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 employs the Standard Error Estimation technique to investigate the connections between the digitalization of economy, population, trade openness, financial development, and sustainable development across 127 countries from 1990 to 2019. The findings revealed associations between financial development, population growth, trade openness, economic growth, Digitalization development, foreign direct investment (FDI), and sustainable development. Financial development negatively impacts sustainable development, suggesting that countries with advanced financial systems may struggle to maintain sustainability. Trade openness exhibits a negative association with sustainable development, implying that countries with open trade policies may face challenges in maintaining sustainability, possibly due to heightened competition or resource exploitation. These findings highlight the multifaceted relationship between economic factors and sustainable development, underscoring the importance of comprehensive policies and governance mechanisms in fostering sustainability amidst global economic dynamics.
Working Capital Management (hereafter WCM) is the strategic tool that helps a company navigate through challenging economic growth, and influence its competitive performance. Thus, this study examines the impact of WCM on the competitiveness of firms operating in the non-financial sectors in Pakistan. We use the Generalized Method of Moments (GMM) technique to ensure the robustness of our results. The study findings reveal that both a large net trade cycle and surplus working capital have a substantial negative impact on firms’ competitiveness within their respective industries. These results suggest that companies should streamline their investments in working capital accounts and concentrate more resources on long-term projects that maximize value to improve their competitiveness compared to other companies. Therefore, firms that are effectively managing their short-term financial affairs are experiencing much better performance in all aspects of firm performance. The research findings highlight the urgent need for governmental initiatives designed to improve WCM practices in these industries. It is imperative for the management of companies with excess net working capital to maximize their working capital efficiency, aligning it with industry standards to enhance competitiveness. Moreover, policymakers should prioritize easing access to financial alternatives that allow enterprises to maintain an efficient working capital structure without relying on excessive measures. Furthermore, policymakers should be cautious when determining minimum cash balance requirements in a cash-strapped economy where external financing is relatively more expensive than in other regional economies.
The benefits of information system users are an important topic in research on information system implementation in general as well as in hospital information systems in particular. The study is applying structural equation modelling in determining the factors affecting personal benefits of information system users, with the antecedents being the combination of perspectives, and the outcomes including individual user results of the system in hospitals. The study was conducted in two phases: a preliminary study and a formal study. The preliminary study aimed to adjust and supplement the observed variables to be suitable for the actual conditions in Vietnam by conducting a preliminary survey with a questionnaire involving 55 samples to assess the internal consistency reliability, convergent validity, and discriminant validity of the measurement scales. The formal quantitative study, which employed linear structural analysis with PLS-SEM, was conducted on 215 samples of individuals who had previously used information systems in several hospitals in Vietnam. The proposed model explained 80.6% of the variance in user engagement with the system and 50.6% of the variance in user satisfaction when using the information system. In more detail, for user benefits, it is worth noting that the strongest impact intensity belongs to information quality and the weakest belongs to support structure. In addition, confidence in one’s own abilities also has a high impact on user benefits when using the information system.
The R3A Route represents a collaborative initiative involving the governments of Thailand, Laos, and China aimed at bolstering connectivity along the North-South Economic Corridor, as a vital component of the Greater Mekong Subregion Economic Cooperation Program (GMS). Since its inception in 2008, this endeavor has substantially enhanced the logistical framework between Thailand, Laos, and China. However, it has also revealed an imbalance in the benefit distribution of value chains within the tourism industry. One of the fact that, local stakeholders in each country often leverage their home country’s advantages, leading to the exploitation of counterparts with lower capacity in other nations. This unfair utilization goes against the initial intentions of fostering collaboration among these countries. Given China and its development as a starting point for tourism and its popularity among tourists traveling this route, this study provides a comprehensive analysis of China’s policy and insights of its influences on R3A tourism development in Laos and Thailand. The study constructs a content analysis with an umbrella of stakeholder analysis based on reliable data and is cross-verified through data triangulation. The findings lead to recommendations aimed at making Thai-Lao-Chinese tourism cooperation more sustainable and effective.
This paper provides a comparative perspective on infrastructure provision in developing Asia's three largest countries: China, India, and Indonesia. It discusses their achievements and shortfalls in providing network infrastructure (energy, transport, water, and telecommunications) over the past two decades. It documents how three quite distinct development paths—and very different levels of national saving and investment—were manifested in different trajectories of infrastructure provision. The paper then describes the institutional, economic, and policy factors that enabled or hindered progress in providing infrastructure. Here, contrasting levels of centralization of planning played a key role, as did countries’ differing abilities to mobilize infrastructure-related revenue streams such as user charges and land value capture. The paper then assesses future challenges for the three countries in providing infrastructure in a more integrated and sustainable way, and links these challenges with the global development agenda to which the three countries have committed. The concluding recommendations hope to provide a platform for further policy and research dialogue.
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