Cybersecurity in the Context of Moroccan Energy Companies

The aim of this research is to assess the level of maturity of Moroccan companies in the energy sector in terms of cybersecurity and to identify the factors influencing their abilities to implement effective security measures to address the risks associated with cyber-attacks. To achieve this, we have adopted an exploratory approach. A questionnaire was sent to energy sector companies in Morocco to investigate their cybersecurity practices. This entails examining the current security measures in place, security policies and procedures, as well as employee training programs. Furthermore, we are exploring the human and financial factors that can influence the ability of energy companies to implement effective security measures against cyberattacks. The results clearly indicate that most of these companies demonstrate a high level of maturity in terms of cybersecurity. However, several significant factors influence their ability to implement effective security measures. Among these factors, the lack of qualified personnel, the high costs associated with acquiring and implementing security technologies, as well as expenses related to training and awareness, can be mentioned

Cybersecurity in the Context of Moroccan Energy Companies

The aim of this research is to assess the level of maturity of Moroccan companies in the energy sector in terms of cybersecurity and to identify the factors influencing their abilities to implement effective security measures to address the risks associated with cyber-attacks. To achieve this, we have adopted an exploratory approach. A questionnaire was sent to energy sector companies in Morocco to investigate their cybersecurity practices. This entails examining the current security measures in place, security policies and procedures, as well as employee training programs. Furthermore, we are exploring the human and financial factors that can influence the ability of energy companies to implement effective security measures against cyberattacks. The results clearly indicate that most of these companies demonstrate a high level of maturity in terms of cybersecurity. However, several significant factors influence their ability to implement effective security measures. Among these factors, the lack of qualified personnel, the high costs associated with acquiring and implementing security technologies, as well as expenses related to training and awareness, can be mentioned

Rectal plasmocytoma revealing a Kahler's disease

Les localisations digestives de la maladie de Kahler sont rares. Nous rapportons le cas d'un patient qui consulte pour des rectorragies terminales associées à un syndrome dysentérique, une diarrhée et une altération de l'état général évoluant depuis un mois. La rectoscopie montre l'existence d'une ulcération latérale à bords irréguliers et oedématiés dont les biopsies sont revenues en faveur d'une infiltration plasmocytaire maligne. La biopsie ostéo-médullaire révèle le diagnostic de la maladie de Kahler. L'évolution est marquée par le décès du patient au cours de la première cure de chimiothérapie. Les plasmocytomes digestifs sont le plus souvent polypoïdes et symptomatiques. La polypectomie endoscopique suivie par la radiothérapie semble être le traitement logique. Seuls six cas ont été rapportés dans la littérature, il s'agit à notre connaissance du septième cas se distinguant par son aspect endoscopique ; il se présente sous forme d'une ulcération rectale

Extracorporeal membrane oxygenation network organisation and clinical outcomes during the COVID-19 pandemic in greater paris, france. a multicentre cohort study

Background: In the Île-de-France region (henceforth termed Greater Paris), extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS) was considered early in the COVID-19 pandemic. We report ECMO network organisation and outcomes during the first wave of the pandemic. Methods In this multicentre cohort study, we present an analysis of all adult patients with laboratory-confirmed SARS-CoV-2 infection and severe ARDS requiring ECMO who were admitted to 17 Greater Paris intensive care units between March 8 and June 3, 2020. Central regulation for ECMO indications and pooling of resources were organised for the Greater Paris intensive care units, with six mobile ECMO teams available for the region. Details of complications (including ECMO-related complications, renal replacement therapy, and pulmonary embolism), clinical outcomes, survival status at 90 days after ECMO initiation, and causes of death are reported. Multivariable analysis was used to identify pre-ECMO variables independently associated with 90-day survival after ECMO. Findings The 302 patients included who underwent ECMO had a median age of 52 years (IQR 45−58) and Simplified Acute Physiology Score-II of 40 (31−56), and 235 (78%) of whom were men. 165 (55%) were transferred after cannulation by a mobile ECMO team. Before ECMO, 285 (94%) patients were prone positioned, median driving pressure was 18 cm H2O (14−21), and median ratio of the partial pressure of arterial oxygen to the fraction of inspired oxygen was 61 mm Hg (IQR 54−70). During ECMO, 115 (43%) of 270 patients had a major bleeding event, 27 of whom had intracranial haemorrhage; 130 (43%) of 301 patients received renal replacement therapy; and 53 (18%) of 294 had a pulmonary embolism. 138 (46%) patients were alive 90 days after ECMO. The most common causes of death were multiorgan failure (53 [18%] patients) and septic shock (47 [16%] patients). Shorter time between intubation and ECMO (odds ratio 0·91 [95% CI 0·84−0·99] per day decrease), younger age (2·89 [1·41−5·93] for ≤48 years and 2·01 [1·01−3·99] for 49–56 years vs ≥57 years), lower pre-ECMO renal component of the Sequential Organ Failure Assessment score (0·67, 0·55−0·83 per point increase), and treatment in centres managing at least 30 venovenous ECMO cases annually (2·98 [1·46–6·04]) were independently associated with improved 90-day survival. There was no significant difference in survival between patients who had mobile and on-site ECMO initiation. Interpretation Beyond associations with similar factors to those reported on ECMO for non-COVID-19 ARDS, 90-day survival among ECMO-assisted patients with COVID-19 was strongly associated with a centre's experience in venovenous ECMO during the previous year. Early ECMO management in centres with a high venovenous ECMO case volume should be advocated, by applying centralisation and regulation of ECMO indications, which should also help to prevent a shortage of resources