000-735 questions are changed today. Download new questions.

killexams.com 000-735 Dumps contains a Complete Pool of Questions and Answers and Exam Questions confirmed and substantial including references and clarifications (where appropriate). Our objective to rehearse the DB2 9.5 SQL Procedure Developer dumps questions is not just to finish the 000-735 test at first endeavor however Really Improve Your Knowledge about the 000-735 test course destinations.

Exam Code: 000-735 Practice test 2022 by Killexams.com team
DB2 9.5 SQL Procedure Developer
IBM Procedure test Questions
Killexams : IBM Procedure test Questions - BingNews https://killexams.com/pass4sure/exam-detail/000-735 Search results Killexams : IBM Procedure test Questions - BingNews https://killexams.com/pass4sure/exam-detail/000-735 https://killexams.com/exam_list/IBM Killexams : Too much treatment?

The Dartmouth Atlas ranked NYU Langone Medical Center in New York City No. 1 in the nation among hospitals/medical schools for aggressive care and spending. Its chief medical officer, Robert Press, M.D., said the hospital was concerned when rankings first came out, in the 2006 edition of the Atlas. "Following the release of the original data, we began a number of initiatives that are still ongoing toward defining the patient's wishes at the time of admission regarding the extent of care that he or she wants provided." But Press also notes that many patients and families served by his hospital "really desire very aggressive care. And a number of our physicians really believe in providing aggressive care. We are changing this to the extent it can be changed, but it is a cultural change."

Cedars-Sinai Medical Center in Los Angeles ranked second for aggressiveness of end-of-life care. Thomas M. Priselac, the hospital's president and CEO, says that while Dartmouth is doing "very important work," without more detailed hospital-specific data "it raises more questions than it provides answers."

A key question, of course, is whether patients are being kept alive longer in the regions that spend more money and deliver more aggressive care. "To judge survival, you have to look at people who are similarly ill and then follow them forward over time," says Elliott S. Fisher, M.D., Wennberg's longtime research collaborator. "And we've done that." Their study of 969,325 Medicare beneficiaries hospitalized nationwide for three common conditions—colon cancer, heart attack, and hip fracture—published in the Feb. 18, 2003, issue of the Annals of Internal Medicine, analyzed the follow-up tests and treatments the patients received for up to five years after their very similar initial treatment.

Patients in the highest-spending areas received 60 percent more treatment than those in the lowest-spending areas, but the extra care didn't seem to help at all, and it made some things worse. Patients in the high-spending, aggressive-care regions waited longer in emergency rooms and doctors' offices than patients in lower-spending regions did. They were less likely to get recommended preventive treatments, such as aspirin to prevent future heart attacks, or appropriate immunizations. They were slightly more likely to die, and those who didn't die weren't any better off in terms of their ability to function in daily life. And overall they were no more satisfied with their care.

Other research groups have had similar findings using different methods.

A state-by-state score card on health-system performance was issued in 2007 by the Commonwealth Fund, an independent health-quality research group. It graded such factors as overall population health, quality of care, access to care, and avoidable hospitalizations. Of the 13 states with the best scores, 10 have below-average end-of-life costs. And the three states in the Dartmouth study that spend the most on end-of-life health care—New York, New Jersey, and California—ranked 22nd, 26th, and 39th, respectively, in the Commonwealth Fund overall ranking.

A February 2008 study by the nonpartisan Congressional Budget Office found a reverse correlation between per capita Medicare spending and care quality. The percentage of patients hospitalized with heart attacks, pneumonia, and heart failure who get recommended treatments is lower in the higher-spending areas.

Thu, 03 May 2012 06:11:00 -0500 en-US text/html https://www.consumerreports.org/cro/2012/04/too-much-treatment/index.htm
Killexams : The autism advantage - why businesses are hiring autistic people

Autism is known as a spectrum disorder because every autistic person is different, with unique strengths and challenges.

Varney says many autistic people experienced education as a system that focused on these challenges, which can include social difficulties and anxiety.

Many autistic children found education focused on their deficits rather than their strengths.Credit:Rodger Cummins

He is pleased this is changing, with latest reforms embracing autistic students’ strengths.

But the unemployment rate of autistic people remains disturbingly high. ABS data from 2018 shows 34.1 per cent of autistic people are unemployed – three times higher than that of people with any type of disability and almost eight times that of those without a disability.

“A lot of the time people hear that someone’s autistic and they assume incompetence,” says Varney, who was this week appointed the chair of the Victorian Disability Advisory Council.

“But we have unique strengths, specifically hyper focus, great creativity, and we can think outside the box, which is a great asset in workplaces.”

In Israel, the defence force has a specialist intelligence unit made up exclusively of autistic soldiers, whose skills are deployed in analysing, interpreting and understanding satellite images and maps.

Locally, organisations that actively recruit autistic talent include software giant SAP, Westpac, IBM, ANZ, the Australian Tax Office, Telstra, NAB and PricewaterhouseCoopers.

Chris Pedron is a junior data analyst at Australian Spatial Analytics, a social enterprise that says on its website “neurodiversity is our advantage – our team is simply faster and more precise at data processing”.

He was hired after an informal chat. (Australian Spatial Analytics also often provides interview questions 48 hours in advance.)

Pedron says the traditional recruitment process can work against autistic people because there are a lot of unwritten social cues, such as body language, which he doesn’t always pick up on.

Australian Spatial Analytics founder Geoff Smith (right) with data analyst Chris Pedron.Credit:Glenn Hunt

“If I’m going in and I’m acting a bit physically standoffish, I’ve got my arms crossed or something, it’s not that I’m not wanting to be there, it’s just that new social interaction is something that causes anxiety.”

Pedron also finds eye contact uncomfortable and has had to train himself over the years to concentrate on a point on someone’s face.

Australian Spatial Analytics addresses a skills shortage by delivering a range of data services that were traditionally outsourced offshore.

Projects include digital farm maps for the grazing industry, technical documentation for large infrastructure and map creation for land administration.

Pedron has always found it easy to map things out in his head. “A lot of the work done here at ASA is geospatial so having autistic people with a very visual mindset is very much an advantage for this particular job.”

Pedron listens to music on headphones in the office, which helps him concentrate, and stops him from being distracted. He says the simpler and clearer the instructions, the easier it is for him to understand. “The less I have to read between the lines to understand what is required of me the better.”

Australian Spatial Analytics is one of three jobs-focused social enterprises launched by Queensland charity White Box Enterprises.

It has grown from three to 80 employees in 18 months and – thanks to philanthropist Naomi Milgrom, who has provided office space in Cremorne – has this year expanded to Melbourne, enabling Australian Spatial Analytics to create 50 roles for Victorians by the end of the year.

Chief executive Geoff Smith hopes they are at the front of a wave of employers recognising that hiring autistic people can make good business sense.

In 2017, IBM launched a campaign to hire more neurodiverse people.Credit:AP

“Rather than focus on the deficits of the person, focus on the strengths. A quarter of National Disability Insurance Scheme plans name autism as the primary disability, so society has no choice – there’s going to be such a huge number of people who are young and looking for jobs who are autistic. There is a skills shortage as it is, so you need to look at neurodiverse talent.”

In 2017, IBM launched a campaign to hire more neurodiverse (a term that covers a range of conditions including autism, Attention Deficit Hyperactivity Disorder, or ADHD, and dyslexia) candidates.

The initiative was in part inspired by software and data quality engineering services firm Ultranauts, who boasted at an event “they ate IBM’s lunch at testing by using an all-autistic staff”.

The following year Belinda Sheehan, a senior managing consultant at IBM, was tasked with rolling out a pilot at its client innovation centre in Ballarat.

“IBM is very big on inclusivity,” says Sheehan. “And if we don’t have diversity of thought, we won’t have innovation. So those two things go hand in hand.”

Eight things workplaces can do for autistic employees

  • Recruit differently. Send applicants interview questions in advance or use work trials and practical assessments
  • Offer flexible hours
  • Provide noise cancelling headphones and quiet spaces
  • Give clear and direct instructions and feedback 
  • Have mentors or a buddy system
  • Don’t make assumptions about autistic people
  • Provide managers with autism training
  • Partner with autism employment experts

Sheehan worked with Specialisterne Australia, a social enterprise that assists businesses in recruiting and supporting autistic people, to find talent using a non-traditional recruitment process that included a week-long task.

Candidates were asked to work together to find a way for a record shop to connect with customers when the bricks and mortar store was closed due to COVID.

Ten employees were eventually selected. They started in July 2019 and work in roles across IBM, including data analysis, testing, user experience design, data engineering, automation, blockchain and software development. Another eight employees were hired in July 2021.

Sheehan says clients have been delighted with their ideas. “The UX [user experience] designer, for example, comes in with such a different lens. Particularly as we go to artificial intelligence, you need those different thinkers.”

One client said if they had to describe the most valuable contribution to the project in two words it would be “ludicrous speed”. Another said: “automation genius.”

IBM has sought to make the office more inclusive by creating calming, low sensory spaces.

It has formed a business resource group for neurodiverse employees and their allies, with four squads focusing on recruitment, awareness, career advancement and policies and procedures.

And it has hired a neurodiversity coach to work with individuals and managers.

Sheehan says that challenges have included some employees getting frustrated because they did not have enough work.

“These individuals want to come to work and get the work done – they are not going off for a coffee and chatting.”

Increased productivity is a good problem to have, Sheehan says, but as a manager, she needs to come up with ways they can enhance their skills in their downtime.

There have also been difficulties around different communication styles, with staff finding some autistic employees a bit blunt.

Loading

Sheehan encourages all staff to do a neurodiversity 101 training course run by IBM.

“Something may be perceived as rude, but we have to turn that into a positive. It’s good to have someone who is direct, at least we all know what that person is thinking.”

Chris Varney is delighted to see neurodiversity programs in some industries but points out that every autistic person has different interests and abilities.

Some are non-verbal, for example, and not all have the stereotypical autism skills that make them excel at data analysis.

“We’ve seen a big recognition that autistic people are an asset to banks and IT firms, but there’s a lot more work to be done,” Varney says.

“We need to see jobs for a diverse range of autistic people.”

The Morning Edition newsletter is our guide to the day’s most important and interesting stories, analysis and insights. Sign up here.

Fri, 05 Aug 2022 07:00:00 -0500 en text/html https://www.smh.com.au/business/workplace/the-autism-advantage-why-businesses-are-hiring-autistic-people-20220804-p5b767.html
Killexams : Who Knew Thinkpad Batteries Require A Jump Start?

Lithium battery packs reaching the end of their life usually have a lot of kick left in them. That’s because they’re made up of multiple cells and it only takes the failure of one to bork the entire battery. One of the most interesting examples we’ve heard of this is in the Toyota Prius, but that’s a story for another time. In this case, [Mika] wanted to resurrect the battery from his IBM Thinkpad T40. He identified the offending cell and replaced it, but couldn’t get any juice out of the battery after the repair.

He was measuring 0V on the output, but could measure the cells instead of the control circuitry and was getting over 11V. Clearly, the control circuit wasn’t allowing an output. We completely understand the concept here (think about that really bad press about exploding laptop batteries). It seems there’s a lockout mechanism when the control circuit loses power. [Mika] managed to get past this by shorting voltage into the control circuit, a method he likes in the video after the break to jump starting a car.

We’ve seen similar cell replacement for power tools, like a Dremel or a Makita drill.

Tue, 02 Aug 2022 12:00:00 -0500 Mike Szczys en-US text/html https://hackaday.com/2011/08/01/who-knew-thinkpad-batteries-require-a-jump-start/
Killexams : Global Microservices Market Size and Growth 2022 Analysis Report by Dynamics, SWOT Analysis, CAGR Status, Industry Developments and Forecast to 2028

The MarketWatch News Department was not involved in the creation of this content.

Aug 08, 2022 (The Expresswire) -- "Final Report will add the analysis of the impact of COVID-19 on this industry."

Global “Microservices Market”2022 research report by market size of different segments and countries in latest years and to forecast the values to the coming years. The report is designed to incorporate both qualitative and quantitative aspects of the industry within each of the regions and countries involved in the study. Furthermore, the report also caters the detailed information about the crucial aspects such as driving factors and challenges which will define the future growth of the market. Additionally, the Microservices market report shall also incorporate available opportunities in micro markets for stakeholders to invest along with the detailed analysis of competitive landscape and key players.

Get a sample PDF of the Report - https://www.absolutereports.com/enquiry/request-sample/21315168

Market Analysis and Insights: Global Microservices Market

A microservice is a software development technique—a variant of the service-oriented architecture (SOA) architectural style that structures an application as a collection of loosely coupled services. In a microservices architecture, services are fine-grained and the protocols are lightweight. The benefit of decomposing an application into different smaller services is that it improves modularity and makes the application easier to understand, develop, test, and more resilient to architecture erosion.
The global Microservices market size is projected to reach USD million by 2028, from USD million in 2021, at a CAGR of during 2022-2028.
It parallelizes development by enabling small autonomous teams to develop, deploy and scale their respective services independently. It also allows the architecture of an individual service to emerge through continuous refactoring. Microservices-based architectures enable continuous delivery and deployment

The major players covered in the Microservices market report are:

● IBM ● Microsoft ● Salesforce ● Infosys ● NGINX ● Oracle ● Pivotal Software ● Syntel ● SmartBear Software ● Marlabs ● RapidValue Solutions ● Kontena ● Macaw Software ● Unifyed ● RoboMQ ● Idexcel

Get a sample Copy of the Microservices Market Report 2022

Global Microservices Market: Drivers and Restrains

The research report has incorporated the analysis of different factors that augment the market’s growth. It constitutes trends, restraints, and drivers that transform the market in either a positive or negative manner. This section also provides the scope of different segments and applications that can potentially influence the market in the future. The detailed information is based on current trends and historic milestones. This section also provides an analysis of the volume of production about the global market and about each type from 2017 to 2028. This section mentions the volume of production by region from 2017 to 2028. Pricing analysis is included in the report according to each type from the year 2017 to 2028, manufacturer from 2017 to 2022, region from 2017 to 2022, and global price from 2017 to 2028.

A thorough evaluation of the restrains included in the report portrays the contrast to drivers and gives room for strategic planning. Factors that overshadow the market growth are pivotal as they can be understood to devise different bends for getting hold of the lucrative opportunities that are present in the ever-growing market. Additionally, insights into market expert’s opinions have been taken to understand the market better.

To Understand How Covid-19 Impact Is Covered in This Report - https://www.absolutereports.com/enquiry/request-covid19/21315168

Global Microservices Market: Segment Analysis

The research report includes specific segments by region (country), by manufacturers, by Type and by Application. Each type provides information about the production during the forecast period of 2017 to 2028. By Application segment also provides consumption during the forecast period of 2017 to 2028. Understanding the segments helps in identifying the importance of different factors that aid the market growth.

Segment by Type

● On-Premise ● Cloud Based

Segment by Application

● Retail and Ecommerce ● Healthcare ● Media and Entertainment ● Banking, Financial Services, and Insurance ● IT ● Government ● Transportation and Logistics ● Manufacturing ● Telecommunication

Microservices Market Key Points:

● Characterize, portray and Forecast Microservices item market by product type, application, manufactures and geographical regions. ● give venture outside climate investigation. ● give systems to organization to manage the effect of COVID-19. ● give market dynamic examination, including market driving variables, market improvement requirements. ● give market passage system examination to new players or players who are prepared to enter the market, including market section definition, client investigation, conveyance model, item informing and situating, and cost procedure investigation. ● Stay aware of worldwide market drifts and give examination of the effect of the COVID-19 scourge on significant locales of the world. ● Break down the market chances of partners and furnish market pioneers with subtleties of the cutthroat scene.

Inquire or Share Your Questions If Any before the Purchasing This Report - https://www.absolutereports.com/enquiry/pre-order-enquiry/21315168

Geographical Segmentation:

Geographically, this report is segmented into several key regions, with sales, revenue, market share, and Microservices market growth rate in these regions, from 2015 to 2028, covering

● North America (United States, Canada and Mexico) ● Europe (Germany, UK, France, Italy, Russia and Turkey etc.) ● Asia-Pacific (China, Japan, Korea, India, Australia, Indonesia, Thailand, Philippines, Malaysia, and Vietnam) ● South America (Brazil etc.) ● Middle East and Africa (Egypt and GCC Countries)

Some of the key questions answered in this report:

● Who are the worldwide key Players of the Microservices Industry? ● How the opposition goes in what was in store connected with Microservices? ● Which is the most driving country in the Microservices industry? ● What are the Microservices market valuable open doors and dangers looked by the manufactures in the worldwide Microservices Industry? ● Which application/end-client or item type might look for gradual development possibilities? What is the portion of the overall industry of each kind and application? ● What centered approach and imperatives are holding the Microservices market? ● What are the various deals, promoting, and dissemination diverts in the worldwide business? ● What are the key market patterns influencing the development of the Microservices market? ● Financial effect on the Microservices business and improvement pattern of the Microservices business?

Purchase this Report (Price 2900 USD for a Single-User License) -https://www.absolutereports.com/purchase/21315168

Detailed TOC of Global Microservices Market Research Report 2022

1 Microservices Market Overview

1.1 Product Overview and Scope

1.2 Segment by Type

1.2.1 Global Market Size Growth Rate Analysis by Type 2022 VS 2028

1.3 Microservices Segment by Application

1.3.1 Global Consumption Comparison by Application: 2022 VS 2028

1.4 Global Market Growth Prospects

1.4.1 Global Revenue Estimates and Forecasts (2017-2028)

1.4.2 Global Production Capacity Estimates and Forecasts (2017-2028)

1.4.3 Global Production Estimates and Forecasts (2017-2028)

1.5 Global Market Size by Region

1.5.1 Global Market Size Estimates and Forecasts by Region: 2017 VS 2021 VS 2028

1.5.2 North America Microservices Estimates and Forecasts (2017-2028)

1.5.3 Europe Estimates and Forecasts (2017-2028)

1.5.4 China Estimates and Forecasts (2017-2028)

1.5.5 Japan Estimates and Forecasts (2017-2028)

2 Microservices Market Competition by Manufacturers

2.1 Global Production Capacity Market Share by Manufacturers (2017-2022)

2.2 Global Revenue Market Share by Manufacturers (2017-2022)

2.3 Market Share by Company Type (Tier 1, Tier 2 and Tier 3)

2.4 Global Average Price by Manufacturers (2017-2022)

2.5 Manufacturers Production Sites, Area Served, Product Types

2.6 Market Competitive Situation and Trends

2.6.1 Market Concentration Rate

2.6.2 Global 5 and 10 Largest Microservices Players Market Share by Revenue

2.6.3 Mergers and Acquisitions, Expansion

3 Microservices Production Capacity by Region

3.1 Global Production Capacity of Microservices Market Share by Region (2017-2022)

3.2 Global Revenue Market Share by Region (2017-2022)

3.3 Global Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.4 North America Production

3.4.1 North America Production Growth Rate (2017-2022)

3.4.2 North America Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.5 Europe Production

3.5.1 Europe Production Growth Rate (2017-2022)

3.5.2 Europe Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.6 China Production

3.6.1 China Production Growth Rate (2017-2022)

3.6.2 China Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.7 Japan Production

3.7.1 Japan Production Growth Rate (2017-2022)

3.7.2 Japan Production Capacity, Revenue, Price and Gross Margin (2017-2022)

4 Global Microservices Market Consumption by Region

4.1 Global Consumption by Region

4.1.1 Global Consumption by Region

4.1.2 Global Consumption Market Share by Region

4.2 North America

4.2.1 North America Consumption by Country

4.2.2 United States

4.2.3 Canada

4.3 Europe

4.3.1 Europe Consumption by Country

4.3.2 Germany

4.3.3 France

4.3.4 U.K.

4.3.5 Italy

4.3.6 Russia

4.4 Asia Pacific

4.4.1 Asia Pacific Consumption by Region

4.4.2 China

4.4.3 Japan

4.4.4 South Korea

4.4.5 China Taiwan

4.4.6 Southeast Asia

4.4.7 India

4.4.8 Australia

4.5 Latin America

4.5.1 Latin America Consumption by Country

4.5.2 Mexico

4.5.3 Brazil

Get a sample Copy of the Microservices Market Report 2022

5 Microservices Market Segment by Type

5.1 Global Production Market Share by Type (2017-2022)

5.2 Global Revenue Market Share by Type (2017-2022)

5.3 Global Price by Type (2017-2022)

6 Microservices Market Segment by Application

6.1 Global Production Market Share by Application (2017-2022)

6.2 Global Revenue Market Share by Application (2017-2022)

6.3 Global Price by Application (2017-2022)

7 Microservices Market Key Companies Profiled

7.1 Manufacture 1

7.1.1 Manufacture 1 Corporation Information

7.1.2 Manufacture 1 Product Portfolio

7.1.3 Manufacture 1 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.1.4 Manufacture 1 Main Business and Markets Served

7.1.5 Manufacture 1 latest Developments/Updates

7.2 Manufacture 2

7.2.1 Manufacture 2 Corporation Information

7.2.2 Manufacture 2 Product Portfolio

7.2.3 Manufacture 2 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.2.4 Manufacture 2 Main Business and Markets Served

7.2.5 Manufacture 2 latest Developments/Updates

7.3 Manufacture 3

7.3.1 Manufacture 3 Corporation Information

7.3.2 Manufacture 3 Product Portfolio

7.3.3 Manufacture 3 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.3.4 Manufacture 3 Main Business and Markets Served

7.3.5 Manufacture 3 latest Developments/Updates

8 Microservices Manufacturing Cost Analysis

8.1 Key Raw Materials Analysis

8.1.1 Key Raw Materials

8.1.2 Key Suppliers of Raw Materials

8.2 Proportion of Manufacturing Cost Structure

8.3 Manufacturing Process Analysis of Microservices

8.4 Microservices Industrial Chain Analysis

9 Marketing Channel, Distributors and Customers

9.1 Marketing Channel

9.2 Microservices Distributors List

9.3 Microservices Customers

10 Market Dynamics

10.1 Microservices Industry Trends

10.2 Microservices Market Drivers

10.3 Microservices Market Challenges

10.4 Microservices Market Restraints

11 Production and Supply Forecast

11.1 Global Forecasted Production of Microservices by Region (2023-2028)

11.2 North America Microservices Production, Revenue Forecast (2023-2028)

11.3 Europe Microservices Production, Revenue Forecast (2023-2028)

11.4 China Microservices Production, Revenue Forecast (2023-2028)

11.5 Japan Microservices Production, Revenue Forecast (2023-2028)

12 Consumption and Demand Forecast

12.1 Global Forecasted Demand Analysis of Microservices

12.2 North America Forecasted Consumption of Microservices by Country

12.3 Europe Market Forecasted Consumption of Microservices by Country

12.4 Asia Pacific Market Forecasted Consumption of Microservices by Region

12.5 Latin America Forecasted Consumption of Microservices by Country

13 Forecast by Type and by Application (2023-2028)

13.1 Global Production, Revenue and Price Forecast by Type (2023-2028)

13.1.1 Global Forecasted Production of Microservices by Type (2023-2028)

13.1.2 Global Forecasted Revenue of Microservices by Type (2023-2028)

13.1.3 Global Forecasted Price of Microservices by Type (2023-2028)

13.2 Global Forecasted Consumption of Microservices by Application (2023-2028)

13.2.1 Global Forecasted Production of Microservices by Application (2023-2028)

13.2.2 Global Forecasted Revenue of Microservices by Application (2023-2028)

13.2.3 Global Forecasted Price of Microservices by Application (2023-2028)

14 Research Finding and Conclusion

15 Methodology and Data Source

15.1 Methodology/Research Approach

15.1.1 Research Programs/Design

15.1.2 Market Size Estimation

15.1.3 Market Breakdown and Data Triangulation

15.2 Data Source

15.2.1 Secondary Sources

15.2.2 Primary Sources

15.3 Author List

15.4 Disclaimer

For Detailed TOC - https://www.absolutereports.com/TOC/21315168#TOC

Contact Us:

Absolute Reports

Phone : US +1 424 253 0807

UK +44 203 239 8187

Email : sales@absolutereports.com

Web : https://www.absolutereports.com

Our Other Reports:

Carbon Nano Materials Market Size and Growth 2022 Analysis Report by latest Development, Upcoming Demand Status, Top Key Players and Forecast to 2028

Cleanroom Apparels Market Size and Growth 2022 Analysis Report by Industrial Growth, Historical Analysis, Segmentation, New Technology and Forecasts to 2028

Global Acrylic Adhesives in Electronics Market Size and Share Research Report 2022 Consumption by Country, Regional Opportunity, Market Dynamics and Forecast to 2028

Global Aerospace Superalloys Market Size and Share Research Report 2022 Consumption by Country, Revenue, Sales Volume, Price, Cost, Gross Margin and Forecast to 2028

Global Semi-Automatic Wrapping Machine Market Size and Share Research Report 2022 Consumption by Country, Development Updates, Industrial Chain Analysis and Forecast to 2028

Global Generator Dampers Market Size and Share Research Report 2022 Analysis by Applications, Market Development, Impact of Coronavirus and Forecast to 2028

Global Lamp Covers Market Size and Share Research Report 2022 Analysis by Manufactures, Trends, Revenue Estimates and Forecast to 2028

Press Release Distributed by The Express Wire

To view the original version on The Express Wire visit Global Microservices Market Size and Growth 2022 Analysis Report by Dynamics, SWOT Analysis, CAGR Status, Industry Developments and Forecast to 2028

COMTEX_411821215/2598/2022-08-08T03:20:47

Is there a problem with this press release? Contact the source provider Comtex at editorial@comtex.com. You can also contact MarketWatch Customer Service via our Customer Center.

The MarketWatch News Department was not involved in the creation of this content.

Sun, 07 Aug 2022 19:20:00 -0500 en-US text/html https://www.marketwatch.com/press-release/global-microservices-market-size-and-growth-2022-analysis-report-by-dynamics-swot-analysis-cagr-status-industry-developments-and-forecast-to-2028-2022-08-08
Killexams : Global Security Incident Managements Market Size and Growth 2022 Analysis Report by Share, Growth Rate, Emerging Trends, and Forecast to 2028

The MarketWatch News Department was not involved in the creation of this content.

Aug 03, 2022 (The Expresswire) -- "Final Report will add the analysis of the impact of COVID-19 on this industry."

Global “Security Incident Managements Market” 2022 report presents a comprehensive study of the entire Global market including market size, share trends, market dynamics, and overview by segmentation by types, applications, manufactures and geographical regions. The report offers the most up-to-date industry data on the actual market situation and future outlook for the Security Incident Managements market. The report also provides up-to-date historical market size data for the period and an illustrative forecast to 2028 covering key market aspects like market value and volume for Security Incident Managements industry.

Get a sample PDF of the Report - https://www.absolutereports.com/enquiry/request-sample/21317809

Market Analysis and Insights: Global Security Incident Managements Market

Security incident management involves the monitoring and detection of security events on a computer or computer network, and the execution of proper responses to those events.
The global Security Incident Managements market size is projected to reach USD million by 2028, from USD million in 2021, at a CAGR of during 2022-2028.
The increase in cyber-attacks is the dominant factor driving the global security incident management market over the forecast period.

The major players covered in the Security Incident Managements market report are:

● IBM ● Cisco Systems ● Intel ● Symantec ● Dell ● Check Point Software Technologies ● Honeywell ● Verizon Communication

Get a sample Copy of the Security Incident Managements Market Report 2022

Global Security Incident Managements Market: Drivers and Restrains

The research report has incorporated the analysis of different factors that augment the market’s growth. It constitutes trends, restraints, and drivers that transform the market in either a positive or negative manner. This section also provides the scope of different segments and applications that can potentially influence the market in the future. The detailed information is based on current trends and historic milestones. This section also provides an analysis of the volume of production about the global market and about each type from 2017 to 2028. This section mentions the volume of production by region from 2017 to 2028. Pricing analysis is included in the report according to each type from the year 2017 to 2028, manufacturer from 2017 to 2022, region from 2017 to 2022, and global price from 2017 to 2028.

A thorough evaluation of the restrains included in the report portrays the contrast to drivers and gives room for strategic planning. Factors that overshadow the market growth are pivotal as they can be understood to devise different bends for getting hold of the lucrative opportunities that are present in the ever-growing market. Additionally, insights into market expert’s opinions have been taken to understand the market better.

To Understand How Covid-19 Impact Is Covered in This Report - https://www.absolutereports.com/enquiry/request-covid19/21317809

Global Security Incident Managements Market: Segment Analysis

The research report includes specific segments by region (country), by manufacturers, by Type and by Application. Each type provides information about the production during the forecast period of 2017 to 2028. By Application segment also provides consumption during the forecast period of 2017 to 2028. Understanding the segments helps in identifying the importance of different factors that aid the market growth.

Segment by Type

● On-Premises ● Cloud Based

Segment by Application

● IT and Telecommunications ● Manufacturing ● Transportation and Logistics ● Defense and Government ● BFSI ● Healthcare ● Retail ● Energy and Utilities ● Others

Security Incident Managements Market Key Points:

● Characterize, portray and Forecast Security Incident Managements item market by product type, application, manufactures and geographical regions. ● give venture outside climate investigation. ● give systems to organization to manage the effect of COVID-19. ● give market dynamic examination, including market driving variables, market improvement requirements. ● give market passage system examination to new players or players who are prepared to enter the market, including market section definition, client investigation, conveyance model, item informing and situating, and cost procedure investigation. ● Stay aware of worldwide market drifts and give examination of the effect of the COVID-19 scourge on significant locales of the world. ● Break down the market chances of partners and furnish market pioneers with subtleties of the cutthroat scene.

Inquire or Share Your Questions If Any before the Purchasing This Report - https://www.absolutereports.com/enquiry/pre-order-enquiry/21317809

Geographical Segmentation:

Geographically, this report is segmented into several key regions, with sales, revenue, market share, and Security Incident Managements market growth rate in these regions, from 2015 to 2028, covering

● North America (United States, Canada and Mexico) ● Europe (Germany, UK, France, Italy, Russia and Turkey etc.) ● Asia-Pacific (China, Japan, Korea, India, Australia, Indonesia, Thailand, Philippines, Malaysia, and Vietnam) ● South America (Brazil etc.) ● Middle East and Africa (Egypt and GCC Countries)

Some of the key questions answered in this report:

● Who are the worldwide key Players of the Security Incident Managements Industry? ● How the opposition goes in what was in store connected with Security Incident Managements? ● Which is the most driving country in the Security Incident Managements industry? ● What are the Security Incident Managements market valuable open doors and dangers looked by the manufactures in the worldwide Security Incident Managements Industry? ● Which application/end-client or item type might look for gradual development possibilities? What is the portion of the overall industry of each kind and application? ● What centered approach and imperatives are holding the Security Incident Managements market? ● What are the various deals, promoting, and dissemination diverts in the worldwide business? ● What are the key market patterns influencing the development of the Security Incident Managements market? ● Financial effect on the Security Incident Managements business and improvement pattern of the Security Incident Managements business?

Purchase this Report (Price 2900 USD for a Single-User License) -https://www.absolutereports.com/purchase/21317809

Detailed TOC of Global Security Incident Managements Market Research Report 2022

1 Security Incident Managements Market Overview

1.1 Product Overview and Scope

1.2 Segment by Type

1.2.1 Global Market Size Growth Rate Analysis by Type 2022 VS 2028

1.3 Security Incident Managements Segment by Application

1.3.1 Global Consumption Comparison by Application: 2022 VS 2028

1.4 Global Market Growth Prospects

1.4.1 Global Revenue Estimates and Forecasts (2017-2028)

1.4.2 Global Production Capacity Estimates and Forecasts (2017-2028)

1.4.3 Global Production Estimates and Forecasts (2017-2028)

1.5 Global Market Size by Region

1.5.1 Global Market Size Estimates and Forecasts by Region: 2017 VS 2021 VS 2028

1.5.2 North America Security Incident Managements Estimates and Forecasts (2017-2028)

1.5.3 Europe Estimates and Forecasts (2017-2028)

1.5.4 China Estimates and Forecasts (2017-2028)

1.5.5 Japan Estimates and Forecasts (2017-2028)

2 Security Incident Managements Market Competition by Manufacturers

2.1 Global Production Capacity Market Share by Manufacturers (2017-2022)

2.2 Global Revenue Market Share by Manufacturers (2017-2022)

2.3 Market Share by Company Type (Tier 1, Tier 2 and Tier 3)

2.4 Global Average Price by Manufacturers (2017-2022)

2.5 Manufacturers Production Sites, Area Served, Product Types

2.6 Market Competitive Situation and Trends

2.6.1 Market Concentration Rate

2.6.2 Global 5 and 10 Largest Security Incident Managements Players Market Share by Revenue

2.6.3 Mergers and Acquisitions, Expansion

3 Security Incident Managements Production Capacity by Region

3.1 Global Production Capacity of Security Incident Managements Market Share by Region (2017-2022)

3.2 Global Revenue Market Share by Region (2017-2022)

3.3 Global Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.4 North America Production

3.4.1 North America Production Growth Rate (2017-2022)

3.4.2 North America Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.5 Europe Production

3.5.1 Europe Production Growth Rate (2017-2022)

3.5.2 Europe Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.6 China Production

3.6.1 China Production Growth Rate (2017-2022)

3.6.2 China Production Capacity, Revenue, Price and Gross Margin (2017-2022)

3.7 Japan Production

3.7.1 Japan Production Growth Rate (2017-2022)

3.7.2 Japan Production Capacity, Revenue, Price and Gross Margin (2017-2022)

4 Global Security Incident Managements Market Consumption by Region

4.1 Global Consumption by Region

4.1.1 Global Consumption by Region

4.1.2 Global Consumption Market Share by Region

4.2 North America

4.2.1 North America Consumption by Country

4.2.2 United States

4.2.3 Canada

4.3 Europe

4.3.1 Europe Consumption by Country

4.3.2 Germany

4.3.3 France

4.3.4 U.K.

4.3.5 Italy

4.3.6 Russia

4.4 Asia Pacific

4.4.1 Asia Pacific Consumption by Region

4.4.2 China

4.4.3 Japan

4.4.4 South Korea

4.4.5 China Taiwan

4.4.6 Southeast Asia

4.4.7 India

4.4.8 Australia

4.5 Latin America

4.5.1 Latin America Consumption by Country

4.5.2 Mexico

4.5.3 Brazil

Get a sample Copy of the Security Incident Managements Market Report 2022

5 Security Incident Managements Market Segment by Type

5.1 Global Production Market Share by Type (2017-2022)

5.2 Global Revenue Market Share by Type (2017-2022)

5.3 Global Price by Type (2017-2022)

6 Security Incident Managements Market Segment by Application

6.1 Global Production Market Share by Application (2017-2022)

6.2 Global Revenue Market Share by Application (2017-2022)

6.3 Global Price by Application (2017-2022)

7 Security Incident Managements Market Key Companies Profiled

7.1 Manufacture 1

7.1.1 Manufacture 1 Corporation Information

7.1.2 Manufacture 1 Product Portfolio

7.1.3 Manufacture 1 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.1.4 Manufacture 1 Main Business and Markets Served

7.1.5 Manufacture 1 latest Developments/Updates

7.2 Manufacture 2

7.2.1 Manufacture 2 Corporation Information

7.2.2 Manufacture 2 Product Portfolio

7.2.3 Manufacture 2 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.2.4 Manufacture 2 Main Business and Markets Served

7.2.5 Manufacture 2 latest Developments/Updates

7.3 Manufacture 3

7.3.1 Manufacture 3 Corporation Information

7.3.2 Manufacture 3 Product Portfolio

7.3.3 Manufacture 3 Production Capacity, Revenue, Price and Gross Margin (2017-2022)

7.3.4 Manufacture 3 Main Business and Markets Served

7.3.5 Manufacture 3 latest Developments/Updates

8 Security Incident Managements Manufacturing Cost Analysis

8.1 Key Raw Materials Analysis

8.1.1 Key Raw Materials

8.1.2 Key Suppliers of Raw Materials

8.2 Proportion of Manufacturing Cost Structure

8.3 Manufacturing Process Analysis of Security Incident Managements

8.4 Security Incident Managements Industrial Chain Analysis

9 Marketing Channel, Distributors and Customers

9.1 Marketing Channel

9.2 Security Incident Managements Distributors List

9.3 Security Incident Managements Customers

10 Market Dynamics

10.1 Security Incident Managements Industry Trends

10.2 Security Incident Managements Market Drivers

10.3 Security Incident Managements Market Challenges

10.4 Security Incident Managements Market Restraints

11 Production and Supply Forecast

11.1 Global Forecasted Production of Security Incident Managements by Region (2023-2028)

11.2 North America Security Incident Managements Production, Revenue Forecast (2023-2028)

11.3 Europe Security Incident Managements Production, Revenue Forecast (2023-2028)

11.4 China Security Incident Managements Production, Revenue Forecast (2023-2028)

11.5 Japan Security Incident Managements Production, Revenue Forecast (2023-2028)

12 Consumption and Demand Forecast

12.1 Global Forecasted Demand Analysis of Security Incident Managements

12.2 North America Forecasted Consumption of Security Incident Managements by Country

12.3 Europe Market Forecasted Consumption of Security Incident Managements by Country

12.4 Asia Pacific Market Forecasted Consumption of Security Incident Managements by Region

12.5 Latin America Forecasted Consumption of Security Incident Managements by Country

13 Forecast by Type and by Application (2023-2028)

13.1 Global Production, Revenue and Price Forecast by Type (2023-2028)

13.1.1 Global Forecasted Production of Security Incident Managements by Type (2023-2028)

13.1.2 Global Forecasted Revenue of Security Incident Managements by Type (2023-2028)

13.1.3 Global Forecasted Price of Security Incident Managements by Type (2023-2028)

13.2 Global Forecasted Consumption of Security Incident Managements by Application (2023-2028)

13.2.1 Global Forecasted Production of Security Incident Managements by Application (2023-2028)

13.2.2 Global Forecasted Revenue of Security Incident Managements by Application (2023-2028)

13.2.3 Global Forecasted Price of Security Incident Managements by Application (2023-2028)

14 Research Finding and Conclusion

15 Methodology and Data Source

15.1 Methodology/Research Approach

15.1.1 Research Programs/Design

15.1.2 Market Size Estimation

15.1.3 Market Breakdown and Data Triangulation

15.2 Data Source

15.2.1 Secondary Sources

15.2.2 Primary Sources

15.3 Author List

15.4 Disclaimer

For Detailed TOC - https://www.absolutereports.com/TOC/21317809#TOC

Contact Us:

Absolute Reports

Phone : US +1 424 253 0807

UK +44 203 239 8187

Email : sales@absolutereports.com

Web : https://www.absolutereports.com

Our Other Reports:

Synthetic Biology Market Size and Growth 2022 Analysis Report by latest Development, Upcoming Demand Status, Top Key Players and Forecast to 2028

Self-Compacting Concretes Market Size and Growth 2022 Analysis Report by Industrial Growth, Historical Analysis, Segmentation, New Technology and Forecasts to 2028

Advanced Power Sweeper Market Size and Growth 2022 Analysis Report by latest Development, Upcoming Demand Status, Top Key Players and Forecast to 2028

Global Anti-fog Cloth Market 2022 Size, Share, Growth Strategies, Trends, In-Depth Analysis, Major Competitors, Segmentation And Forecast to 2028

Global Single Wafer Presenter Market 2022 Size, Business Scale, Latest Trends, Growth, In-Depth Analysis, Industry Analysis, Countries Data and Forecast to 2028

Press Release Distributed by The Express Wire

To view the original version on The Express Wire visit Global Security Incident Managements Market Size and Growth 2022 Analysis Report by Share, Growth Rate, Emerging Trends, and Forecast to 2028

COMTEX_411474164/2598/2022-08-03T02:16:00

Is there a problem with this press release? Contact the source provider Comtex at editorial@comtex.com. You can also contact MarketWatch Customer Service via our Customer Center.

The MarketWatch News Department was not involved in the creation of this content.

Tue, 02 Aug 2022 18:16:00 -0500 en-US text/html https://www.marketwatch.com/press-release/global-security-incident-managements-market-size-and-growth-2022-analysis-report-by-share-growth-rate-emerging-trends-and-forecast-to-2028-2022-08-03
Killexams : 50 years on from Apollo 11 </head> <body id="readabilityBody" readability="27.959183673469"> <h3>Newscorp Australia are trialling new security software on our mastheads. If you receive "Potential automated action detected!" please try these steps first:</h3> <ol type="1"> <li>Temporarily disable any AdBlockers / pop-up blockers / script blockers you have enabled</li> <li>Add this site in to the allowed list for any AdBlockers / pop-up blockers / script blockers you have enabled</li> <li>Ensure your browser supports JavaScript (this can be done via accessing <a href="https://www.whatismybrowser.com/detect/is-javascript-enabled" target="_blank">https://www.whatismybrowser.com/detect/is-javascript-enabled</a> in your browser)</li> <li>Ensure you are using the latest version of your web browser</li> </ol> <p>If you need to be unblocked please e-mail us at accessissues@news.com.au and provide the IP address and reference number shown here along with why you require access. News Corp Australia.</p><p>Your IP address is: 108.167.164.204 | Your reference number is: 0.2c64cd17.1660082435.238778f7</p> </body> </description> <pubDate>Sat, 05 Sep 2020 13:31:00 -0500</pubDate> <dc:format>text/html</dc:format> <dc:identifier>https://www.news.com.au/features/v3/dnac-881/space-technology-blasting-ahead-50-years-on-from-apollo-11/</dc:identifier> </item> <item> <title>Killexams : How Congress, the USPTO and firms can fix 101 woes: in-house

Counsel at IBM, Novartis, BMS and three other companies say legislation is their best option now SCOTUS has declined to hear American Axle

Unlock this article.

The content you are trying to view is exclusive to our subscribers.

To unlock this article:

Take a Free Trial or Login

Rani reports on all aspects of IP in the US and the Americas, particularly trademarks and copyright. Based in New York, she covers in-house and private practice lawyers' concerns and insights into the market.

Fri, 08 Jul 2022 04:39:00 -0500 en text/html https://www.managingip.com/article/2abz4wh8cm8hhs4277474/how-congress-the-uspto-and-firms-can-fix-101-woes-in-house
Killexams : Pyongyang's [un]H0lyGh0st. Devlopments in the criminal underworld. $10m for troll-farmer info. Hacktivism in a hybrid war.

Dateline Moscow and Kyiv: A shift in momentum during an operational pause.

Ukraine at D+155: A shift in momentum? (The CyberWire) Russia's difficulties filling its depleted ranks (down nearly 50%, the US Intelligence Community is said to have told Congress) and its inability to advance (during what looks more like exhaustion and neutralization than it does operational pause) appear to have given Ukraine an opportunity to take back the initiative in the North, East, and, especially, the South. A look at hacktivism in the Ukrainian interest.

Russia-Ukraine war: List of key events, day 156 (Al Jazeera) As the Russia-Ukraine war enters its 156th day, we take a look at the main developments.

Russia-Ukraine war latest: what we know on day 156 of the invasion (the Guardian) Ukraine steps up campaign to retake Russian-controlled regions in south; Kyiv accuses Russia of a war crime over the deaths of more than 40 prisoners of war

Ukraine steps up counteroffensive against Russian forces (Al Jazeera) Ukrainian officials say campaign to retake parts of Kherson, Zaporizhia oblasts has begun, urging civilians to leave.

Russia-Ukraine war: Zelenskiy says grain exports ready to start; Kyiv and Moscow both launch investigations into PoW deaths – live (the Guardian) Ukraine’s president says Black Sea ports ready to export grain; Kyiv calls on world leaders to condemn Russia over attack that led to death of 40 PoWs

Ukraine could be turning the tide of war again as Russian advances stall (Washington Post) Russian advances in Ukraine have slowed almost to a standstill as newly delivered Western weapons help Ukrainian forces reclaim much of the advantage they had lost in latest months, opening a window of opportunity to turn the tide of the war in their favor again.

Ukraine war: Russian Kalibr cruise missiles strike military base near Kyiv (The Telegraph) Russian forces have struck a military base north of the capital Kyiv, Ukraine has said in a rare admission of a successful attack by Moscow on its military infrastructure.

Northern Ukraine Comes Under Burst of Russian Attacks Far From Front Lines (Wall Street Journal) Missiles and rockets rained down on northern Ukraine, marking the first time in weeks that the Kyiv region, far from the fighting in the country’s east and south, has been hit.

Ukraine war: West's modern weapons halt Russia's advance in Donbas (BBC News) Ukrainian soldiers credit the arrival of modern Western weapons for a sharp fall in Russia's attacks.

‘Half of Russian troops’ sent into Ukraine have been killed or injured (The Telegraph) According to US intelligence, casualties have rocketed to more than 75,000 – a loss equivalent to almost the entire British Army

Russia, Ukraine trade blame for deadly attack on POW prison (AP NEWS) Russia and Ukraine accused each other Friday of shelling a prison in a separatist region of eastern Ukraine, an attack that reportedly killed dozens of Ukrainian prisoners of war who were captured after the fall of a key southern city in May.

The Kremlin’s Plans to Annex Southeastern Ukraine Go into Effect (Wilson Center) After five months of all-out war, the Kremlin appears to have refined its plans for the future of the temporarily occupied territories in southeastern Ukraine.

Climbing the escalation ladder in Ukraine: A menu of options for the West (Atlantic Council) Our experts have assembled a list of possible policy responses the West ought to consider if Russia escalates its war against Ukraine.

Cascading Impacts of the War in Ukraine: Mental, Maternal, and Newborn Health (New Security Beat) This article was originally published as part of the summer 2022 issue of the Wilson Quarterly: Ripples of War.Ukraine and its people will feel the effects of the Russian invasion for years to [...]

Long Read: Russian Youth against War (Wilson Center) Young Russians strongly oppose the war in Ukraine. It is increasingly clear to them that the war is stealing their future and was started only to keep Vladimir Putin, his friends, and their heirs in power for as long as possible.

WSJ News Exclusive | New Group to Promote Open-Source Intelligence, Seen as Vital in Ukraine War (Wall Street Journal) A group of ex-U.S. national security officials has formed a professional association to promote the tradecraft of ‘open-source’ intelligence, the analysis of publicly available data that has helped Western powers understand and track Russia’s war on Ukraine.

Why Russia’s War in Ukraine Is a Genocide (Foreign Affairs) It’s not just a land grab, but a bid to expunge a nation.

Putin believed his own propaganda and fatally underestimated Ukraine (Atlantic Council) Russian President Vladimir Putin likes to pose as an unrivalled expert on Ukrainian history and identity politics. However, it is now apparent that his understanding of Ukraine has been hopelessly distorted by the wishful thinking of his own propaganda. When the Russian dictator gave the order to invade Ukraine five months ago, he seems to have genuinely believed his army would be met with cakes and flowers by a grateful population. Instead, he has plunged Russia into a disastrous war and turned his country’s closest neighbour into an implacable enemy.

Long Read: Russian Youth against War (Wilson Center) Young Russians strongly oppose the war in Ukraine. It is increasingly clear to them that the war is stealing their future and was started only to keep Vladimir Putin, his friends, and their heirs in power for as long as possible.

The Paradoxes of Escalation in Ukraine (Foreign Affairs) Slowly but surely, Russia and the West are drawing their redlines.

Climbing the escalation ladder in Ukraine: A menu of options for the West (Atlantic Council) Our experts have assembled a list of possible policy responses the West ought to consider if Russia escalates its war against Ukraine.

Can Putin Survive? (Foreign Affairs) The lessons of the Soviet collapse.

Is Viktor Orban right about the Ukraine war? (The Telegraph) The Hungarian leader's call for peace may make sense for Hungary now - but long-term it would cripple his country and the West

Putin 'embarrassed' as hackers launch cyber war on Russian President over Ukraine invasion (Express.co.uk) HACKERS are targeting and "embarrassing" Vladimir Putin in a bid to crush the Russian cybersecurity regime as it continues to wage its illegal war on Ukraine.

Is Anonymous Rewriting the Rules of Cyberwarfare? Timeline of Their Attacks Against the Russian Government (Website Planet) Jeremiah Fowler, together with the Website Planet research team, took an in depth look at how the hacker collective has changed the landscape of what

Ukraine’s tech excellence is playing a vital role in the war against Russia (Atlantic Council) Russia’s invasion of Ukraine is now in its sixth month with no end in sight to what is already Europe’s largest conflict since WWII. In the months following the outbreak of hostilities on February 24, the courage of the Ukrainian nation has earned admiration around the world. Many international observers are encountering Ukraine for the first time and are learning that in addition to their remarkable resilience, Ukrainians are also extremely innovative with high levels of digital literacy.

Russia’s pulling the plug on space cooperation. Should the world be worried? (Atlantic Council) Our experts break down Moscow’s extraplanetary plans after it pulls out of the International Space Station.

Crops ‘Stored Everywhere’: Ukraine’s Harvest Piles Up (New York Times) Farmers who have lived under the risk of Russian missile attacks have their doubts about an international agreement to ease a blockade on grain shipments through the Black Sea.

Ukraine to double energy exports amid Russian gas cuts to Europe (Fox Business) Ukraine will double its energy exports to Europe as EU nations cope with an energy standoff with Russia amid an international gas crisis.

Russian economy ‘crippled at every level’ despite Putin’s propaganda (The Telegraph) Country in ‘dire straits’ as exodus of Western firms knocks out 40pc of GDP

Isolation complication? US finds it's hard to shun Russia (AP NEWS) The Biden administration likes to say Russia has become isolated internationally because of its invasion of Ukraine . Yet Moscow's top officials have hardly been cloistered in the Kremlin.

‘Merchant of Death’ offered up by US in exchange for jailed citizens held in Russia (The Telegraph) Viktor Bout has been in US custody for 10 years for running a major arms smuggling operation

Russia has slowed flows of gas to Europe to a trickle - and the energy crisis could drag on until 2025, Goldman Sachs says (Markets Insider) Natural gas prices finally eased Thursday but have soared 145% since the start of June - and the crisis could continue for years, strategists said.

If Putin is using gas prices to fight Europe, how can it fight back? (the Guardian) Analysis: in this massive hybrid war, Europe is preparing its defences before winter and hoping sanctions bite

Attacks, Threats, and Vulnerabilities

How Threat Actors Are Adapting to a Post-Macro World (Proofpoint) In response to Microsoft’s announcements that it would block macros by default in Microsoft Office applications, threat actors began adopting new tactics, techniques, and procedures (TTPs).

CISA Releases Log4Shell-Related MAR (CISA) From May through June 2022, CISA responded to an organization that was compromised by an exploitation of an unpatched and unmitigated Log4Shell vulnerability in a VMware Horizon server. CISA analyzed five malware samples obtained from the organization’s network and released a Malware Analysis Report of the findings. Users and administrators are encouraged to review MAR 10386789-1.v1 for more information. For more information on Log4Shell, see:

MAR-10386789-1.v1 – Log4Shell (CISA) Since December 2021, multiple threat actor groups have exploited Log4Shell on unpatched, public-facing VMware Horizon and Unified Access Gateway (UAG) servers. From May through June 2022, CISA provided remote incident support at an organization where CISA observed suspected Log4Shell PowerShell downloads. During remote support, CISA confirmed the organization was compromised by malicious cyber actors who exploited Log4Shell in a VMware Horizon server that did not have patches or workarounds applied. CISA analyzed five malware samples obtained from the organization’s network: two malicious PowerShell files, two Extensible Markup Language (XML) files, and a 64-bit compiled Python Portable Executable (PE) file.

Threat Advisory: Hackers Are Selling Access to MSPs (Huntress) We’re currently monitoring a situation that entails a hacker selling access to an MSP with access to 50+ customers, totaling 1,000+ servers.

Experts warn of hacker claiming access to 50 U.S. companies through breached MSP (The Record by Recorded Future) Experts have raised alarms about a post on a hacker forum by someone claiming to have access to 50 different U.S. companies through an unknown managed service provider.

Exploit of Log4Shell Vulnerability Leads to Compromise of Major South American Vaccine Distributor (SecurityScorecard) Exploit of Log4Shell Vulnerability Leads to Compromise of Major South American Vaccine Distributor

Exploitation of latest Confluence Vulnerability Underway (SecurityWeek) Security researchers are already seeing the latest Questions for Confluence hardcoded password vulnerability being exploited in attacks.

Moxa NPort Device Flaws Can Expose Critical Infrastructure to Disruptive Attacks (SecurityWeek) Vulnerabilities found in Moxa’s NPort devices could allow attackers to cause significant disruption, including in critical infrastructure organizations.

Nuki Smart Lock Vulnerabilities Allow Hackers to Open Doors (SecurityWeek) NCC Group security researchers have identified 11 vulnerabilities impacting Nuki smart lock products, including some that allow attackers to open doors.

Vulnerability in Dahua’s ONVIF Implementation Threatens IP Camera Security (Nozomi Networks) Nozomi Networks Labs publishes a vulnerability in Dahua's ONVIF standard implementation, which can be abused to take over IP cameras.

Protestware on the rise: Why developers are sabotaging their own code (TechCrunch) A wave of software developers have self-sabotaged their code to protest big corporations to Russia's war in Ukraine.

Italian Insurer's Data Breach Uncovered Sensitive Staff Documents (Website Planet) Italian Insurer's Data Breach Uncovered Sensitive Staff Documents Vittoria Assicurazioni's open buckets exposed hundreds of thousands of files contai

Security Patches, Mitigations, and Software Updates

Google announces new Play Store policies around intrusive ads, impersonation and more (TechCrunch) Google announced new Play Store policies for developers on Wednesday that aim to address issues with intrusive ads, alarms, VPNs and impersonation of brands and other apps. The company said these policies will go into effect during different timeframes so developers have ample time to make changes …

Mitsubishi Electric Factory Automation Engineering Software (Update B) (CISA) 1. EXECUTIVE SUMMARY CVSS v3 8.3 ATTENTION: Exploitable remotely Vendor: Mitsubishi Electric Equipment: Mitsubishi Electric, Multiple Factory Automation Engineering Software products Vulnerability: Permission Issues 2.

Mitsubishi Electric FA Engineering Software (CISA) 1. EXECUTIVE SUMMARY CVSS v3 5.5 ATTENTION: Low attack complexity Vendor: Mitsubishi Electric Equipment: FA Engineering Software Vulnerabilities: Out-of-bounds Read, Integer Underflow 2. RISK EVALUATION Successful exploitation of these vulnerabilities may cause a denial-of-service condition.

Rockwell Products Impacted by Chromium Type Confusion (CISA) 1. EXECUTIVE SUMMARY CVSS v3 4.0 ATTENTION: Low attack complexity/public exploits are available Vendor: Rockwell Automation Equipment: FactoryTalk Software, Enhanced HIM for PowerFlex, Connected Components Workbench Vulnerability: Type Confusion 2. RISK EVALUATION Successful exploitation of this vulnerability could cause a denial-of-service condition.

2022 ForgeRock Consumer Identity Breach Report (ForgeRock) ForgeRock’s Consumer Identity Breach Report found that unauthorized access was the leading cause of breaches, accounting for 50% of all records compromised during 2021. To learn about the current threat landscape, obtain the report.

The State of Vulnerability Intelligence: 2022 Midyear Edition (Flashpoint) The State of Vulnerability Intelligence report empowers organizations to focus on what matters most, helping them to keep workloads manageable.

Software Supply Chain Risk (Coalfire) Coalfire, in conjunction with survey partner Cyber Risk Alliance, has developed our latest report to advance the cybersecurity community by researching and analyzing the risks currently facing the software supply chain.

Cyberattacks on satellites may only be getting more worrisome (Washington Post) Space is a burgeoning battleground for cyberattacks

It’s Not Just Loot Boxes: Predatory Monetization Is Everywhere (Wired) The UK recently declined to regulate prize draws as a form of gambling, but does it matter? The industry has moved on to more problematic ways to make money.

Marketplace

Cyber insurance is on the rise, and organizational security postures must follow suit (VentureBeat) When it comes to cyber insurance, much like other types of insurance, organizations should know what to look for — as well as what is expected of them. 

Cyber Insurance Price Hike Hits Local Governments Hard (Pew Trusts) Some rates have more than doubled, and many insurers require new security protections.

Cybersecurity Growth Investment Flat, M&amp;A Activity Strong for 2022 (SecurityWeek) While global markets have suffered, sales of cybersecurity software have remained strong. VC investment in cybersecurity has adapted to the world economy rather than stalled.

Decentralized data platform Space and Time raises $10 million in seed round (The Block) Funds raised in the Framework Ventures-led round will be used to expand Space and Time's engineering team and decentralized network.

ThreatX Recognized as a sample Vendor in the 2022 Gartner® Hype Cycle™ for Application Security (Business Wire) ThreatX today announced the company has been acknowledged twice as a sample Vendor in the Gartner Hype Cycle for Application Security, 2022 report.

Axis Named Most Innovative Security Services Company at 2022 Golden Bridge Business and Innovation Awards (PR Newswire) Axis announced today that it has been named Most Innovative Security Services Company at the 2022 Golden Bridge Business and Innovation Awards...

Gartner Magic Quadrant PAM | Delinea Positioned as a Leader (Delinea) Download a complimentary copy of Gartner’s 2020 report on the PAM market and vendors to see why Delinea is recognized as a leader.

Axonius Appoints Tom Kennedy as Vice President of Axonius Federal Systems (Axonius) Axonius today announced it has appointed Tom Kennedy as its Vice President of Axonius Federal Systems LLC, the company’s government-focused subsidiary.

Products, Services, and Solutions

Fastly Partners with HUMAN Security to Protect Customers from Bot Attacks and Fraud (Business Wire) Fastly Partners with HUMAN Security to Protect Customers from Bot Attacks and Fraud

Everything Blockchain Inc. Launches EB Control (Business Wire) Everything Blockchain Inc., (OTCMKTS: OBTX), a technology company that enables real-world use of blockchain to solve critical business issues, today a

Technologies, Techniques, and Standards

Cyber grades bring down agencies’ scores in FITARA 14 (Federal News Network) The 14th version of the FITARA scorecard shows one agency increased their score, while eight earned lower scores, mostly due to cybersecurity shortcomings.

Legislation, Policy, and Regulation

EU to Open San Francisco Office Focused on Tech Regulation (Wall Street Journal) The European Commission is opening a San Francisco office, an effort to Improve trans-Atlantic tech policy relations after years of tension between European regulators and U.S. tech firms.

Why Indonesia Has Embraced Huawei (Foreign Policy) If the U.S. wants to compete with China in developing countries, our research shows it needs to offer tangible assistance in response to real needs.

Victim of Private Spyware Warns It Can be Used Against US (SecurityWeek) Months after her father was lured back to Rwanda under false pretenses and jailed, Carine Kanimba discovered her own phone had been hacked using private spyware.

House Passes Cybersecurity Bills Focusing on Energy Sector, Information Sharing (SecurityWeek) The House has passed two cybersecurity bills: the Energy Cybersecurity University Leadership Act and the RANSOMWARE Act.

House Passes Chips Act to Boost U.S. Semiconductor Production (Wall Street Journal) The $280 billion bill passed despite a late push by Republican leaders to block the legislation over a separate Democratic spending proposal.

CHIPS Act clears Congress, ensuring $52 billion boost to US foundries (The Verge) The vote was the long-awaited bill’s final hurdle before Biden.

Congressional Democrats Introduce Net Neutrality Bill (CNET) Senate and House Democrats introduce a bill to reinstate Obama-era net neutrality rules and to give the FCC authority over broadband networks.

Top White House cyber official says Congress should push for digital security mandates (The Record by Recorded Future) A senior White House official on Thursday said Congress could do more to set basic cybersecurity standards for critical infrastructure sectors to better protect them against digital threats.

Litigation, Investigation, and Law Enforcement

Police to share coding of AN0M app used in Operation Ironside arrests (ABC) Experts for alleged criminals charged in one of Australia's biggest criminal sting operations will be given access to the coding of a messaging app built by the Australian Federal Police to catch those allegedly involved in organised crime.

Rewards for Justice – Reward Offer for Information on Russian Interference in U.S. Elections (United States Department of State) The U.S. Department of State’s Rewards for Justice (RFJ) program, administered by the Diplomatic Security Service, is offering a reward of up to $10 million for information on foreign interference in U.S. elections. The reward offer seeks information leading to the identification or location of any foreign person, including a foreign entity, who knowingly engaged […]

Crackdown on BEC Schemes: 100 Arrested in Europe, Man Charged in US (SecurityWeek) Authorities in Europe announce the arrests of 100 individuals for invoice fraud as the US indicts a Florida man for role in BEC scheme.

U.S. Justice Department probing cyber breach of federal court records system (Reuters) The U.S. Justice Department is investigating a cyber breach involving the federal court records management system, the department's top national security attorney told lawmakers on Thursday.

US DoJ probing 'incredibly significant' breach of federal records (Computing) The breach dates back to early 2020

Justice Department investigating data breach of federal court system (POLITICO) House Judiciary Committee Chair Jerrold Nadler described a "system security failure" of the U.S. Courts' document management system.

France Closes 'Cookies' Case Against Facebook (SecurityWeek) French privacy regulators on Thursday closed a case against Facebook after determining the US tech giant had changed the way it collected user data to comply with the law.

Fri, 29 Jul 2022 04:26:00 -0500 text/html https://thecyberwire.com/newsletters/daily-briefing/11/145
Killexams : Urban Poor Community Settings' Knowledge and Screening Practices for Cervical Cancer in Ibadan, Nigeria

Cancer of the uterine cervix has become a growing public health challenge with increasing mortality and morbidity among women in lower human development index countries.1 It is reported as the foremost and fourth most common cause of cancer deaths among women.2,3 Bray et al2 reported estimated global new cases of 569,847 (3.2%) and a mortality of 311,365 (3.3%) in 2018. Low- and middle-income countries account for one of the highest prevalence of cervical cancer, with an estimated 90% of global deaths occurring in this region. Cancer of the uterine cervix is the second leading female cancer among Nigerian women, after breast cancer,4 and accounts for more than 10,000 annual deaths.2,5

CONTEXT

  • Key Objective

  • What are men and women's knowledge and screening practices of cervical cancer in urban slum community settings?

  • Knowledge Generated

  • The mean knowledge score of cervical cancer detection was 5.0 ± 2.6 on a 0- to 39-point scale. Cervical cancer prevention practices (screening and human papillomavirus vaccination) were very low.

  • Relevance

  • Low knowledge potentially translates to low practice, as shown in this study. These may result in late detection and presentation at health facilities with poor treatment outcomes. Prevention strategies, at primary and secondary levels, including educational interventions should be encouraged in clinical and other settings to prevent an overburdening of the health system.

The major cause of cervical cancer is the human papillomavirus (HPV), and the disease is sexually transmitted. Other risk factors include high parity, smoking, sexual initiation at an early age, multiple sexual partners, and prolonged use of oral contraceptives. The prevention rate for cervical cancer is high if detected and treated early.6 The WHO recommends regular screening every 3-5 years among women age 30-49 years, in addition to timely treatment of precancerous lesions.2 More recently, the World Health Assembly endorsed the WHO Global Strategy for elimination of cervical cancer. The global targets for 2030 emphasize primary prevention (90% coverage of HPV vaccination of girls by age 15 years) and secondary prevention (70% of women to be screened by age 35 and 45 years).7

Vaccination is reported as an important public health primary prevention approach to reduce the risk of HPV, whereas cervical cytology or Papanicolaou test (Pap smear) is documented as secondary form of prevention.8 In Nigeria, primary prevention through HPV vaccination is not yet part of the national routine immunization program; it is, however, accessible, at a high cost, through a limited number of private and public health care settings. Conventionally, secondary prevention through screening is carried out in Nigeria using Pap smear test.9 However, Pap smear test is not suitable as primary screening in low-resource settings although it has played a substantial role in reducing cervical cancer in developed countries over the past 70 years. Awareness and knowledge of cervical cancer are, however, necessary for improved involvement of women in prevention and screening practices. Several studies have been carried out among Nigerian women to assess the knowledge and screening practices for cervical cancer (including HPV vaccine and Pap smear test) and among HIV-infected women. Most studies have shown an appreciable high knowledge of cervical cancer in urban workplace settings, women attending health facilities, or health workers. Conversely, many studies have documented low knowledge and practice among women,1,10,11 especially at population levels. Incessant creation of awareness about cervical cancer has the potential to increase knowledge and utilization of cervical cancer screening practices.12 More research documenting both men's and women's knowledge of cervical cancer and screening practices among women in urban slum community settings is needed. Focus on men in addition to women on cervical cancer studies is very scanty in Nigeria. Thus, the inclusion of men, and not only women, is important because of the decision-making role of men in Nigerian families and in improving family health. This study therefore investigated the knowledge and screening practices for cervical cancer among male and female adults in urban poor settings in Ibadan, Nigeria. The findings from this study would inform baseline data for planning appropriate health promotion and education, prevention interventions, and policy formulation to prevent and control cervical cancer in poor community settings in Nigeria.

Study Design and Setting

This study used a cross-sectional design in two urban community-based settings in Ibadan, Oyo State, Nigeria. Data collection lasted for 3 weeks in both communities. Ibadan is the largest city in Africa situated in the western region of Nigeria. Ibadan has a population of 3 million and is a combination of both urban and semiurban community settings. Two underserved communities located in the urban slum areas of Ibadan North Local Government Areas (LGAs) were identified. The two communities selected for this study are at the heart of Ibadan city in an urban LGA but have a mixture of higher- and lower-educated people and subsequently a combination of high-, middle-, and low-income communities. The LGA has an estimated population of 308,119, and sanitary conditions in the slum areas are poor as the majority of houses do not have access to potable water and water-flushed toilets.

Study Population, Sampling, and sample Size

All consenting male and female adults in both communities age 18-65 years were eligible to participate in this study. Exclusion criteria included persons who did not give consent to participate in the study and physically or mentally ill men and women, who were unable to provide adequate information. A previous community-based study by Nnodu et al13 informed the calculation of the sample size of 500, using the Leslie Kish formula. The prevalence of knowledge about HPV was 33%, with calculations on the basis of 95% confidence level, a margin of error of 5%, and a design effect of 1.5. The final sample size calculated was 334, but to cater for attrition and to cover a larger sample area, the sample size was increased to 500. Community members age 18-65 years were randomly selected from the total community population. Simple random sampling technique was used to select participating households, whereas one respondent was selected in each household by ballot to avoid selection bias. A total of 147 males and 353 females completed the electronic data.

Data Collection Methods and Instruments

The research team had earlier visited and interacted with the communities' stakeholders including the heads of the landlord association, executives of the association, and religious leaders. The two communities had committed to support the study and paved the way for easy connection to the community members. In the two communities, 552 people were approached and only 52 declined to participate, mostly because they had to engage with other commitments at the time of the interview. Most of those who consented to participate were self-employed so could create time for the interview.

Data collection instrument was developed and converted into an electronic data capture tool (ODK Collect). Data collection was interviewer administered using the translated instrument into the local language Yoruba and back-translated to English for content validity. Data tool contained both open- and closed-ended questions (Data Supplement). Interviewers were trained before data collection process to ensure increased quality of data set, and all followed a homogenous procedure. Data were pretested in similar community settings before actual data collection was undertaken. The ODK tool included questions on sociodemographic characteristics of respondents and cervical cancer questions on awareness and knowledge of cervical cancer risk factors, symptoms, and detection. Questions were also asked about screening practices with Pap smear, visual inspection with acetic acid, reasons for nonscreening, and HPV vaccination. Respondents were asked to identify their responses to knowledge questions with yes or no as appropriate. Open-ended question responses were recorded on the ODK tool by interviewers. Knowledge questions were scored (on a scale of 0-39) for respondents' knowledge of cervical cancer detection, symptoms, and risk factors. Total scores were added together, and a mean knowledge score for respondents was calculated.

Quality Assurance

Throughout the data collection process, research assistants were monitored and gave daily feedback on the research process. The electronic data collected were uploaded daily and checked for completeness and errors. In those cases where there were errors, research assistants were asked to collect additional data and the data previously collected were discarded. Quality assurance meetings were held weekly to review the data collected, weekly targets, and any challenges that research assistants encountered. This enabled immediate response to facilitate ease of data collection procedure.

Data Analysis

Electronic data collected using the ODK tool were checked before they were transferred into the Statistical Package for Social Sciences (IBM SPSS) version 21. Both descriptive and inferential statistics analyses were used to meet the criteria of the study objectives. Categorical variables were presented using frequencies and percentages, whereas continuous variables reported means and standard deviations. Inferential statistics was obtained using chi-square statistics to estimate the degree of association between the variables in the study. Multivariate regression analysis was not carried out because there was no statistical significance from the chi-square statistics.

Ethical Consideration

The study protocol was approved and informed (by signing an informed consent form), and voluntary consents were sought and obtained from community leaders, stakeholders, and all study respondents, before the commencement of data collection (Data Supplement). There were no physical risks to the respondents; data were collected in privacy, and respondents were assured that they would not be penalized in any way if they chose to stop the data collection at any stage. Respondents were assured of confidentiality of responses, and only identification codes were assigned to ODK files. Study findings were disseminated to participating communities after the completion of the study.

The study protocol was approved by the University of Ibadan/University College Hospital Nigeria Ethical Review Committee, Nigeria, with the reference number UI/EC/17/0410.

Awareness of Cervical Cancer

A majority of respondents were not aware of cervical cancer screening (91.2%) and Pap smear test (93.6%). Few (10%) had ever heard of HPV vaccine for the prevention of cervical cancer.

Knowledge of Cervical Cancer (detection, symptoms, and risk factors)

The knowledge of the risk factors for cervical cancer showed that majority (92.4%; 0.92 ± 0.27) reported that old age, low socioeconomic status (88%; 0.88 ± 0.33), unhealthy diet (75.8%; 0.76 ± 0.43), and high rate of abortion (73%; 0.73 ± 0.44) were risk factors for cervical cancer (Table 2).

Table

TABLE 2 Knowledge of Cervical Cancer (Risk Factors, Symptoms, and Detection)

A majority of respondents (91.60%; 0.92 ± 0.28) reported that the absence of menstruation or irregular menstruation, itching at the vagina (91.00%; 0.91 ± 0.29), and painful menstruation (95.40%; 0.95 ± 0.21) constitute symptoms of cervical cancer (Table 2).

The results of knowledge on detection of cervical cancer showed less than half (41.4%; 0.41 ± 0.49) of the respondents reported that cervical cancer can be terminal. However, a majority of respondents (88.6%; 0.89 ± 0.32) reported that it is sufficient to only do cervical cancer test once to eliminate its risk, and 83.4% (0.83 ± 0.37) reported that cervical cancer is a genetic disease, whereas 92.6% (0.93 ± 0.26) reported that postmenopausal women still have the risk of getting cervical cancer.

The mean knowledge score of cervical cancer detection was 5.0 ± 2.6 with a minimum knowledge score of two and a maximum of 13, the mean knowledge score of cervical cancer symptoms was 3.3 ± 0.8 with a minimum knowledge score of one and a maximum of eight, and the mean knowledge score of risk factors for cervical cancer was 6.7 ± 1.6 with a minimum knowledge score of three and a maximum of 13. The overall knowledge of participants was pooled and assessed on a (0-39) point scale. This was further categorized into ranges with 0-18 points as poor knowledge, 19-23 points as fair knowledge, and 24-39 points as good knowledge of cervical cancer. Respondents' overall mean knowledge score was 15.0 ± 4.1. Majority (77.2%) had low knowledge score for cervical cancer.

There was a statistically significant association between knowledge of cervical cancer and employment status of respondents (χ2 = 10.35; P &lt; .05). There was no statistically significant difference between knowledge and sex (Table 3).

Table

TABLE 3 Knowledge of Cervical Cancer, Employment Status, and Sex

Cervical Screening Practices

Only women (n = 353) reported about cervical cancer practices. Very few women had been screened for cervical cancer with the Papanicolaou test (4%), and one woman with visual inspection with acetic acid (0.3%). Four women had taken HPV vaccine before (1.1%) (Table 4).

Table

TABLE 4 Cervical Cancer Screening Practices

The overall results of this study indicated low knowledge of cervical cancer and screening practices. The study findings revealed a considerable proportion of the respondents to have had either secondary or tertiary education. Average to high level of education did not seem to translate to awareness or good knowledge of cervical cancer among the study respondents. This was in contrast to findings reported by Ezenwa et al10 among women in similar urban community settings in Nigeria. Importantly, findings highlighted low socioeconomic status on the basis of low income of respondents with majority living on 20,000 naira or less per month (equivalent of 51 dollars per month), and moreover, majority were self-employed with petting trading. This translates to less ability to afford the cost of screening or vaccination for the prevention of cervical cancer, coupled with lack of accessibility. This result was similar to the findings of Olanlesi-Aliu et al14 on the quality of services on cervical cancer being affected by inadequate resources. Subsequently, the employment status was a variable that could exert influence on knowledge of the respondents on cervical cancer.

Poor level of awareness was reported for cervical screening, Pap smear, and HPV vaccine from the results of this study. Previous research findings13,15 corroborated these outcomes. These findings consequently demonstrate a need for increased awareness on cervical cancer, HPV screening, and vaccination, as well as the need for health promotion and education strategies targeting cervical cancer screening and the benefits of vaccination among adults in poor urban community settings in Nigeria. Almost all the knowledge scores for questions on risk factors, symptoms, and detection for cervical cancer had responses below the average. This is suggestive of perceived low susceptibility to the disease, but strikingly, majority perceived postmenopausal women to still have the risk of getting cervical cancer, whereas mean score was high for testing is only needed once to eliminate the risk of cervical cancer. Knowledge gaps among study respondents highlight a crucial need for health education to increase knowledge about cervical cancer. Health education should include recommendations for screening, according to the ACOG. The ACOG highlighted that women age between 25 and 29 years are recommended for cervical cytology or Pap test only at 3-year intervals, whereas those who are 30 years to 65 years could have a combination or cotesting of Pap test and HPV test every 5 years. For women over 65 years, screening can be halted on the basis of acceptable previous negative screening within the past 5 years.16

This study highlights major gaps in prevention practices for cervical cancer and identifies an urgent need to upscale cervical cancer prevention and intervention strategies in urban poor community settings of Nigeria. Findings are similar to a latest study carried out among women,1 where only two women had gone through cervical cancer screening test, but none of them had taken HPV vaccination. These findings are reflective of the inadequate health programs and services regarding cervical cancer prevention in Nigeria.14

In conclusion, the findings of this study have underscored a necessity for increased awareness creation through health promotion interventions and strategies to alleviate low knowledge of cervical cancer, prevention, and screening practices in poor community settings in Nigeria. The provision of prevention services, which must be accessible and affordable to the populace irrespective of the geographical location, is also needed.

© 2021 by American Society of Clinical Oncology
PRIOR PRESENTATION

Presented at the 7th Annual Symposium on Global Cancer Research: Translating and Implementation for Impact in Global Cancer Research, Chicago, IL, March 7, 2019. This study abstract has been published in J Global Oncol 2019:3. © 2019 by American Society of Clinical Oncology following international conference/symposium presentation and can be found here: DOI: 10.1200/JGO.19.10000.

SUPPORT

Supported by a planning grant awarded by the US National Institutes of Health, Fogarty International Center, Addressing NCDs In Nigeria Through Enhanced International Partnership and Interdisciplinary Research Training, award number 1D71TW010876-01.

We acknowledge all the respondents and research assistants for their contributions to the conduct of the study. We are grateful to the ethical committee who provided approval for this study.

1. Olubodun T, Odukoya OO, Balogun MR: Knowledge, attitude and practice of cervical cancer prevention, among women residing in urban slum in Lagos, South West, Nigeria. Pan Afr Med J 32:130, 2019 Crossref, MedlineGoogle Scholar
2. Bray F, Ferlay J, Soerjomataram I, et al: Global Cancer Statistics 2. GLOBOCAN estimates of incidence of mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394-424, 2018 Crossref, MedlineGoogle Scholar
3. World Health Organization: Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem. Geneva, Switzerland World Health Organization, 2020. Licence: CC BY-NC-SA 3.0 IGO Google Scholar
4. Ononogbu U, Al-Mujtaba M, Modibbo F, et al: Cervical cancer risk factors among HIV-infested Nigerian women. BMC Public Health 13:582, 2013 Crossref, MedlineGoogle Scholar
5. Bruni L, Albero G, Serrano B, et al: Human Papillomavirus and Related Diseases in Nigeria. Summary Report. ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). ICO/IARC HPV Information Centre, Barcelona, Spain, 2019 Google Scholar
6. Morounke Saibu G, Ayorinde James B, Adu OB, et al: Epidemiology and incidence of common cancers in Nigeria. J Cancer Biol Res 5:1105, 2017 Google Scholar
7. World Health Organization: World health statistics 2019: Monitoring health for the SDGs, sustainable development goals. World Health Organization, 2019 https://apps.who.int/iris/handle/10665/324835. License: CC BY-NC-SA 3.0 IGO Google Scholar
8. Finocchario-Kessler S, Wexler C, Maloba M, et al: Cervical cancer prevention and treatment research in Africa: A systematic review from public health perspective. BMC Womens Health 16:29, 2016 Crossref, MedlineGoogle Scholar
9. Sowemimo OO, Ojo OO, Fasubaa OB: Cervical cancer screening and practice in low resource countries: Nigeria as a case study. Trop J Obstet Gynaecol 34:170-176, 2017 CrossrefGoogle Scholar
10. Ezenwa BN, Balogun MR, Okafor IP: Mothers’ human papilloma virus knowledge and willingness to vaccinate their adolescent daughters in Lagos, Nigeria. Int J Womens Health 5:371, 2013 Crossref, MedlineGoogle Scholar
11. Liu T, Li S, Ratcliffe J, et al: Assessing knowledge attitude towards cervical cancer screen among rural woman Eastern China. Int J Environ Res Public Health 14:967, 2017 CrossrefGoogle Scholar
12. Mabelele M, Materu J, Ng'ida FD, et al: Knowlegde towards cervical cancer prevention screening practices among women who attended reproductive and child health at Magu district hospital, Lake Zone Tanzania: A cross-section study. BMC Cancer 18:565, 2018 Crossref, MedlineGoogle Scholar
13. Nnodu O, Erinosho L, Jamada M, et al: Knowledge and attitudes towards cervical cancer and human papillomavirus. Afr J Reprod Health 14:95, 2010 MedlineGoogle Scholar
14. Olanlesi-Aliu AD, Martin PD, Daniels FM: Towards the development of a community-based model for promoting cervical cancer prevention among Yoruba women in Ibadan Nigeria: Application of PEN-3 model. Southern Afr J Gynaecol Oncol 11:20-24, 2019 CrossrefGoogle Scholar
15. Massey PM, Boansi RK, Gipson JD, et al: Human papillomavirus (HPV) awareness and vaccine receptivity among Senegalese adolescents. Trop Med Int Health 22:113-121, 2017 Crossref, MedlineGoogle Scholar
16. ACOG Practice Advisory: Cervical Cancer Screening (Update). Washington, DC, American College of Obstetricians and Gynecologists (ACOG), 2018 Google Scholar
Wed, 05 Jan 2022 12:26:00 -0600 en text/html https://ascopubs.org/doi/10.1200/GO.20.00619
Killexams : Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear

Trial Design

We conducted this parallel-group study at five orthopedic clinics in Finland during the period from December 2007 through January 2013. Details of the trial design and methods have been published elsewhere.9 The patients, the people who collected and analyzed the data, and the authors were unaware of the study-group assignments. The protocol was approved by the institutional review board of the Pirkanmaa Hospital District. The first and last authors vouch for the accuracy and completeness of the reported data and analyses and for adherence of the study to the protocol, available with the full text of this article at NEJM.org.

The study was conducted in accordance with the Declaration of Helsinki. All patients gave written informed consent. On entering the study, patients were unequivocally informed that they might undergo sham surgery and that they would be allowed to consider crossing over to the other procedure (arthroscopic partial meniscectomy) 6 months or later after the sham procedure if they did not have adequate relief of symptoms.

Participants

Figure 1. Figure 1. Enrollment of Patients and Randomization.

We enrolled patients 35 to 65 years of age who had knee pain (for &gt;3 months) that was unresponsive to conventional conservative treatment and had clinical findings consistent with a tear of the medial meniscus (Figure 1). Patients with an obvious traumatic onset of symptoms or with knee osteoarthritis as defined with the use of clinical criteria (American College of Rheumatology)10 or radiographic criteria (Kellgren–Lawrence grade &gt;1)11 were excluded. On the Kellgren–Lawrence scale, grade 0 denotes no abnormalities, grade 1 minor degenerative changes (doubtful narrowing of the joint space and possible osteophytic lipping), and grade 2 knee osteoarthritis (definite narrowing of the joint line or an osteophyte). Preoperative magnetic resonance imaging (MRI) was performed to confirm the presence of a medial meniscus tear, but the eligibility of the patients was ultimately determined by arthroscopic examination. Detailed inclusion and exclusion criteria are provided in Table S1 in the Supplementary Appendix, available at NEJM.org.

Diagnostic Arthroscopy

Arthroscopic examination of the knee was first performed in all patients with the use of standard anterolateral and anteromedial portals and a 4-mm arthroscope. The orthopedic surgeon evaluated the medial, lateral, and patellofemoral joint compartments and graded the intraarticular pathologic changes (Table S2 in the Supplementary Appendix).12,13

Randomization

During the diagnostic arthroscopic procedure, if a patient was confirmed to be eligible for the trial, the surgeon asked a research nurse to open an envelope containing the study-group assignment (arthroscopic partial meniscectomy or sham surgery) and reveal it to the surgeon; the assignment was not revealed to the patient. The sequentially numbered, opaque, sealed envelopes were prepared by a statistician with no involvement in the clinical care of patients in the trial. Randomization was performed in a 1:1 ratio with a block size of 4 (known only to the statistician). The randomization sequence involved stratification according to study site, age (35 to 50 or 51 to 65 years of age), sex, and the absence or presence of minor degenerative changes on a radiograph (Kellgren–Lawrence grade 0 or 1, respectively).11 Only the orthopedic surgeon and other staff in the operating room were made aware of the group assignment, and they did not participate in further treatment or follow-up of the patient.

Operative and Postoperative Procedures

During the arthroscopic partial meniscectomy, the damaged and loose parts of the meniscus were removed with the use of arthroscopic instruments (a mechanized shaver and meniscal punches) until solid meniscal tissue was reached. The meniscus was then probed to ensure that all loose and weak fragments and unstable meniscus had been successfully resected, with preservation of as much of the meniscus as possible. No other surgical procedure was performed.

For the sham surgery, a standard arthroscopic partial meniscectomy was simulated. To mimic the sensations and sounds of a true arthroscopic partial meniscectomy, the surgeon asked for all instruments, manipulated the knee as if an arthroscopic partial meniscectomy was being performed, pushed a mechanized shaver (without the blade) firmly against the patella (outside the knee), and used suction. The patient was also kept in the operating room for the amount of time required to perform an actual arthroscopic partial meniscectomy.

No medication was instilled into the knee during arthroscopy. All procedures were standardized and recorded on video. In both the partial-meniscectomy group and the sham-surgery group, postoperative care was delivered according to a standardized protocol specifying that all patients receive the same walking aids and instructions for the same graduated exercise program (Fig. S1 in the Supplementary Appendix). Patients were instructed to take over-the-counter analgesic agents as required.

Outcome Measures

Initially, our two primary outcomes were knee pain after exercise (during the preceding week) and the Lysholm knee score at 12 months after surgery. Knee pain was assessed on an 11-point scale ranging from 0 (no pain) to 10 (extreme pain). The Lysholm knee score is a validated,14 condition-specific outcome measure.15 After the Western Ontario Meniscal Evaluation Tool (WOMET),16 a meniscus-specific health-related quality-of-life instrument, was validated for patients with a degenerative meniscal tear,17 this measure was added as our third primary outcome (before any data analysis). The Lysholm and WOMET scores each range from 0 to 100, with 0 indicating the most severe symptoms and 100 an absence of symptoms. Secondary outcomes included the score for knee pain after exercise and the Lysholm and WOMET score measured at 2 and 6 months after surgery; knee pain at rest, measured at 12 months; and the score on 15D, a generic health-related quality-of-life instrument made up of 15 dimensions and scored on a scale of 0 (death) to 1 (full health), also measured at 12 months.18

Questionnaires were administered at baseline and at 2, 6, and 12 months after surgery. The follow-up questionnaires included a separate section on adverse events, defined as untoward medical occurrences that may or may not have had a causal relationship with the treatment administered. Adverse events were classified as serious if they necessitated hospitalization or prolonged inpatient hospital care, or if they were life-threatening or resulted in death. For the 12-month follow-up questionnaire, the patients also responded to the following four questions: Is your knee better than before the intervention? Are you satisfied with your knee at present? Would you choose to be operated on again if you were asked to make the decision now? Which procedure do you think you underwent? Responses to the first two questions were given on a 5-point Likert scale; the response to the third question was “yes” or “no.”

Statistical Analysis

We powered the study to detect a minimal clinically important improvement in the Lysholm and WOMET scores (improvements of at least 11.5 and 15.5 points, respectively) and in the score for knee pain after exercise (improvement of at least 2.0 points) between the partial-meniscectomy and sham-surgery groups.9 The estimates of minimal clinically important improvement were based on the difference we noted in our prospective cohort of 377 patients with a degenerative meniscal injury who had undergone arthroscopic partial meniscectomy.9 For the study to have 80% power to show a clinically meaningful advantage of arthroscopic partial meniscectomy over sham surgery, under the assumption of a two-sided type 1 error rate of 5%, the required sample sizes were 40, 54, and 40 participants per group for the Lysholm score, the WOMET score, and the score for knee pain after exercise, respectively. Anticipating a loss to follow-up of at least 20%, we planned to recruit 70 patients per group.

The trial was designed to ascertain whether arthroscopic partial meniscectomy is superior to sham surgery, at 12 months after the procedure, with regard to the three primary outcomes. Baseline characteristics were analyzed with the use of descriptive statistics. For the primary analysis, the change in each score (mean and 95% confidence interval) from baseline to 12 months was compared between the two study groups. This analysis was also performed after adjustment for the baseline score and for the stratifying variables used for randomization. Secondary analyses included between-group comparisons of the change in the 15D score and in the score for knee pain at rest, as well as comparisons of the frequencies of patients who reported satisfaction or subjective improvement, who had serious adverse events, or whose treatment assignment was revealed within 12 months after surgery (who required subsequent knee surgery). Analyses of the primary outcomes were also performed at 2 and 6 months, but these analyses were intended only to illustrate the trajectory of the treatment response.

Because knee osteoarthritis has been associated with poor outcomes after knee arthroscopy,19 our only prespecified subgroup analysis was performed with patients stratified according to the extent of radiographically assessed degenerative changes (Kellgren–Lawrence grade 0 [no degeneration] vs. grade 1 [minor degenerative changes]). A Student's t-test and nonparametric test were used to compare continuous variables (normally distributed and not normally distributed, respectively) between the groups, and Fisher's exact test was used with binomial and categorical variables. Univariate analysis was used to test for interaction in the subgroup analysis. All statistical analyses were performed on an intention-to-treat basis; no per-protocol analysis was performed, because the frequency of crossover was low. A P value of 0.05 was considered to indicate statistical significance. SPSS Statistics, version 20 (IBM), was used for all statistical analyses.

The writing committee developed and recorded two interpretations of the results on the basis of a blinded review of the primary outcome data (treatment A compared with treatment B), one assuming that treatment A was arthroscopic partial meniscectomy, and the other assuming that treatment A was sham surgery. Only after the committee members had agreed that there would be no further changes in the interpretation was the randomization code broken, the correct interpretation chosen, and the manuscript finalized (see the Supplementary Appendix).20

Thu, 13 Aug 2015 12:49:00 -0500 en text/html https://www.nejm.org/doi/full/10.1056/NEJMoa1305189
000-735 exam dump and training guide direct download
Training Exams List