Multi-Purpose Cyber Environment for Maritime Sector

The cyber attack surface in a maritime environment is constantly growing. More current information and computer technologies are being used on cargo and passenger ships to save on operational costs and increase navigational safety. Along with the growing reliance on automation, the risk of a disruption to a vessel's critical systems by drawing on the wrong inputs from sensors to change the behaviour of the actuators has significantly increased. Traditional operational technological systems are much more complicated to update than the automatic software updates we see in information technology systems. To better understand existing cyber threats in the maritime sector and increase cybersecurity resilience, this paper aims to replicate the digital components of a ship's bridge to examine scenarios when the bridge system loses connectivity, receives the wrong inputs from sensors, or the internal system becomes compromised. The simulator differentiates fundamentally from traditional simulators or digital twins in the maritime sector that focus on training seafarers. This environment generates data streams that are similar to those on board a ship. Those data streams can be analysed, modified and spoofed to observe the effects. The effects can be technical but it is equally necessary to analyse how human beings would react in specific circumstances. Our work provides the opportunity to isolate the ship network traffic, conduct penetration testing, find cybersecurity vulnerabilities on devices, and execute cyber attacks without the dangers associated with running such scenarios on a vessel in the open sea.</jats:p

The rationale of opportunistic bilateral salpingectomies (OBS) during benign gynaecological and obstetric surgery : a consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG)

Ovarian cancer (OC), is a disease difficult to diagnose in an early stage implicating a poor prognosis. The 5-year overall survival in Belgium has not changed in the last 18 years and remains 44 %. There is no effective screening method (secondary prevention) to detect ovarian cancer at an early stage. Primary prevention of ovarian cancer came in the picture through the paradigm shift that the fallopian tube is often the origin of ovarian cancer and not the ovary itself. Opportunistic bilateral salpingectomy (OBS) during benign gynaecological and obstetric surgery might have the potential to reduce the risk of ovarian cancer by as much as 65 %. Bilateral risk-reducing salpingectomy during a benign procedure is feasible, safe, appears to have no impact on the ovarian function and seems to be cost effective. The key question is whether we should wait for a RCT or implement OBS directly in our daily practice. Guidelines regarding OBS within our societies are therefore urgently needed. Our recommendation is to inform all women without a child wish, undergoing a benign gynaecological or obstetrical surgical procedure about the pro’s and the con’s of OBS and advise a bilateral salpingectomy. Furthermore, there is an urgent need for a prospective registry of OBS. The present article is the consensus text of the Flemish Society of Obstetrics and Gynaecology (VVOG) regarding OBS

Complete trisomy 5p owing to de novo translocation t(5;22)(q11;p11) with isochromosome 5p associated with a familial pericentric inversion of chromosome 2, inv 2(p21q11).

A boy with a de novo translocation (5;22) and isochromosome 5p associated with a pericentric inversion of chromosome 2 (p21q11) is described. The pericentric inversion was also present in the mother. The main clinical features of the 'complete trisomy 5p' syndrome were present in the proband