCT in 2018 in Curitiba-PR was that of a young man, victim of a traffic accident with thoracolumbar involvement without spinal cord injury, under conservative treatment.Level of evidence II; Retrospective Study.
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N, Jyothsna. "A Study to Assess the Knowledge and Practice Regarding Prevention of Falls Among Elderly at Navajeevan Vruddhashramam in Tirupati". Galore International Journal of Applied Sciences and Humanities 7, n. 4 (27 novembre 2023): 26–29. http://dx.doi.org/10.52403/gijash.20230404.

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BACKGROUND: Falls among the elderly are one of the major causes of morbidity and mortality worldwide. They constitute the second leading cause of unintentional deaths after road-traffic accidents. The aim of the study was to estimate the prevalence of falls among the elderly and to investigate the factors that contribute to this phenomenon. MATERIALS AND METHODS: Quasi experimental one group pre and post-test design was used to assess the knowledge and practice of old age people regarding prevention of recurrent falls, over the age of 60, in Navajeevan vruddhashramam, Tirupati. The sample under scrutiny was estimated to be 30 in total. The investigator developed questionnaires to assess the effectiveness of booklet on the knowledge and practice regarding prevention of falls among elderly at Navajeevan vruddhashramam. The collected data was organized, tabulated, analyzed and interpreted by using descriptive and inferential statistics based on the objectives of the study and effectiveness of booklet was analyzed and interpreted by using descriptive and inferential statistics. the study RESULTS Showed that Among 30 samples in pretest 47% (14/30) had average knowledge on prevention of recurrent falls. Among 30 samples in post -test (20/30) 67% have good knowledge on prevention of recurrent falls. The mean score was observed was 9.93 and post means score is 22.3 by applying the T test, the calculator value is 11.28 and T-value is 2.0017. So that by obtained “t” value was highly significant at p < 0.05 level. The conclusion drawn from the study information booklet was more effective on prevention of recurrent falls among elderly people. Keywords: falls, old age people, booklet, knowledge and practice
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Tesi sul tema "Falls (Accidents) in old age"

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Li, Yun Popescu Mihail. "Fall detection using sound sensors". Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6651.

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Title from PDF of title page (University of Missouri--Columbia, viewed on March 10, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Thesis advisor: Dr. Mihail Popescu. Includes bibliographical references.
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Li, Hon-kwok. "A systematic review of qualitative studies on old people's psycho-social experiences of falls and their prevention". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41711026.

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賴漢國 e Hon-kwok Li. "A systematic review of qualitative studies on old people's psycho-social experiences of falls and their prevention". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41711026.

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Abbott, Carmen Casanova Waigandt Alex. "Community multidimensional fall risk screening". Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6136.

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Abstract (sommario):
The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 10, 2010). Thesis advisor: Alex Waigandt. Vita. Includes bibliographical references.
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Low, Chien-tat. "An exploratory study of environmental risk factors to elderly falls in Hong Kong a GIS case study of Mong Kok, 2006-2007 /". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40887923.

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Lui, Wai-man. "Validity of the Chinese version of modified falls efficacy scale in predicting falls among community-dwelling elderly in Hong Kong /". View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31684063.

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Scott, Victoria Janice. "Study of factors associated with fall-related injuries among frail older adults". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0016/NQ48229.pdf.

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Maw, Kit-chee Christina. "Risk factors for falls among community-dwelling elderly attending the elderly health centre". Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25138753.

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Wan, Yim-lai. "Evidence-based fall prevention guidelines for hospitalized patients aged 65 or above". Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251602.

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Wong, Chun-ho Eyckle. "A study on fears of falling in old age home centre". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31979464.

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Libri sul tema "Falls (Accidents) in old age"

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Tideiksaar, Rein. Falling in old age: Prevention and management. 2a ed. New York: Springer Pub. Co., 1997.

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Roger, Haslam, e Stubbs David 1947-, a cura di. Understanding and preventing falls. Boca Raton: Taylor & Francis, 2005.

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Tideiksaar, Rein. Falling in old age: Its prevention and management. 2a ed. New York, NY: Springer Publishing, 1997.

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Tideiksaar, Rein. Falling in old age: Its prevention and treatment. New York: Springer Pub. Co., 1989.

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World Health Organization. Ageing and Life Course Unit., a cura di. WHO global report on falls prevention in older age. Geneva, Switzerland: World Health Organization, 2008.

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Tazim, Virani, e Registered Nurses' Association of Ontario., a cura di. Prevention of falls and fall injuries in the older adult. 2a ed. Toronto: Registered Nurses Association of Ontario = Association des infirmières et infirmiers autorisés de l'Ontario, 2005.

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Foundation, MetLife. Cosas que usted puede hacer para prevenir caídas. Atlanta, Ga.]: Dept. of Health and Human Services, Centers for Disease Control and Prevention, 2009.

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Bovre, Susan. Designing fall prevention workshops. Tucson, AZ: Center for Continuing Education, Desert Southwest Fitness, 2003.

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D, Sogolow Ellen, e National Center for Injury Prevention and Control (U.S.), a cura di. Preventing falls: What works : a CDC compendium of effective community-based interventions from around the world. Atlanta, Ga: National Center for Injury Prevention and Control, 2008.

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Alvord, Lynn Stephen. Falls assessment and prevention: Home, hospice, and extended care. San Diego, CA: Plural Pub., 2008.

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Capitoli di libri sul tema "Falls (Accidents) in old age"

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Bouzón, Cristina Alonso, e Medha Munshi. "Falls and diabetes". In Diabetes in Old Age, 448–55. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781118954621.ch31.

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Kataria, M. S., e S. K. Das. "Gait and Falls". In Fits, Faints and Falls in Old age, 75–83. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_6.

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Farquharson, A. J. D. "Falls in Old Age: Clinical Aspects". In Fits, Faints and Falls in Old age, 27–43. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_4.

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Overstall, P. W. "Epidemiology and Pathophysiology of Falls". In Fits, Faints and Falls in Old age, 15–26. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_3.

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Kataria, M. S. "The Human Walk and Fall". In Fits, Faints and Falls in Old age, 1–10. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_1.

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Das, S. K., e M. S. Kataria. "Stability, Movement and Posture". In Fits, Faints and Falls in Old age, 11–13. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_2.

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Squires, A., e D. E. Bayliss. "Rehabilitation of Fallers". In Fits, Faints and Falls in Old age, 45–74. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_5.

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Green, M. "Community and Hospital Services". In Fits, Faints and Falls in Old age, 85–107. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_7.

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Benton, K. G. F., e T. M. Strouthidis. "After a Fall". In Fits, Faints and Falls in Old age, 109–31. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4892-1_8.

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Jayakumar, Ashwin, Daniel Rodríguez Jorge, Javier Bermejo García, Rafael Agujetas Ortiz, Francisco Romero Sánchez e Francisco Javier Alonso Sánchez. "Development of a Modular Test Bench for Cable-Driven Synergy-Based Exosuit Actuation and Control Strategies". In Proceedings of the XV Ibero-American Congress of Mechanical Engineering, 118–24. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-38563-6_18.

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AbstractIn their survey dated 2019, the UN predicts that the population above the age of 65 will increase from 9%, to 16% by the year 2050 [1]. Ageing results in the eventual loss of muscle mass and strength, joint problems and overall slowing of movements with a greater risk of suffering falls or other such accidents. Gait assist exoskeletons can help promote active ageing in this segment of the population. Since these devices are user specific in terms of the mechanics and control required, the facility to test different parameters becomes indispensable. This work details the design and construction of a modular test bench to implement synergies in an exosuit using motors and cables, and the optimization of the control scheme to better adapt it to specific patients.
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Atti di convegni sul tema "Falls (Accidents) in old age"

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Esteves, Daniel de Christo, Antônio Henrique Roberti dos Santos, Guilherme Neumann de Araújo, Mylena Sobreira Sena, Giovanna Amaral Lopes e Adrianny Freitas Teixeira. "Analytical Study of the Evolution of Hospitalizations for Traumatic Brain Injury In Brazil, In Comparison With Region, Race, Gender, Age Range and Death, Between January 2011 and December 2020". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.536.

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Abstract (sommario):
Background: Traumatic brain injury (TBI) consists of an damage to the brain tissue by an external agent, whether due to falls, car accidents or aggressions. It is a situation that often requires emergency care, due to possible sequelae and the imminent risk of death. Thus, TCE is one of the main causes of death worldwide, especially in children and young adults, translating into an important public health problem with a high socioeconomic impact. Objectives: To report the number of hospitalizations for TBI, in order to clarify the relationship between it and the variables studied. Methods: Analytical epidemiological study carried out by research at DATASUS based on data on head trauma in Brazil, with patients aged less than 1 year to 80 years or more, between January 2011 and December 2020, associating the location according to the age group, region, race, gender, mortality rate, year and number of deaths in the country. Results: Observing the cases of intracranial trauma, in the last 10 years (2011- 2020), 1,033,512 cases were noted, 787,480 (76.19%) of which were male. As for the regional proportion, there is a higher incidence in the southeastern region, with 431,785 (43.02%) cases, with São Paulo being 236,653 (54.80%) the state with the largest number, followed by the northeast region, in which it occupies the second position with the highest number of cases, with 274,781 (26.58%) and Ceará the most relevant state with 65,602 (23.87%) cases. Regarding race, browns with 348,581 (33.72%) cases had the highest rate. Evaluating an age group, 17.23% of the cases are between 20 and 29 years old, followed by 14.88% between 30 and 39 years old. In relation to deaths, there is a total of 98,537, with the age group between 20 and 29 years with the highest incidence with 14,814 (15.03%), with a highlight in the male gender with 13,152 (88.78%). With regard to the mortality rate, a higher rate was observed in males aged over 80 years. Conclusion: Traumatic brain injury often requires an early diagnosis for a better prognosis. Judging from the large number of cases, it is worth investing in methods for early diagnosis, seeking to improve the prognosis and reduce the total number of deaths. In addition, it is necessary to look at the causes of TBI and to emphasize the prevention of causes that can be avoided, especially among the youngest who are the most affected group.
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Panicio, Caio Felipe Thomazin, Ana Beatriz Tomiyoshi Koyama, André Felipe Cortez Mendes, Andressa Algazal, Angelo Luis Tonon Santana, Felipe Lisboa Falkoni de Morais, Karen Pompei Bruneri e Matheus Henrique Rodrigues Brito. "Overview of admissions for traumatic brain injury in Brazil in the last 5 years". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.012.

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Introduction: Head trauma (TBI) is the main cause of morbidity and mortality in children and young adults. The most frequent causes involve: traffic accidents, falls and aggressions. The objective is to assess the epidemiology of TBI in Brazil according to age, sex and deaths over a 5-year period. Methods: Ecological and descriptive study. The data collection for this study was based on results obtained through the Health Information (TABNET) and the SUS Hospital Information System (SIH / SUS) in the period from 2016 to 2020. Results: There were 515,235 admissions due to TBI, with a higher prevalence in the Southeast, with 211,972 cases (41.14%), followed by the Northeast, with 136,705 (26.53%). There was a predominance of males, with 391,991 (76.08%). The age group most affected was between 20 and 29 years and 30 to 39 years, with 83,581 (16.22%) and 75,312 (14.61%), respectively. From 2016 to 2020 there was a decrease of 7.33% in the number of cases, 2016 being the most prevalent year, with 106,497, and 2020 the least incident year, with 98,690 hospitalizations. Of the 515,235 cases, 9.59% died, with its peak in 2016, with 10,364 deaths. Conclusion: The profile was given by a male figure between 20 and 29 years old, from the Southeast region. Taking into account the progressive decline in incidence, it can be deduced that orientations are being made. However, the numbers are still high, requiring measures to raise awareness about risks and prevention, since, most cases can be preventable.
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Almeida, Ana Carolina Souza de, Erick Lean Rodrigues Lucas Palmeira e Rangel Lima Costa. "Hospitalizations for intracranial trauma in the metropolitan region of São Paulo, a clinicalepidemiological analysis". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.428.

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Background: Intracranial trauma (IT) is an injury inside of the cranial box resulting from external forces, usually caused by automotive accidents, falls and violence, sometimes leading to permanent damage or death. Objectives: Describe hospital admissions for IT in the metropolitan region of São Paulo (SP), based on ICD-10 morbidity list. Design and settings: Epidemiological, descriptive and retrospective study. Methods: Data provided from the Hospital Morbidity System (SIH-SUS) of the Ministry of Health, from January 2015 to December 2020. Results: There were 65.455 cases of hospitalizations by IT registered in the metropolitan region of SP, which surpassed the cases of the North and Midwest regions. In 2020, there was a 5% reduction in cases compared to 2019. The amount spent represented 10.5% of the total spent in Brazil. Most of the hospitalization patients were male, and the most affected age group was 40- 49 years. The lethality was 11.05% and higher in patients over 80 years-old. Conclusions: It is essential to control IT’s causing factors, since it engenders high costs, and it is a serious problem for the public health and economy, and for the victim’s psychosocial context. The metropolitan region of SP requires special attention, once it shows higher rates of hospitalizations, morbidity, and mortality than any other brazilian state. Despite the social isolation in 2020, there were no significant differences between this year’s records comparing to the other ones.
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Oberg, Luciana Maria Capurro de Queiroz, e Regina Marcia Cardoso de Sousa. "Evolution of hospitalizations due to TBI according to the etiology of trauma in SUS Brazil 2010 – 2019". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.652.

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Introduction: Traumatic brain injury (TBI) is the main determinant of morbidity, mortality and disability for trauma victims, being considered a serious public health problem because it mainly affects individuals of productive age. The etiology of trauma differs according to the age group affected: falls in age extremes and external causes – especially traffic accidents – in young people and adults, constituting the main mechanism of trauma as a whole. Recent studies show that the epidemiology of TBI in the United States is changing: falls have been ahead of traffic accidents as the main mechanism of trauma, especially in the age group above 85 years of age, accompanied by the general reduction in TBI due to traffic accidents. Objective: To describe the evolution of the incidence of hospitalizations due to TBI and trauma mechanisms in the SUS between 2010 and 2019. Methods: Descriptive, cross-sectional study that analyzed hospital morbidity due to TBI in Brazil and the mechanism of trauma, from 2010 to 2019. General hospitalization data were obtained from SIH/ SUS. The ICD10 codes used were those referring to TBI: “Fracture of the skull and bones of the face” and “Intracranial trauma”. Descriptive statistics were used for data analysis. Data were collected in February 2021. Results: There was an increase in the incidence of TBI in all age groups in the period studied. Traffic accidents, despite all prevention actions, remain an important etiology in young people, adults and the elderly. There is a significant increase in the incidence of TBI and falls in the elderly and very elderly population. Conclusion: When compared to the evolution of the TBI profile in the United States, there was also an increase in incidence and etiology “falls” in the elderly and very elderly in Brazil. However, traffic accidents still represent an expressive mechanism of trauma related to TBI.
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Trevelin, Cauê S., Newton H. Iceri, Paulo E. P. Braga e Cassiana R. Leindecker. "Falls in the elderly: case report". In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-150.

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The present paper represents a narrative of the experience of the authors - medical students and guiding professor in Public Health - regarding the patient S.O., female, bedridden for 10 years due to a fall. Falls in the elderly population are one of the main problems that lead to hospitalization, having consequences such as higher mortality and morbidity in old age, causing mobility restrictions, fractures, depression, loss of autonomy and independence, loss of life quality, and higher cost and overload of health systems. The Singular Therapeutic Project was created, from tools made available by SUS, with the intention of establishing proposals of personalized therapeutic conducts for an individual, a family, or a group, that result from the collective discussion of an interdisciplinary team, in a manner individualized to the case, and according to the identified problems and needs.
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Acar, B. Serpil, Behzat B. Kentel e Memis Acar. "Investigating the Relationships Between Full Spinal Curvatures and Falls in the Ageing Population". In ASME 2010 10th Biennial Conference on Engineering Systems Design and Analysis. ASMEDC, 2010. http://dx.doi.org/10.1115/esda2010-24732.

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Falls cause substantial morbidity and mortality in the ageing population. Many different causes and risk factors of falls have already been identified for fall prevention. The aim of this study is to investigate the role of the degenerated spinal curvature on the falls in the ageing population. 48 community-dwelling adults over 65 years old participated in this study. Spinal curvatures of the participants are measured in erect posture with a non-invasive device. In addition, questionnaire surveys and in-depth interviews are conducted with the participants during data collection sessions. After normalising and fitting a Fourier series curve up to 3rd harmonics to the actual data, the spinal curvatures are classified into groups according to the fall histories, general health and age of the participants. Significant differences (p&lt;0.05) are found between the spinal curvatures of faller and non-faller participants in the 65–80 years age group. In addition, the effect of arthritis on spinal curvatures is also studied. The preliminary results indicate that the changes in the spinal curvature may be identified as a risk factor for falls in the ageing population.
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González Peréz, Luis Miguel, Johan Wideberg e Borja GONZALEZ PEREZ-SOMARRIBA. "Bicycling-related accidents and factors contributing to injury". In CIT2016. Congreso de Ingeniería del Transporte. Valencia: Universitat Politècnica València, 2016. http://dx.doi.org/10.4995/cit2016.2016.3718.

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Objective: This study was conducted to find the epidemiological characteristics of bicycling-related maxillofacial fractures in a defined population, and identify factors contributing to injury. Methodology: A prospective study was carried out involving patients presenting with maxillofacial fractures sustained in bicycling-related accidents. Results: Between 908 of all cycling accidents attending for medical treatment, 122 patients (13% of all cycling accidents) were admitted with facial fractures between 2007 and 2014. Male and female ratio was 2.6:1, and the mean age was 29.4 years (standard deviation: 12.8, range: 12-79 years). Causes of injury included collisions (63%) and accidental falls (37%). The fracture patterns seen were mandibular (49%), zygomatic (32%), orbital (13%), nasal (7%), maxillary (2%), and frontal (2%). Condylar fractures were the most common of the mandibular fractures (63%). The most frequently observed concomitant lesions were orthopedic injuries. Conclusions: Bicycling-related maxillofacial injuries are common and therefore important to identify in order to design a sustainable transport system and for units that provide assistance to traffic accident victims. Missed diagnosis or delayed treatment can lead to facial deformities and functional problems. Wearing protective helmets and the improvement of the helmets design is one aspect that would be of interest for the prevention of injuries. Keywords: Cycling; bicycle-related trauma; maxillofacial fractures; risk factors; helmets.DOI: http://dx.doi.org/10.4995/CIT2016.2016.3718
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Kennedy, Eugenia, Michelle Chen e Mark Guttag. "Slips, Trips and Falls Associated With Floor Mats and Runners". In ASME 2023 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2023. http://dx.doi.org/10.1115/imece2023-114028.

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Abstract Floor mats and runners are commonly used to protect floor surfaces, prevent exposure to slippery floor surfaces, remove dirt, grit and moisture from footwear and provide ergonomic relief to workers. Floor mats are often installed to prevent slip, trip and fall incidents. However, it has been estimated that annually about 38,000 adults over the age of 65 years old are treated in U.S. emergency departments for slip, trip and fall injuries associated with carpets and rugs. [1] Furthermore, it is estimated that 85% of worker injuries resulting in workers’ compensation claims are attributed to slipping on slick floors. [2] Incidence of falls reportedly increases with each decade of life. [3] In 2012, an industry standard, “Standard Guide for Commercial Entrance Matting in Reducing Slips, Trips and Falls” was introduced to provide “Criteria for the selection, installation, inspection, care and maintenance of entrance mats and runners in commercial facilities to reduce slips, trips and falls. [4] This paper will focus on identifying the hazards associated with floor coverings, reviewing the U.S. Consumer Product Safety Commission 2002 to 2022 injury data for all age groups to better understand the trends, quantifying risks associated with floor coverings, and exploring safety controls available to mitigate these risks. Furthermore, the number of incidents related to slips, trips and falls due to floor mats and runners before and after the introduction of the industry standard will be studied.
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Guttag, Mark, Eugenia Kennedy, Juff George e Stephanie Pasquesi. "Evaluation of Head Injury Patterns and Risk Mitigation Strategies Associated With Falls From Playground Equipment". In ASME 2022 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/imece2022-95652.

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Abstract Playgrounds have a number of key design elements intended to protect children from serious injuries. The U.S. Consumer Product Safety Commission (CPSC) estimated that most playground equipment-related injuries occurred when a child fell from the equipment onto the ground [1]. It was estimated that in 1999 approximately 206,000 playground equipment-related injuries required a hospital emergency room visit [2]. Specifically, for children under five years of age there were 29.1 injuries per 10,000 children and for children ages 5 to 14 years old there were 34.8 injuries per 10,000 children. At the time, about half of the injuries on public equipment occurred on playground climbing equipment [2]. With the recent heightened public focus on children’s head injuries, this paper will review the National Electronic Injury Surveillance System (NEISS) data to better understand the injury trends over time, quantify risks associated with playground equipment usage and discuss the design features intended to mitigate these hazards. The analysis is restricted to children ages 2 to 12 years of age who were injured during the timeframe 2000 to 2020. The focus of the analysis will be head injuries resulting from falls associated with playground climbing equipment. The severity of injuries will also be discussed. Further, the identified head injury characteristics will be evaluated relative to the performance requirements outlined in the industry standards and CPSC guidelines.
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Rossoni, Tainara Emanuele, Ranieri Alvin Stroher Junior e Bruna Hoeller. "Duchenne Muscular Dystrophy - Case Report". In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.129.

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Context: Duchenne Muscular Dystrophy (DMD) is an inherited recessive disease linked to the X chromosome, it is a progressive neuromuscular disease most prevalent in the world, affecting 1/3600 male births. It is associated with mutations that lead to loss of dystrophin protein expression, loss of severe muscle, respiratory and cardiac failure. At birth, the signs are generally nonspecific. At 3 years of age there is the appearance of specific changes, starting with muscle weakness, which occurs in an ascending, symmetrical and bilateral manner, becoming evident at around 5 years of age, with difficulty walking, jumping and running, in addition to frequent falls. The disease progresses with cardiorespiratory failure, leading to death between 18 and 25 years. Case Report: Male, 3 years old, with frequent falls, difficulty climbing stairs and rising from the floor, even with support, medical guidance for expectant conduct. At 5 years, clinical worsening, investigation of the condition, changes alteration in the creatinophosphokinase test (8918 U / L), suggesting a hypothesis of Muscular Dystrophy. Karyotype performed, with revelation of genetic changes compatible with DMD. Family heredogram, showing a brother without traits for DMD and a mother with an allele for the disease. The patient evolved with progressive loss of motor functions, reaching inability to move around at 9 years of age and the appearance of cardiac changes - left ventricular systolic dysfunction and extrasystoles. Currently, the patient presents marked movement restriction and undergoes palliative treatment. Conclusions: A DMD relies only on palliative therapy, the recognition of the initial clinical manifestations is essential for its investigation, diagnosis and early treatment, enabling improvement in quality and life expectancy.
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Rapporti di organizzazioni sul tema "Falls (Accidents) in old age"

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Kislev, Yoav, Ramon Lopez e Ayal Kimhi. Intergenerational Transfers by Farmers under Different Institutional Environments. United States Department of Agriculture, aprile 1995. http://dx.doi.org/10.32747/1995.7604936.bard.

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This research studies the issues of intergenerational transfers in general and farm succession in particular in two different institutional environments. One is the relatively unregulated farm sector in the United States, and the other is the heavily regulated family farms in Israeli moshavim. Most of the analysis is based on modern economic theory dealing with inheritance and other intergenerational issues. However, we start with two background studies. One is a review of the legal system affecting farm succession in the moshav, which, as we claim throughout the report, is of major importance to the question in hand. The second is an ethnographical study aimed at documenting various inheritance and succession practices in different moshavim. These two studies provide insight for most of the economic studies included here. The theoretical studies mostly deal with various aspects of two major decisions faced by farmers: who will succeed them on the farm, and when will succession take place. The first decision clearly depends on the institutional structure: for instance, Israeli farmers are limited to one successor while American farmers are not. The second decision can be taken in three stages: sharing farm work with the successor, sharing farm management, and eventually transferring the ownership. The occurrence and length of each stage depend on the first decision as well as on the institutional structure directly. The empirical studies are aimed at analyzing the practices and considerations of Israeli and American farmers regarding various intergenerational transfers-related issues. We found that American farmers' decisions are mainly driven by the desire to let the farm prosper in future generations and by a preference for equal treatment of heirs, and not at all by old-age support considerations. In contrast, we demonstrate the significant effect of old-age support on the value of the transferred farm in a sample of Israeli farms. Using Israeli census data, we find that the time of farm ownership transfer responds to economic incentives. A smaller Israeli panel data set shows that controlling for the occurrence of succession, farm size rises with operator's age and eventually falls, while intensity of production seems to decline steadily. This explains another finding, that farm transfer contributed significantly to farm growth when farming was attractive to successors. This finding supports our main conclusion, that the succession decisions are of major importance to the viability and profitability of family farms over the long run.
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