Vulnerability prediction for secure healthcare supply chain service delivery

Healthcare organisations are constantly facing sophisticated cyberattacks due to the sensitivity and criticality of patient health care information and wide connectivity of medical devices. Such attacks can pose potential disruptions to critical services delivery. There are number of existing works that focus on using Machine Learning(ML) models for pre-dicting vulnerability and exploitation but most of these works focused on parameterized values to predict severity and exploitability. This paper proposes a novel method that uses ontology axioms to define essential concepts related to the overall healthcare ecosystem and to ensure semantic consistency checking among such concepts. The application of on-tology enables the formal specification and description of healthcare ecosystem and the key elements used in vulnerabil-ity assessment as a set of concepts. Such specification also strengthens the relationships that exist between healthcare-based and vulnerability assessment concepts, in addition to semantic definition and reasoning of the concepts. Our work also makes use of Machine Learning techniques to predict possible security vulnerabilities in health care supply chain services. The paper demonstrates the applicability of our work by using vulnerability datasets to predict the exploitation. The results show that the conceptualization of healthcare sector cybersecurity using an ontological approach provides mechanisms to better understand the correlation between the healthcare sector and the security domain, while the ML algorithms increase the accuracy of the vulnerability exploitability prediction. Our result shows that using Linear Regres-sion, Decision Tree and Random Forest provided a reasonable result for predicting vulnerability exploitability

A Qualitative Exploration of Practitioners' Understanding of and Response to Child-to-Parent Aggression.

There has been limited research and policy directed toward defining and understanding child-to-parent aggression (CPA), resulting in inconsistent definitions, understandings, and responses, which has a detrimental impact on families. In particular, there have been limited qualitative studies of those working on the frontline of CPA, hindering the development of effective policy. The present qualitative study therefore aimed to explore practitioner perspectives of CPA. Twenty-five practitioners from diverse fields (e.g., youth justice, police, charities) participated in four focus groups relating to their experiences of working with CPA in the United Kingdom. Thematic analysis of focus groups revealed three key themes: definitions of CPA, understanding of CPA risk factors, and responding to CPA. Practitioners understood CPA to be a broad use of aggression to intimidate and control parents and highlighted a range of individual (e.g., mental health, substance abuse) and social (e.g., parenting, gangs) risk factors for CPA. Further, practitioners felt that current methods of reporting CPA were ineffective and may have a detrimental impact on families. The findings of this study have implications for CPA policy and support the need for a multiagency and coordinated strategy for responding to CPA

Cyber security incident handling, warning and response system for the european critical information infrastructures (cyberSANE)

This paper aims to enhance the security and resilience of Critical Information Infrastructures (CIIs) by providing a dynamic collaborative, warning and response system (CyberSANE system) supporting and guiding security officers and operators (e.g. Incident Response professionals) to recognize, identify, dynamically analyse, forecast, treat and respond to their threats and risks and handle their daily cyber incidents. The proposed solution provides a first of a kind approach for handling cyber security incidents in the digital environments with highly interconnected, complex and diverse nature

Analysis and tests of TF magnet insulation samples for the JET upgrade to 4 tesla

The JET Toroidal Field (TF) coils were originally designed for operation at 3.4 tesla. In order to upgrade the field to 4 tesla and thus improve the performance of the JET machine, new mechanical tests and analysis were carried out on the insulation of TF coil samples. They are aimed at investigating the mechanical properties and the status of the insulation in order to set allowable stresses and force limits. In particular since the shear stress in the insulation is strongly affected by the shear modulus of elasticity G, it is important to measure this parameter. A method for the measurement of G in glass-resin fibres, the V-notched beam method (Iosipescu method) , was applied. The particular shape of the rectangular Iosipescu V- notched sample and the particular modality of force application produce pure shear stress for a reliable measurement of the G value and of the shear strength of the insulation. The effect of temperature on these mechanical properties was also investigated. Results show higher average shear strength with lower scatter compared with previous tests on conventional rectangular samples, thus confirming the reliability of the method. Micrographic analysis of the insulation and comparison between the straight and curved regions of the magnet, where the highest stress occurs, confirm the good quality of the impregnation of the coil. Glass-resin content, void content, micros and TG measurements have been performed on different samples and correlation between the different properties of the insulation investigated. Moreover fatigue tests at different temperatures were performed and data analyzed with the cumulative damage technique, which allows for an extrapolation of the fatigue curve with less samples than the standard method. (6 refs)

Diagnostic Clinical and Laboratory Findings in Response to Predetermining Bacterial Pathogen: Data from the Meningitis Registry

BACKGROUND: Childhood meningitis continues to be an important cause of mortality in many countries. The search for rapid diagnosis of acute bacterial meningitis has lead to the further exploration of prognostic factors. This study was scheduled in an attempt to analyze various clinical symptoms as well as rapid laboratory results and provide an algorithm for the prediction of specific bacterial aetiology of childhood bacterial meningitis. METHODOLOGY AND PRINCIPAL FINDINGS: During the 32 year period, 2477 cases of probable bacterial meningitis (BM) were collected from the Meningitis Registry (MR). Analysis was performed on a total of 1331 confirmed bacterial meningitis cases of patients aged 1 month to 14 years. Data was analysed using EPI INFO (version 3.4.3-CDC-Atlanta) and SPSS (version 15.0-Chicago) software. Statistically significant (p<0.05) variables were included in a conditional backward logistic regression model. A total of 838 (63.0%) attributed to Neisseria meningitidis, 252 (18.9%) to Haemophilus influenzae, 186 (14.0%) to Streptococcus pneumoniae and 55 (4.1%) due to other bacteria. For the diagnosis of Meningococcal Meningitis, the most significant group of diagnostic criteria identified included haemorrhagic rash (OR 22.36), absence of seizures (OR 2.51), headache (OR 1.83) and negative gram stain result (OR 1.55) with a Positive Predictive Value (PPV) of 96.4% (95%CI 87.7-99.6). For the diagnosis of Streptococcus pneumoniae, the most significant group of diagnostic criteria identified included absence of haemorrhagic rash (OR 13.62), positive gram stain (OR 2.10), coma (OR 3.11), seizures (OR 3.81) and peripheral WBC > or = 15000/microL (OR 2.19) with a PPV of 77.8% (95%CI 40.0-97.2). For the diagnosis of Haemophilus influenzae, the most significant group of diagnostic criteria included, absence of haemorrhagic rash (OR 13.61), age > or = 1 year (OR 2.04), absence of headache (OR 3.01), CSF Glu < 40 mg/dL (OR 3.62) and peripheral WBC < 15,000/microL (OR 1.74) with a PPV of 58.5% (95%CI 42.1-73.7). CONCLUSIONS: The use of clinical and laboratory predictors for the assessment of the causative bacterial pathogen rather than just for predicting outcome of mortality seems to be a useful tool in the clinical management and specific treatment of BM. These findings should be further explored and studied

Are confidence levels of hospital pharmacists different from other pharmacists in the management of anticoagulation therapy? Preliminary results from a multinational pharmacists needs assessment survey

Poster presented at the 22nd Congress of the EAHP (European Association of Hospital Pharmacists): Hospital pharmacists – catalysts for change, 22-24 March 2017, Cannes, FranceN/

Experimental investigation of RC full scale frame strengthened at the joints and columns with fibre reinforced polymers

This paper presents the strengthening procedure of a two storey RC full-scale structure tested on a shaking table. The bare frame, designed by using old European regulations, was subjected to a series of earthquakes until severe damage was caused in the joints. The strengthening strategy aimed to apply a minimal/optimal amount of CFRP sheets onto joints and columns so as to enhance their shear and flexural capacity and to transfer the plastic hinges from columns to beams. Construction details are given to show how joints and columns were strengthened and how the CFRP sheets were anchored on the external and internal joint faces. Two different strengthening methods using orthotropic reinforcement were examined. Some of the experimental results are shown focusing on the two principal natural frequencies and maximum absolute displacements of all floors for both bare and retrofitted frame. The behaviour of the building was successfully changed from the strong beam-weak column frame to a more ductile frame as the plastic hinges were transferred from the columns to the beams

Determinants of Exposure to Environmental Tobacco Smoke (ETS) among Non Smoking Adolescents (Aged 11–17 Years Old) in Greece: Results from the 2004–2005 GYTS Study

The aim of the study is to investigate the determinants of exposure to ETS among Greek adolescents aged 11–17 years old. The GYTS questionnaire was completed by 5,179 adolescents. About 3 in 4 responders (76.8%) were exposed to ETS at home, and 38.5% were exposed to ETS outside of the home. Gender, age group, parental and close friends smoking status were significant determinants of adolescent’s exposure to ETS. The results of the study could be valuable for the implementation of public health initiatives in Greece aiming to reduce the burden of adolescent’s exposure to passive smoking

Spatial-spectral flexible optical networking:enabling switching solutions for a simplified and efficient SDM network platform

The traffic carried by core optical networks grows at a steady but remarkable pace of 30-40% year-over-year. Optical transmissions and networking advancements continue to satisfy the traffic requirements by delivering the content over the network infrastructure in a cost and energy efficient manner. Such core optical networks serve the information traffic demands in a dynamic way, in response to requirements for shifting of traffics demands, both temporally (day/night) and spatially (business district/residential). However as we are approaching fundamental spectral efficiency limits of singlemode fibers, the scientific community is pursuing recently the development of an innovative, all-optical network architecture introducing the spatial degree of freedom when designing/operating future transport networks. Spacedivision- multiplexing through the use of bundled single mode fibers, and/or multi-core fibers and/or few-mode fibers can offer up to 100-fold capacity increase in future optical networks. The EU INSPACE project is working on the development of a complete spatial-spectral flexible optical networking solution, offering the network ultra-high capacity, flexibility and energy efficiency required to meet the challenges of delivering exponentially growing traffic demands in the internet over the next twenty years. In this paper we will present the motivation and main research activities of the INSPACE consortium towards the realization of the overall project solution

Enabling transparent technologies for the development of highly granular flexible optical cross-connects

Flexible optical networking is identified today as the solution that offers smooth system upgradability towards Tb/s capacities and optimized use of network resources. However, in order to fully exploit the potentials of flexible spectrum allocation and networking, the development of a flexible switching node is required capable to adaptively add, drop and switch tributaries with variable bandwidth characteristics from/to ultra-high capacity wavelength channels at the lowest switching granularity. This paper presents the main concept and technology solutions envisioned by the EU funded project FOX-C, which targets the design, development and evaluation of the first functional system prototype of flexible add-drop and switching cross-connects. The key developments enable ultra-fine switching granularity at the optical subcarrier level, providing end-to-end routing of any tributary channel with flexible bandwidth down to 10Gb/s (or even lower) carried over wavelength superchannels, each with an aggregated capacity beyond 1Tb/s. © 2014 IEEE