Postacute-Stroke Management Problems in Home Care Service: A Qualitative Single-Centered Study in Yogyakarta, Indonesia

Objective This study explores the postacute-stroke management problems, particularly for patients with total dependency (Barthel Index <20), in home care service of Dr. Sardjito Hospital (SH) from the hospital personnel's and caregiver's points of view. Materials and Methods In-depth interviews with a semi-structured interview guide were conducted with hospital personnel and patients' caregivers based on the purposeful sampling. There were 10 hospital personnel that were interviewed: the director of medical service, head of home care unit, neurologists, general practitioners, nurses, and physiotherapist. There were eight caregivers who participated in the study. Statistical Analysis Data from the interviews were analyzed using systematic text condensation using Nvivo 12 plus. Results Our findings showed that all health personnel in SH agreed that home care service is a part of an integrated health care service for continuation of care. However, the preparedness by the hospital management is still lacking in infrastructures, such as standardized operational procedure, quality control, and financial system, as well as in terms of competent human resources and their welfare. In addition, the patient's family and caregiver are lacking in knowledge and independency to take care of the patients with the need of home care services' monitoring to deliver the expected home care for postacute-stroke's patient regularly. Conclusion Home care service is an act of implementing hospital obligation to fulfill the patients' rights. An established hospital policy to ensure a comprehensive home care service delivery is necessary. The capability and welfare of the health care personnel should be put into account for the standardized human resources.

Holistic Security and Risk Intelligence: Are Current Risk Management Methods Leading to Breach?

How could we better prepare industry and governments against holistic, hybrid, or second-order attacks? <div>In this article we discuss the importance of addressing systemic and systematic risk management problems to provide holistic risk management and direct advances in technical security, utilising machine learning and artificial intelligence.</div>

Holistic Security and Risk Intelligence: Are Current Risk Management Methods Leading to Breach?

How could we better prepare industry and governments against holistic, hybrid, or second-order attacks? <div>In this article we discuss the importance of addressing systemic and systematic risk management problems to provide holistic risk management and direct advances in technical security, utilising machine learning and artificial intelligence.</div>

Dynamic Programs with Shared Resources and Signals: Dynamic Fluid Policies and Asymptotic Optimality

Allocating Resources Across Systems Coupled by Shared Information Many sequential decision problems involve repeatedly allocating a limited resource across subsystems that are jointly affected by randomly evolving exogenous factors. For example, in adaptive clinical trials, a decision maker needs to allocate patients to treatments in an effort to learn about the efficacy of treatments, but the number of available patients may vary randomly over time. In capital budgeting problems, firms may allocate resources to conduct R&D on new products, but funding budgets may evolve randomly. In many inventory management problems, firms need to allocate limited production capacity to satisfy uncertain demands at multiple locations, and these demands may be correlated due to vagaries in shared market conditions. In this paper, we develop a model involving “shared resources and signals” that captures these and potentially many other applications. The framework is naturally described as a stochastic dynamic program, but this problem is quite difficult to solve. We develop an approximation method based on a “dynamic fluid relaxation”: in this approximation, the subsystem state evolution is approximated by a deterministic fluid model, but the exogenous states (the signals) retain their stochastic evolution. We develop an algorithm for solving the dynamic fluid relaxation. We analyze the corresponding feasible policies and performance bounds from the dynamic fluid relaxation and show that these are asymptotically optimal as the number of subsystems grows large. We show that competing state-of-the-art approaches used in the literature on weakly coupled dynamic programs in general fail to provide asymptotic optimality. Finally, we illustrate the approach on the aforementioned dynamic capital budgeting and multilocation inventory management problems.

New Management Service Mode in RFID University Libraries

With the adoption of RFID in library, many technical and management problems occur, such as the unmet needs of library due to insufficient RFID device function, the standards to be unified, the invasion of privacy, the lack of supervision on book damage and the mis-shelving. This paper puts forward new methods to promote the application of RFID in library based on the analysis of the management service mode of library.

On International Scientific Conferences

Представлена информация о международных научных конференциях ПУТС-2021 (по проблемам управления в технических системах, Санкт-Петербург) и «Дистанционные образовательные технологии» (Ялта), в которых прияли участие сотрудники кафедры автоматизированных систем обработки информации и управления Адыгейского государственного университета. Information on international scientific conferences of PUTS-2021 ( On Management Problems in Technical Systems, St. Petersburg ) and “Remote Educational Technologies” ( Yalta ) is presented, in which co-employees of the Department of Automated Information Processing and Management Systems of Adyghe State University participated.

The Development of Closure Dike as Countermeasure of Sedimentation in the Wonogiri Reservoir, Indonesia

The problem of reservoir sedimentation occurs worldwide, including in the Wonogiri reservoir, Indonesia. The reservoir was built from 1977 to 1980, but the dam faces a severe problem of sedimentation. Sediment inflow in the Wonogiri Reservoir comes from several sources, especially from Keduang River, a tributary from Mount Lawu. The sediment management problems are generally complicated and different in every place. In some conditions, it will be possible to prevent sediment from entering the reservoir by adding an internal barrier as applied in the Wonogiri Reservoir. The reservoir is divided into two reservoirs by a closure dike equipped with an overflow dike and a new spillway. This paper will describe the development of closure dike based on field observation and data obtained from the Ministry of Public Works and Housing. Moreover, this paper will also describe the sedimentation status of the Wonogiri reservoir based on the recent bathymetric data. The development of closure dike already completed, which consists of Closure Dike A (700 m), B (700 m), C (302 m), and Overflow Dike (298 m). The recent bathymetric survey revealed that the capacity of effective storage of the main reservoir is 322.84 MCM.