A Call to IS Educators to Respond to the Voices of Women in Information Security

Much prior research has examined the dearth of women in the IT industry. The purpose of this study is to examine the perceptions of women in IT within the context of information security and assurance. This paper describes results from a study of a relatively new career path to see if there are female-friendly opportunities that have not existed in previous IT career paths. Research methodology focuses on a qualitative analysis of in-depth interviews with women who are self-described information security professionals. A primary goal of the study is to understand the perceptions of women in information security and determine what IS educators can do to help educate a new generation of students who are diverse, confident, and excited about the real-world aspects of an information security degree. Suggestions for improving the representation of women in information security and their ultimate perception of the field include better recruiting and retention strategies, development of mentors, and changes in presentation of the information security field

Personality and Programming

Information systems students continue to struggle to successfully complete computer programming classes. Leaming how to program is difficult, and failure and attrition rates in college level programming classes remain at an unacceptably high rate. Since many IS students take a programming course as part of their program of study, IS educators should better understand why IS students tend to achieve low success rates in programming courses and what can be done to improve success rates. Little research to date has addressed potential reasons for student failure in programming principles courses. Many educators simply assume that high failure rates are acceptable - that computer programming is difficult and some students simply will not succeed. Some researchers have studied personality as a predictor of success in computer programming courses. However, no studies have attempted to gather cognitive profiles and match performance to profile type exhibited. In our study, we identified the primary cognitive profile in a sample of beginning programming students in a southeastern university and matched profile to final average in Programming Principles I. Intuitive thinkers tended to perform better in Programming Principles I than sensor feelers. We found no other differences in performance between profile types. We recommend instructional strategies that may be used to reach fully motivated and intellectually capable sensor feelers, while not detracting from the learning experience of the other profiles

Studi Numerik Interaksi Vortex-Induced Vibrations (VIV) Antara Empat Silinder Tegak Fleksibel Dengan Konfigurasi In-Line Square Dalam Aliran Uniform

Vortex-induced Vibration (VIV) di sekitar sekelompok silinder adalah suatu fenomena yang umum ditemui pada aplikasi teknik saat ini, seperti aliran fluida yang melewati kabel, struktur lepas pantai, dan lain sebagainya. VIV dapat menyebabkan berkurangnya umur operasi suatu equipment dan dapat berakibat pada kecelakaan atau kegagalan operasi. Oleh karena itu, sangat penting untuk memahami mekanisme terjadinya VIV dan rangkaian interaksi fluida-struktur dalam rangka meningkatkan kualitas desain equipment. Makalah ini menyajikan studi numeris tiga dimensi (3-D) aliran laminar di sekitar empat silinder tegak fleksibel dalan konfigurasi in-line square. Penelitian difokuskan pada pengaruh spacing ratio (S*x dan S*y), aspect ratio (L/D), dan Reynold Number (Re) terhadap karakteristik aliran tiga dimensi di sekitar silinder. Hasil yang didapat menunjukkan bahwa pada small spacing ratio, nilai koefisien gaya lift (CL) dan koefisien gaya drag (CD) cenderung mengecil karena mendapat pengaruh redaman dari silinder lain, namun kemudian kembali normal pada konfigurasi di atas critical spacing ratio 3.5D. Perpindahan silinder yang terjadi sangat kecil dengan A/D maksimum searah aliran sebesar 0.00053, dan A/D maksimum tegak lurus aliran sebesar 0.0003. Variasi aspect ratio memberikan efek penurunan nilai CL pada downstream cylinder pada spacing ratio 3.5-5. Sedangkan pengaruh variasi Reynold Number yang semakin besar memberikan nilai CD dan CL yang semakin menurun, dan sebaliknya besarnya displacement silinder yang terjadi semakin meningkat. Pada Re=100 dan Re=200, VIV yang terjadi pada upstream cylinder adalah in-line vibrations, sedangkan downstream cylinder mengalami cross-flow vibrations. Pada Re=300, baik upstream maupun downstream cylinder mengalami in-line vibrations

Personality as a Predictor of Student Success in Programming Principles

Large numbers of college students continue to fail to successfully complete programming principles courses. However, little research has addressed potential reasons for student failure. Many educators simply assume that high failure rates are acceptable – that computer programming is difficult and some students simply “don’t get it.” Some researchers (i.e., Bishop-Clark & Wheeler, 1994; Carland & Carland, 1990) have studied personality as a predictor of success in computer programming courses. However, with the exception of Woszczynski & Guthrie (2003), few studies have attempted to gather cognitive profiles (Krause, 2000) and match performance to profile type exhibited. Krause’s work shows that students with identified profiles can apply certain study skills to improve the probability of success in the classroom, and Woszczynski & Guthrie (2003) extended this research to the programming classroom, identifying underperforming cognitive profile groups. This study identified the primary cognitive profile of 236 students in a programming principles course at a southeastern university and matched profile to final average in programming principles I. Overall, intuitive thinkers (NT) tended to perform better in programming principles I than sensor feelers (SF). We found no other differences in performance between other paired profiles. We recommend a number of interventions to reach underperforming groups

Integration of HIV Care with Primary Health Care Services: Effect on Patient Satisfaction and Stigma in Rural Kenya.

HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services. Integration of HIV services into primary care may address this issue of skewed resource allocation. Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya. Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic. We then integrated HIV and primary care services. Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic. Changes in patient responses were assessed using truncated linear regression and logistic regression. At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32-5.56), HIV education (aOR 3.28, 95% CI 1.92-6.83), and wait time (aOR 1.97 95% CI 1.03-3.76). Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06-3.86). Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33-8.52). Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction

Integration of family planning services into HIV care clinics: Results one year after a cluster randomized controlled trial in Kenya.

OBJECTIVES:To determine if integration of family planning (FP) and HIV services led to increased use of more effective contraception (i.e. hormonal and permanent methods, and intrauterine devices) and decreased pregnancy rates. DESIGN:Cohort analysis following cluster randomized trial, when the Kenya Ministry of Health led integration of the remaining control (delayed integration) sites and oversaw integrated services at the original intervention (early integration) sites. SETTING:Eighteen health facilities in Kenya. SUBJECTS:Women aged 18-45 receiving care: 5682 encounters at baseline, and 11628 encounters during the fourth quarter of year 2. INTERVENTION:"One-stop shop" approach to integrating FP and HIV services. MAIN OUTCOME MEASURES:Use of more effective contraceptive methods and incident pregnancy across two years of follow-up. RESULTS:Following integration of FP and HIV services at the six delayed integration clinics, use of more effective contraception increased from 31.7% to 44.2% of encounters (+12.5%; Prevalence ratio (PR) = 1.39 (1.19-1.63). Among the twelve early integration sites, the proportion of encounters at which women used more effective contraceptive methods was sustained from the end of the first to the second year of follow-up (37.5% vs. 37.0%). Pregnancy incidence including all 18 integrated sites in year two declined in comparison to the control arm in year one (rate ratio: 0.72; 95% CI 0.60-0.87). CONCLUSIONS:Integration of FP services into HIV clinics led to a sustained increase in the use of more effective contraceptives and decrease in pregnancy incidence 24 months following implementation of the integrated service model. TRIAL REGISTRATION:ClinicalTrials.gov NCT01001507

Practice transformations to optimize the delivery of HIV primary care in community healthcare settings in the United States: A program implementation study.

BackgroundThe United States HIV care workforce is shrinking, which could complicate service delivery to people living with HIV (PLWH). In this study, we examined the impact of practice transformations, defined as efficiencies in structures and delivery of care, on demonstration project sites within the Workforce Capacity Building Initiative, a Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program Special Projects of National Significance (SPNS).Methods and findingsData were collected at 14 demonstration project sites in 7 states and the District of Columbia. Organizational assessments were completed at sites once before and 4 times after implementation. They captured 3 transformation approaches: maximizing the HIV care workforce (efforts to increase the number of existing healthcare workforce members involved in the care of PLWH), share-the-care (team-based care giving more responsibility to midlevel providers and staff), and enhancing client engagement in primary HIV care to reduce emergency and inpatient care (e.g., care coordination). We also obtained Ryan White HIV/AIDS Program Services Reports (RSRs) from sites for calendar years (CYs) 2014-2016, corresponding to before, during, and after transformation. The RSR include data on client retention in HIV care, prescription of antiretroviral therapy (ART), and viral suppression. We used generalized estimating equation (GEE) models to analyze changes among sites implementing each practice transformation approach. The demonstration projects had a mean of 18.5 prescribing providers (SD = 23.5). They reported data on more than 13,500 clients per year (mean = 969/site, SD = 1,351). Demographic characteristics remained similar over time. In 2014, a majority of clients were male (71% versus 28% female and 0.2% transgender), with a mean age of 47 (interquartile range [IQR] 37-54). Racial/ethnic characteristics (48% African American, 31% Hispanic/Latino, 14% white) and HIV risk varied (31% men who have sex with men; 31% heterosexual men and women; 7% injection drug use). A substantial minority was on Medicaid (41%). Across sites, there was significant uptake in practices consistent with maximizing the HIV care workforce (18% increase, p < 0.001), share-the-care (25% increase, p < 0.001), and facilitating patient engagement in HIV primary care (13% increase, p < 0.001). There were also significant improvements over time in retention in HIV care (adjusted odds ratio [aOR] = 1.03; 95% confidence interval [CI] 1.02-1.04; p < 0.001), ART prescription levels (aOR = 1.01; 95% CI 1.00-1.01; p < 0.001), and viral suppression (aOR = 1.03; 95% CI 1.02-1.04; p < 0.001). All outcomes improved at sites that implemented transformations to maximize the HIV care workforce or improve client engagement. At sites that implemented share-the-care practices, only retention in care and viral suppression outcomes improved. Study limitations included use of demonstration project sites funded by the Ryan White HIV/AIDS Program (RWHAP), which tend to have better HIV outcomes than other US clinics; varying practice transformation designs; lack of a true control condition; and a potential Hawthorne effect because site teams were aware of the evaluation.ConclusionsIn this study, we found that practice transformations are a potential strategy for addressing anticipated workforce challenges among those providing care to PLWH. They hold the promise of optimizing the use of personnel and ensuring the delivery of care to all in need while potentially enhancing HIV care continuum outcomes

Atypical Idiopathic Intracranial Hypertension Presenting as Cyclic Vomiting Syndrome: A Case Report

BACKGROUND: Idiopathic intracranial hypertension is a disorder of increased intracranial pressure in the absence of cerebrospinal outflow obstruction, mass lesion, or other underlying cause. It is a rare phenomenon in prepubertal children and is most typically found in women of childbearing age. The classic presentation consists of headaches, nausea, vomiting, and visual changes; however, children present more atypically. We report a case of idiopathic intracranial hypertension in an otherwise healthy, 4-year-old child with atypical symptoms resembling those of cyclic vomiting syndrome. CASE PRESENTATION: A 4-year-old Caucasian, otherwise healthy, male child presented to our emergency department with episodic intermittent early-morning vomiting occurring once every 1-3 weeks without interepisodic symptoms, starting 10 months prior. With outpatient metabolic, autoimmune, endocrine, allergy, and gastroenterology work-up all unremarkable, he was initially diagnosed with cyclic vomiting syndrome. Discovery of mild optic nerve sheath distension on magnetic resonance imaging of the brain 10 months after symptom onset led to inpatient admission and a lumbar puncture notable for an opening pressure of 47 mmHg, with normal cell count and protein levels. He had no changes in visual acuity or optic disc edema on dilated fundoscopic examination. The patient was started on acetazolamide, with resolution of episodic emesis at his last follow-up visit 12 weeks after discharge. CONCLUSIONS: Idiopathic intracranial hypertension presents atypically in prepubescent children, with about one-fourth presenting asymptomatically, and only 13-52% presenting with classic symptoms. With a prevalence of only 0.6-0.7 per 100,000, much remains unknown regarding the underlying pathophysiology in this demographic. Cyclic vomiting syndrome, however, has a much higher prevalence in this age group, with a prevalence of 0.4-1.9 per 100. It is thought to be an idiopathic, periodic disorder of childhood, often linked to neurological conditions such as abdominal migraines, epilepsy, mitochondrial disorders, and structural lesions such as chiari malformation and posterior fossa tumors. While cyclic vomiting syndrome is thought to have a benign course, untreated idiopathic intracranial hypertension can have long-term detrimental effects, such as visual loss or even blindness. We present a case of idiopathic intracranial hypertension presenting with symptoms resembling cyclic vomiting syndrome in a 4-year-old child, diagnosed 10 months after initial onset of symptoms. We aim to demonstrate the need for a high level of clinical suspicion and the need for further investigation into underlying pathophysiology in this vulnerable population