Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

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Role-task conditional-purpose policy model for privacy preserving data publishing

Privacy becomes a major concern for both consumers and enterprises; therefore many research efforts have been devoted to the development of privacy preserving technology. The challenge in data privacy is to share the data while assuring the protection of personal information. Data privacy includes assuring protection for both insider ad outsider threats even if the data is published. Access control can help to protect the data from outsider threats. Access control is defined as the process of mediating every request to resources and data maintained by a system and determining whether the request should be granted or denied. This can be enforced by a mechanism implementing regulations established by a security policy. In this paper, we present privacy preserving data publishing model based on integration of CPBAC, MD-TRBAC, PBFW, protection against database administrator technique inspired from oracle vault technique and benefits of anonymization technique to protect data when being published using k-anonymity. The proposed model meets the requirements of workflow and non-workflow system in enterprise environment. It is based on the characteristics of the conditional purposes, conditional roles, tasks, and policies. It guarantees the protection against insider threats such as database administrator. Finally it assures needed protection in case of publishing the data. Keywords: Database security, Access control, Data publishing, Anonymizatio

Evaluation of the effects of dexmedetomidine infusion on oxygenation and lung mechanics in morbidly obese patients with restrictive lung disease

Abstract Background Dexmedetomidine infusion improves oxygenation and lung mechanics in patients with chronic obstructive lung disease; however, its effect in patients with restrictive lung disease has not been thoroughly investigated yet. The aim of this work was to evaluate the effects of dexmedetomidine infusion on oxygenation and lung mechanics in morbidly obese patients with restrictive lung disease. Methods Forty-two morbidly obese patients scheduled for bariatric surgery were included in the study. Patients were randomized to receive either dexmedetomidine infusion at a bolus dose of 1mcg/Kg followed by infusion at 1 mcg/Kg/hour for 90 min (Dexmedetomidine group), or normal saline infusion (Control group). Both groups were compared with regard to: oxygenation {P/F ratio: PaO2/fraction of inspired oxygen (FiO2)}, lung compliance, dead space, plateau pressure, blood pressure, and heart rate. Results Dexmedetomidine group showed significant improvement of the PaO2/FiO2 ratio, and higher lung compliance compared to control group by the end of drug infusion. Dexmedetomidine group demonstrated decreased dead space, plateau pressure, blood pressure, and heart rate compared to control group by the end of drug infusion. Conclusion A 90-min dexmedetomidine infusion resulted in moderate improvement in oxygenation and lung mechanics in morbidly obese patients with restrictive lung disease. Trial registration clinicaltrials.gov: NCT02843698 on 20 July 2016