An Investigation of the Security Designs of a Structured Query Language (Sql) Database and its Middleware Application and their Secure Implementation Within Thinclient Environments

The Information Portability and Accountability Act (HIPAA) and The SarbanesOxley (SOX) regulations greatly influenced the health care industry regarding the means of securing financial and private data within information and technology. With the introduction of thinclient technologies into medical information systems (IS), data security and regulation compliancy becomes more problematic due to the exposure to the World Wide Web (WWW) and malicious activity. This author explores the best practices of the medical industry and information technology industry for securing electronic data within the thinclient environment at the three levels of architecture: the SQL database, its middleware application, and Web interface. Designing security within the SQL database is not good enough as breaches can occur through unintended consequences during data access within the middleware application design and data exchange design over computer networks. For example, a hospital\u27s medical records, which are routinely exchanged over computer networks, are subject to the audit control an encryption requirements mandated for data security. (Department of, 2008). While there is an overlapping of security techniques within each of the three layers of architectural security design, the use of 18 methodologies greatly enhances the ability to protect electronic information. Due to the variety of IS used within a medical facility, security conscientiousness, consistency of security design, excellent communication between designers, developers and system engineers, and the use of standardized security techniques within each of the three layers of architecture are required

An Update on Surgical Staging of Patients with Pancreatic Cancer

 Accurate staging of pancreatic adenocarcinoma is a crucial step in determining the appropriate therapeutic approach to pancreatic cancer and to maximizing life expectancy. Despite the availability of high-quality abdominal imaging, the use of multi-modality imaging and of diagnostic laparoscopy, a portion of surgically explored patients fail to undergo resection secondary to metastatic disease. This review is an update from the 2012 American Society of Clinical Oncology (ASCO) Gastrointestinal Cancers Symposium of new developments in the staging of localized pancreatic adenocarcinoma. (Abstracts #168, #177, and #212).

Perbaikan Tanah Dasar Menggunakan Pre-Fabricated Vertical Drain dengan Variasi Kedalaman dan Perkuatan Lereng dengan Turap Studi Kasus : Lapangan Penumpukan Peti Kemas, Pelabuhan Trisakti, Banjarmasin, Kalimantan Selatan

Metode perbaikan tanah dasar menggunakan preloading yang dikombinasikan dengan Pre-fabricated Vertical Drain (PVD) dipilih untuk proyek pengembangan lapangan penumpukan peti kemas di Pelabuhan Trisakti, Banjarmasin, Kalimantan Selatan. Selama masa preloading, ternyata kelongsoran selebar 37 meter terjadi di area penumpukan. Diketahui bahwa kelongsoran terjadi saat preloading setinggi 4,0 meter. Agar lapangan penumpukan dapat beroperasi kembali, diperlukan perencanaan untuk perkuatan lereng dan untuk menghilangkan pemampatan tanah dasar di area lapangan penumpukan. Perbaikan tanah dasar menggunakan preloading yang dikombinasikan dengan Pre-fabricated Vertical Drain (PVD) digunakan untuk Zona 3, 4, dan 5, dan perkuatan lereng dengan turap digunakan untuk Zona-1 dan Zona-2 yang merupakan bagian lereng dari lapangan penumpukan. Direncanakan PVD dipasang pada kedalaman yang berbeda: 1/3H, 2/3H, dan H (H adalah ketebalan lapisan tanah lunak) untuk melihat kondisi yang menghasilkan biaya paling murah. Dari hasil perencanaan yang dilakukan, diketahui bahwa turap yang digunakan adalah Corrugated Concrete sheet pile type W-600 A1000. Turap dipasang sedalam 18 meter di Zona-1 dan sedalam 22 meter di Zona-2; selain itu, angker dipasang pada turap untuk meningkatkan kekakuan turap. Hasil perencanaan juga menunjukkan bahwa biaya yang paling ekonomis adalah PVD dipasang sampai 2/3H di Zona-3, dan tanpa PVD di Zona-4 dan Zona-5. Total biaya konstruksi adalah sebesar Rp 843.106.053,00 untuk Zona-1 dan Zona-2; Rp 9.446.530.597,00 untuk Zona-3; Rp 1.869.613.200,00 untuk Zona 4; dan Rp 3.577.392.000,00 untuk Zona 5

Conceptualising connections: energy demand, infrastructures and social practices

Problems of climate change present new challenges for social theory. In this paper we focus on the task of understanding and analysing car dependence, using this as a case through which to introduce and explore what we take to be central but underdeveloped questions about how infrastructures and complexes of social practice connect across space and time. In taking this approach we work with the proposition that forms of energy consumption, including those associated with automobility, are usefully understood as outcomes of interconnected patterns of social practices, including working, shopping, visiting friends and family, going to school and so forth. We also acknowledge that social practices are partly constituted by, and always embedded in material arrangements. Linking these two features together we suggest that forms of car-dependence emerge through the intersection of infrastructural arrangements that are integral to the conduct of many practices at once. We consequently explore the significance of professional – and not only ‘ordinary’ – practices, especially those of planners and designers who are involved in reconfiguring infrastructures of different scales, and in the practice dynamics that follow

Analisis Geoteknik Terhadap Kerusakan Dan Peningkatan Jalan Kolonel Imam Suparto Kecamatan Tembalang Sta. 4+700

Kolonel Imam Suparto street has an important role for the economic growth in Subdistric of Tembalang. Recently, this road has catastrophic landslide. It is quite alarming. Degradation of this road as an impact of landslide is very danger for the safety of driver who pass through this way. After slope stability analysis using Fellenius method is performed, it is shown that the SF or safety factor of the slope is 0,891. By using PLAXIS 8.2 , it is shown that the SF is 1,37. Both of this point indicated that the slope stability is in a critical condition or very risk for landslide. So, a precise solution is needed to push the landslide risk by increased the safety factor of that slope. The alternatives that used for this case by using Retaining Wall (DPT) type Cantilever Wall and Bronjong DPT or Bronjong is quite good for solving the landslide. It is founded that after reparation by using DPT type cantilever wall the safety factor is 1,93 and 1,77 by using Bronjong. DPT type cantilever wall is decided as the best solution between both alternatives. It is because the safety factor of DPT is higher than Bronjong

Quantifying an aquifer nitrate budget and future nitrate discharge using field data from streambeds and well nests

Novel groundwater sampling (age, flux, and nitrate) carried out beneath a streambed and in wells was used to estimate (1) the current rate of change of nitrate storage, dSNO3 /dt, in a contaminated unconfined aquifer, and (2) future [NO3–]FWM (the flow-weighted mean nitrate concentration in groundwater discharge) and fNO3 (the nitrate flux from aquifer to stream). Estimates of dSNO3 /dt suggested that at the time of sampling (2013) the nitrate storage in the aquifer was decreasing at an annual rate (mean = –9 mmol/m2yr) equal to about one-tenth the rate of nitrate input by recharge. This is consistent with data showing a slow decrease in the [NO3–] of groundwater recharge in recent years. Regarding future [NO3–]FWM and fNO3 , predictions based on well data show an immediate decrease that becomes more rapid after ~5 years before leveling out in the early 2040s. Predictions based on streambed data generally show an increase in future [NO3–]FWM and fNO3 until the late 2020s, followed by a decrease before leveling out in the 2040s. Differences show the potential value of using information directly from the groundwater—surface water interface to quantify the future impact of groundwater nitrate on surface water quality. The choice of denitrification kinetics was similarly important; compared to zero-order kinetics, a first-order rate law levels out estimates of future [NO3–]FWM and fNO3 (lower peak, higher minimum) as legacy nitrate is flushed from the aquifer. Major fundamental questions about nonpoint-source aquifer contamination can be answered without a complex numerical model or long-term monitoring program

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

AbstractChronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research