Falling is one of the most critical outcomes of loss of consciousness during triage in emergency department (ED). It is an important sign requires an immediate medical intervention. This paper presents a computer vision-based fall detection model in ED. In this study, we hypothesis that the proposed vision-based triage fall detection model provides accuracy equal to traditional triage system (TTS) conducted by the nursing team. Thus, to build the proposed model, we use MoveNet, a pose estimation model that can identify joints related to falls, consisting of 17 key points. To test the hypothesis, we conducted two experiments: In the deep learning (DL) model we used the complete feature consisting of 17 keypoints which was passed to the triage fall detection model and was built using Artificial Neural Network (ANN). In the second model we use dimensionality reduction Feature-Reduction for Fall model (FRF), Random Forest (RF) feature selection analysis to filter the key points triage fall classifier. We tested the performance of the two models using a dataset consisting of many images for real-world scenarios classified into two classes: Fall and Not fall. We split the dataset into 80% for training and 20% for validation. The models in these experiments were trained to obtain the results and compare them with the reference model. To test the effectiveness of the model, a t-test was performed to evaluate the null hypothesis for both experiments. The results show FRF outperforms DL model, and FRF has same accuracy of TTS.
This study aimed to examine the compliance of post-disaster emergency assembly areas with their planning criteria in the Battalgazi district of Malatya province. This district is one of the settlements that was most affected by the two big earthquakes that occurred in Türkiye on 6 February 2023. The emergency assembly areas were evaluated qualitatively based on the criterion of “appropriateness”, with the sub-variables of “usability”, “accessibility”, and “safety”. They were also evaluated quantitatively based on the criterion of “adequacy” with the sub-variable “per capita m2”. There are a total of 103 neighborhoods in the district. However, there are only eight emergency assembly areas in total within its boundaries. According to the results of this study, only 7.5% of the current population of the district resides within 500 m of the emergency assembly areas. The fact that four emergency assembly areas (Hürriyet Park, Şehit Kemal Özalper High School, the Community Garden, Battalgazi Municipality) are situated next to each other and there are emergency assembly areas in only six of the 103 neighborhoods within the municipal boundaries shows that were significant problems in the decisions made regarding their locations. In addition, it was determined that there were disadvantages in terms of accessibility and usability within the criterion of appropriateness, while there were some positive aspects in terms of safety. When examined with regard to the criterion of adequacy, it was determined that the emergency assembly areas at Mişmiş Park, the Community Garden, Battalgazi Municipality, and Şehit Kemal Özalper High School were most adequate, while the emergency assembly areas at Hürriyet Park, Fırat Neighborhood Mukhtar, Nevzat Er Park, and 100 Yıl İmam Hatip Secondary School were least adequate.
With the acceleration of economic development and urban construction, urban security accidents have occurred around the world with alarming frequency, causing serious casualties and economic losses. Urban security planning and management as emerging areas of research have drawn widespread attention. For city development plans, urban security planning and management have become one of major topics. This paper first outlines the principles of urban security planning and management, combined with the construction of a digital and intelligent platform for urban emergency management. This research then analyzes the core technology and equipment support system of urban security management and its practical application. It also presents a new model based on urban security planning and management, followed by examples of its application in some mega infrastructure development for security planning and design (for example, Singapore Changi Airport and Shanghai Hongqiao Airport Transportation Hub). Additionally, a blast protection concept of urban security planning and management is provided.
Focused Assessment with Sonography for Trauma (FAST) has been widely used and studied in blunt and penetrating trauma for the past 3 decades. Prior to FAST, invasive procedures such as diagnostic peritoneal lavage and exploratory laparotomy were commonly used to diagnose intra-abdominal injuries. Today, the FAST examination has evolved into a more comprehensive study of the abdomen, heart, thorax, inferior vena cava, among others, with many variations in technique, protocols and interpretation. Trauma management strategies such as laparotomy, endoscopy, computed tomography angiography, angiographic intervention, serial imaging and clinical observation have also changed over the years. This technique, at times, has managed to replace computed tomography and peritoneal lavage diagnosis, without producing delays in the surgical procedure. As such, the relationship between the patient’s clinical information and the results of the exam should be guided to guide therapeutic approaches in difficult to access settings such as intensive care units in war zones, rural or remote locations where other imaging methods are not available. This review will discuss the evolution of the FAST exam to its current status and evaluate its evolving role in the acute management of the trauma patient.
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