Technical Strategies Database Managers use to Protect Systems from Security Breaches

Healthcare organizations generate massive amounts of data through their databases that may be vulnerable to data breaches due to extensive user privileges, unpatched databases, standardized query language injections, weak passwords/usernames, and system weaknesses. The purpose of this qualitative multiple case study was to explore technical strategies database managers in Southeast/North Texas used to protect database systems from data breaches. The target population consisted of database managers from 2 healthcare organizations in this region. The integrated system theory of information security management was the conceptual framework. The data collection process included semistructured interviews with 9 database managers, including a review of 14 organizational documents. Data were put into NVivo 12 software for thematic coding. Coding from interviews and member checking was triangulated with corporate documents to produce 5 significant themes and 1 subtheme: focus on verifying the identity of users, develop and enforce security policies, implement efficient encryption, monitor threats posed by insiders, focus on safeguards against external threats, and a subtheme derived from vulnerabilities caused by weak passwords. The findings from the study showed that the implementation of security strategies improved organizations\u27 abilities to protect data from security incidents. Thus, the results may be applied to create social change, decreasing the theft of confidential data, and providing knowledge as a resource to accelerate the adoption of technical approaches to protect database systems rom security incidents

Obstetric Outcome and Significance of Labour Induction in a Health Resource Poor Setting

Objectives. The aim of this study was to evaluate the methods, indications, outcome of induced labor and its significance in obstetric practice in the study area. Methods. This was a retrospective study of cases of induced labor at the Catholic Maternity Hospital in Ogoja, Cross-River State, Nigeria, between January 1, 2002, and December 31, 2011. Data on the sociodemographic characteristics of the parturient, induction methods, indications for induction, outcomes and reasons for failed induction were abstracted from personal case files and the hospital’s maternity/delivery register. The data were analyzed with SPSS15.0 window version. Result. The induction rate in this study was 11.5%. Induction was successful in 75.9% of cases but failed in 24.1%. Misoprostol was the commonest induction method (78.2%). The commonest indication for induction was postdate pregnancy (45.8%). Failed induction was due to fetal distress, prolonged labor, cephalopelvic disproportion and cord prolapse. The induction-delivery interval was 12±3.6 hours. Conclusion. Induction of labor is a common obstetric procedure which is safe and beneficial in well-selected and properly monitored high risk pregnancies where the benefits of early delivery outweigh the risk of continuing the pregnancy

Preoperative versus postoperative misoprostol use for prevention of blood loss during caesarean section in pregnant women at term: a multi-centre randomised controlled trial

Objective Caesarean section is associated with higher blood loss than vaginal delivery. This study was performed to compare the safety and efficacy of preoperative versus postoperative rectal and sublingual misoprostol use for prevention of blood loss in women undergoing elective caesarean delivery. Methods Eligible patients in Southeast Nigeria were randomly classified into those that received 600 µg of preoperative rectal, postoperative rectal, preoperative sublingual, and postoperative sublingual misoprostol. All patients received 10 units of intravenous oxytocin immediately after delivery. Data were analysed with SPSS Version 23. Results Preoperative sublingual misoprostol use caused the highest postoperative packed cell volume, least change in the packed cell volume, and lowest intraoperative blood loss. Preoperative sublingual and rectal misoprostol use was associated with better haematological indices and maternal outcomes than postoperative use by these routes. However, preoperative sublingual and rectal use caused more maternal side effects than postoperative use by these routes. Conclusion Preoperative sublingual misoprostol was associated with the most favourable haematological indices. Although preoperative sublingual and rectal misoprostol use caused more maternal side effects, these routes were associated with better haematological indices and maternal outcomes than postoperative sublingual and rectal misoprostol use