31 research outputs found

    SWOT Analysis of Information Security and Cybersecurity in Croatian Healthcare Institutions

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    SWOT analiza je tehnika strateĆĄkog planiranja koja se moĆŸe koristiti za definiranje snage, slabosti, prilika i prijetnji pri zdravstvenim ustanovama kako bi pruĆŸila jasan pregled kritičnih pokazatelja ključnih za učinak i ukupni uspjeh njihovog djelovanja i poslovanja. Cilj ovog rada je procijeniti stanje informacijske i kibernetičke sigurnosti u zdravstvenim ustanovama Hrvatske, uključujući i domove zdravlja i bolničke ustanove, na temelju javno dostupnih informacija i saznanja autora. SWOT analiza se provodi bez navođenja pojedinačnih zdravstvenih ustanova, već transparentno prikazuje snage, slabosti, prilike i prijetnje koje obuhvaćaju informacijsku i kibernetičku sigurnost različitih zdravstvenih ustanova Hrvatske, uvaĆŸavajući činjenicu da su mnogim ustanovama pojedine SWOT stavke zajedničke. Ovim se radom ĆŸeli dati stručni doprinos koji će predstavljati temelj za daljnju razradu strategije podizanja razine informacijske i kibernetičke sigurnosti u zdravstvenim ustanovama Hrvatske. Rezultati pokazuju podjednaku prisutnost svih elemenata, s potencijalom umanjivanja svih slabosti i prijetnji.SWOT analysis is a strategic planning technique that can be used to define the strengths, weaknesses, opportunities and threats at health facilities to provide a clear overview of critical indicators crucial to the performance and overall success of their operations and business activities. The aim of this paper is to assess the state of information security and cybersecurity in Croatian healthcare institutions, including health centres and hospitals, based on publicly available information and awareness of the authors. The SWOT analysis is conducted without mentioning individual healthcare institutions, but transparently shows the strengths, weaknesses, opportunities and threats that include information security and cybersecurity of various healthcare institutions in Croatia, taking into account the fact that many SWOT items are common to many institutions. This paper aims to provide an expert contribution that will be the basis for further elaboration of the strategy for raising the level of information security and cybersecurity in Croatian healthcare institutions. The results show equal presence of all elements, with the potential to reduce all weaknesses and threats

    The clinical effectiveness and cost-effectiveness of a ‘stepping into day treatment’ approach versus inpatient treatment as usual for anorexia nervosa in adult specialist eating disorder services (DAISIES trial): a study protocol of a randomised controlled multi-centre open-label parallel group non-inferiority trial

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    BACKGROUND: Anorexia nervosa (AN) is a serious and disabling mental disorder with a high disease burden. In a proportion of cases, intensive hospital-based treatments, i.e. inpatient or day patient treatment, are required, with day patient treatment often being used as a 'step-down' treatment after a period of inpatient treatment. Demand for such treatment approaches has seen a sharp rise. Despite this, the relative merits of these approaches for patients, their families, and the NHS and wider society are relatively unknown. This paper describes the rationale for, and protocol of, a two-arm multi-centre open-label parallel group non-inferiority randomised controlled trial, evaluating the effectiveness and cost-effectiveness of these two intensive treatments for adults with severe AN: inpatient treatment as usual and a stepped care day patient approach (the combination of day patient treatment with the option of initial inpatient treatment for medical stabilisation). The main aim of this trial is to establish whether, in adults with severe AN, a stepped care day patient approach is non-inferior to inpatient treatment as usual in relation to improving body mass index (BMI) at 12 months post-randomisation. METHODS: 386 patients with a Diagnostic and Statistical Manual 5th edition diagnosis of severe AN or related disorder, with a BMI of ≀16 kg/m2 and in need of intensive treatment will be randomly allocated to either inpatient treatment as usual or a stepped care day patient approach. Patients in both groups will receive treatment until they reach a healthy weight or get as close to this point as possible. Assessments will be conducted at baseline (prior to randomisation), and at 6 and 12 months post-randomisation, with additional monthly symptom monitoring. The primary outcome will be BMI at the 12-month post-randomisation assessment. Other outcomes will include psychosocial adjustment; treatment motivation, expectations and experiences; cost-effectiveness; and carer burden. DISCUSSION: The results of this study will provide a rigorous evaluation of two intensive treatment approaches which will inform future national and international treatment guidelines and service provision

    Experimental and theoretical investigations of the thermodynamic stability of Ba-C-60 and K-C-60 compound clusters

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    A novel experimental set-up was used to study superstable (magic) Ba-C-60 and K-C-60 compound clusters. The most stable systems observed cannot be rationalized by simple electronic or by geometrical shell filling arguments. Annealing the clusters past the temperature necessary for the fragmentation of the initial metastable clusters formed at the source reveals information about their thermodynamic stability. Higher temperatures yield larger species, suggesting that similar experiments may be used to rationally produce nanoscale clusters with highly desirable properties. Density functional calculations reveal ionic (K, Ba) and covalent (Ba) bonding between C-60 and the metal atoms. The entropic contribution to the Gibbs free energy is shown to be essential in determining absolute and relative cluster stabilities. In particular, we demonstrate that at higher temperatures the entropy favors the formation of larger clusters. A simple criterion which may be used to determine the absolute and relative stabilities of general multicomponent clusters is proposed

    Electrospinning of diphenylalanine nanotubes

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    Electrospinning from concentrated diphenylalanine solutions in a low-boiling-point solvent results in tubes that are chemically identical to self-assembled tubes, but show different morphologies, especially extreme lengths. Electrospinning of tubes offers more possibilities for manipulation, for example, bridging electrodes in parallel orientation, a possible patterning strategy for electrospun material

    Grafting Crown Ether Alkali Host-Guest Complexes at Surfaces by Electrospray Ion Beam Deposition

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    The functionalization of surfaces with host guest compounds is promising for many applications, yet often limited by constraints such as the volatility of the functional compound or the lack of binding to the surface. We use electrospray ion beam deposition (ES-MD) on surfaces in ultrahigh vacuum as a novel approach to modify an atomically defined copper surface with preformed dibenzo-24-crown-8-alkali complexes, in which the central ion (H+, Na+, or Cs+) can be exchanged in the electrospray solution. In situ scanning tunneling microscopy maps the single alkali ion complexes as an oval protrusion with a four-lobe submolecular structure immobilized at the surface. Density functional theory calculations confirm that the crown ether is bound to the surface via the central alkali ion within its cavity, indicating that the properties of the molecular complex are retained after deposition

    Évolution des habiletĂ©s articulatoires au stade du babillage : le timing des syllabes CV

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    International audienceDuring language acquisition process, babbling is associated with the emergence of syllables. This stage is characteristic of articulatory abilities development, which can be described in terms of the timing of articulatory gesture production. Such timing can be inferred from the observation of the syllabic duration and its variability. The CV syllables of 22 toddlers, monthly recorded between 8 and 14 months of age, were analyzed. A decrease and a stabilization of the syllabic duration have been observed. Major changes in syllabic timing appear around 10-11 months. Syllables with no change in lingual position between the consonant and the vowel, seem to be the first to gain control.Au cours du processus d’acquisition du langage, le babillage correspond au stade de l’émergence des syllabes. C’est un stade au cours duquel le potentiel articulatoire commence Ă  se construire. Le timing de l’exĂ©cution des gestes articulatoires pourrait tĂ©moigner du dĂ©veloppement des habiletĂ©s motrices. Ce phĂ©nomĂšne peut ĂȘtre infĂ©rĂ© Ă  partir de l’observation de la durĂ©e syllabique et de sa variabilitĂ©. Les syllabes de type CV de 22 enfants nĂ©s Ă  terme, enregistrĂ©s mensuellement, entre 8 mois et 14 mois, ont Ă©tĂ© analysĂ©es. Une diminution et une stabilisation de la durĂ©e de la syllabe ressort des rĂ©sultats. Des changements majeurs dans l’organisation temporelle syllabique apparaissent autour de 10-11 mois. Les syllabes sans changement de position linguale entre la consonne et la voyelle, pourraient prĂ©senter des marques de contrĂŽle plus prĂ©coces que les autres
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