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.

Integrated risk value response is designed to reduce threats and increase opportunities, especially in terms of running the spun pile method innovation process in accordance with the ISO 56002:2019 standard. Implementing innovation can reduce risks and increase the competitiveness of the company. The method of making or producing spun piles is the research area examined in this study. Questionnaires were distributed to workers in precast concrete companies and most of them were involved in each spun pile production line in the company in order to identify the risk factors that existed in the production line for the spun pile manufacturing method. 30 respondents were workers from organizations in the positions of Director, Manager and Staff. The risk values and impacts are mapped for each dimension to the activity details and it is found that there are 5 high risks as dominant ones, mainly risks with codes R41, R10, R4, R37, and R36. Based on a survey, the highest risk of 30% was found in the stressing & spinning dimension, which is recommended for the innovation process. Innovation is conducted with 5 innovation processes, mainly identifying opportunities, creating concepts, validating concepts, developing solutions, and deploying solutions. Recommendations for improvements are made with preventive and corrective actions that must be taken from every aspect of the spun pile production method activities. Innovation recommendations are also proposed to monitor production activities in real-time utilizing existing information and communication technology. Handling of spun pile waste material must also be implemented with certain methods and produce products that add value for the company. Ultimately, to increase the company’s competitiveness by increasing assets, it is recommended to increase the company’s intangible assets. The company’s intangible assets encompass IPR ownership in the form of Patents and Copyrights.

The Government of Indonesia has modernized the toll road transaction system by implementing the multi-lane free-flow (MLFF) project, set to operate commercially by the end of 2024. This project leverages Global Navigation Satellite System (GNSS) technology to identify vehicles using toll roads and establish a transaction mechanism that allows the MLFF Project Company to charge road users according to distance, vehicle category, and tariff levels. The project has result in a complex business arrangement between the Indonesia National Toll Road Authority (INTRA), Toll Road Companies (TRCs), and the MLFF Project Company. The aim of this paper is to review the regulatory and institutional framework of the MLFF project and analyze its challenges. The methodology employed is a qualitative framework for legal research, utilizing international literature reviews and current regulatory frameworks. The study assesses the proposed transaction architecture of the project and identifies commercial, political, and other risks associated with its implementation. Based on the analysis, the research identifies opportunities for regulatory improvements and better contracting arrangements. This research provides valuable insights into the regulatory landscape and offers policy recommendations for the Government to mitigate the identified risks. This contribution is significant to the academic field as it enhances understanding regulatory and institutional challenges in implementing advanced toll road systems.