M-Files dokumenttienhallinta

Opinnäytetyön tarkoituksena oli kehittää ja turvata dokumenttienhallintaa yrityksen liiketoimintayksiköissä ja koko yrityksessä. Työn toimeksiantaja oli Kera Group Oy. Kera Group Oy valitsi M-Files-dokumenttihallintajärjestelmän dokumenttienhallintaa varten. M-Files-dokumenttihallintajärjestelmä asennettiin yrityksen omalle palvelimelle ja dokumenttivarasto konfiguroitiin yrityksen organisaatiorakenteen mukaiseksi. Dokumenttivaraston konfigurointiin liittyy käyttäjäryhmien, suojausasetuksien, luokkien ja näkymien määrittelyä. Dokumenttihallintajärjestelmään konfiguroitiin käyttäjähallinta ja suojausasetukset palvelemaan organisaationrakennetta. Yrityksen tallennetuista dokumenteista määriteltiin dokumenttivaraston dokumenttiluokat, helpottamaan dokumenttien tallennusta. Näkymiä määriteltiin myynnin työskentelyyn, jotta ajantasainentieto löytyy helposti ja nopeasti. Dokumenttihallintajärjestelmä tuo enemmän etuja dokumenttienhallinnalle, kuin perinteinen verkkolevyaseman käyttäminen. Hyvin konfiguroitu ja määritelty dokumenttivarasto nopeuttaa dokumenttien hakemista ja dokumenttien tallentaminen dokumenttihallintajärjestelmään palvelee yritystä tulevaisuudessa. Dokumenttihallintajärjestelmä on suunniteltu käyttöönotettavaksi huhtikuussa 2019. M-Filesin-dokumenttihallintajärjestelmän kehitys jatkuu opinnäytetyön päätyttyä.The purpose of this thesis was to develop and secure the document management of the client company, Kera Group Oy. Kera Group Oy chose the M-Files document management system for the document management. The M-Files document management system was installed on the company’s own server and the document storage was configured to match the company’s organization structure. The document storage configuration included defining user groups, security settings, categories and views. User management and security settings were configured in the document management system to serve the organization structure. The company’s previously saved documents formed the basis for defining document classes in the document storage to facilitate saving the documents in the document management system. Views were defined for the sales work, so that the current state of information can be found easily and fast. The document management system brings more benefits for the document management than using a traditional network drive. A well configured and defined document storage will speed up document searching and saving the documents in the document management system will serve the company in the future. The document management system is scheduled to be introduced in April 2019. The development of the M-Files document management system will continue after the completion of the thesis work

5G-ENSURE D2.4: Security Architecture (draft)

This deliverable (D2.4) of the 5G-ENSURE project describes a draft security architecture for 5G networks. The focus lies on a logical and functional architecture and omits (most) aspects related to physical/deployment architecture. This focus is motivated by general trends such as network de-perimetrization as well as 5G systems’ strong dependency on software defined networking and virtualization in general. Furthermore, this focus has reduced the otherwise strong interdependency between this architecture task and the trust modelling and risk analysis tasks in 5G-ENSURE. Still, each of these three tasks have at the time of writing produced initial draft documents, which will then be re-used in a second iteration of all three tasks, producing updated, final versions

5G-ENSURE D2.4: Security Architecture (draft)

This deliverable (D2.4) of the 5G-ENSURE project describes a draft security architecture for 5G networks. The focus lies on a logical and functional architecture and omits (most) aspects related to physical/deployment architecture. This focus is motivated by general trends such as network de-perimetrization as well as 5G systems’ strong dependency on software defined networking and virtualization in general. Furthermore, this focus has reduced the otherwise strong interdependency between this architecture task and the trust modelling and risk analysis tasks in 5G-ENSURE. Still, each of these three tasks have at the time of writing produced initial draft documents, which will then be re-used in a second iteration of all three tasks, producing updated, final versions

Intraoperative transfusion practices in Europe

Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl and increased to 9.8 (1.8) g dl after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold

Intraoperative transfusion practices in Europe

© 2016 The Author. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. Methods: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. Results: The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl-1 and increased to 9.8 (1.8) g dl-1 after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). Conclusions: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl-1), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold

Intraoperative transfusion practices and perioperative outcome in the European elderly: A secondary analysis of the observational ETPOS study

The demographic development suggests a dramatic growth in the number of elderly patients undergoing surgery in Europe. Most red blood cell transfusions (RBCT) are administered to older people, but little is known about perioperative transfusion practices in this population. In this secondary analysis of the prospective observational multicentre European Transfusion Practice and Outcome Study (ETPOS), we specifically evaluated intraoperative transfusion practices and the related outcomes of 3149 patients aged 65 years and older. Enrolled patients underwent elective surgery in 123 European hospitals, received at least one RBCT intraoperatively and were followed up for 30 days maximum. The mean haemoglobin value at the beginning of surgery was 108 (21) g/l, 84 (15) g/l before transfusion and 101 (16) g/l at the end of surgery. A median of 2 [1–2] units of RBCT were administered. Mostly, more than one transfusion trigger was present, with physiological triggers being preeminent. We revealed a descriptive association between each intraoperatively administered RBCT and mortality and discharge respectively, within the first 10 postoperative days but not thereafter. In our unadjusted model the hazard ratio (HR) for mortality was 1.11 (95% CI: 1.08–1.15) and the HR for discharge was 0.78 (95% CI: 0.74–0.83). After adjustment for several variables, such as age, preoperative haemoglobin and blood loss, the HR for mortality was 1.10 (95% CI: 1.05–1.15) and HR for discharge was 0.82 (95% CI: 0.78–0.87). Preoperative anaemia in European elderly surgical patients is undertreated. Various triggers seem to support the decision for RBCT. A closer monitoring of elderly patients receiving intraoperative RBCT for the first 10 postoperative days might be justifiable. Further research on the causal relationship between RBCT and outcomes and on optimal transfusion strategies in the elderly population is warranted. A thorough analysis of different time periods within the first 30 postoperative days is recommended