The Protocols of Privileged Information Handling in an E-Health Context

2012 ◽  
pp. 737-759
Author(s):  
Juanita Fernando
Keyword(s):  
Real Life ◽  
Privileged Information ◽  
Privacy And Security ◽  
Information Handling ◽  
Health Authorities ◽  
Life Work ◽  
Work Contexts

Health authorities need to review the privacy and security of real-life work contexts before pioneering new, privileged information handling protocols as a foundation of a new national e-health scheme.

The Protocols of Privileged Information Handling in an E-Health Context

2011 ◽  
pp. 87-110
Author(s):  
Juanita Fernando
Keyword(s):  
Real Life ◽  
Privileged Information ◽  
Privacy And Security ◽  
Information Handling ◽  
Health Authorities ◽  
Life Work ◽  
Work Contexts

Health authorities need to review the privacy and security of real-life work contexts before pioneering new, privileged information handling protocols as a foundation of a new national e-health scheme.

The Adventure of Structuring Knowledge During Emergencies

2011 ◽  
Vol 3 (1) ◽  
pp. 13-23
Author(s):  
Carina Beckerman
Keyword(s):  
Knowledge Management ◽  
Management System ◽  
Real Life ◽  
Knowledge Worker ◽  
Knowledge Management System ◽  
Organizational Setting ◽  
Work Situation ◽  
Structuring Knowledge ◽  
Knowledge Structuring ◽  
Life Work

This paper applies two concepts, ‘knowledge structuring’ and ‘knowledge domination,’ to a real life work situation. The purpose is to explore, analyze and discuss what happens when management interferes into the activities of a knowledge worker in a specific organizational setting by computerizing a key document. Exercising knowledge is delicate and complex. This study makes visible how some parts of performing anesthesia become structured and re-structured when the anesthesia patient record is transformed into a knowledge management system at the same time as someone or something influences how that structuring takes place.

scholarly journals Assessing the performance of indicators during their life cycle: the mixed QUID method

2019 ◽  
Vol 32 (1) ◽  
pp. 12-19
Author(s):  
Philippe Michel ◽  
Laurie Fraticelli ◽  
Pierre Parneix ◽  
Valentin Daucourt ◽  
Olivier Farges ◽  
...  
Keyword(s):  
Life Cycle ◽  
Evaluation Method ◽  
Real Life ◽  
Public Disclosure ◽  
Integrated Method ◽  
Clear Cut ◽  
Modified Delphi ◽  
Health Authorities ◽  
Set Up ◽  
Operational Issues

Abstract Background Quality indicators (QI) are mandatory in French hospitals. After a decade of use, the Ministry of Health set up an expert workgroup to enhance informed decision-making regarding currently used national QI, i.e. to propose a decision of withdrawing, revising or continuing their use. We report the development of an integrated method for a comprehensive appraisal of quality/safety indicators (QI) during their life cycle, for three purposes, quality improvement, public disclosure and regulation purposes. The method was tested on 10 national QI on use for up to 10 years to identify operational issues. Methods A modified Delphi technique to select relevant criteria and a development of a mixed evaluation method by the workgroup. A ‘real-life’ test on 10 national QI. Results Twelve criteria were selected for the appraisal of QI used for regulation goals, 11 were selected for hospital improvement and seven for public disclosure. The perceived feasibility and relevance were studied including hospital workers, patients and health authorities professionals; the scientific soundness of the indicator development phase was reviewed by analyzing reference documents; the metrological performance (limited to the discriminatory power and dynamics of change during the life cycle dimensions) was analyzed on the national datasets. Applied to the 10 QI, the workgroup proposed to withdraw four of them and to modify or suspend the six others. Conclusions The value of the method was supported by the clear-cut conclusions and endorsement of the proposed decisions by the health authorities.

scholarly journals Practical evaluation of a reference architecture for the management of privacy level agreements

2019 ◽  
Vol 27 (5) ◽  
pp. 711-730
Author(s):  
Vasiliki Diamantopoulou ◽  
Haralambos Mouratidis
Keyword(s):  
Real Life ◽  
Personal Data ◽  
Evaluation Process ◽  
Privacy Management ◽  
Reference Architecture ◽  
Privacy And Security ◽  
Content Type ◽  
General Data Protection Regulation ◽  
Trust Relationships ◽  
Privacy Level

Purpose The enforcement of the General Data Protection Regulation imposes specific privacy- and -security related requirements that any organisation that processes European Union citizens’ personal data must comply with. The application of privacy- and security-by-design principles are assisting organisation in achieving compliance with the Regulation. The purpose of this study is to assist data controllers in their effort to achieve compliance with the new Regulation, by proposing the adoption of the privacy level agreement (PLA). A PLA is considered as a formal way for the data controllers and the data subjects to mutually agree the privacy settings of a service provisioned. A PLA supports privacy management, by analysing privacy threats, vulnerabilities and information systems’ trust relationships. Design/methodology/approach However, the concept of PLA has only been proposed on a theoretical level. To this aim, two different domains have been selected acting as real-life case studies, the public administration and the health care, where special categories of personal data are processed. Findings The results of the evaluation of the adoption of the PLA by the data controllers are positive. Furthermore, they indicate that the adoption of such an agreement facilitates data controllers in demonstrating transparency of their processes. Regarding data subjects, the evaluation process revealed that the use of the PLA increases trust levels on data controllers. Originality/value This paper proposes a novel reference architecture to enable PLA management in practice and reports on the application and evaluation of PLA management.

scholarly journals P503 Changes in clinical use of vedolizumab are driven by lower drug costs and are associated with better outcomes: a real-life single-centre Spanish experience

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S437-S438
Author(s):  
Y Gonzalez Lama ◽  
M Calvo ◽  
V Matallana ◽  
I Gonzalez-Partida ◽  
I Omella ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Real Life ◽  
Clinical Use ◽  
First Line ◽  
Tertiary Centre ◽  
Health Authorities ◽  
Before And After ◽  
Lower Drug ◽  
Inflammatory Bowel

Abstract Background Vedolizumab (VDZ) has shown efficacy in the treatment of inflammatory bowel disease (IBD). Available data show better outcomes in naïve patients than in AntiTNFa experienced patients, and current ECCO guidelines support first-line use of VDZ since 2017. Nevertheless, reimbursement of VDZ was initially approved in Spain only in patients failing to at least one AntiTNFa agent (except contraindication) until January 2018 when, following a significative decrease in costs of VDZ, reimbursement was approved also in naïve patients. Our aim was to elucidate if our clinical use of vedolizumab have evolved after costs decrease, and if was associated with better clinical outcomes. Methods Retrospective review of all VDZ treated patients with at least 6 months of follow-up in a referral IBD Unit of a tertiary centre in Madrid (Spain) since December 2014. Demographics, clinical data and information regarding VDZ treatment were collected. Results 118 IBD patients included (61(52%) Crohn’s disease, 57(48%) ulcerative colitis): 62(53%) female; median age 48(IQR 32–63) years. 64 patients started VDZ before 2018, 54 since January 2018. Among patients who started VDZ treatment before and after January 2018: 9(14%) and 22(41%) respectively were naïve to antiTNFa (p = 0.001); 38(60%) and 10(18.5%) respectively had previously received at least 2 anti-TNFa agents (p = 0.0001). Among patients who started VDZ treatment before and after January 2018, 25(39%) and 6 (11%), respectively, had VDZ intensified along the follow-up (p = 0.001); 36(56%) and 12(22%) respectively withdrawn VDZ (p = 0.0001); 40(73%) and 15(27%) respectively withdrawn or intensified VDZ along the follow-up (p = 0.0001). Conclusion Lower costs have facilitated earlier use of VDZ in our clinical practice, towards increase use in patients who have failed to one single AntiTNFa agent or even naïve to AntiTNFa. This evolved a pattern of VDZ use is associated with better clinical outcomes in terms of VDZ intensification and/or withdrawn. Price policies facilitating appropriate access to drugs, such as VDZ, should be more easily and quickly acceptable by national health authorities. Patient-centred care demand best use of all available drugs, including VDZ.

From experience to knowledge in professional IT management education: exploring the applicability of classroom learning to real-life contexts

2016 ◽  
Vol 35 (2) ◽  
pp. 165-175 ◽  
Author(s):  
Sinéad Murnane ◽  
Anna Browne
Keyword(s):  
Community Of Practice ◽  
Real Life ◽  
Management Training ◽  
Training Programme ◽  
Social Practices ◽  
It Management ◽  
Emotional Engagement ◽  
Classroom Setting ◽  
Training Programmes ◽  
Life Work

AbstractBy understanding knowledge to be performative – a ‘dynamic and ongoing social accomplishment’, rather than a representation or commodity – we view knowledge, or more accurately ‘knowing’, as a capability that emerges from, is embodied by, and embedded in recurrent social practices. The fluent knowing-in-practice that distinguishes an expert practitioner from a novice is developed through the reflexive interaction of the practitioner with their peers and their real-life work practices . Our key aim in this research was to explore whether it is possible for the abstracted classroom setting to approximate real-life work contexts, thereby enabling the active physical, mental, and emotional engagement of learner/practitioners within their community of practice, which have been demonstrated in the literature to be central to learning. How might training programmes actively engage learners in this way? We explored these questions through focus groups and interviews with participants on a professional IT management training programme and found that real-life contexts can be approximated to an extent, such that learner/ practitioners are enabled to learn from their own and each other’s experience of addressing issues in relation to IT management.

scholarly journals A Novel RLWE-Based Anonymous Mutual Authentication Protocol for Space Information Network

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Junyan Guo ◽  
Ye Du
Keyword(s):  
Mutual Authentication ◽  
Security Analysis ◽  
Real Life ◽  
Public Key Cryptography ◽  
Wireless Channel ◽  
Base Stations ◽  
Security Requirements ◽  
Information Network ◽  
Privacy And Security ◽  
Space Information Network

Currently, space information network (SIN) has become an increasingly important role in real life. As a large heterogeneous wireless network, SIN can better provide global mobile services to users anytime and anywhere, even in extreme geographic environments. In addition, there is no need to build the communication base-stations every few kilometers on the ground to ensure high service quality, which greatly reduces the construction costs and can be used as an economical communication method in sparsely populated areas. So there is a trend that more and more end users are more likely to get SIN services than traditional terrestrial cellular networks. However, due to the openness and publicity of the satellite wireless channel and the limited resources of the satellite nodes, the privacy and security cannot be perfectly guaranteed and may even be vulnerable to attacks initiated by the adversary such as replay attacks, impersonation attacks, and eavesdropping attacks. To improve the access security of SIN, researchers have proposed a series of authentication protocols based on different cryptographic assumptions. Nevertheless, existing research shows that these protocols cannot meet the requirements of higher and higher security and short authentication delay. In addition, these protocols are mainly based on public key cryptography mechanisms such as DLP and ECDLP, which can be solved by postquantum computers in polynomial time, so these protocols will no longer be secure. To solve the vulnerability of these protocols, in this paper, we propose a new RLWE-based anonymous mutual authentication and key agreement protocol, which guarantees higher security with low computational overhead even in the postquantum era. Detailed security analysis shows that our protocol meets security requirements and is resistant to a variety of known attacks. Besides, combining security comparison and performance analysis, our proposed protocol is more practical than other protocols in SIN.

Shadowing managerial action instead of recording managerial text

2014 ◽  
Vol 9 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Mirko Noordegraaf
Keyword(s):  
Empirical Studies ◽  
A Priori ◽  
Real Life ◽  
Managerial Work ◽  
Content Type ◽  
Institutional Settings ◽  
Paradoxical Situation ◽  
Managerial Action ◽  
And Behavior ◽  
Life Work

Purpose – The purpose of this paper is to discuss the value of shadowing managers, in relation to other methods for studying managerial work, such as interviews and surveys. Design/methodology/approach – The paper reflects upon (empirical) studies of managers and managerial work, research and bodies of knowledge, and puts available insights into perspective. Findings – Shadowing managers enables researchers to cope with the paradoxical situation that arises when managerial work is studied. Managerial work must be understood in as unbiased a way as possible; managers themselves are unable to understand their own work and the texts they use to capture their work and behavior are either superficial or “manipulative.” At the same time, managerial work cannot be understood without (theoretical) bias; researchers need a priori assumptions when they study real-life work, especially about the institutional settings in which work streams are embedded. The paper concludes that “theoretical shadowing” is relevant. Originality/value – The paper brings together different bodies of knowledge that have evolved over time and shows that observing managers can never be done openly, despite remarks made by earlier students of managerial work.

scholarly journals Evaluation of the Practicability of a Finger-Stick Whole-Blood SARS-Cov-2 Self-Test Adapted for the General Population.

2020 ◽  
Author(s):  
thierry prazuck ◽  
Jean Phan Van ◽  
Florence sinturel ◽  
frederique levray ◽  
Allan Elie ◽  
...  
Keyword(s):  
General Population ◽  
Whole Blood ◽  
Real Life ◽  
High Sensitivity ◽  
University Hospital ◽  
Life Study ◽  
Health Authorities ◽  
Self Test ◽  
Finger Stick ◽  
Instructions For Use

Background COVID-19 (COronaVIrus Disease 2019) is an infectious respiratory disease caused by the novel SARS-CoV-2 virus. Rapid Diagnostic Tests (RDTs) have been developed to detect specific antibodies, IgG and IgM, to SARS-CoV-2 virus in human whole blood and easily usable by the general population are needed in order to alleviate the lockdown that many countries have initiated in response to the growing COVID-19 pandemic. A real-life study has been conducted in order to evaluate the performance of the COVID-PRESTO RDT and the results have been submitted for publication and are currently under review. Even if this test showed very high sensitivity and specificity in a laboratory setting when used by trained professionals, it needs to be further evaluated for practicability when used by common folk in order to be approved by health authorities for in-home use Methods 142 participants were recruited between March 2020 and April 2020 among non-medical populations in central France (nuclear plants workers, individuals attending the Orleans University Hospital vaccination clinic and Orleans University Hospital non-medical staff). Instructions for use with or without a tutorial video was made available to the volunteers. Two separate objectives were pursued: evaluation of the capability of participants to obtain an interpretable result, and evaluation of the users ability to read the results. Results 88.4 % of the test users judged the instruction for use leaflet to be clear and understandable. 99.3 % of the users obtained a valid results and according to the supervisors 92.7% of the tests were properly performed by the user. Overall, 95% of the users gave positive feedback toward the COVID PRESTO as a potential self-test. No influence of age and education was observed. Conclusion COVID-PRESTO was successfully used by an overwhelming majority of participants and its utilization was judged very satisfactory, therefore showing a promising potential as a self-test to be used by the general population. This RDT can become an easy-to-use tool to help know whether individuals are protected or not, particularly in the perspective of a second wave or a mass vaccination program.

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