Nudging folks towards stronger password choices:providing certainty is the key

Persuading people to choose strong passwords is challenging. One way to influence password strength, as and when people are making the choice, is to tweak the choice architecture to encourage stronger choice. A variety of choice architecture manipulations i.e. “nudges”, have been trialled by researchers with a view to strengthening the overall password profile. None has made much of a difference so far. Here we report on our design of an influential behavioural intervention tailored to the password choice context: a hybrid nudge that significantly prompted stronger passwords.We carried out three longitudinal studies to analyse the efficacy of a range of “nudges” by manipulating the password choice architecture of an actual university web application. The first and second studies tested the efficacy of several simple visual framing “nudges”. Password strength did not budge. The third study tested expiration dates directly linked to password strength. This manipulation delivered a positive result: significantly longer and stronger passwords. Our main conclusion was that the final successful nudge provided participants with absolute certainty as to the benefit of a stronger password, and that it was this certainty that made the difference

Lessons learned from evaluating eight password nudges in the wild

Background. The tension between security and convenience, when creating passwords, is well established. It is a tension that often leads users to create poor passwords. For security designers, three mitigation strategies exist: issuing passwords, mandating minimum strength levels or encouraging better passwords. The first strategy prompts recording, the second reuse, but the third merits further investigation. It seemed promising to explore whether users could be subtly nudged towards stronger passwords.Aim. The aim of the study was to investigate the influence of visual nudges on self-chosen password length and/or strength.Method. A university application, enabling students to check course dates and review grades, was used to support two consecutive empirical studies over the course of two academic years. In total, 497 and 776 participants, respectively, were randomly assigned either to a control or an experimental group. Whereas the control group received no intervention, the experimental groups were presented with different visual nudges on the registration page of the web application whenever passwords were created. The experimental groups’ password strengths and lengths were then compared that of the control group.Results. No impact of the visual nudges could be detected, neither in terms of password strength nor length. The ordinal score metric used to calculate password strength led to a decrease in variance and test power, so that the inability to detect an effect size does not definitively indicate that such an effect does not exist.Conclusion. We cannot conclude that the nudges had no effect on password strength. It might well be that an actual effect was not detected due to the experimental design choices. Another possible explanation for our result is that password choice is influenced by the user’s task, cognitive budget, goals and pre-existing routines. A simple visual nudge might not have the power to overcome these forces. Our lessons learned therefore recommend the use of a richer password strength quantification measure, and the acknowledgement of the user’s context, in future studies

A Generic Feedback Mechanism for Component-Based Systems

Computers have been integrated into all spheres and occupations and the need for users to easily understand how to use each computer application has become paramount. The end-user should not be expected to decipher cryptic messages or to understand the inner functioning of the computer itself. With computer-users spanning all walks of life, there is a need for a change in the mind-set of software developers in making their product more user-friendly. In addition, software systems of the future will increasingly be built from independent encapsulated software components and will often be distributed over various sites. This new paradigm brings a new realm of complexity for the end-user, especially with respect to the increased possibility of failure, so that in addition to the nontrivial task of interpreting the general functioning of an application, the user will be expected to deal with the results of perplexing errors too. The nature of component- based systems makes the provision of support for handling errors far more difficult due to the independent and diffuse nature of the creators of the individual parts making up these systems. Other factors with respect to application use also need to be addressed. For example, it is a rare user who is able to spend 100% of his or her time concentrating on interaction with the computer, without distractions of some sort interrupting. It is even rarer to find an application which is not prone to occasionally unintelligible error messages or breakdowns. Few applications are designed with these realities in mind and when problems do occur, or users are interrupted, they often find it difficult to recover and to resume their primary task. It is also difficult for applications to tailor the provided feedback according to the specific needs of different end-users or the differing roles within which they function. This dissertation will highlight the role of feedback in increasing the interpretability of an application and in alleviating the effects of interruptions, errors and breakdowns. Rather than expecting feedback to be provided by programmers, this dissertation will argue that feedback can be enhanced in a distributed component-based system by separating the feedback concern from the basic functional concern of the application and executing the application within a generic feedback enhancing framework. The feedback concept is examined in depth and the role of feedback in enhancing understanding of applications, and in alleviating the effects of disturbances in our working day, is explored. The concept of a generic framework for enhancing feedback has been developed and a prototype implemented. The design and implementation of this prototype are described, as is the evaluation of the feedback thus produced

A comparative study of transaction management services in multidatabase heterogeneous systems

Multidatabases are being actively researched as a relatively new area in which many aspects are not yet fully understood. This area of transaction management in multidatabase systems still has many unresolved problems. The problem areas which this dissertation addresses are classification of multidatabase systems, global concurrency control, correctness criterion in a multidatabase environment, global deadlock detection, atomic commitment and crash recovery. A core group of research addressing these problems was identified and studied. The dissertation contributes to the multidatabase transaction management topic by introducing an alternative classification method for such multiple database systems; assessing existing research into transaction management schemes and based on this assessment, proposes a transaction processing model founded on the optimal properties of transaction management identified during the course of this research.ComputingM. Sc. (Computer Science

Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19

Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe

Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies

There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society

ILC Reference Design Report Volume 1 - Executive Summary

The International Linear Collider (ILC) is a 200-500 GeV center-of-mass high-luminosity linear electron-positron collider, based on 1.3 GHz superconducting radio-frequency (SCRF) accelerating cavities. The ILC has a total footprint of about 31 km and is designed for a peak luminosity of 2x10^34 cm^-2s^-1. This report is the Executive Summary (Volume I) of the four volume Reference Design Report. It gives an overview of the physics at the ILC, the accelerator design and value estimate, the detector concepts, and the next steps towards project realization.The International Linear Collider (ILC) is a 200-500 GeV center-of-mass high-luminosity linear electron-positron collider, based on 1.3 GHz superconducting radio-frequency (SCRF) accelerating cavities. The ILC has a total footprint of about 31 km and is designed for a peak luminosity of 2x10^34 cm^-2s^-1. This report is the Executive Summary (Volume I) of the four volume Reference Design Report. It gives an overview of the physics at the ILC, the accelerator design and value estimate, the detector concepts, and the next steps towards project realization