Nowadays, a massive amount of cybersecurity data-objects, such as security events, logs,messages, are flowing through different cybersecurity systems. With the enormous fastdevelopment of different cloud environments, big data, IoT, and so on, these amounts of data areincreasingly revolutionary. One of the challenges for different security actors, such as securityadmins, cybersecurity analysis, and network technicians, is how to utilize this amount of data inorder to reach meaningful insights, so they can be used further in diagnosis, validation, forensicand decision-making purposes. In order to make useful and get meaningful insights from this data, we need to have efficientdashboards that simplify the data and provide a human-understandable presentation of data. Currently, there are plenty of SIEM and visualization dashboard tools that are using a variety ofreport generator engines to generate charts and diagrams. Although there have been manyadvances in recent years due to utilizing AI and big data, security professionals are still facingsome challenges in using the visualization dashboards. During recent years, many research studies have been performed to discover and address thesetypes of challenges. However, due to the rapid change in the way of working in many companies(e.g. digital transformation, agile way of working, etc.) and besides utilizing cloud environments,that are providing almost everything as a service, it is needed to discover what challenges are stillthere and whether they are still experiencing the same challenges or new ones have emerged. Following a qualitative method and utilizing the Delphi technique with two rounds of interviews,the results show that although the technical and tool-specific concerns really matter, the mostsignificant challenges are due to the business architecture and the way of working.

Yes / The uptake of advance care planning (ACP) is particularly low among people with dementia. This may reflect barriers to communication between professionals, patients and families in the face of lack of consensus about the process. This study aimed to methodically investigate consensus views of how ACP should be explained and carried out with people with dementia. A three-round Delphi study explored views of how and when ACP should be addressed, what should be covered, who should be involved and why rates of ACP are low. Seventeen participants took part comprising family members, old age psychiatrists and policy makers. Thirty-two items reached consensus. The panel agreed on 11 different areas for discussion. They concurred that ACP was best addressed after the person has come to terms with the diagnosis when the individual feels ready to do so. There was a consensus view that the process should be couched in terms of ‘certain possibilities’. Consensus items emphasised personal choice and autonomy, while also prioritising the need to discuss financial aspects and to include spouses. There was no consensus that professionals should be involved, although the panel viewed them as carrying some responsibility for low uptake. It is suggested that ACP should include general discussion of values as well as coverage of specific points. Professionals need to offer discussion and information on ACP, but also make clear that the patient has the right to choose whether to pursue ACP or not.

Sistemas de Gerenciamento de Banco de Dados Não Relacionais (SGBDs NoSQL) são pacotes de software para gerenciamento de dados utilizando um modelo não relacional. Dado o atual contexto de crescimento na geração de dados e a necessidade que as organizações possuem em coletar grande quantidade de informações de clientes, pesquisas científicas, vendas e outras informações para análises futuras, é importante repensar a forma de se definir um SGBD adequado levando em consideração fatores econômicos, técnicos e estratégicos da organização. Esta é uma pesquisa relacionada com o estudo do novo modelo de gerenciamento de banco de dados, conhecido como NoSQL e traz como contribuição apresentar critérios de seleção para auxiliar consumidores de serviços de banco de dados, em organizações privadas, a selecionar um SGBD NoSQL. Para atender a este objetivo foi realizada revisão da literatura com levantamento bibliográfico sobre processo de seleção de software e de SGBDs, levantando critérios utilizados para este fim. Feito o levantamento bibliográfico, definiu-se o método de pesquisa como sendo a aplicação de um Painel Delphi, na modalidade ranking form. Por meio do painel foi possível determinar, após a realização de duas rodadas e participando um grupo de especialistas misto formado por gerentes, fornecedores de SGBD, acadêmicos, desenvolvedores e DBAs e DAs, os critérios mais relevantes para a escolha de um SGBD NoSQL, ordenados conforme pontuação obtida para cada critério. Os dados foram coletados por meio de questionário. A partir dos critérios identificados, foram feitas análises sobre os principais critérios de seleção de SGBDs NoSQL. Posteriormente, as conclusões e considerações finais contemplaram a análise dos resultados obtidos com o Painel Delphi. Como principal resultado alcançado, este estudo oferece uma visão realística acerca do modelo não relacional para gerenciamento de dados e apresenta os critérios mais importantes que indicam plausível a adoção de SGBDs NoSQL. / Database Management Systems Not Relational (NoSQL DBMSs) are software packages for data management using a non-relational model. Given the current context of growth in data generation and the need that organizations have to collect vast amount of customer information, scientific research, sales and other information for further analysis, it is important to rethink how to define a suitable DBMS considering economic, technical and strategic organization. This research is concerned with the study of the new management model database, known as NoSQL, and brings the present contribution selection criteria to assist service consumers Database, private organizations, to select a NoSQL DBMS. To satisfy this objective was reviewed the literature with bibliographic on software selection process and DBMSs, identifying criteria used for this purpose. After completion of the literature, was defined the search method with application of a Delphi panel, by the ranking form mode. Through the panel could be determined, after the completion of two rounds and attending a mixed group of experts formed by managers, DBMS vendors, academics, developers, DBAs and DAs, the most relevant criteria for choosing a NoSQL DBMS, ordered according score for each criteria. Data were collected through a survey. From the identified criteria, analyzes were made on the main selection criteria of NoSQL DBMSs. Subsequently, the conclusions and final considerations were made with analysis of the results obtained with the Delphi panel. The main result achieved, this study offers a realistic view about the non-relational model for managing data and presents the most important criteria that indicate plausible the adoption of NoSQL DBMSs.

Introdução: O controle sanitário de serviços de saúde com atividades de vacinação é realizado pela Vigilância Sanitária, através da Inspeção Sanitária (IS). A inexistência de um roteiro para sua realização resulta em condutas divergentes para serviços com condições semelhantes, em face da ausência de parâmetros classificatórios dos elementos que compõem as diretrizes regulamentadoras. Objetivos: elaborar, validar e classificar um Roteiro de Inspeção Sanitária (RIS) para serviços de vacinação. Método: pesquisa aplicada realizada em três etapas: 1) pesquisa documental, 2) elaboração do RIS e 3) validação do conteúdo e classificação do RIS segundo risco sanitário, através da Técnica Delphi, por 6 profissionais com experiência na área de vigilância sanitária e de vacinação. A validação de conteúdo foi orientada pelos critérios de simplicidade, clareza, pertinência e precisão e na avaliação de cada item do RIS adotou-se a escala de concordância, do tipo Likert de 5 pontos; para avaliar a concordância entre os especialistas que foi medida através do Índice de Validade de Conteúdo (IVC) > 0,90. Na classificação do conteúdo do RIS segundo o risco sanitário presente nos serviços de vacinação foi utilizado o critério de criticidade: imprescindível (I), necessário (N) e recomendável (R). Resultados: o RIS foi composto por cinco blocos temáticos: 1. Origem, recepção e armazenamento de vacinas, 2. Processo de Trabalho, 3. Estrutura Física, 4. Resíduos de Serviços de Saúde, 5. Documentos gerais. Na primeira rodada de validação de conteúdo, dos 79 itens avaliados, 54 tiveram IVC < 0,90 em relação à clareza, 42 em relação à precisão, 34 em relação à simplicidade e 26 quanto à pertinência. Na 2ª rodada, após reformulação, o conteúdo foi julgado pelos especialistas como satisfatório nos quatro critérios. Na avaliação do risco sanitário segundo critério de criticidade, os 93 itens foram classificados: 70 como (I), 17 como (R) e seis como (N). Conclusão: o RIS pode ser uma ferramenta útil para a prática da IS; seu uso poderá favorecer a sistematização e minimizar a ocorrência de condutas desiguais para serviços com condições semelhantes, tanto para emissão de licença de funcionamento, como de sanções. / Introduction: The Health Surveillance Department conducts sanitary inspections to ensure that sanitary control services perform immunization activities appropriately. The absence of a roadmap for its realization results in a different behavior of services with similar conditions, caused by the lack of classification parameters constituting regulatory guidelines. Objectives: To develop, validate, and classify the Sanitary Inspection Guide (SIG) for immunization services. Method: Research was conducted in three phases: 1) documentary research, 2) development of the SIG, 3) validation of the content of the SIG and classifying it according to sanitary risks, using the Delphi Technique to identify the views and opinions of 6 professionals with experience in the sanitary surveillance and immunization field. Content validity was assessed using the following four criteria: simplicity, clarity, relevance, and accuracy. Each SIG item was evaluated using a 5-point Likert-scale to measure agreement among experts, which was defined as a content validity index (CVI) of >0.90. To classify SIG content according to the health risks associated with immunization services, the essential (E), necessary (N), and recommended (R) criticality criteria were used. Results: SIG content comprised five thematic blocks: 1. Origin, reception, and storage of vaccines; 2. Work process; 3. Physical structure; 4. Health services waste; and 5. General documents. In the first round of content validation, 54 of the 79 items evaluated for clarity, 42 for accuracy, 34 for simplicity, and 26 for relevance had a CVI < 0.90. In the second round, after the items were revised, the experts agreed that the content met the four criteria. When health risks were evaluated according to the criticality criterion, the 93 items were classified as follows: 70 as (E), 17 as (R), and 6 as (N). Conclusion: The SIG can be a useful tool for sanitation inspections; its use can help systematizing the SI and minimizing the occurrence of different behaviors of services with similar conditions, both for the issuance of operating license and penaltys.

A Central de Material e Esterilização é uma unidade que concentra grande parte do arsenal de material médico-hospitalar das instituições de saúde. Tem a responsabilidade de oferecer todos os itens destinados ao cuidado do paciente, com qualidade e segurança, seja para procedimentos diagnósticos, clínicos e cirúrgicos. Para tal, entretanto são necessários investimentos em tecnologia específica e sofisticação no processamento dos materiais de acordo com sua conformidade, demandando dos profissionais que ali atuam o desenvolvimento de competências e habilidades para um desempenho profissional condizente com as necessidades institucionais. Esta pesquisa teve por objetivo identificar o perfil e analisar as atividades realizadas pelos enfermeiros de CME de instituições hospitalares brasileiras, bem como a freqüência de realização das mesmas em diferentes realidades institucionais. Trata-se de um estudo descritivo, de abordagem quantitativa, de corte transversal, que teve como sujeitos da pesquisa, enfermeiros assistenciais ou docentes de unidades de CME de instituições hospitalares públicas, privadas ou filantrópicas. Para seleção dos enfermeiros foi utilizada a técnica de bola de neve. Para coleta de dados foram criados formulários eletrônicos com recurso da planilha Google Docs e enviados eletronicamente aos participantes. Os resultados obtidos evidenciaram em relação ao perfil dos respondentes, enfermeiros na sua maioria do sexo feminino (93,5%), na faixa etária entre 21 a 30 anos, com tempo de formação na Enfermagem, menor que cinco anos - 35,5%%, entre 6 a 10 anos 6,5% e com mais de 15 anos, 38,7%. Em relação ao tempo de atuação em CME, todos trabalhavam a mais de 12 meses na unidade e 58,08% possuíam entre um e cinco anos de experiência no setor. Quanto à formação complementar, 80,6% dos enfermeiros haviam concluído algum curso de especialização, porém destes, apenas 33,4% relacionavam-se à área de CME. Das 25 atividades relacionadas no instrumento de coleta de dados e que se referiam a atividades validadas que retratavam o trabalho do enfermeiro de CMEs, 15 atividades apresentaram frequência de realização diária, 09 atividades registradas com realização mensal e 14 atividades aparecem baixos percentuais e algumas como nunca sendo realizadas. Houve ainda a sugestão dos participantes de inclusão de quatro itens que não foram identificados na relação analisada pelos mesmos. Esta pesquisa permitiu conhecer a frequência das atividades do enfermeiro de CME, e evidenciou a necessidade de incorporar novas questões sobre o futuro do trabalho na CME, que poderão determinar uma reformatação na estrutura e nas atividades desta unidade especializada, sugerindo então o desenvolvimento de novas pesquisas na área. / The Materials and Sterilization Center is a unit that concentrates a large part of the set of materials used by a hospital institution. The Center has the responsibility to offer all items for patient/client care with quality and safety, be it for a diagnostic procedure, surgery or in health care. However, this demands investments in specific technology and sophistication in the processing of materials according to their conformity, requiring the professionals who work there to development professional skills and abilities consistent with institutional needs. This study aims at identifying the profile and analyzing the tasks performed by nurses of the Materials and Sterilization Center in Brazilian hospital institutions, as well as the frequency of accomplishment in different institutional realities. This study is descriptive in nature, quantitative and cross-sectional in approach. The population comprises nurses or teachers of the Materials and Sterilization Centers of public, private or philanthropic hospital institutions. The snowball technique was used for the selection of the subjects. Electronic forms were created with Google Docs spreadsheets for data collection and sent electronically to the participants. The results showed that in relation to the profile of the respondents, most of the nurses were female (93.5%), ranging in age from 21 to 30 years, 35.5% with less than five years after nursing graduation, 6.5% 6 to 10 years after graduation, and 38.7%. over 15 years. In relation to work time in the MSC, all had worked for more than 12 months in the unit and 58.08% had one to five years of experience in the sector. As to supplementary training, 80.6% of the nurses had completed some specialization course, though only 33.4% of these were related to the area of MSC. Out of the 25 activities listed in the data collection instrument, which referred to validated activities that portray the nurses work in MSCs, 15 activities presented a daily frequency, 09 activities monthly and 14 activities registered low percentages, some of which were never performed. The participants also suggested the inclusion of four activities that were not listed. This research has allowed us to know the frequency of nursing activities in the MSC and highlighted the need to incorporate new issues on future work in the MSC, which may determine a reformatting of the structure and activities of this specialized unit, thus suggesting further research in the area.

Sistemas de Gerenciamento de Banco de Dados Não Relacionais (SGBDs NoSQL) são pacotes de software para gerenciamento de dados utilizando um modelo não relacional. Dado o atual contexto de crescimento na geração de dados e a necessidade que as organizações possuem em coletar grande quantidade de informações de clientes, pesquisas científicas, vendas e outras informações para análises futuras, é importante repensar a forma de se definir um SGBD adequado levando em consideração fatores econômicos, técnicos e estratégicos da organização. Esta é uma pesquisa relacionada com o estudo do novo modelo de gerenciamento de banco de dados, conhecido como NoSQL e traz como contribuição apresentar critérios de seleção para auxiliar consumidores de serviços de banco de dados, em organizações privadas, a selecionar um SGBD NoSQL. Para atender a este objetivo foi realizada revisão da literatura com levantamento bibliográfico sobre processo de seleção de software e de SGBDs, levantando critérios utilizados para este fim. Feito o levantamento bibliográfico, definiu-se o método de pesquisa como sendo a aplicação de um Painel Delphi, na modalidade ranking form. Por meio do painel foi possível determinar, após a realização de duas rodadas e participando um grupo de especialistas misto formado por gerentes, fornecedores de SGBD, acadêmicos, desenvolvedores e DBAs e DAs, os critérios mais relevantes para a escolha de um SGBD NoSQL, ordenados conforme pontuação obtida para cada critério. Os dados foram coletados por meio de questionário. A partir dos critérios identificados, foram feitas análises sobre os principais critérios de seleção de SGBDs NoSQL. Posteriormente, as conclusões e considerações finais contemplaram a análise dos resultados obtidos com o Painel Delphi. Como principal resultado alcançado, este estudo oferece uma visão realística acerca do modelo não relacional para gerenciamento de dados e apresenta os critérios mais importantes que indicam plausível a adoção de SGBDs NoSQL. / Database Management Systems Not Relational (NoSQL DBMSs) are software packages for data management using a non-relational model. Given the current context of growth in data generation and the need that organizations have to collect vast amount of customer information, scientific research, sales and other information for further analysis, it is important to rethink how to define a suitable DBMS considering economic, technical and strategic organization. This research is concerned with the study of the new management model database, known as NoSQL, and brings the present contribution selection criteria to assist service consumers Database, private organizations, to select a NoSQL DBMS. To satisfy this objective was reviewed the literature with bibliographic on software selection process and DBMSs, identifying criteria used for this purpose. After completion of the literature, was defined the search method with application of a Delphi panel, by the ranking form mode. Through the panel could be determined, after the completion of two rounds and attending a mixed group of experts formed by managers, DBMS vendors, academics, developers, DBAs and DAs, the most relevant criteria for choosing a NoSQL DBMS, ordered according score for each criteria. Data were collected through a survey. From the identified criteria, analyzes were made on the main selection criteria of NoSQL DBMSs. Subsequently, the conclusions and final considerations were made with analysis of the results obtained with the Delphi panel. The main result achieved, this study offers a realistic view about the non-relational model for managing data and presents the most important criteria that indicate plausible the adoption of NoSQL DBMSs.

Educational policy researchers have concluded that if U.S. schools transition from the traditional model of grading and reporting to a uniform standards-based grading and reporting model, students would benefit academically. However, very few middle and high schools in the United States have made the transition to standards-based grading. This qualitative research study was designed address the role of leadership in change by identifying a set of best leadership practices to guide school principals in leading such a transition. The conceptual framework was Kotter's change model. A national sample of 7 middle and 5 high school principals from 8 states who had previously led their schools in the transition to standards-based grading elected to serve as study participants. This panel completed an open-ended questionnaire designed to identify perceived best leadership practices school leaders should consider as they plan to lead such a change. Using the Delphi technique to determine consensus, a set of 78 best leadership actions were identified. Then, these actions were rated by the same panel, resulting in a set of 8 best leadership change practices consistent with Kotter's framework. Practices included establishing and communicating a sense of urgency, developing a change vision and stakeholder buy-in, building coalitions and broad-based actions, generating short term wins and continuing processes, and incorporating change into school culture. This consensus set of leadership practices might affect positive social change by assisting school principals in planning and leading grading change initiatives in schools to enhance students' learning and improve systems of communicating student academic progress using uniform and consistent standards.

This study attempts to increase critical thinking among teams by making them cognizant of seven critical thinking dimensions. Forty three-person teams of undergraduates worked together on a complex decision-making task. Each team received training in and was asked to ensure their group exhibited the characteristics of cognitive skills, affective dispositions, both of these or neither. Critical thinking was assessed using self-report, behavioral observation rating, and expert outcome analysis. The findings suggest training in affective dispositions increases the exhibition of at least one dimensions of critical thinking. A behavioral measurement is presented and evaluated with respect to established critical thinking methods.

<p>The overall aim of this thesis was to deepen understanding of elder abuse (EA) by exploring and comparing perceptions held by experts, older persons, representatives of potential support organizations, and family members. Experts’ perspectives (I) were examined through risk indicators and screening questions (a) located in EA literature and (b) selected by an international Delphi panel. Risk indicators most commonly found in the literature or selected by the panel were compiled into consensus lists. There were differences between risk indicators and questions in the two lists. In papers II and III participants were interviewed in focus groups about their perceptions of EA. Older persons (II) considered EA to be due to changing society and family systems where children are not brought up to respect older persons. EA was mainly conceptualized as ageism, criminal actions, mistreatment in residential care, and societal abuse. The abuser was perceived as a stranger or a healthcare worker. Fear was discussed as a major consequence of EA; especially fear among women. Abused persons were described as carrying the responsibility to seek help. Witnesses were described as hesitant to get involved. Improvements in society such as educating children and healthcare workers were considered ways to cope with EA. Besides family and friends there were few spontaneous suggestions for where to seek help and support in society. These suggestions included healthcare, police, church, and volunteer organizations. Representatives of these suggested organizations were interviewed in focus groups about their perceptions of EA (III). Perceptions of both causes and conceptions of EA were very similar to perceptions of older persons (II). Four themes emerged in the data; good intentions in abusive situations, older generation’s responsibility for EA, failing to report abuse, and prevention of abuse. Participants (III) also expressed ageist attitudes themselves and findings included victim blaming and tolerance for EA. Participants perceived that anyone could be provoked to abuse, and that abusers can be considered victims in abusive situations. Confidentiality was discussed as a barrier to reporting and the need for educating children to show respect for older persons was identified. Interviews with an adult family member (IV) explored her experiences of witnessing abuse situations between her uncle and his wife. In her desire to protect and remain loyal to her family she felt powerless and tolerated abuse. She longed for support she could trust but was locked into passivity by her feelings of shame. Synthesis of findings (I – IV) revealed issues of isolation, autonomy, vulnerability, victim blaming, perceiving the abuser as a victim of circumstances, ageism, tolerating EA, shame, and power as essential elements in EA. Based on the findings, alternative descriptions of EA are offered as a challenge to existing EA definitions. Findings suggest that a key to unlocking EA is compassion, understood as the ability to see a situation as if we were in it ourselves, experiencing the potential for disrespect, shame and unworthiness inherent in abusive acts.</p>

The overall aim of this thesis was to deepen understanding of elder abuse (EA) by exploring and comparing perceptions held by experts, older persons, representatives of potential support organizations, and family members. Experts’ perspectives (I) were examined through risk indicators and screening questions (a) located in EA literature and (b) selected by an international Delphi panel. Risk indicators most commonly found in the literature or selected by the panel were compiled into consensus lists. There were differences between risk indicators and questions in the two lists. In papers II and III participants were interviewed in focus groups about their perceptions of EA. Older persons (II) considered EA to be due to changing society and family systems where children are not brought up to respect older persons. EA was mainly conceptualized as ageism, criminal actions, mistreatment in residential care, and societal abuse. The abuser was perceived as a stranger or a healthcare worker. Fear was discussed as a major consequence of EA; especially fear among women. Abused persons were described as carrying the responsibility to seek help. Witnesses were described as hesitant to get involved. Improvements in society such as educating children and healthcare workers were considered ways to cope with EA. Besides family and friends there were few spontaneous suggestions for where to seek help and support in society. These suggestions included healthcare, police, church, and volunteer organizations. Representatives of these suggested organizations were interviewed in focus groups about their perceptions of EA (III). Perceptions of both causes and conceptions of EA were very similar to perceptions of older persons (II). Four themes emerged in the data; good intentions in abusive situations, older generation’s responsibility for EA, failing to report abuse, and prevention of abuse. Participants (III) also expressed ageist attitudes themselves and findings included victim blaming and tolerance for EA. Participants perceived that anyone could be provoked to abuse, and that abusers can be considered victims in abusive situations. Confidentiality was discussed as a barrier to reporting and the need for educating children to show respect for older persons was identified. Interviews with an adult family member (IV) explored her experiences of witnessing abuse situations between her uncle and his wife. In her desire to protect and remain loyal to her family she felt powerless and tolerated abuse. She longed for support she could trust but was locked into passivity by her feelings of shame. Synthesis of findings (I – IV) revealed issues of isolation, autonomy, vulnerability, victim blaming, perceiving the abuser as a victim of circumstances, ageism, tolerating EA, shame, and power as essential elements in EA. Based on the findings, alternative descriptions of EA are offered as a challenge to existing EA definitions. Findings suggest that a key to unlocking EA is compassion, understood as the ability to see a situation as if we were in it ourselves, experiencing the potential for disrespect, shame and unworthiness inherent in abusive acts.